School Form 1 School Register for Senior High School (S

School Name Nurcia Integrated Secondary School School ID 500320 District Lanuza Division Suriga

Semester First Semester School Year 2018 - 2019 Grade Level Grade 11 Track and Strand

Section Saint Course (for TVL only) Dressmaking (NC II), Tailoring (NC II)

AGE COMPLETE ADDRESS PARENTS

as of

Sex (M/F)
NAME BIRTH DATE 1st Mother's Ma
LRN Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Frida Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
y Purok
Barangay
City
Province Name, First Name, Name, Fir
June Middle Name) Name, Mid
Name)

SURIGAO ARNIEGO, RENATO ESTAL,AILYN

132765070003 ARNIEGO,IRIEL ESTAL M 08/03/2000 17 Christianity NURCIA LANUZA
DEL SUR ABNE NLAON,

SURIGAO ASIO, RODOLFO LAURENTE,JO

132765070005 ASIO,RODOLFO JR LAURENTE M 03/16/2000 17 Christianity NURCIA LANUZA
DEL SUR CORPUZ SR YN,LARONG,

SURIGAO BALO, ARTEMIO TUMULAK,M

132765070006 BALO,ALJUN TUMULAK M 04/08/2001 16 Christianity NURCIA LANUZA
DEL SUR RAUT-RAUT JR LINA,MAHINA

SURIGAO BESINGA, JOVITA,LUCIL

317901140004 BESINGA,ANDY JOVITA M 10/27/1997 19 Christianity NURCIA LANUZA
DEL SUR ELEUTERIO ABALA ANABE,

SURIGAO COMPARATIVO, SAMARCA,CH

132765050007 COMPARATIVO,MARK VINCIENT SAMARCA M 04/03/2000 17 Christianity NURCIA LANUZA
DEL SUR GERRY BESINGA LEY,RUAYAN

SURIGAO CORPUZ, ARRO,CENO

132765070008 CORPUZ,ERL ARRO M 09/01/2000 16 Christianity NURCIA LANUZA
DEL SUR ELDEFONSO ROZ AGUTUNGAN

COSMIANO, ORILLANEDA
SURIGAO
132765070009 COSMIANO,JOHN NATHANIEL ORILLANEDA M 09/17/2001 15 Christianity NURCIA LANUZA JONATHAN ONILYN,PEGA
DEL SUR
MATILDO O,
ABA-
SURIGAO GENOVES, JIMMY
132765070012 GENOVES,JADE ABA-A M 05/16/2000 17 Christianity NURCIA LANUZA A,LEONITA,D
DEL SUR SUMA-OY
C,

SURIGAO JUMALON, EDMOND GALGO,MER

132765070015 JUMALON,MARK POL GALGO M 05/14/2001 16 Christianity NURCIA LANUZA
DEL SUR ROZ A,ISIANG,

SURIGAO REQUIRME, ROMEL AMERICA,JO

132765060023 REQUIRME,ROMEL JOY AMERICA M 07/24/2001 16 Christianity NURCIA LANUZA
DEL SUR GEMENEZ N,MURILLO,

SURIGAO ROZ, VICTORIO BESINGA,LEO

132765070025 ROZ,REY BESINGA M 04/18/2000 17 Christianity NURCIA LANUZA
DEL SUR ESTAL NG,TUBO,

SURIGAO SESE, ROBERTO ROZ,BERNIN

132765070028 SESE,MATTHEW ROZ M 11/04/2000 16 Christianity NURCIA LANUZA
DEL SUR TUZON ASINNGA,

12 <=== TOTAL MALE

ol (SF1-SHS)

Surigao del Sur Region CARAGA

Technical-Vocational-Livelihood Track

GUARDIAN
TS (if learner is not Living with REMARKS
Parent) Contact
Number
Mother's Maiden of Parent
Name
Name (Last or (Please refer to
(Last Name, First
Name, First Relationship Guardian the legend on last
Name, Name
Name, Middle page)
Extension, Middle
Name)

ESTAL,AILYN,PO
PARENT
NLAON,

LAURENTE,JOCEL
PARENT
YN,LARONG,

TUMULAK,MEGUI
PARENT
LINA,MAHINAY,

OVITA,LUCILA,G
PARENT
ANABE,

SAMARCA,CHAR
PARENT
LEY,RUAYANA,

ARRO,CENONA,T
PARENT
AGUTUNGAN,

ORILLANEDA,LE
ONILYN,PEGARID PARENT
O,
ABA-
A,LEONITA,DAYO PARENT
C,

GALGO,MERLIND
PARENT
A,ISIANG,

AMERICA,JOIELY
PARENT
N,MURILLO,

BESINGA,LEONI
PARENT
NG,TUBO,

ROZ,BERNING,V
PARENT
ASINNGA,
 SURIGAO ALCOBER, MILO TIMKANG,ME
121046070008 ALCOBER,MELANI TIMKANG F 11/21/2000 16 Christianity NURCIA LANUZA
DEL SUR PEÑARANDA LAGURA,

SURIGAO ARRO, MARIO BEJENIA,MAR

132765070004 ARRO,MIKEE BEJENIA F 02/05/2001 16 Christianity NURCIA LANUZA
DEL SUR TAGATUNGAN C,PARNAY,

SURIGAO BESINGA, MIGUEL CARIAGA,JEN

132765060008 CARIAGA,JEAH VANESSA - F 03/09/2000 17 Christianity NURCIA LANUZA
DEL SUR TUBO N,DIGAL,

SURIGAO JOVITA, FERNANDO CRISTOBAL,

132765070014 JOVITA,GERALDINE CRISTOBAL F 11/24/2001 15 Christianity NURCIA LANUZA
DEL SUR GANABI LYN,ALIJAND

SURIGAO JUMALON, EDMOND GALGO,MER

132765070016 JUMALON,MERRY FLOR GALGO F 04/19/2002 15 Christianity NURCIA LANUZA
DEL SUR ROZ A,ISIANG,

SURIGAO MALIKSE, PECASALES,

132765070018 MALIKSE,RESHEL JANE PECASALES F 12/22/2000 16 Christianity NURCIA LANUZA
DEL SUR GLECERIO EGOT JR ETA,BELOY,

SURIGAO ORIOSTE, DALLY ORILLANEDA

132765070020 ORIOSTE,GLAZE ORILLANEDA F 01/25/2002 15 Christianity NURCIA LANUZA
DEL SUR ROZ INA,LUNA,
SURIGAO PELAEZ, ALDRIN GANURA,GE
132765070022 PELAEZ,ABBYGEL GANURA F 08/06/2001 16 Christianity NURCIA LANUZA
DEL SUR GUHITING ,RIN,
SURIGAO ROZ,HILDA,M
132765070024 ROZ,JESSICA MIRABEL F 03/24/2002 15 Christianity NURCIA LANUZA
DEL SUR BEL,

SURIGAO TAROY, PAMELO DEGAMON,JO

132765070029 TAROY,NOVEM DEGAMON F 11/29/2001 15 Christianity NURCIA LANUZA
DEL SUR ESTAL YN,MINARDO

10 <=== TOTAL FEMALE

22 <=== 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 MALE 12
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signat
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 10
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:

TOTAL 22
2018-06-04

Generated on: Tuesday, November 13, 2018

TIMKANG,MERLY,
LAGURA,

BEJENIA,MAREVI
PARENT
C,PARNAY,

CARIAGA,JENELY
RELATIVE
N,DIGAL,

CRISTOBAL,JECE
PARENT
LYN,ALIJANDRO,

GALGO,MERLIND
PARENT
A,ISIANG,

PECASALES,LOR
PARENT
ETA,BELOY,

ORILLANEDA,DIV
PARENT
NA,LUNA,
GANURA,GEMMA T/O
PARENT
RIN, DATE:2018/06/05
ROZ,HILDA,MIRA
PARENT
BEL,

DEGAMON,JOCEL
PARENT
YN,MINARDO,

PRONIE CABAHUG EGPIT

(Signature of Adviser over Printed Name)

ter End of the Semester Date:

2018-10-30