School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 212026 CARAGA Division Agusan del Sur District Sibagat II

Grade
School Name Balonbon Elementary School School Year 2018 - 2019 Grade 1 Section LOVE
Level
GUARDIAN
AGE MOTHE ADDRESS PARENTS Contact
(if Not Parent) Number
as of

Sex (M/F)
R
NAME IP of
BIRTH DATE 1st TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle (Ethnic House #/ Parent
(mm/dd/yyyy) Frid (Grade N (Last Name, Maiden Name
Name) Group) Street/ Municipality Relationsh or
ay 1 to 3 Barangay Province First Name, (Last Name, Name
Sitio/ / City ip Guardia
June Only) Purok
Middle Name) First Name, n
Middle Name)

Cebuan
o/
Christia AGUSAN DEL SALAHAY,EDE
212026170019 BEHING,ETHAN, SALAHAY M 08-18-2012 5 Sinugbu Manobo PADIAY SIBAGAT
nity SUR N,DANDANON,
anong
Binisay

Cebuan
o/
Christia CITY OF AGUSAN DEL CAUNTOD, REVILLA,MEME
131634170010 CAUNTOD,LUDYMAR, REVILLA M 10-30-2011 6 Sinugbu MT. ARARAT
nity BAYUGAN SUR DONDON ,,
anong
Binisay

Cebuan
o/
Christia AGUSAN DEL ANGELES,JOA
212026170009 SALAHAY,VENMAR, ANGELES M 05-19-2011 7 Sinugbu Manobo PADIAY SIBAGAT
nity SUR N,-,
anong
Binisay
SOLON,
Cebuan Christia CITY OF AGUSAN DEL REVILLA,DINA
405929160006 SOLON,ARCHIE, REVILLA M 09-26-2010 7 BERSEBA RICARDO
o nity BAYUGAN SUR LIZA,ASEBIDO,
LUMOSBOG
Cebuan
o/ TAGONSOLOD,
Christia AGUSAN DEL
212026170020 TAGONSOLOD,BRIENT, TUBAY M 08-19-2012 5 Sinugbu Manobo PADIAY SIBAGAT MARIA
nity SUR
anong LYN,TUBAY,
Binisay

Cebuan
o/ TAGUNSOLOD,
TAGUNSOLOD,ERVEN, Christia AGUSAN DEL
212026170015 M 05-11-2011 7 Sinugbu Manobo PADIAY SIBAGAT LILIA,BANGKIA
TAGUNSOLOD nity SUR
anong WAN,
Binisay

6 <=== TOTAL MALE

Cebuan
o/ AGUSTIN,MAR
ADORABLE,AENGELYN, Christia AGUSAN DEL
212026170012 F 12-12-2011 6 Sinugbu Manobo PADIAY SIBAGAT YJANE,SALAHA
AGUSTIN nity SUR
anong Y,
Binisay

Cebuan
o/
Christia AGUSAN DEL AGO,STELA,AG
212026170021 AGO,STELA MARIE, AGUSTIN F 02-15-2012 6 Sinugbu Manobo PADIAY SIBAGAT
nity SUR USTIN,
anong
Binisay
 REMARKS

(Please refer
to the legend
on last page)

T/I
DATE:2018-
08-20

T/I
DATE:2018-
06-04
 Cebuan
o/ BAIWASAN,MA
AGUSTIN,GLEAMER FAITH, Christia AGUSAN DEL
212026170013 F 02-25-2012 6 Sinugbu Manobo PADIAY SIBAGAT RJORIE,DANDA
BAIWASAN nity SUR
anong NON,
Binisay

Cebuan
o/
ILIGAN,KRYSTAL SHANE, Christia AGUSAN DEL ILIGAN,JHONA,
212026170017 F 07-24-2012 5 Sinugbu Manobo PADIAY SIBAGAT
SALAHAY nity SUR AGUSTIN,
anong
Binisay

Cebuan
o/
KESSY MAE,LANGUIDO, Cebuan Christia AGUSAN DEL LANGUIDO, REGUINA,MAR
212026180017 F 04-11-2011 7 Sinugbu PADIAY SIBAGAT
REGUINA o nity SUR DINDO Y ANN,,
anong
Binisay

Cebuan
o/
QUILLANO,QUENIE VINE, Christia AGUSAN DEL ANGELES,MAI
212026170010 F 10-24-2011 6 Sinugbu Manobo PADIAY SIBAGAT
ANGELES nity SUR DAG,-,
anong
Binisay
Cebuan
o/Kana/
RHEAJANE,CARANGUE, Christia AGUSAN DEL BAIWASAN,AR
212026170014 F 10-01-2011 6 Sinugbo Manobo PADIAY SIBAGAT
BAIWASAN nity SUR LENE,NADAO,
anong
Bini
7 <=== TOTAL FEMALE

13 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number & ARMANDO DAGIUM BAILLO JR
Effectivity Date Effectivity Date MALE 6
Balik Aral B/A JESSEL SAG-OD PENIG (Signature of School Head over Prin
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LW FEMALE 7 Name)
Disability D Specify
Dropped DRP Reason and Effectivity Date Accelerated BoSY Date: EoSY Date:
Late LE Reason (Enrollment beyond 1st Friday of ACL Specify Level & Effectivity Data TOTAL 13
Enrollment June) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, April 15, 2019

GIUM BAILLO JR

l Head over Printed

me)

EoSY Date:

d thru LIS