School Form 1 School Register for Senior High School (S
School Name Bixby Knolls Preparatory Academy School ID 402351 District San Antonio Division Qu
Semester First Semester School Year 2019 - 2020 Grade Level Grade 11 Track and Strand
Section NELSON MANDELA Course (for TVL only)
AGE COMPLETE ADDRESS PARENTS
as of
Sex (M/F)
NAME BIRTH DATE 1st Mother's Ma
LRN Religious Affilication
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Frida Father's Name (Last Name (La
House #/ Street/ Sitio/ Municipality/
y Purok
Barangay
City
Province Name, First Name, Name, Fir
June Middle Name) Name, Mid
Name)
PADRE BILOG, SANDY MARASIGAN
401645150006 BILOG,AERON CHARLES MARASIGAN M 11/22/2001 16 Christianity MANGGAS BATANGAS
GARCIA SHANE ARMAN NDA,PASIA,
CATIBOG,
CENIZA,LUC
401630150392 CATIBOG,NIGEL CENIZA M 06/05/2003 15 Christianity PULO SAN ANTONIO QUEZON NUMERIANO
ALALUAN,
PANAPANAAN
DIOLA, GERONIMO QUITAIN,EUF
109112080060 DIOLA,VAL IVAN QUITAIN M 02/14/2003 15 Christianity SAN JOSE SAN ANTONIO QUEZON
VILLANUEVA DIOLA A,DE GUZMA
GEBA, EPIFANIO ROBLES,LEA
402836150070 GEBA,ARIES DOMINIC ROBLES M 12/14/2002 15 Christianity PULO SAN ANTONIO QUEZON
LANDICHO NGUNDAYAO
ISABEDRA,
SAMPAGUIT ABAN,ANNE
109112080080 ISABEDRA,ELIJAH DAVID ABAN M 10/28/2003 14 Christianity SAN ANTONIO QUEZON FELIMON
A GRACE,REYE
BALBUENA
PADRE LOPEZ, VICTOR LAGUTIN,RU
107533080042 LOPEZ,VICTOR JR LAGUTIN M 05/15/2002 16 Christianity PANSOL BATANGAS
GARCIA ROBLES ,DIMAALIHAN
RONGAVILLA, REYES,ANAB
402484150277 RONGAVILLA,EMJAY REYES M 06/11/2003 14 Christianity LOOB SAN ANTONIO QUEZON
JOHNSON VELLEZA E,LUNAR,
7 <=== TOTAL MALE
ABARENTOS, ERIC LACERNA,NE
109112080001 ABARENTOS,ELAIZA LACERNA F 01/07/2003 15 Christianity BULIRAN SAN ANTONIO QUEZON
PEREZ ABARENTOS A,MIRANDA,
CAMANTIGUE, JIMENEZ,MA
136675080186 CAMANTIGUE,LIAM DIMPLE JIMENEZ F 03/31/2003 15 Christianity LALIG TIAONG QUEZON
WILLIAM CALABIA C,PASCO,
PADRE DIMACULANGAN, MACASAET,A
107533080026 DIMACULANGAN,KAYE MACASAET F 09/06/2002 15 Christianity PANSOL BATANGAS
GARCIA RICHARD M ELITA,A,
GARCIA, FRANCIS ILAO,IRENE,H
401630150371 GARCIA,FRANCESCA REINE ILAO F 07/08/2003 14 Christianity SAN JOSE SAN ANTONIO QUEZON
ALDRICH DORNEO NANDEZ,
PADRE SILVA,MAJAIL
401640151030 JORDAN,MARIAN NICHOLE SILVA F 05/27/2003 15 Christianity BAWI BATANGAS JORDAN, DAVID JR P
GARCIA B,
ol (SF1-SHS)
Quezon Region Region IV-A
Academic Track -Science, Technology, Engineering, and
GUARDIAN
TS (if learner is not Living with REMARKS
Parent) Contact
Number
Mother's Maiden of Parent
Name
Name (Last or (Please refer to
(Last Name, First
Name, First Relationship Guardian the legend on last
Name, Name
Name, Middle page)
Extension, Middle
Name)
MARASIGAN,GLY
RELATIVE
NDA,PASIA,
CENIZA,LUCIA,M
PARENT
ALALUAN,
QUITAIN,EUFEMI
RELATIVE
A,DE GUZMAN,
ROBLES,LEA,MA T/I DATE:2019-07-
NGUNDAYAO, 05
ABAN,ANNE T/I DATE:2019-07-
PARENT
GRACE,REYES, 05
LAGUTIN,RUFINA
Pending TI
DIMAALIHAN,
REYES,ANABELL
PARENT
E,LUNAR,
LACERNA,NERIS T/I DATE:2019-07-
A,MIRANDA, 05
IMENEZ,MARIVI
PARENT Pending TI
C,PASCO,
MACASAET,ANG T/I DATE:2019-07-
ELITA,A, 05
LAO,IRENE,HER
PARENT
NANDEZ,
SILVA,MAJAILLA,
PARENT
B,
PERDIDO,
MATANGUIH
109112120259 PERDIDO,KIN KATRISHA MATANGUIHAN F 10/02/2002 15 Christianity POBLACION SAN ANTONIO QUEZON DOMINGO
IMFA,BUENO
MACABUNGA
6 <=== TOTAL FEMALE
13 <=== 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
Transfered Out T/O CCT Receipient CCT CCT Control/reference number &
Effectivity Date MALE 7
Name of School, Date of 1st Attendance and Balik Aral B/A Name of school last attended & Year (Signat
Date of Last Attendance if Transferred Out
Transfered In T/I Learner With LWE Specify Exceptionality of the Learner FEMALE 6
Exceptionality Beginning of the Semester
Accelerated ACL Specify Level & Effectivity Date Date:
TOTAL 13
2019-07-05
Generated on: Tuesday, September 3, 2019
MATANGUIHAN,N
PARENT Pending TI
MFA,BUENO,
CEAZAR - CARO
(Signature of Adviser over Printed Name)
ter End of the Semester Date:
2019-11-22
