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 11-02-2007 6. 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