School ID 301848

School Name

LRN

1
2
3

111918090001

Maramba Nationa

NAME
(Last Name, First Name, Middle Name)

Abion, Nio Harris T.

Antonio , Jeric

V.

Barrameda John Louie

Basa , Kenth Anthony V

4
5
6
7

Begardon, Ericson M
Bitanga, John Daniel M
Cabaldo, Oliver A

O.

Sex
(M/F)

LRN

8
9
10
11
12
13
14
15
16
17
18
19
20

NAME
(Last Name, First Name, Middle Name)

Cinco, Jessie J
Crisol, Jercho
David, Mariano Jr. M.
Diaz, Adonis R.
Lacostales, Carlo M
Mandriza, Marlon A.
Parquez, Jerico R.
Pontigon, Arman L.
Rabeza, Emiljun G
Radan, Joshua Q
Ramos, John Lester M
Roco, Cedric R
Roco, Ruben A

Sex
(M/F)

LRN

21
22
23
24
25
26
27

1
2
3
4
5

NAME
(Last Name, First Name, Middle Name)

Romano, Norwel J
Roquio, Jhonel P
Saludes, Joerex S
Samson Carlo Ll
Satanis, Angelo O
Solver, Kenth R
Villaraza, Jayson C.

Aquende, Jessa P
Banalnal, Katrina R
Bohol, Emily R.
Cal, Realyn J
Diaz, Dyna D.

Sex
(M/F)

LRN

6
7
8
9
10
11
12
13
14
15
16
17
18

NAME
(Last Name, First Name, Middle Name)

Diaz, Kendra T.
Gonzales, Thresia May M.
Hadap, Ella Mae V.
Ibaez, Nadine B
Jimenez, Christine Angel L
Jimenez, Rosabel L
Lanuza, Marjorie B
Lauderez, Rena S
Luna, Margielyn S
Mellamina, Ruffa Mae S
Oregenes, Inna M
Orecia, Michelle L
Paular, Loren V

Sex
(M/F)

LRN

19
20
21
22
23
24
25
26

Indicator

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

Pernacita Rhea Mae S

Pertiz, Samantha M.
Pielago, Michelle C
Poblete, Jaymilyn Mica D
Relorcasa, Regine R
Repaso, Rachel R.
Sabaulan Alyza jane A.
Sasutona, Jovie R

Code

List and Code of Indicato

Required Information

Transferred Out

T/O Name of Public (P) Private (PR) School & E

Transferred IN

T/I Name of Public (P) Private (PR) School & E

Dropped
Late Enrollment

DRP Reason and Effectivity Date

LE Reason (Enrollment beyond 1st Friday of J

School Form 1 (S
(This replaces Form 1, Master List &

Division
National High School
AGE as
BIRTH DATE
of 1st
(mm/dd/ yyyy) Friday
June

2/3/03

13

ALBAY
School Year

2015-2

ADDRE
MOTHER
TONGUE

IP
(Ethnic
Group)

RELIGION

House #/
Street/ Sitio/
Purok

Barangay

Nagas

AGE as
BIRTH DATE
of 1st
(mm/dd/ yyyy) Friday
June

ADDRE
MOTHER
TONGUE

IP
(Ethnic
Group)

RELIGION

House #/
Street/ Sitio/
Purok

Barangay

AGE as
BIRTH DATE
of 1st
(mm/dd/ yyyy) Friday
June

ADDRE
MOTHER
TONGUE

IP
(Ethnic
Group)

RELIGION

House #/
Street/ Sitio/
Purok

Barangay

AGE as
BIRTH DATE
of 1st
(mm/dd/ yyyy) Friday
June

ADDRE
MOTHER
TONGUE

IP
(Ethnic
Group)

RELIGION

House #/
Street/ Sitio/
Purok

Barangay

AGE as
BIRTH DATE
of 1st
(mm/dd/ yyyy) Friday
June

ADDRE
MOTHER
TONGUE

IP
(Ethnic
Group)

RELIGION

House #/
Street/ Sitio/
Purok

Barangay

Indicators under REMARKS column

Code Required Information

School & Effectivity Date

CCT

CCT Control/reference number & Ef

Date

School & Effectivity Date

B/A

Name of school last attended & Yea

Friday of June)

LWD
ACL

Specify
Specify Level & Effectivity Data

m 1 (SF 1) School Register

aster List & STS Form 2-Family Background and Profile)

Region

2015-2016

Grade Level

ADDRESS

Municipality/ City

V
7
PARENTS

Province

Albay
Albay
Albay
Albay
Albay
Albay
Albay

Father's Name (Last Name, First

Mother's Maiden Name (L
Name, Middle Name)
Name, First Name, Middle N

Abion,Chritian,Gaton

Teves, Emmie, Modelo

ADDRESS

Municipality/ City

PARENTS

Province

Albay
Albay
Albay
Albay
Albay
Albay
Albay
Albay
Albay
Albay
Albay
Albay
Albay

Father's Name (Last Name, First

Mother's Maiden Name (L
Name, Middle Name)
Name, First Name, Middle N

ADDRESS

Municipality/ City

PARENTS

Province

Albay
Albay
Albay
Albay
Albay
Albay
Albay

Father's Name (Last Name, First

Mother's Maiden Name (L
Name, Middle Name)
Name, First Name, Middle N

ADDRESS

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First

Mother's Maiden Name (L
Name, Middle Name)
Name, First Name, Middle N

ADDRESS

Municipality/ City

PARENTS

Province

REGISTERED

er & Effectivity
& Year

MALE

FEMALE

TOTAL

Father's Name (Last Name, First

Mother's Maiden Name (L
Name, Middle Name)
Name, First Name, Middle N

BoSY

EoSY

V
Section

Magnolia
GUARDIAN

ENTS

(If
not Parent)

Mother's Maiden Name (Last

Name, First Name, Middle Name)

Teves, Emmie, Modelo

Name

Abion,Chritian,Gaton

Relation-ship

ENTS

Mother's Maiden Name (Last

Name, First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

ENTS

Mother's Maiden Name (Last

Name, First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

ENTS

Mother's Maiden Name (Last

Name, First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

GUARDIAN

ENTS

(If
not Parent)

Mother's Maiden Name (Last

Name, First Name, Middle Name)

Name

Prepared by:

(Signature of Adviser over Printed Name)

BoSY Date:

EoSYDate:

Relation-ship

a
REMARKS
Contact Number of
Parent or Guardian

(Please refer to the

legend on last page)

REMARKS
Contact Number of
Parent or Guardian

(Please refer to the

legend on last page)

REMARKS
Contact Number of
Parent or Guardian

(Please refer to the

legend on last page)

REMARKS
Contact Number of
Parent or Guardian

(Please refer to the

legend on last page)

REMARKS
Contact Number of
Parent or Guardian

(Please refer to the

legend on last page)

Certified Correct:

(Signature of School Head over Printed Name)

BoSY Date:

EoSYDate: