FORM 1 DEPARTMENT OF EDUCATION EARLY REGISTRATION FORM School I.

D; 104504 School Name: Maria Aurora Central School Region: III Division: Aurora School District: Maria Aurora First Year Grade/Year Level NAME 1.Angeles, Mark Edison V. 2. Atilares, Alberto III G. 3. Bartolome, Kryss Renato Engel P. 4. Dangco, Mar John D. 5. Diaz, Jandelle E. 6. Domino, Angelo P. 7. Flores, Joeben T. 8. Fontanilla, Angelo M. 9. Fontanos, Raphael O. 10.Gonzales, Denver M. 11. Grace, Dionisio Jr. A. 12. Mariano, Donjie M. 13. Murillo, Ezer Jan A. 14. Solomon, Mark Anthony B. 15. Teh, Renz Joshua G. 16. Tobias, Jeffrey A. 17. Tolosa, Roger Jr. A. 18. Torres, Christopher V. 19. Valdez, Mark Emerson S. 20. Ancheta, Jann Mari T. 21. Azarcon, Maricar M. 22. Bayrante, Giselle T. 23. Bergantios, Vivienne T. 24. Calendacion, Bea B. 25. Cara, Michelle Ann B. 26. Carera, Glaidel D. 27. Catipon, Kahrla Via N. 28. Esteban, April Joy A. 29. Fontanilla, April Grace S. 30. Gabrillo, Lovely Danne A. 31. Reyes, Ma. Lourdes P. 32. Satorre, Jen Genieve S. 33. Valdez, Reina Fiel P. 34. Viaje, Crista Angela T. SEX M M M M M M M M M M M M M M M M M M M F F F F F F F F F F F F F F F BIRTHDATE 06-11-98 05-20-98 11-24-98 09-20-98 04-20-98 12-01-98 12-16-98 03-31-97 06-25-98 11-02-98 02-02-98 11-12-98 09-25-98 04-13-98 11-17-98 07-29-98 02-07-98 02-14-95 06-13-98 07-24-98 12-12-98 07-15-98 10-03-97 12-29-97 09-18-97 06-06-98 11-27-97 04-26-98 04-20-98 08-21-98 02-03-99 02-22-96 07-29-98 03-01-99 ADDRESS Florida, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 02, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 02, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 02, Ma. Aurora San Jose, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 04, Ma. Aurora Brgy.01, Ma. Aurora Brgy. 04, Ma. Aurora San Jose, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 04, Ma. Aurora Florida, Ma. Aurora Florida, Ma. Aurora Brgy. 04, Ma. Aurora San Jose, Ma. Aurora Brgy. 04, Ma. Aurora Brgy. 02, Ma. Aurora Brgy.03, Ma. Aurora Brgy. 02, Ma. Aurora Brgy. 04, Ma. Aurora San Jose, Ma. Aurora Brgy.03, Ma. Aurora Brgy. 02, Ma. Aurora Brgy.03, Ma. Aurora Brgy. 02, Ma. Aurora Brgy.01, Ma. Aurora Brgy. 02, Ma. Aurora Brgy.01, Ma. Aurora REMARKS First Choice Second Choice MCHS MANHS MCHS MANHS MANHS MCHS MCHS MANHS MANHS MCHS WU-P MANHS MCHS MANHS WU-P MANHS MANHS WU-P RNHS MCHS MCHS WU-P MANHS MCHS MCHS WU-P WU-P MANHS MCHS MANHS MANHS WU-P WU-P MANHS WU-P MCHS WU-P MCHS MCHS MANHS RNHS MCHS WU-P MANHS WU-P MANHS MCHS MANHS MCHS MANHS WU-P MANHS RNHS MCHS MCHS WU-P MANHS WU-P MCHS MANHS MCHS MANHS WU-P MCHS MCHS WU-P MCHS WU-P

* Indicate if student is for SPED, a member of indigenous cultural communities or street children Submitted by: ROSALINDA N DAPON N Name and Signature of School Head PRINCIPAL - II Designation Cell Phone Number: 09086933509 E-mail Address: _________________