School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 131804 CARAGA Division Agusan del Sur District Prosperidad III
Grade
School Name Patin-ay CES School Year 2024 - 2025 Grade 5 Section QUEZON
Level
GUARDIAN Contact
ADDRESS PARENTS
Age MOTHE (if Not Parent) Number

Sex (M/F)
as of R
NAME IP of
BIRTH DATE TONGUE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle
(mm/dd/yyyy)
Octo (Grade
(Ethnic
N House #/ Parent
Name) ber Group) (Last Name, Maiden Name or
1 to 3 Street/ Municipality Relationsh
Barangay Province First Name, (Last Name, Name Guardia
31 Only) Sitio/ / City
Middle Name) First Name,
ip
Purok n
Middle Name)

Cebuan
o/ BAJAMUNDI,
BAJAMUNDI,KHIAN KIER, Christia PROSPERID AGUSAN DEL GAMBA,JANE,
131602190017 M 07-04-2014 10 Sinugbu PATIN-AY CHRISTIAN
GAMBA nity AD (Capital) SUR MACONLAY,
anong PARILLA
Binisay

Cebuan
o/ BIOSE,
Christia PROSPERID AGUSAN DEL INDITA,CONEY
131804180083 BIOSE,KEN JAY, INDITA M 12-20-2012 11 Sinugbu PATIN-AY ROMANCITO
nity AD (Capital) SUR ,ELIZAN,
anong CASTRO
Binisay

Cebuan
o/ CAMPOS,
CAMPOS,JOSH VINCENT, Christia PROSPERID AGUSAN DEL RESIMO,REME
131804190030 M 05-12-2014 10 Sinugbu PATIN-AY JULIUS
RESIMO nity AD (Capital) SUR LIE JOY,OSIN,
anong PONTAY
Binisay

Cebuan
o/
CARANDANG,NICK RUPERT, Christia PROSPERID AGUSAN DEL CARANDANG, HUSAIN,MARIS
131804190053 M 06-22-2014 10 Sinugbu PATIN-AY
HUSAIN nity AD (Capital) SUR ERIC LASALITA SA,NARTE,
anong
Binisay

Cebuan
o/ CORDOVA,
Christia PROSPERID AGUSAN DEL OSIN,LORAINE
131804190031 CORDOVA,EZEKIEL, OSIN M 07-05-2014 10 Sinugbu PATIN-AY ELBERT
nity AD (Capital) SUR ,QUEJADA,
anong TOLENTINO
Binisay

Cebuan
o/ DEJOLDE,
DEJOLDE,JADE LAURENCE, Christia PROSPERID AGUSAN DEL DUMALE,WILM
131804190051 M 01-16-2014 10 Sinugbu PATIN-AY LAURENCE
DUMALE nity AD (Capital) SUR A,DUMANDAN,
anong LANQUINO
Binisay

Cebuan
MARTIZANO,M
o/ SAN GOLORAN,
GOLORAN,XIAN RAIKKO, Christia TALACOGO AGUSAN DEL AY
131844190308 M 04-17-2014 10 Sinugbu AGUSTIN CHRISTIAN
MARTIZANO nity N SUR ANN,CORDER
anong (POB.) JHUN SABADO
O,
Binisay

Cebuan
o/ MABULAY,
MABULAY,MIKE ADRIAN, Christia PROSPERID AGUSAN DEL ALLABA,MELOJ
131804190058 M 05-22-2014 10 Sinugbu PATIN-AY MICHAEL ROM
ALLABA nity AD (Capital) SUR ANE,VALDEZ,
anong RUALO
Binisay
osperidad III

QUEZON

REMARKS

Learning
Modality (Please refer
to the legend
on last page)

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 MARTINEZ,
Manobo
Cebuan Christia PROSPERID AGUSAN DEL JOSELITO PEARSON,KAR
131804190059 MARTINEZ,ZILDJIAN, PEARSON M 06-10-2014 10 / PATIN-AY
o nity AD (Capital) SUR FROFEL III OL,LUMUSAD,
Menuvu
INTING
Cebuan
o/ MORGADO, CURATO,EVA
MORGADO,CRIS BERNARD, Christia PROSPERID AGUSAN DEL
131804190025 M 12-19-2013 10 Sinugbu PATIN-AY RENATO MAE,NORMAN
CURATO nity AD (Capital) SUR
anong LOMINUQUE DIA,
Binisay

Cebuan
o/ MUÑOZ,
MUÑOZ,NEIL ANDREW, Christia PROSPERID AGUSAN DEL DETALO,JOMA
600105190003 M 04-09-2014 10 Sinugbu PATIN-AY ARNEL
DETALO nity AD (Capital) SUR E,TAGUD,
anong CASAYAS
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL PALA, GIDEON PAJE,AIMEE
472009190017 PALA,JEGIL, PAJE M 01-16-2014 10 Sinugbu PATIN-AY
nity AD (Capital) SUR JACOBE LOU,BESTIL,
anong
Binisay

Cebuan
o/ TIGBAWAN,LIL
PELIGRINO,MARK GABRIEL, Christia PROSPERID AGUSAN DEL PELIGRINO,
131804190036 M 10-31-2013 11 Sinugbu PATIN-AY YBETH,TAPICU
TIGBAWAN nity AD (Capital) SUR MARK PEREZ
anong LIN,
Binisay

Cebuan
o/ PONTILLO,
Christia PROSPERID AGUSAN DEL ABIJAY,LIEZEL,
119787190065 PONTILLO,JOSEPH, JR ABIJAY M 06-27-2014 10 Sinugbu PATIN-AY JOSEPH
nity AD (Capital) SUR GALE,
anong CASCAS
Binisay

Cebuan
o/ PUGOY,
Christia PROSPERID AGUSAN DEL ANINO,CHERY
466117190022 PUGOY,JOVANY, JR ANINO M 08-22-2013 11 Sinugbu PATIN-AY JOVANY
nity AD (Capital) SUR L,SABADO,
anong LEMOSNERO
Binisay

Cebuan
o/ RACHO,
RACHO,ANTONIO III, Christia PROSPERID AGUSAN DEL LACERNA,EDIL
131804190108 M 01-29-2014 10 Sinugbu PATIN-AY ANTONIO JR
LACERNA nity AD (Capital) SUR ITA,QUIJADA,
anong MORENO
Binisay

Cebuan
o/
RAMIRA,CRIS RAIDEL, Christia PROSPERID AGUSAN DEL RAMIRA, GULORAN,LUI
131804190109 M 11-23-2013 10 Sinugbu PATIN-AY
GULORAN nity AD (Capital) SUR RODEL SALON SA,FLORES,
anong
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL TIZON,CIELO,-
131784190035 ROBLES,PRINCE CJAY, TIZON M 10-03-2013 11 Sinugbu PATIN-AY ROBLES, IAN -
nity AD (Capital) SUR ,
anong
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL SUAN, ANGEL SALINAS,JINNE
131804200113 SUAN,JOHN ANGELO, SALINAS M 07-17-2014 10 Sinugbu PATIN-AY
nity AD (Capital) SUR OSIC FER,BANDO,
anong
Binisay

19 <=== TOTAL MALE

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 Cebuan
o/
Christia PROSPERID AGUSAN DEL ALETA, ROGER TAÑO,CYBEL,
131804190068 ALETA,ROBELLE JANE, TAÑO F 12-11-2013 10 Sinugbu PATIN-AY
nity AD (Capital) SUR BARTONICO OBEDA,
anong
Binisay

Cebuan
o/
Christia BARANGAY DAVAO DAVAO DEL ALISON, DELIO JANAPON,LAD
129558190417 ALISON,KESHA MAE, JANAPON F 10-10-2013 11 Sinugbu
nity 40-D (POB.) CITY SUR CATAYAO Y,PAGULONG,
anong
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL ANINO, RAMIL ECHEM,MAYVI
131804190001 ANINO,KIZEAH, ECHEM F 12-02-2013 10 Sinugbu PATIN-AY
nity AD (Capital) SUR MONOY E,GASATAN,
anong
Binisay

Cebuan
o/
AVILA,ALLEYA GRACE, Christia PROSPERID AGUSAN DEL AVILA, ALDRIN PANGANORON
131804190002 F 10-05-2013 11 Sinugbu PATIN-AY
PANGANORON nity AD (Capital) SUR VILLANUEVA ,LENIE,PLAZA,
anong
Binisay
Cebuan
o/
BABIA,GABRIELLE MARIE, Kana/ Christia PROSPERID AGUSAN DEL BABIA, BRENT BAYLA,ANNIE
405936190053 F 10-17-2014 10 PATIN-AY
BAYLA Sinugbo nity AD (Capital) SUR JAYDEE TAMSE GRACE,MAYO,
anong
Bini
Cebuan
o/
BARRIENTOS,JANINE VION, Christia PROSPERID AGUSAN DEL BARRIENTOS, CAMBO,RUBY,
472009190009 F 05-23-2014 10 Sinugbu PATIN-AY
CAMBO nity AD (Capital) SUR JIM JR GALANG VIDAL,
anong
Binisay

Cebuan
o/ CAPA,
CAPA,DAIANNAH MAUREEN, Christia PROSPERID AGUSAN DEL LACABA,MUTY
131804190003 F 03-30-2014 10 Sinugbu PATIN-AY DENNIES
LACABA nity AD (Capital) SUR A,MANLIGUEZ,
anong VILLANUEVA
Binisay

Cebuan
CADELIÑA,MA
o/ CEQUIÑA,
CEQUIÑA,ALLY MARIE, Christia PROSPERID AGUSAN DEL RY
472009190008 F 05-31-2014 10 Sinugbu PATIN-AY JEONELL
CADELIÑA nity AD (Capital) SUR ROSE,LADANA
anong DIVINAGRACIA
N,
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL CIFRA, RUSSEL LIPARDO,LORI
131804190092 CIFRA,LUCIE RHYSE, LIPARDO F 08-12-2014 10 Sinugbu Kamayo PATIN-AY
nity AD (Capital) SUR ROSALES E LYN,OSIC,
anong
Binisay

Cebuan
o/ LACOSTALES, SACARES,MAY
LACOSTALES,RHIAN MAE, Christia PROSPERID AGUSAN DEL
472017180016 F 12-12-2013 10 Sinugbu PATIN-AY BRAIAN RABEL,BAYNO
SACARES nity AD (Capital) SUR
anong RONILLA SA,
Binisay

Cebuan
o/ MIRANDA, CUEVAS,CHER
Christia PROSPERID AGUSAN DEL
472009190006 MIRANDA,ERICH, CUEVAS F 08-07-2014 10 Sinugbu PATIN-AY JONATHAN YL,OBEDENCI
nity AD (Capital) SUR
anong RAMOS O,
Binisay
MONDEJAR,
MONDEJAR,LEXIE VIYA, Cebuan Christia PROSPERID AGUSAN DEL ONTUA,IVY,LL
472004190009 F 10-03-2013 11 SALVACION ROLEX
ONTUA o nity AD (Capital) SUR EDO,
CULLANTES
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 Cebuan
o/
MORENO,ALLEN QUEEN, Christia PROSPERID AGUSAN DEL MORENO, JANE BANDOY,EMEL
131844190172 F 03-29-2014 10 Sinugbu PATIN-AY
BANDOY nity AD (Capital) SUR ESPANA IE,ALBORES,
anong
Binisay

Cebuan
o/
Christia AGUSAN DEL ROLA, JOEMAR MACO,LENY,P
131599190009 ROLA,LOUISE JULIENNE, MACO F 08-22-2014 10 Sinugbu SAN ISIDRO TRENTO
nity SUR PARAN AYAGAN,
anong
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL SALAVARIA, RAMOS,LEAH,
131804190015 SALAVARIA,DANIELA, RAMOS F 09-06-2013 11 Sinugbu PATIN-AY
nity AD (Capital) SUR DANNY RUBIO DE ASIS,
anong
Binisay

Cebuan
o/ SUMILHIG, RAVELO,MARY
SUMILHIG,GUINEVERE, Christia PROSPERID AGUSAN DEL
131804190017 F 12-11-2013 10 Sinugbu PATIN-AY ALEX GRACE,PELLA
RAVELO nity AD (Capital) SUR
anong SANCHEZ ZAR,
Binisay

Cebuan
o/
Christia PROSPERID AGUSAN DEL TACMO, REGIN MIGRASO,APRI
131804190122 TACMO,VENIE ELA, MIGRASO F 11-19-2013 10 Sinugbu PATIN-AY
nity AD (Capital) SUR ROY CENA L,SASARITA,
anong
Binisay

Cebuan
o/ TERANO, BULALA,JOAN
Christia PROSPERID AGUSAN DEL
131786190039 TERANO,DJ, BULALA F 12-22-2013 10 Sinugbu PATIN-AY DIANIE MAE,INOCENC
nity AD (Capital) SUR
anong ARANETA IO,
Binisay

Cebuan
o/ VILLASIS, OLOROCISIMO
VILLASIS,DAPHNEE Christia PROSPERID AGUSAN DEL
472009190001 F 06-30-2014 10 Sinugbu PATIN-AY DENNIS ,MICHELLE,SE
MARGARET, OLOROCISIMO nity AD (Capital) SUR
anong BADATO PRA,
Binisay

19 <=== TOTAL FEMALE

38 <=== 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 & JOCELYN VALLE YE
Effectivity Date Effectivity Date MALE 19
Balik Aral B/A ALLAN GESULTURA CASINILLO (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 Special Needs SNE FEMALE 19 Name)
Education 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 38
Enrollment SY) BoSY Date: EoSY Date:

Generated thru LIS

Generated on: Monday, March 31, 2025

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T/I
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DATE:2024-
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07-29

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VALLE YE

l Head over Printed

me)

EoSY Date:

d thru LIS