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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 Kinder Section APPLE
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
AGUSTIN,MAR
o/ ADORABLE,
Christia AGUSAN DEL Y
212026180005 ADORABLE,ANGELO, AGUSTIN M 04-22-2013 5 Sinugbu Manobo PADIAY SIBAGAT ARMAN
nity SUR JANE,QUILLAN
anong GUILLENA
O,
Binisay

Cebuan
o/ AGUSTIN,CHA
Christia AGUSAN DEL BAIWASAN,
212026180003 BAIWASAN,NICO, AGUSTIN M 02-08-2013 5 Sinugbu Manobo PADIAY SIBAGAT RMANE,AZARC
nity SUR ALLAN ILIGAN
anong ON,
Binisay

Cebuan
o/ LUMINDAS, SAWOD,CHRIS
Christia AGUSAN DEL
212026180004 LUMINDAS,ORLYN, JR SAWOD M 02-21-2012 6 Sinugbu Manobo PADIAY SIBAGAT ORLYN PALUGA TINE,PONTIMA
nity SUR
anong SR R,
Binisay

Cebuan
o/ QUILLANO,
Christia AGUSAN DEL AGUSTIN,SUS
212026180001 QUILLANO,RANIEL, AGUSTIN M 08-30-2012 5 Sinugbu Manobo PADIAY SIBAGAT RAMEL
nity SUR AN,AZARCON,
anong SALAHAY
Binisay

Cebuan
o/
Christia AGUSAN DEL SALAHAY, ILIGAN,JONAH,
212026180006 SALAHAY,KENN EARLY, ILIGAN M 06-14-2013 4 Sinugbu Manobo PADIAY SIBAGAT
nity SUR NICKOS AGUSTIN,
anong
Binisay

Cebuan
o/ SUMANDA,
SUMANDA,SEAN KAZER, Christia AGUSAN DEL POROGOY,RUT
212026180002 M 02-24-2013 5 Sinugbu Manobo PADIAY SIBAGAT ARCHIE
POROGOY nity SUR CHIE,SAGAY,
anong NADAO
Binisay

6 <=== TOTAL MALE

Cebuan
o/ AGUSTIN, TAGUNSOLOD,
AGUSTIN,PRINCESS HANN, Christia AGUSAN DEL
212026180008 F 12-12-2012 5 Sinugbu Manobo PADIAY SIBAGAT WELMER MICHELLE,DA
TAGUNSOLOD nity SUR
anong BAIWASAN NDANON,
Binisay

Cebuan
o/ ENRIQUES,
Christia AGUSAN DEL PENIG,ROWEN
212026180007 ENRIQUES,ASHLEY, PENIG F 09-21-2013 4 Sinugbu Manobo PADIAY SIBAGAT ROMNICK
nity SUR A,AGUSTIN,
anong VYLA
Binisay
REMARKS

(Please refer
to the legend
on last page)
Cebuan
o/ ILIGAN,
Christia AGUSAN DEL MACURAY,MYR
212026180010 ILIGAN,RHEA JANE, MACURAY F 09-02-2010 7 Sinugbu Manobo PADIAY SIBAGAT ROMMEL
nity SUR NA,MACA,
anong DAGING
Binisay

Cebuan
o/
MAGTOLIS,CLEAR ANN Christia AGUSAN DEL MAGTOLIS, PENIG,AILYN,Q
212026180012 F 11-28-2012 5 Sinugbu Manobo PADIAY SIBAGAT
SWEETHEART, PENIG nity SUR RHENO UILLANO,
anong
Binisay

Cebuan
o/
PENIG,HASCHANNE MAY, Christia AGUSAN DEL PENIG,ANNALI
212026180009 F 05-28-2013 5 Sinugbu Manobo PADIAY SIBAGAT
QUILLANO nity SUR ZA,QUILLANO,
anong
Binisay

Cebuan
o/
Christia AGUSAN DEL PINIG, JULITO DAGING,MARI
212026180011 PINIG,JERMI JANINE, DAGING F 04-09-2013 5 Sinugbu Manobo PADIAY SIBAGAT
nity SUR AGUSTIN TES,SALAHAY,
anong
Binisay

Cebuan
o/ SUMANDA,
SUMANDA,ARTCHIEA, Christia AGUSAN DEL SALAHAY,DINA
212026180013 F 07-04-2013 4 Sinugbu Manobo PADIAY SIBAGAT ARTJHUN
SALAHAY nity SUR H MARIE,,
anong NADAO
Binisay

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