School Form 1 School Register for Senior High School (
School Name Gamay National High School School ID 303552 District Gamay I
Division Norther
Semester First Semester School Year 2024 - 2025 Grade Level Grade 12 Track and Strand
Section CAMELLIA Course (for TVL only)
COMPLETE ADDRESS PARENTS
Age
Sex (M/F)
as of
NAME BIRTH DATE Mother's Mai
LRN
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
Octo Religious Affilication
ber Father's Name (Last Name (Las
House #/ Street/ Sitio/ Municipality/
Barangay Province Name, First Name, Name, Firs
31 Purok City
Middle Name) Name, Midd
Name)
CABARASA NORTHERN ACLAO, JOSE LAODENIO,TH
122919110002 ACLAO,JOMARIE LAODENIO M 02/05/2006 18 Christianity GAMAY
N SAMAR FLORES MA,LEGASPI,
NORTHERN GARBO,NIÑA
123105130011 ADA,JAMES GARBO M 11/23/2006 17 Christianity JUBASAN MAPANAS ADA, JOSIE CASIS
SAMAR ANAS,
BAYBAY
NORTHERN ALBINO, ROGER INFANTE,LUZ
122926120001 ALBINO,REGOR INFANTE M 07/13/2007 16 Christianity DISTRICT GAMAY
SAMAR BELLO NDEZ,
(POB.)
BAYBAY
NORTHERN ALEGRIA, CARLITO MENDEZ,MYR
136723120578 ALEGRIA,JAYSON MENDEZ M 08/09/2004 19 Christianity DISTRICT GAMAY
SAMAR OBLINO SR DALIMPAYAS
(POB.)
BAYBAY
NORTHERN BALADING, JOEL ESPONILLA,A
122925120312 BALADING,JEFRY ESPONILLA M 10/04/2005 18 Christianity DISTRICT GAMAY
SAMAR ADA LYN,CASUCO
(POB.)
NORTHERN BELLO, BOYET PECENIO,ALE
122915120054 BELLO,FRENZ DAVE PECENIO M 01/03/2007 17 Christianity ANITO GAMAY
SAMAR JAGONOY PECAYORA,
BAYBAY DAYDAY,
NORTHERN CAPOQUIAN,
122925120693 DAYDAY,ALEXANDER CAPOQUIAN M 05/07/2007 17 Christianity DISTRICT GAMAY FERNANDO PADRO
SAMAR A,SERSE,
(POB.) SR
LIBERTAD NORTHERN ESTERIA, ESTELITO BALASTA,JAN
122925120608 ESTERIA,MICHAEL BALASTA M 12/16/2006 17 Christianity GAMAY
(POB.) SAMAR QUILICOL A,CAPOQUIA
BAYBAY
NORTHERN GABILAN, ASIM,EMELIT
122926110012 GABILAN,EDUARDO, JR. ASIM M 04/20/2006 18 Christianity DISTRICT GAMAY
SAMAR EDUARDO APOQUIAN,
(POB.)
BAYBAY
NORTHERN LAID,ROSMA
122925120599 GABRIEL,JOHN JR LAID M 12/09/2006 17 Christianity DISTRICT GAMAY GABRIEL, JOHN SR
SAMAR TIU,
(POB.)
LIBERTAD NORTHERN LAODENIO, NERRIE MALBAS,ERM
122925120604 LAODENIO,JERALD MALBAS M 12/17/2006 17 Christianity GAMAY
(POB.) SAMAR FLORES ,QUILICOL,
NORTHERN MONTIBON, RONIE LUMICTIN,FIO
164516130719 MONTIBON,VINCE ALFIE LUMICTIN M 05/04/2007 17 Christianity JUBASAN MAPANAS
SAMAR ADA ALEXA,MAPA
BAYBAY
NORTHERN MADEJA,MAR
122926120014 QUIAS,ALVIN MADEJA M 11/13/2005 18 Christianity DISTRICT GAMAY
SAMAR L,,
(POB.)
ool (SF1-SHS)
Northern Samar Region Region VIII
Academic Track -General Academic Strand
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)
LAODENIO,THEL
Face to Face
MA,LEGASPI,
GARBO,NIÑA,PL
PARENT Face to Face
ANAS,
NFANTE,LUZ,ME
PARENT Face to Face
NDEZ,
MENDEZ,MYRA,
Face to Face
DALIMPAYAS,
ESPONILLA,ANA
Face to Face
LYN,CASUCO,
PECENIO,ALETH,
PARENT Face to Face
PECAYORA,
CAPOQUIAN,ALM
Face to Face
A,SERSE,
BALASTA,JANET
Face to Face
A,CAPOQUIAN,
ASIM,EMELITA,C
PARENT Face to Face
APOQUIAN,
LAID,ROSMARIE,
Face to Face
TIU,
MALBAS,ERMITA
Face to Face
QUILICOL,
LUMICTIN,FIONA
Face to Face
ALEXA,MAPA,
MADEJA,MARIVE
PARENT Face to Face
L,,
13 <=== TOTAL MALE
NORTHERN ADA, JOSE ROY FLORES,IRIE,
123105130018 ADA,SHARA MAE FLORES F 11/08/2007 16 Christianity JUBASAN MAPANAS
SAMAR BADA GUIT,
NORTHERN BELLO,GLEND
122915120073 BELLO,LOVELY SHYLE DEBORAH JAGONOY F 07/19/2007 16 Others ANITO GAMAY
SAMAR AGONOY,
NORTHERN CEBUANO, NESTOR PECSON,JOCE
122915140092 CEBUANO,NESALYN PECSON F 11/24/2007 16 Christianity ANITO GAMAY
SAMAR ADA N,DELA CRUZ
LIBERTAD NORTHERN DAIROCAS,N
508052200656 DELGADO,RONALYN DAIROCAS F 04/05/1998 26 Christianity GAMAY DELGADO, ROMEO
(POB.) SAMAR MA,A,
NORTHERN ESPONILLA, JESUS TURLA,SALIA
122933140036 ESPONILLA,JELLY TURLA F 12/06/2006 17 Christianity MALIDONG GAMAY
SAMAR ASIM DRANES,
BAYBAY
NORTHERN GARBO, AMPILO GUBOT,NERI
109334130145 GARBO,NIÑA VANESSA GUBOT F 01/14/2007 17 Christianity DISTRICT GAMAY
SAMAR BELLO ,LONGCOP,
(POB.)
NORTHERN SEGUERRA,A
122915120097 GOMBA,CRISTYL ANN SEGUERRA F 04/17/2007 17 Christianity ANITO GAMAY GOMBA, EDMUND -
SAMAR YN,BOBIER,
NORTHERN JATULAN, MORATAL,GE
123105110008 JATULAN,MERALGEN MORATAL F 07/06/2006 17 Christianity JUBASAN MAPANAS
SAMAR MARCIANO MADEJA LYN,ROSEND
NORTHERN LIPATA, REXBEL GARBO,BENE
123105130025 LIPATA,CHANDA GRACE GARBO F 10/30/2007 16 Christianity JUBASAN MAPANAS
SAMAR ESPONILLA N,PLANAS,
CABARASA NORTHERN LONGCOP, JULIAN DURIN,EVELY
122919120014 LONGCOP,JULIANA DURIN F 03/14/2007 17 Christianity GAMAY
N SAMAR GOMBA BESTANO,
BAYBAY
NORTHERN MENGOTE, GIL MUNCADA,ET
122925120442 MENGOTE,ANGELYN MUNCADA F 08/14/2007 16 Christianity DISTRICT GAMAY
SAMAR BELLO SR L,SAPATOS,
(POB.)
NORTHERN NUEVA, ADONIS TOBULA,LIZA
123105130027 NUEVA,MAY ROSE TOBULA F 05/15/2007 17 Christianity JUBASAN MAPANAS
SAMAR LUMIARES ESTROS,
BAYBAY NUEVA,MA
NORTHERN RESARE, BUTCHIE
164511130101 RESARE,ALTHEA NUEVA F 07/14/2007 16 Christianity DISTRICT GAMAY CONCEPCION
SAMAR FRANCA
(POB.) ODENIO,
NORTHERN TILBE, RODERICK QUILICOL,RO
122917110035 TILBE,PRECIOUS QUILICOL F 04/02/2006 18 Christianity BATO GAMAY
SAMAR ALMASCO ARIE,LEBICO
14 <=== TOTAL FEMALE
27 <=== 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 13
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 14
Education Beginning of the S
Accelerated ACL Specify Level & Effectivity Date Date:
TOTAL 27
7/29/24 12:00 AM
Generated on: Sunday, October 13, 2024
FLORES,IRIE,NU
Face to Face
GUIT,
BELLO,GLENDA,J
PARENT Face to Face
AGONOY,
PECSON,JOCELY
PARENT Face to Face CCT
N,DELA CRUZ,
DAIROCAS,NOR
Face to Face
MA,A,
TURLA,SALIA,TE
PARENT Face to Face
DRANES,
GUBOT,NERISSA
PARENT Face to Face
LONGCOP,
SEGUERRA,ANAL
PARENT Face to Face
YN,BOBIER,
MORATAL,GENA
Face to Face
LYN,ROSENDAL,
GARBO,BENELY
RELATIVE Face to Face CCT
N,PLANAS,
DURIN,EVELYN,A
PARENT Face to Face
BESTANO,
MUNCADA,ETHE
Face to Face
L,SAPATOS,
TOBULA,LIZA,AB
Face to Face
ESTROS,
NUEVA,MA
CONCEPCION,LA PARENT Face to Face
ODENIO,
QUILICOL,ROSM
PARENT Face to Face
ARIE,LEBICO,
red by;
HELLY LONGCOP CREBELLO
(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