School ID 304496

School Name PRESIDENT ROX

NAME
Sex
LRN (Last Name, First Name, Middle
(M/F)
Name)

1 304496110002 ABEDIN, Jhon Sumugat M

2 304496100018 BALINGIT, Bonnel John Florita M

3 CABRILLOS, Raul Salvan M

4 130379050005 FAILAGO, Winston Ellevera M

5 FELIPE, Jerrymie M

6 304496100091 MAGUAD, Francis Cruz Baldivino M

7 130376050021 MANUEL, Johnny, Jr. Mojana M

8 304450110044 MARCIAL, Elemar Tuban M

9 130375050017 MORBO, Rodney Pama M

10 304450090045 PALIGUTAN, Melvin Dizon M

11 130373050022 PEPITO, Dawnald Fortin M

12 130383050105 POLICAR, Jonathan, Jr Millondaga M

13 136850050430 SALAVIA, John Kelton Ausan M

14 130376050027 SAMAR, John Mark Mahabague M

15 130373050025 SISPON, Ted, II Piccio M

304496160012 SUMARIBUS, Jeck Morbo M

 NAME
Sex
LRN (Last Name, First Name, Middle
(M/F)
Name)

1 130387050003 ANAVA, Lucena May Dalino F

2 130383050012 ARELLANO, Jolina Jean Magallena F

3 130383050020 BETIL, Kayzie Lidong F

4 130376050010 CALLANO, Hanah Mae Sorongon F

5 130383050026 CAETE, Gilda Villagonzalo F

6 130378050007 CASTILLON, Maryfloy Epal F

7 130387050016 DOMINGO, Blyth Tolic F

8 130169050010 ENDINO, Cherlyn Mae Gonzalgo F

9 130387050024 FUENTES, Maria Rose Noble F

10 304471080025 GELLANILAY, Annie Rose Juluat F

11 130380050007 GREGORIO, Jonna Pido F

12 130380050010 GREGORIO, Roselyn Luciano F

13 304496090106 MARIANO, Sunshine Adlawan F

14 130383050086 NAVAJA, Cherry Rose Porcadilla F

15 130383050087 NAVARRO, Noveleen Dayangco F

16 130383050106 PORCADILLA, Honey Fe Sorilla F

17 130383050109 RAEL, Ginevie Yulo F

18 130383050113 RODRIGUEZ, Herna Mae Su-ip F

19 130374050033 SALUDARES, Crisabel Espaola F

20 130378050047 WALAN, Ergean Aguinaldo F

21 405638150092 ZAMORA, Princess Ferdineth Serarzo F

List and Code of Indicators under REMARKS colu

Indicator Code Required Information
 NAME
Sex
LRN (Last Name, First Name, Middle
(M/F)
Name)

Transferred Out T/O Name of Public (P) Private (PR) School & Ef

Transferred IN T/I Name of Public (P) Private (PR) School & Ef

Dropped DRP Reason and Effectivity Date

Late Enrollment LE Reason (Enrollment beyond 1st Friday of Jun
 School Form 1 (SF 1)
(This replaces Form 1, Master List & STS Fo

Region XII Division COTAB

DENT ROXAS HIGH SCHOOL School Year

AGE as
BIRTH DATE IP
of 1st MOTHER
(mm/dd/ (Ethnic RELIGION House #/
Friday TONGUE
yyyy) Group) Street/ Sitio/
June
Purok

2/7/1998 18 Ilonggo Ilonggo Roman Catholic Purok 2A

4/13/1996 20 Ilonggo Ilonggo Roman Catholic Purok 2

9/7/1997 18 Ilonggo Ilonggo Assembly of God Purok 5

1/19/1998 18 Ilonggo Ilonggo Roman Catholic Purok 4

7/7/1997 18 Ilonggo Ilonggo Roman Catholic Purok 2

9/16/1998 17 Ilonggo Ilonggo Roman Catholic Purok 2

9/14/1996 19 Ilonggo Ilonggo Roman Catholic Purok 5

4/12/1999 17 Ilonggo Ilonggo SDA Purok 4

4/18/1997 19 Cebuano Cebuano Roman Catholic Purok 1

11/20/1999 16 Ilonggo Ilonggo ECOFI Purok 10-A

2/28/1999 17 Ilonggo Ilonggo Roman Catholic Purok 5

9/17/2000 15 Ilonggo Ilonggo Roman Catholic Purok 3

2/16/2000 16 Ilonggo Ilonggo SDA Purok 5

2/23/2000 16 Ilonggo Ilonggo Baptist Purok 18

9/28/1999 16 Ilonggo Ilonggo SDA Purok 4

 AGE as
BIRTH DATE IP
of 1st MOTHER
(mm/dd/ (Ethnic RELIGION House #/
Friday TONGUE
yyyy) Group) Street/ Sitio/
June
Purok

5/15/1998 17 Ilonggo Ilonggo ECOFI Purok 4

6/17/1999 16 Ilonggo Ilonggo Roman Catholic Purok 1

7/28/1998 17 Ilonggo Ilonggo Church of Christ Purok 15-A

1/31/1999 17 Cebuano Cebuano Roman Catholic Purok 2-A

2/10/1999 17 Ilonggo Ilonggo Pentecostal Purok 3

2/22/1998 18 Ilonggo Ilonggo SDA Purok 3

1/8/2000 16 Ilonggo Ilonggo Roman Catholic Purok 7

4/13/2000 16 Cebuano Cebuano Baptist Purok 5

3/9/1999 17 Ilonggo Ilonggo Roman Catholic Purok 5

7/6/1995 20 Ilonggo Ilonggo Iglesia Ni Cristo Purok 7

8/12/1999 16 Ilonggo Ilonggo Aglipay Purok 5

5/28/1999 17 Ilonggo Ilonggo Roman Catholic Purok 5

8/23/1995 20 Ilonggo Ilonggo Assembly of God Purok 3

7/19/1999 16 Ilonggo Ilonggo Roman Catholic Purok 6-A

11/19/1998 17 Cebuano Cebuano Roman Catholic Purok 2

8/23/1999 16 Ilonggo Ilonggo Aglipay Purok 7

1/17/1999 17 Ilonggo Ilonggo SDA Purok 5

11/5/1999 16 Ilonggo Ilonggo Iglesia Ni Cristo Purok 2

2/4/2000 16 Ilonggo Ilonggo Roman Catholic Purok 7

11/29/1998 17 Ilonggo Manobo Jesus is Lord Purok 6

3/30/1999 17 Ilonggo Ilonggo SDA Purok 7

REMARKS column
Code Required Information
 AGE as
BIRTH DATE IP
of 1st MOTHER
(mm/dd/ (Ethnic RELIGION House #/
Friday TONGUE
yyyy) Group) Street/ Sitio/
June
Purok

R) School & Effectivity Date CCT CCT Control/reference number &

R) School & Effectivity Date B/A Name of school last attended & Y

LWD Specify
st Friday of June) ACL Specify Level & Effectivity Data
SF 1) School Register
& STS Form 2-Family Background and Profile)

OTABATO District 2

2016-2017 Grade Level 11

ADDRESS PARENTS

Mother's Ma
Father's Name (Last
Municipality/ Name (Last N
Barangay Province Name, First Name,
City First Name, M
Middle Name)
Name)
Poblacion Pres. Roxas Cotabato Abedin, Rex Agao Sumugat, Gladys

Poblacion Pres. Roxas Cotabato Balingit, Tirso Lagunay Florita, Ninfa Ca

Labu-o Pres. Roxas Cotabato Salvan, Rita Agu

Lomonay Pres. Roxas Cotabato Failago, Roquel Montinegro Ellevera, Estrilla Ec

Poblacion Pres. Roxas Cotabato Maguad, Cruz IV Enriquiz Baldivino, Bellie Ba

Kamarahan Pres. Roxas Cotabato Manuel, Johnny Sr. Bachicha Mojana, Imelda D

Salvacion Matalam Cotabato Marcial, Mario Suerte Tuban, Frediswenda

Idaoman Pres. Roxas Cotabato Morbo, Rodrego Dicir Pama, Fatima Con
Paligutan, Rogelio Sr. Sebastian
Kamarahan Pres. Roxas Cotabato Dizon, Elsie Hono
(Dec.)
Poblacion Pres. Roxas Cotabato Pepito, Iluminado Jr. Bandojo Fortin, Elena Bu

Poblacion Pres. Roxas Cotabato Policar, Jonathan Sr. Nicor Millondaga, Arlen

Idaoman Pres. Roxas Cotabato Salavia, Marcelino Jr. Buaya Ausan, Amy Mo

Kamarahan Pres. Roxas Cotabato Samar, Ariel Muyco Sr. Mahabague, Mary Joy
Sispon, Ted Demonteverde
Poblacion Pres. Roxas Cotabato Piccio, Divina Lin
(Dec.)
Idaoman Pres. Roxas Cotabato Sumaribus, Jimmy Dela Cruz Morbo, Genelyn
 ADDRESS PARENTS

Mother's Ma
Father's Name (Last
Municipality/ Name (Last N
Barangay Province Name, First Name,
City First Name, M
Middle Name)
Name)
Mabuhay Pres. Roxas Cotabato Anava, Inocencio Jr. Ramirez Dalino, Lucia Dela

Mabuhay Pres. Roxas Cotabato Arellano, Julius Arsaga Magallena, Marie Je

Nagcarlan Pres. Roxas Cotabato Betil, Junniper Magyao Lidong, Jeana Sam

Kamarahan Pres. Roxas Cotabato Callano, Artemio Jr. Raymundo Sorongon, Regie Es

Poblacion Pres. Roxas Cotabato Caete, Ruben Sarmiento Villagonzalo, Renelda

Labu-o Pres. Roxas Cotabato Castillon, Winefredo Nanlabi Epal, Consolacion

Tuael Pres. Roxas Cotabato Domingo, Junito Aguilar (Dec.) Tolic, Corazon Ga

Salvacion Matalam Cotabato Endino, Pastor Fuentes (Dec.) Gonzalgo, Juliet Ba

Tuael Pres. Roxas Cotabato Fuentes, Roque Hibaya Noble, Mary Jane V

Binay Magpet Cotabato Gellanilay, Marino Provido Juluat, Annelyn A

Mabuhay Pres. Roxas Cotabato Gregorio, Jimmy Soriano Pido, Merlita Sid

Mabuhay Pres. Roxas Cotabato Gregorio, Ramon Soriano Luciano, Severina

Labu-o Pres. Roxas Cotabato Mariano, Felix Nanlabi Adlawan, Lydia Ta

Poblacion Pres. Roxas Cotabato Navaja, Joel Sr. Sermonio Porcadilla, Edraline M

Poblacion Pres. Roxas Cotabato Navarro, Vicente Nuyad Dayangco, Gonzala

Poblacion Pres. Roxas Cotabato Porcadilla, Romeo Emata Sorilla, Ailene Ga

Poblacion Pres. Roxas Cotabato Rael, Nestor Buer Yulo, Gena Lagu

Poblacion Pres. Roxas Cotabato Rodriguez, Hernanie Jabay Su-ip, Mary Ann C

Greenhill Pres. Roxas Cotabato Saludares, Samuel Fagaran Espaola, Cristy Fo

Labu-o Pres. Roxas Cotabato Walan, Ernesto Ondong Aguinaldo, Catherine F

Mabuhay Pres. Roxas Cotabato Zamora, Ferdinand Espaola Serarzo, Johna Jea

REGISTERED BoSY EoSY

 ADDRESS PARENTS

Mother's Ma
Father's Name (Last
Municipality/ Name (Last N
Barangay Province Name, First Name,
City First Name, M
Middle Name)
Name)

mber & Effectivity Date MALE 15 11

ded & Year FEMALE 19 18

TOTAL 34 29
y Data
 2

Section ICT 1

GUARDIAN
RENTS
(If not Parent)
Contact
Mother's Maiden Number of
Name (Last Name, Relation- Parent or
Name Guardian
First Name, Middle ship
Name)
Sumugat, Gladys Dolido

Florita, Ninfa Cari-an 09488138876

Salvan, Rita Aguillon

Ellevera, Estrilla Ecaranum Villanueva, Marlon 09461272610

Baldivino, Bellie Bacaoco 09481306725

Mojana, Imelda Dorado 09503932475

Tuban, Frediswenda Grabanto

Pama, Fatima Consumo

Dizon, Elsie Honorario 09469077295

Fortin, Elena Butiong 09468159238

Millondaga, Arlene Lim 09219669395

Ausan, Amy Mojana Ausan, Amelita Grandmother 09469077295

Mahabague, Mary Joy Sta Cruz 09302399646

Piccio, Divina Lindong

Morbo, Genelyn Desir 09128289222

 GUARDIAN
RENTS
(If not Parent)
Contact
Mother's Maiden Number of
Name (Last Name, Relation- Parent or
Name Guardian
First Name, Middle ship
Name)
Dalino, Lucia Dela Cruz 09075056821

Magallena, Marie Jean Alipes 09308605997

Lidong, Jeana Sampiano 09502205062

Sorongon, Regie Estrellado

Villagonzalo, Renelda Henlog 09099442625

Epal, Consolacion Salinde 09094603753

Tolic, Corazon Gana-an

Gonzalgo, Juliet Banggay 09076678168

Noble, Mary Jane Vicencio 091247875222

Juluat, Annelyn Aquino Gellanilay, Roselyn Aunt 09465115073

Pido, Merlita Sidayon 09186219893

Luciano, Severina Namia

Adlawan, Lydia Tanawan 09489877819

Porcadilla, Edraline Mordese 09465331909

Dayangco, Gonzala Quindala 09461738569

Sorilla, Ailene Gabredo 09301331722

Yulo, Gena Lagunday 09307228750

Su-ip, Mary Ann Calayco 09469565693

Espaola, Cristy Formentira 09123855249

Aguinaldo, Catherine Fernandez 09073233331

Serarzo, Johna Jean Samar 09090761392

Prepared by: Certified Correct:

 GUARDIAN
RENTS
(If not Parent)
Contact
Mother's Maiden Number of
Name (Last Name, Relation- Parent or
Name Guardian
First Name, Middle ship
Name)

ALFRED JAN G. NAPARAN JEROME G. ALTAMARINO

(Signature of Adviser over Printed Name) (Signature of Registrar over Printed Name)

BoSY Date: 06/13/16 EoSYDate: 04/07/17 BoSY Date: 06/13/16 EoSYDate: 04/07/17

Updated: March 29, 2017

 REMARKS

(Please refer to
the legend on
last page)

DRP (lack of interest)

November 2, 2016

DRP (work)
November 2, 2016

DRP (work)
November 2, 2016

DRP (distance bet. home and

school) November 2, 2016
DRP (lack of interest)
November 2, 2016

LE
June 21, 2016
 REMARKS

(Please refer to
the legend on
last page)

TO July 11, 2016

DRP (work)
November 2, 2016

DRP (work)
November 2, 2016

Transferred from HUMMS 1,

July 21, 2016

Transferred from Cookery 2,

July 20, 2016

Correct:
 REMARKS

(Please refer to
the legend on
last page)

E G. ALTAMARINO
Registrar over Printed Name)

06/13/16 EoSYDate: 04/07/17

Updated: March 29, 2017