School Form 1 School Register for Senior High School (
School Name Don Servillano Platon Memorial National High School ID 301969 District Tinambac South
Division Camar
Semester First Semester School Year 2024 - 2025 Grade Level Grade 11 Track and Strand
Section ALS-LALAGUNA Course (for TVL only) Electrical Installation and Maintenance (NC II)
COMPLETE ADDRESS PARENTS
Age
Sex (M/F)
as of
NAME BIRTH DATE Mother's Ma
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
Octo Religious Affilication
ber Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
Barangay Province Name, First Name, Name, Fir
31 Purok City
Middle Name) Name, Mid
Name)
CAMARINES CORULLO, JAIME BAZER,EMILY
505032103009 BAZER,JAMES BALLONICO M 12/25/2001 22 Christianity BINALAY TINAMBAC
SUR CERVANTES LLONICO,
BERNARDO,
CAMARINES JAAPAL,JANE
505032303913 BERNARDO,JEREMY JAAPAL M 06/25/2007 17 Christianity SOGOD TINAMBAC ROMMEL
SUR LAMILYO,
SALLENTES
CAMARINES BESENIO, BENJAMIN BAJAMUNDE
541031501416 BESENIO,BENJAMIN JR. BAJAMUNDE M 09/21/1996 27 Others ANTIPOLO TINAMBAC
SUR B. SR NCEPCION,-,
TIERRA CAMARINES CALZO, JESSIE MESTIOLA,JO
114362090007 CALZO,JESSIE JR MESTIOLA M 03/28/2003 21 Christianity TINAMBAC
NEVADA SUR BELISTA SR HINE,BAUSA
SALVACION CAMARINES ABECENTIPO
113151070092 CELES,JOEBERT ABECENTIPO M 06/07/2001 23 Christianity TINAMBAC
POBLACION SUR SAN,,
FILARCA CAMARINES FLOJO, ADEL BRUGADA,CA
113151070117 FLOJO,RAEYAN BRUGADA M 12/03/2000 23 Christianity TINAMBAC
(POB.) SUR MORALES ELYN,ECLEO
CAMARINES ARABACA,VI
113149090033 GALVEZ,JERICHO ARABACA M 03/11/2004 20 Christianity SOGOD TINAMBAC GALVEZ, JESUS C
SUR E,OBIAS,
CAMARINES VILORIA,IRM
113151120036 MABASA,KYLE VILORIA M 03/17/2007 17 Christianity BINALAY TINAMBAC MABASA, MARLON
SUR OSE,MABASA
SANTA
CAMARINES BELISTA,CAT
113151120249 MILLARES,JESSIE BOY SALES M 08/09/2005 18 Christianity CRUZ TINAMBAC
SUR RINE,,
(POB.)
CAMARINES MISAMIS, AGUSTIN VILLANUEVA
113134120091 MISAMIS,ADMER VILLANUEVA M 05/28/2007 17 Christianity BAGACAY TINAMBAC
SUR CAPONPON SELYN,ROCA
CAMARINES MORRONDOS, MOJAR,NORA
113149120020 MORRONDOS,ARIEL MOJAR M 11/15/2004 19 Christianity SOGOD TINAMBAC
SUR ALLAN AMPARO O,
11 <=== TOTAL MALE
11 <=== 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
ool (SF1-SHS)
Camarines Sur Region Region V
Technical-Vocational-Livelihood Track
GUARDIAN
TS (if learner is not Living with REMARKS
Parent) Contact
Number
Mother's Maiden Learning
Name of Parent
Name (Last Modality (Please refer to
(Last Name, First or
Name, First Relationship Guardian the legend on last
Name, Name
Name, Middle page)
Extension, Middle
Name)
BAZER,EMILY,BA
RELATIVE Blended
LLONICO,
AAPAL,JANEPA,A
PARENT Blended SDL
LAMILYO,
BAJAMUNDE,CO
Blended
NCEPCION,-,
MESTIOLA,JOSEP
PARENT Blended
HINE,BAUSA,
ABECENTIPO,SU
PARENT Blended
SAN,,
BRUGADA,CATH OMS/Working
PARENT Blended
ELYN,ECLEO, Student
ARABACA,VIRGI
PARENT Blended
E,OBIAS,
VILORIA,IRMA,R
PARENT Blended
OSE,MABASA
BELISTA,CATHE
PARENT Blended
RINE,,
VILLANUEVA,RO
PARENT Face to Face
SELYN,ROCA,
MOJAR,NORA,IL
PARENT Blended
O,
red 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 11
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year
Date of Last Attendance if Transferred Out
Transfered In T/I Special Needs SNED Specify Exceptionality of the Learner FEMALE 0
Education Beginning of the S
Accelerated ACL Specify Level & Effectivity Date Date:
TOTAL 11
7/29/24 12:00 AM
Generated on: Tuesday, October 8, 2024
NELSON LEONIDAS ESPAÑO
(Signature of Adviser over Printed Name)
ning of the Semester End of the Semester Date:
24 12:00 AM 12/20/24 12:00 AM
