School Form 1 (SF 1) School Register

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

School ID

300774

School Name

Region III

Division

John J. Russel MHS (Sibul NHS)

2015 - 2016

Grade

Grade 9

ADDRESS

Section

PARENTS

NAME
(Last Name, First Name, Middle
Name)

Sex (M/F)

AGE MOTHER
as of TONGUE
BIRTH DATE
1st (Grade 1
(mm/dd/yyyy)
Friday
to 3
June
Only)

School Year

Bulacan

105087060007

Apostol, Alvin John Guillera

12-02-2000

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Apostol, Almario
Ramirez

Dela,Guillera,Agn
es,Cruz

105090060011

Basa, Jerome Delos Reyes

01-12-2001

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Herrera, Joselito
Delos Reyes

Reyes,Teresa,Delo
s,Basa

300774120021

Bernabe, Jeffrey Valdez

10-09-1997

17

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Bernabe, Joseph
Mina

Valdez,Gregoria
Paltao,

300774100073

Chico, King Oliver Agripino

10-07-1995

19

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Chico, Armando
Manuel

Crispilita,Agripino
,

105074060006

Cruz, Max Lorenz Gonzales

08-12-1998

16

Tagalog

Christia
nity

Kalawakan

Doa Remedios
Bulacan
Trinidad

Cruz, Maximo San Mendoza,Gonzales

105075060022

Delos Santos, Rodel Fajardo

05-20-2000

15

Tagalog

Christia
nity

Kalawakan

Doa Remedios
Bulacan
Trinidad

Delos Santos,
Rodolfo S

Fajardo,Jennifer,,

300774150008

Delos Santos, Rodolfo Fajardo Jr

10-25-1996

18

Tagalog

Christia
nity

Kalawakan

Doa Remedios
Bulacan
Trinidad

Delos Santos,
Rodolfo
Villavicencio Sr

Fajardo,Jennifer,,

105087060070

Enriquez, Ralph Frias

01-21-2001

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Enriquez, Rodelio Frias,Rea,Faustino

105087060084

Flameo, Edmar Francisco

06-28-1999

15

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Flameo, Edzel Sta Francisco,Maribel,

300774110140

Forte, Christian Villanueva

03-19-1997

18

Tagalog

Christia
nity

Biak-Na-Bato

San Miguel

Bulacan

Forte, Bernaldo
Moran

Villanueva,Corazo
n Pascual,,

300774110143

Francisco, Joseph Apostol

11-26-1998

16

Tagalog

Christia
nity

Madlum

San Miguel

Bulacan

Francisco, Renato

Apostol,Marites,Pa
guio,

105087060104

Garcia, Reniel Bachain

08-20-2000

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Garcia, Noelito
Dela Cruz

Bachain,Irene,Bina
ya,

105088060041

Gatmaitan, John Mark Pangilinan

12-27-2000

14

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Pangilinan,Mercy,,

105088060046

Joson, Dave Urbano

01-19-2001

14

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Joson, Romano

Urbano,Aurea,,

105087060126

Lazaro, Jeron Santos

11-24-1999

15

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Lazaro, Sandy
Rivera

Santos,Babylyn,Pa
lomo,

LRN

IP
(Ethnic
Group)

RELIGIO
N

House #/
Street/
Sitio/ Purok

Barangay

Municipality/
City

Province

Father's Name
(Last Name,
First Name,
Middle Name)

Mother's
Maiden Name
(Last Name,
First Name,
Middle

SAPPHIRE
GUARDIAN
(if Not Parent)

Name

Contact
Number
of Parent
or
Relationshi
Guardian
p

REMARKS

(Please refer
to the legend
on last page)

105090060056

Libatique, Andrae Kim Talucod

11-22-1999

15

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Libatique, Edgar
Pangilinan

Talucod,Mylene,,

136523120021

Maglaque, Jerwin Magpayo None

06-26-2000

14

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Maglaque, Joey

Magpayo,Marinel,
Siervo,

105087060146

Mangalindan, Arnel Fernandez Jr

03-21-2001

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Mangalindan,
Arnel Capistrano

Ferrer,Fernandez,G
loria,

105090050067

Mendez, Michael Angelo Espiritu

05-03-1999

16

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

105090060075

Nazar, John Kenneth Dela Cruz

07-26-2000

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Gutierrez, Joel

Nazar,Soledad,,

105090060084

Perez, Paul Vincent Quisay

06-05-2001

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Perez, Randy
Matias

Quisay,Lotlot,Cabi
sas,

105090060086

Ramon, Joshua Pangilinan

11-13-2000

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Ramon, Donardo A Pangilinan,Helen,,

300771130218

San Pedro, Jasper Flores

09-16-2000

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

San Pedro, Sergio

105088060112

Soliman, Mark Anthony Sulit

08-01-2001

13

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Soliman, Eduardo Sulit,Rochelle,Pine

105087060206

Sta Maria, John Rey Cruz

07-27-2000

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Caluban,Reanto,P, Maria,Analiza,Sta,

105090060108

Sta Maria, Louell Viterbo

10-25-2001

13

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Sta, Rowel C

105090060110

Talucod, C J Lorenzo

10-27-2000

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Talucod,Miguel,S, Lorenzo,Yerlen,,

105087060231

Viudez, Ferdie Bronce

01-14-2000

15

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Viudez, Roberto
Cristobal

Bronce,Flaviana,Pi
lit,

Hernandez,Josephi
ne,,

Fernandez,Flores,F
ilipina,

Viterbo,Leonida,,

28 <=== TOTAL MALE

Alejos, Mary Joy Hernandez

02-16-1999

16

Tagalog

Christia
nity

Kalawakan

San Miguel

Bulacan

Alejos, Andres

105087060006

Apoderado, Khryssha Elaizel Sandoval

08-17-2000

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Apoderado,Joel,Dc
Sandoval,Maricel,,
,

300774090028

Arcilla, Lyka Mae Dela Cruz

08-03-1997

17

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

105087060015

Banila, Erica Liwag

04-20-1999

16

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Banila, Vergilio
Bernas

105087060023

Calizon, Janel Chico

11-10-2000

14

Tagalog

Christia
nity

Masalipit

San Miguel

Bulacan

Calizon,Manuel,S, Chico,Elena,,

105088060022

Campana, Vergie Nuecas

12-27-1997

17

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Campana, Norberto Moral,Nuecas,Virg

104729060076

Elnar, Jenny Dela Pea

06-28-1998

16

Tagalog

Christia
nity

Kalawakan

Doa Remedios
Bulacan
Trinidad

, Federico Elnar

105087060081

Fangon, Shyra Miles Kaye Lapuz

01-01-2000

15

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Fangon,Wyngard,D
Lapuz,Maribel,,
c,

105132060013

Francisco, Kyrille Gonzales

07-16-2001

13

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Francisco,Manuel,P Gonzales,Veronica,
,
B,

Liwag,Maximina
Adines,,

Pea,Pilar,Dela,

105087060098

Gacias, Karen Manuzon

10-06-2000

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Gacias,Reynaldo,S, Manuzon,Jocelyn,,

105087060118

Ilustre, Queen Mary Mae Pradez

01-16-2001

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Ilustre,Boyet,F,

Pradez,Michelle,,

105104060033

Manalo, Eloisa Estremedora

03-04-2001

14

Tagalog

Christia
nity

Masalipit

San Miguel

Bulacan

Manalo, Gerardo
Manalo

Estremadora,Geral
dine Manuzon,,

105104060034

Maniquiz, Clarissa Dela Cruz

08-13-2000

14

Tagalog

Christia
nity

Masalipit

San Miguel

Bulacan

Dela
Maniquiz, Enrique
Cruz,Avelina,De
De Jesus
Dios,

105087060151

Manuzon, Allyssa Marie Santos

07-01-1999

15

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Manuzon,
Ramos,Santos,Eliz
Domingo Caparas abeth,

105087060153

Mempin, Venus Ivory Mercado

06-13-2001

13

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Mempin, Valentin
Sta Maria Jr

105087060154

Mendoza, Merie Grape Pianza

12-25-2000

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Mendoza, Alfredo Pianza,Rosalinda,,

105088060082

Naoquines, Daisyrie Viudez

09-27-2000

14

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Naoquines, Darius Fernando,Viudez,

158520050004

Pepito, Criselda Congjie

06-15-1997

17

Tagalog

Christia
nity

Balaong

San Miguel

Bulacan

Pepito, Carlos -

Congje,Cristina,Di
vina,

105074060017

Polka, Mary Mae Mendoza

05-15-2001

14

Tagalog

Christia
nity

Kalawakan

Doa Remedios
Bulacan
Trinidad

Polka,Victoriano,B,

Mendoza,Merlinda
,Dulay,

105074060018

Polka, Stephanie Baldoz

01-11-2001

14

Tagalog

Christia
nity

Kalawakan

Doa Remedios
Bulacan
Trinidad

Polka, Armando
Atienza

Baldoz,Melanie
Cacao,,

105088060099

Reyes, Maria Andrea Delos Santos

05-07-2000

15

Tagalog

Christia
nity

Santa Ines

San Miguel

Bulacan

Reyes, Dante
Pineda

Valdez,Delos
Santos
Maria,Rosa,

105087060216

Tibus, Kristaliz Calara

04-15-2001

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Tibus,Ronaldo,M, Calara,Marita,,

105087060223

Valencia, Nicole Anne Mae Mendoza

01-29-2001

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Valencia, Orlando
Abajan

Mendoza,Mercedit
a,Galang,

105090050108

Valmonte, Margie Esguerra

07-27-2000

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Valmonte,Mario,,

Esguera,Gina,,

105087060228

Villanueva, Zairyll Joy Evangelista

07-14-2001

13

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Villanueva, Nelson Evangelista,Jenily

105087060232

Viudez, Leslie Ann Opiana

01-03-2001

14

Tagalog

Christia
nity

Sibul

San Miguel

Bulacan

Viudez,Mario,P,

Opiana,Imelda,,

105090060118

Warde, Rica Mae Velasco

11-05-2000

14

Tagalog

Christia
nity

Tartaro

San Miguel

Bulacan

Warde, Oseas
Berdon

Ocera,Velasco,Am
elita,

27 <=== TOTAL FEMALE

Mercado,Imelda
Sanchez,,

List and Code of Indicators under REMARKS column

Code Required Information

Indicator

Code Required Information

CCT Receipient

CCT CCT Control/reference number &

Balik Aral
Transfered In
Dropped

T/I

Name of Public (P) Private (PR) School &

DRP Reason and Effectivity Date

Learner With
Disability
Accelerated

REGISTERED

BoSY

MALE

28

EoSY

Prepared by;

MARGIE V PASCUAL
FEMALE

27

TOTAL

55

(Signature of Adviser over Printed

BoSY Date:

Generated on: Tuesday, September 29, 2015

Certified Correct:

EoSY Date:

LEODORA DE GUZMAN MENDOZA

(Signature of School Head over Pr

BoSY Date:

EoSY Date:

ZMAN MENDOZA

l Head over Printed

EoSY Date: