School Form 1 School Register for Senior High School (SF1-SHS)

School Name Surigao Sur Colleges Incorporated School ID 407583 District Lingig III Division Surigao del Sur Region CARAGA

Semester First Semester School Year 2021 - 2022 Grade Level Grade 11 Track and Strand Technical-Vocational-Livelihood Track

Section SARDONYX Course (for TVL only) Food and Beverage Services (NC II)

GUARDIAN
COMPLETE ADDRESS PARENTS REMARKS
(if learner is not Living with Parent)
Contact

Sex (M/F)
NAME BIRTH DATE Number of Learning
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
AGE Religious Affilication Mother's Maiden Name Parent or Modality
Father's Name (Last
Name (Last Name, (Last Name, First Guardian (Please refer to the
House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Name, First Name, Relationship
First Name, Middle Name, Name legend on last page)
Middle Name)
Name) Extension, Middle

GAYLO,
SURIGAO CUTAMORA, JOEL CUTAMORA,
132787100003 CUTAMORA, JEROME GODGOD M 4/6/2005 17 No Religion BENTIGAN PAGTILAAN LINGIG NERLINDA UNCLE Modular (print)
DEL SUR DELA VEGA SALVADOR GAYLO
ALMAGUIO

SURIGAO EBRANO, RONNIE MONZON, SARAH EBRANO, SONNIE

132787100006 EBRANO, HENTHJIE MONZON M 10/23/2005 16 Christianity BENTIGAN PAGTILAAN LINGIG UNCLE Modular (print)
DEL SUR ROY GAYLO GANLOY BOY GAYLO

PEÑANUEVA,
SURIGAO GONZALES, JAIME
132810090024 GONZALES, JAMES BRYAN PEÑANUEVA M 8/10/2003 18 Christianity PUROK 1 SAN ROQUE LINGIG LANIE Modular (print)
DEL SUR AJOS
EVANGELIO
SURIGAO ISID, LINDO CAGOCO, LUCIA
132805090027 ISID, ERLINDO CAGOCO M 5/18/2003 18 CFC PUROK 4 PAGTILA-AN LINGIG Modular (print)
DEL SUR HATCHA GAPOR
ESPAÑOLA,
SURIGAO MEÑEZA, ROMAN
130260100017 MEÑEZA, JAKE ESPAÑOLA M 5/28/2003 17 Christianity PUROK 1 PAGTILA-AN LINGIG FLORIDA Modular (print)
DEL SUR GERVASA
DACQUIAO

TUYOR, RICO DUNAN SURIGAO TUYOR, RICKY TUYOR, ENRIQUE

132787100014 M 5/7/2005 17 Christianity BENTIGAN PAGTILAAN LINGIG DUNAN, LIEZEL UNCLE Modular (print)
DEL SUR GAYLO GAYLO

6 <=== TOTAL MALE

EVANGELIO,
SURIGAO EVANGELIO, GAYLO, ESTER
132805100016 EVANGELIO, JOANNA GAYLO F 12/27/2004 17 Christianity PUROK 5 PAGTILA-AN LINGIG HERMELITO UNCLE Modular (print)
DEL SUR ALEJANDRO BATAS MARCELO
HATCHA
SURIGAO ISID, LINDO CAGOCO, LUCIA
132805140001 ISID, ERLAICA CAGOCO F 6/18/2001 20 CFC PUROK 4 PAGTILA-AN LINGIG Modular (print)
DEL SUR HATCHA GAPOR
REGINO, EVANGELIO,
SURIGAO
106183100200 REGINO, SANDIE MAE EVANGELIO F 1/11/2003 19 Christianity PUROK 5 PAGTILA-AN LINGIG SALVADOR JONALYN Modular (print)
DEL SUR
EVANGELIO ABRAHAN

3 <=== TOTAL FEMALE

9 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Prepared by;

Beginning of the End of the

Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester Semester

Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date
Name of School, Date of 1st Attendance and
Date of Last Attendance if Transferred Out
Balik Aral B/A Name of school last attended & Year BERNARD JAYVE P PALMERA
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner
Exceptionality MALE 6 6
Accelerated ACL Specify Level & Effectivity Date

(Signature of Adviser over Printed Name)

FEMALE 3 3 End of the Semester Date:

Beginning of the Semester Date:

TOTAL 9 9
9/13/21 12:00 AM 1/16/22 12:00 AM