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School form 1
- 1. School Form 1(SF 1) School Register (This replaces Form 1, Master List & STS Form 2-Family Background and Profile) School ID 104116 Region II Division Nueva Vizcaya District Eastern Kayapa School Name Binalian IS School Year 2014 - 2015 Grade Grade 1 Section VENUS LRN NAME (Last Name, First Name, Middle Name) Sex(M/F) BIRTH DATE (mm/dd/yyyy) AGE as of 1st Friday June MOTHER TONGUE (Grade 1 to 3 Only) IP (Ethnic Group) RELIGION ADDRESS PARENTS GUARDIAN (if Not Parent) Contact Number of Parent or Guardian REMARKS House #/ Street/ Sitio/ Purok Barangay Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name Relationship (Please refer to the legend on last page) 104116120001. AGNASE, SATUR AGSAN M 06-02-2006 8. Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Agnase, Sabado Natalac PAULA BALAWAN AGSAN SABADO NATALAC AGNASE RELATIVE 104116130001. BALINGGAN, NOLAN MALAS M 11-11-2007 6. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Balinggan, Noli Segundo JOAN MALAS NOLI BALINGGAN RELATIVE 104116130020. BUGTONG, SANDRO COT- ONG M 06-02-2006 8. Others Kalanguya- Ikalahan Others KAYAPA NUEVA VIZCAYA , ODETH DEBALIO COT-ONG SABADO LITAWAN BUGTONG 104116130002. CATOS, SHERWIN CATAO-AN M 12-06-2007 6. Others Kalanguya- Ikalahan Christianity BINALIAN KAYAPA NUEVA VIZCAYA Catos, Santos Batil SENAYDA CATAO-AN SANTOS CATOS RELATIVE 104116130003. DAGA, ALEX BANTAYAN JR M 04-21-2008 6. Others Kalanguya- Ikalahan Christianity MAPAYAO KAYAPA NUEVA VIZCAYA Daga, Alex Culayan Sr SENING BANTAYAN ALEX DAGA SR RELATIVE 104116130004. DOMINGUEZ, JOHN MARK PITUNGE M 08-08-2008 5. Others Kalanguya- Ikalahan Christianity BINALIAN KAYAPA NUEVA VIZCAYA Dominguez, Belino Sinakay DOMINGA GUINSIMAN BELINO DOMINGUEZ RELATIVE 104116130005. FERRER, ALFRED LITAWAN M 05-01-2008 6. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Ferrer, Alfredo Velez AILYN LITAWAN ALFREDO FERRER RELATIVE 104116140001. LAMIA-AN, JUNO MINTO M 02-01-2008 6. Others Kalanguya- Ikalahan Christianity BINALIAN KAYAPA NUEVA VIZCAYA Lamia-an, Brando Suelo TANING BANTAYAN MINTO TANING BANTAYAN MINTO RELATIVE 104116130024. LAMYAAN, JUNE COSEP M 06-20-2006 7. Others Kalanguya- Ikalahan Others KAYAPA NUEVA VIZCAYA Lamyaan, Isaac Suelo NARTHA MAYUMIS COSEP ISAAC SUALO LAMYAAN RELATIVE 104116140002. LAMYAAN, RUBEN COSEP M 10-25-2008 5. Others Kalanguya- Ikalahan Christianity BINALIAN KAYAPA NUEVA VIZCAYA Lamyaan, Isaac Suelo COSEP, MARTHA MAYUMIS COSEP, MARTHA MAYUMIS RELATIVE 104116130025. MARTIN, DARWIN MARTIN M 10-16-2006 7. Others Kalanguya- Ikalahan Others KAYAPA NUEVA VIZCAYA , LETTY MARTIN FERNANDO MARTIN 104116130009. NATALAC, ANJO DUPINGAY M 08-25-2008 5. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Natalac, Antonio Donuan ROBI DUPINGAY ANTONIO NATALAC RELATIVE 104116130010. TOMAT, JURDAN MARTIN M 06-01-2008 6. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Tomat, Sanyos Piniliw JULITA MARTIN SANTOS TOMAT RELATIVE 13 <=== TOTAL MALE
- 2. 104116130011. AGNASE, RUTH AGSAN F 11-02-20076. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Agnase, Sabado Catao-an PAULA AGSAN SABADO AGNASE RELATIVE 104116140003. CATAYO, CARLA ABLUYAN F 07-26-2008 5. Others Kalanguya- Ikalahan Christianity BINALIAN KAYAPA NUEVA VIZCAYA Catayao, Orlando Cot-ong ABLUYAN, SHIRLY GAYADAN ABLUYAN, SHIRLY GAYADAN RELATIVE 104116130012. COPLAS, IRISH NATALAC F 04-28-2008 6. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Coplas, Hambert Domiguin AGUSTINA NATALAC HAMBERT COPLAS RELATIVE 104116130013. DUPINGAY, ANGELICA TOMAT F 01-15-2008 6. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Dupingay, Hercoles Albino ANTONETTE TOMAT HERCULES DUPINGAY RELATIVE 104116130014. INWAY, KIRSTINE CHLOE DUPIANO F 01-08-2008 6. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Inway, Kelly Walace JENNILYN DUPIANO KELLY INWAY RELATIVE 104116120010. LOPEZ, NISA NATALAC F 11-11-2006 7. Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA , NITA TIMPANG NATALAC SABADO ACLAT LOPEZ 104116120012. OLIANO, VENUS BANTAYAN F 12-31-2006 7. Others Kalanguya- Ikalahan Others KAYAPA NUEVA VIZCAYA , VILMA LAMYAAN BANTAYAN BEN OLIANO 104116130017. PALNAC, LEA PASIPAS F 07-24-2008 5. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Palnac, Baluyan Tulingan VIRGINIA PASIPAS BALUYAN PALNAC RELATIVE 104116140004. PANDAAN, AIRA JANE ESPADA F 04-21-2008 6. Others Kalanguya- Ikalahan Christianity BINALIAN KAYAPA NUEVA VIZCAYA Pandaan, Mario Madriaga PEDRO, ORAYA ESPADA PEDRO, ORAYA ESPADA RELATIVE 104116130018. PASIPAS, CHEZRINE MAE TOMAT F 07-19-2008 5. Others Kalanguya- Ikalahan Others BINALIAN KAYAPA NUEVA VIZCAYA Pasipas, Victor Atiw RITA TOMAT VICTOR PASIPAS RELATIVE 10 <=== TOTAL FEMALE 23 <=== COMBINED List and Code of Indicators under REMARKS column Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY Prepared by; Certified Correct: Transfered Out Transfered In Dropped T/O T/I DRP LE Name of Public (P) Private (PR) School & Effectivity Date Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of CCT Receipient Balik Aral Learner With Disability Accelerated CCT B/A LWD ACL CCT Control/reference number & Effectivity Date Name of school last attended & Year Specify Specify Level & Effectivity Data MALE 13. MERLEN LAGAYO BELOKEN FEMALE (Signature of Adviser over Printed Name) (Signature of School Head over Printed Name) 10 TOTAL 23 BoSY Date: EoSY Date: BoSY Date: EoSY Date: Generated on: Wednesday, July 30, 2014 1:13:08 PM Revision 4