School Forms

38
School Form 1 (SF 1) School Register (This replaces Form 1, Master List & STS Form 2-Family Background and Profile) School ID 136685 Region NCR Division Marikina City District 2 School Name SSS Village Elementary School School Year 2015-2016 Grade Level 2 Section Pulag LRN RELIGION ADDRESS PARENTS Barangay Province Name 1 136685130179 Bagacina, Jay Vincent Buenaventura M 9/3/07 8 Cupang Rizal 2 136685140337 Balano, Kenshin Tsukuyama M 9/20/08 7 NCR Balano, Ramil B. Tsukayama, Jun C. 3 136685130129 Buenaventura, Carl Cyruz Ancheta M 6/13/07 8 Cupang Rizal 4 136685140538 Caballero, Sherwin M 3/18/08 8 NCR NA 5 136685130366 Cabato, Louie angelo Aguaviva M 2/27/08 8 Cupang Rizal 6 109229100041 Cambronero, Fernus Lumbuan M 1/6/05 11 NCR 7 136685130519 Campang, Jimwel Jade Mohamed M 3/26/08 8 Cupang Rizal 8 136685130592 Caspe, Jason Rivera M 9/21/05 10 INC NCR 9 136685130184 Castejon, Gabriel Sam Balanay M 2/6/07 9 Cagayan NCR 10 136685130520 Clamar, Ronnie Agnote M 9/4/08 7 INc NCR 11 136685140091 Cruz, Albert Matthew Alcazar M 6/9/08 7 Cupang Rizal 12 136685140092 Dela Cruz, Joseph Andrew Cabeltes M 10/15/07 8 NCR 13 109477140601 Don, J-vie Estanislao M 8/25/08 7 NCR Don, Jerwin I. Estanislao, Elvie D 14 136685130373 Limbaga, Mark Therence Que M 11/8/07 8 Mayamot Rizal Que, Ma. Myla Romano 15 136685120183 Mendoza, Jade Cedrick Roduta M 12/2/07 8 Cupang Rizal 16 136685130102 Munar, Clarence Brent Macapinlac M 2/23/08 8 NCR 17 136673140041 Palatan, Ariesean Eiveruol Reyes M 1/27/08 8 Cupang Rizal 18 136685140392 Paler, James Edward M 7/11/08 7 Cupang Rizal NA 19 107314070061 Ramos, Clarence Victorino M 8/8/06 9 NCR 20 136685130632 Ramos, Luigi Mikiel Tejoso M 11/27/07 8 Cupang Rizal Ramos, Miguel Luna 21 136685140143 Rodriguez, John Muriel M 5/4/08 7 Cupang Rizal Muriel, Mae Quejado 22 136685140310 Salguero, Jomarie Jay Salameda M 9/20/07 8 Cupang Rizal 23 136685140393 Salom, Frank Emmanuel Ampoon M 5/22/08 7 INC NCR Salom, Ramil Gotos 24 136685130602 Victorio, Julius Tañedo M 7/30/07 8 Cupang Rizal NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/dd/ yyyy) AGE as of 1st Friday June BIRTH PLACE (Province ) MOTHER TONGUE IP (Ethnic Group) GUARDIAN (If not Parent) House #/ Street/ Sitio/ Purok Municipality/ City Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name) Relation- ship Antipolo City Roman Catholic 9 Sulucan St. Antipolo City Bagacina, Joel Tabarangao Buenaventura, Olivia Pedracio Quezon City Roman Catholic 77 Panorama St. SSS Concepcion Dos Marikina City Antipolo City Roman Catholic Sulucan St. Antipolo City Buenaventura, John Carlo C. Ancheta, Kristine Amper Mauban Quezon Roman Catholic 21 Magat Salamat Concepcion Dos Marikina City Caballero, Eva Merciales Marikina City Roman Catholic 357 Rosal St. Antipolo City Cabato, Angelo Enseng Aguaviva, Lizbeth Culi Tagkaway an Roman Catholic 50 Pio Del Pilar St. Concepcion Dos Marikina City Cambronero, Ferdinand Valdemor Lumbuan, Venus Reazon Antipolo City Roman Catholic Purok 1 Zone 8 Antipolo City Campang, Geminiano Panganiban Mohamed, Laarnie Dunez Marikina City 3 Apo St. Hac. Hts. Concepcion Dos Marikina City Caspe, Geronimo Bautista Rivera, Jeanette Bualoy Roman Catholic 19 Aquamarine Concepcion Dos Marikina City Castejon, John Peter Flora Balanay, Lelit Mariano Atimonan Quezon 44 Tangerine Concepcion Dos Marikina City Clamar, Ronald Penaojas Agnote, Arminda Ferrer Quezon City Roman Catholic Purok 5 Zone 8 Antipolo City Cruz, Alberto Sison Alcazar, Gracia Dioquino Marikina City Roman Catholic 119 Starlite Concepcion Dos Marikina City Dela Cruz, Ronaldo Asuncion Cabeltes, Gina Achegue Marikina City Roman Catholic 12 Olive St. SSS Concepcion Dos Marikina City Antipolo City Roman Catholic 3A Tuazon Vill. Antipolo City Limbaga, Grejomar Lucas Antipolo City Roman Catholic Purok 1 Zone 8 Antipolo City Mendoza, Orlando Bacod Roduta, Baby Lyn Dogayo Quezon City Roman Catholic New 21 Pinto St. Concepcion Dos Marikina City Munar, Roderick Garcia Macapinlac, Norlita M Marikina City Roman Catholic 6 Taurus St. Sierra Antipolo City Palatan, Marlo Mesolania Reyes, Revie Arrisgado Taguig City Roman Catholic Purok 2 Zone 8 Antipolo City Paler, Larpa Jarabejo Marikina City Roman Catholic 12 Lime St. Concepcion Dos Marikina City Ramos Jr., Jose Villablanca Victorino, Criselda Galicio Marikina City Roman Catholic 66 Purok 1 Zone 8 Antipolo City Tejoso, Eula Maie Villas Marikina City Roman Catholic Liamzon St. Ma. Corazon Antipolo City Rodriguez, Jose Robert Lado Antipolo City Roman Catholic 28 Purok 4 Zone 8 Antipolo City Salguero, Jomar Lungabit Salameda, Annie Joy Mangaoil Marikina City 3 Sandalwood Concepcion Dos Marikina City Ampoon, Cloverly Guiang Antipolo City Roman Catholic 3556 Rosal St. Antipolo City Victorio, Amelito Aringo Tañedo, Ana Marie Abdon

description

fdfd

Transcript of School Forms

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

School ID 136685 Region NCR Division Marikina City District 2

School Name SSS Village Elementary School School Year 2015-2016 Grade Level 2 Section Pulag

LRN RELIGION

ADDRESS PARENTS REMARKS

Barangay Province Name Relation-ship

1

136685130179 Bagacina, Jay Vincent Buenaventura M 9/3/07 8 Roman Catholic 9 Sulucan St. Cupang Antipolo City Rizal 9276775371

2

136685140337 Balano, Kenshin Tsukuyama M 9/20/08 7 Roman Catholic Marikina City NCR Balano, Ramil B. Tsukayama, Jun C. 9466185783

3

136685130129 Buenaventura, Carl Cyruz Ancheta M 6/13/07 8 Roman Catholic Sulucan St. Cupang Antipolo City Rizal Ancheta, Kristine Amper 9753039427

4

136685140538 Caballero, Sherwin M 3/18/08 8 Roman Catholic Marikina City NCR NA Caballero, Eva Merciales 9092703356

5

136685130366 Cabato, Louie angelo Aguaviva M 2/27/08 8 Roman Catholic Cupang Antipolo City Rizal Cabato, Angelo Enseng Aguaviva, Lizbeth Culi 9466499282

6

109229100041 Cambronero, Fernus Lumbuan M 1/6/05 11 Roman Catholic Marikina City NCR Lumbuan, Venus Reazon 9282965046

7

136685130519 Campang, Jimwel Jade Mohamed M 3/26/08 8 Roman Catholic Purok 1 Zone 8 Cupang Antipolo City Rizal Mohamed, Laarnie Dunez 9198126324

8

136685130592 Caspe, Jason Rivera M 9/21/05 10 INC Marikina City NCR Rivera, Jeanette Bualoy 9291959779

9

136685130184 Castejon, Gabriel Sam Balanay M 2/6/07 9 Cagayan Roman Catholic Marikina City NCR Balanay, Lelit Mariano 9208946349

10

136685130520 Clamar, Ronnie Agnote M 9/4/08 7 INc Marikina City NCR Clamar, Ronald Penaojas Agnote, Arminda Ferrer 9498543768

11

136685140091 Cruz, Albert Matthew Alcazar M 6/9/08 7 Roman Catholic Purok 5 Zone 8 Cupang Antipolo City Rizal Cruz, Alberto Sison Alcazar, Gracia Dioquino 9098660267

12

136685140092 Dela Cruz, Joseph Andrew Cabeltes M 10/15/07 8 Roman Catholic Marikina City NCR Cabeltes, Gina Achegue 9199532092

13

109477140601 Don, J-vie Estanislao M 8/25/08 7 Roman Catholic Marikina City NCR Don, Jerwin I. Estanislao, Elvie D 9062559304

14

136685130373 Limbaga, Mark Therence Que M 11/8/07 8 Roman Catholic Mayamot Antipolo City Rizal Limbaga, Grejomar Lucas Que, Ma. Myla Romano 9297736939

15

136685120183 Mendoza, Jade Cedrick Roduta M 12/2/07 8 Roman Catholic Purok 1 Zone 8 Cupang Antipolo City Rizal Roduta, Baby Lyn Dogayo 9239395996

16

136685130102 Munar, Clarence Brent Macapinlac M 2/23/08 8 Roman Catholic Marikina City NCR Munar, Roderick Garcia Macapinlac, Norlita M 9326421358

17

136673140041 Palatan, Ariesean Eiveruol Reyes M 1/27/08 8 Roman Catholic Cupang Antipolo City Rizal Palatan, Marlo Mesolania Reyes, Revie Arrisgado 9337116927

18

136685140392 Paler, James Edward M 7/11/08 7 Taguig City Roman Catholic Purok 2 Zone 8 Cupang Antipolo City Rizal Paler, Larpa Jarabejo NA 9496124316

19

107314070061 Ramos, Clarence Victorino M 8/8/06 9 Roman Catholic 12 Lime St. Marikina City NCR Victorino, Criselda Galicio 9289261503

20

136685130632 Ramos, Luigi Mikiel Tejoso M 11/27/07 8 Roman Catholic Cupang Antipolo City Rizal Ramos, Miguel Luna Tejoso, Eula Maie Villas 9395847133

21

136685140143 Rodriguez, John Muriel M 5/4/08 7 Roman Catholic Cupang Antipolo City Rizal Muriel, Mae Quejado 9323990094

22

136685140310 Salguero, Jomarie Jay Salameda M 9/20/07 8 Roman Catholic Cupang Antipolo City Rizal Salguero, Jomar Lungabit 9982716792

23

136685140393 Salom, Frank Emmanuel Ampoon M 5/22/08 7 INC 3 Sandalwood Marikina City NCR Salom, Ramil Gotos Ampoon, Cloverly Guiang 9433531085

24

136685130602 Victorio, Julius Tañedo M 7/30/07 8 Roman Catholic 3556 Rosal St. Cupang Antipolo City Rizal Victorio, Amelito Aringo Tañedo, Ana Marie Abdon 9201208718

NAME(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/dd/ yyyy)

AGE as of 1st Friday

June

BIRTH PLACE

(Province)MOTHER TONGUE

IP (Ethnic Group)

GUARDIAN (If not Parent)

Contact Number of Parent or

GuardianHouse #/ Street/ Sitio/Purok

Municipality/ City

Father's Name (Last Name, First Name, Middle Name)

Mother's Maiden Name (Last Name, First Name, Middle

Name)(Please refer to the

legend on last page)

Antipolo City

Bagacina, Joel Tabarangao

Buenaventura, Olivia Pedracio

Quezon City

77 Panorama St. SSS Vill.

Concepcion Dos

Antipolo City

Buenaventura, John Carlo C.

Mauban Quezon

21 Magat Salamat

Concepcion Dos

Marikina City

357 Rosal St. Tamenggo

Tagkawayan Quezon

50 Pio Del Pilar St.

Concepcion Dos

Cambronero, Ferdinand Valdemor

Antipolo City

Campang, Geminiano Panganiban

Marikina City

3 Apo St. Hac. Hts.

Concepcion Dos

Caspe, Geronimo Bautista

19 Aquamarine St. SSS Vill.

Concepcion Dos

Castejon, John Peter Flora

Atimonan Quezon

44 Tangerine St.

Concepcion Dos

Quezon City

Marikina City

119 Starlite St. Rancho 3

Concepcion Dos

Dela Cruz, Ronaldo Asuncion

Marikina City

12 Olive St. SSS Village

Concepcion Dos

Antipolo City

3A Tuazon Vill. Baybay Sapa

Antipolo City

Mendoza, Orlando Bacod

Quezon City

New 21 Pinto St. Rancho 1

Concepcion Dos

Marikina City

6 Taurus St. Sierra Vista

Marikina City

Concepcion Dos

Ramos Jr., Jose Villablanca

Marikina City

66 Purok 1 Zone 8

Marikina City

Liamzon St. Ma. Corazon

Rodriguez, Jose Robert Lado

Antipolo City

28 Purok 4 Zone 8

Salameda, Annie Joy Mangaoil

Marikina City

Concepcion Dos

Antipolo City

LRN RELIGION

ADDRESS PARENTS REMARKS

Barangay Province Name Relation-ship

NAME(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/dd/ yyyy)

AGE as of 1st Friday

June

BIRTH PLACE

(Province)MOTHER TONGUE

IP (Ethnic Group)

GUARDIAN (If not Parent)

Contact Number of Parent or

GuardianHouse #/ Street/ Sitio/Purok

Municipality/ City

Father's Name (Last Name, First Name, Middle Name)

Mother's Maiden Name (Last Name, First Name, Middle

Name)(Please refer to the

legend on last page)

1

136685140394 Alesoso, Sheryl Cesar F 8/4/08 7 Roman Catholic Cupang Antipolo city Rizal Alesoso, Daniel T. Cesar, Margarita D. 9325900439

2

136685130417 Almario, Danilyn Cuadro F 10/20/07 8 Roman Catholic Zone Purok 3 Cupang Antipolo city Rizal Cuadro, Mary Rose Baldera 9305059958

3

136685130553 Alvarez, Cyrell Abelardo F 6/29/08 7 Roman Catholic Cupang Antipolo city Rizal Alvarez. Cyril Arsenio Abelardo, May Montecalvo 9498596025

4

136685140165 Bunuan, Eiselle Vernice Duque F 4/7/08 7 Roman Catholic Marikina City NCR Bunuan, Virgilio Juan Duque, Esmeralda Penalba 9353318761

5

136685140203 Capute, Venice Kyla Manigos F 2/17/08 8 Pasig City Roman Catholic Marikina City NCR Capute, Norman Restor Manigos, Nancy Manriquez 9109076909

6

136685140176 Caspe, Princess Rhian Rivera F 10/22/07 8 INC Marikina City NCR Rivera, Jeanette Bualoy

7

136685120200 Dacanay, Jhamima Yruma F 3/27/08 8 Roman Catholic Purok 1 Zone 8 Cupang Antipolo city Rizal Dacanay, Joel Riuner Iruma, Marivic Tenedero 9396240081

8

136685140160 Dalo, Marry Claire Ponso F 6/26/08 7 Roman Catholic 162 Starlite Cupang Antipolo city Rizal Dalo, Restificar Ponso, Clarita Tanugan 9198822577

9

136685130261 Dayandante, Jenella Louise F 10/28/07 8 Roman Catholic Cupang Antipolo city Rizal NA 9983646783

10

136685130533 Duremdes, Janna Andrea Manalon F 10/13/08 7 Roman Catholic Mayamot Antipolo city Rizal Duremdes, Arnold Calizo Manalon, Juana Miralles 9199611684

11

136685130534 Fabila, Jhazmine Maickie Capariño F 8/12/08 7 Roman Catholic Cupang Antipolo city Rizal Fabila, jacky Ruby T. 9307960136

12

136685130657 Isturis, Hanna Vienne Makiramdam F 5/18/08 7 Roman Catholic Cupang Antipolo city Rizal Isturis, Arvin De Manuel Makiramdam, Aileen Hate 9472714172

13

136685140370 Jeve, Mary Gillian Aguaviva F 10/20/07 8 Roman Catholic Cupang Antipolo city Rizal Jeve, Brian Dacut Aguaviva, Genie Camasura 9158533938

14

109323120164 Miasco, Vanessa Syrine Prieto F 1/24/07 9 INC Cupang Antipolo city Rizal Miasco, Alexander G. Prieto, Jocelyn Francia 9329278119

15

136685130640 Micua, Ashly Nicole Ramos F 2/27/08 8 Roman Catholic Cupang Antipolo city Rizal Micua, Joseph Agoot Ramos, Aileen Ortega 9397882019

16

136685130270 Modrigo, Emma Sophia Demoos F 9/26/08 7 Roman Catholic Cupang Antipolo city Rizal NA Modrigo, Amy Demoos 9462213362

17

136685130359 Palileo, Meryl Kate Ramos F 9/26/08 7 Roman Catholic Marikina City NCR NA Palileo, Jalyn Ramos 9233659980

18

114037140080 Quiaño, Johanna Kamea Tulosa F 3/1/08 8 Sorsogon Roman Catholic Marikina City NCR Tulosa, Alma Gelua 9435331296

19

136685130607 Rebusquillo, Princess Nirvana B. F 11/16/07 8 Roman Catholic Marikina City NCR Rebusquillo, Alvin Bernas, Emily 9175572226

20

136680130212 Regalado, Francesca Vian F 9/5/06 9 Born Again Cupang Antipolo city Rizal Aunt 9064783154

21

136675130957 Rivera, Layzie Kyle Alaroso F 4/17/08 7 Roman Catholic Cupang Antipolo city Rizal Rivera, Jose Collamat Alaroso, Mary Grace Asuela 9067103759

22

136685140401 Salvador, Alicia Gail Bacnat F 5/16/08 7 Roman Catholic Purok 6 Zone 8 Cupang Antipolo city Rizal Bacnat, Grace Nedio 9332594097

23

136685120694 Supillo, Sandrene Belaro F 11/1/07 8 Roman Catholic Cupang Antipolo city Rizal Supillo, Angelito Ocampo Belaro, Reesie Fruelda 9173578457

24

109323140863 Tambadoc, Maricar Sorronda F 7/2/05 10 Roman Catholic Cupang Antipolo city Rizal NA 9309212656

25

136685140084 Tuvilla, Angelica Manio F 1/20/08 8 Roman Catholic Cupang Antipolo city Rizal Manio, Edna Sitiphone

List and Code of Indicators under REMARKS column Prepared by: Certified Correct:Code Indicator Code REGISTERED BoSY EoSY

T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 24AIDA F. BENITO

T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A FEMALE 25(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)

DRP Reason and Effectivity Date LWD Specify

TOTAL 49

Quezon City

36 Saint Ignacius St.

Antipolo City

Almario, Danilo Jay Aristotoles

Banga, Aklan

Ma. Corazon Subd.

Antipolo City

54 Gold St, SSS Village

Concepcion Dos

81 Cor. Fatima Lane West Drive

Concepcion Dos

Antipolo City

3 Apo St. Hac. Hts.

Concepcion Dos

Caspe, Geronimo Bautista

Antipolo City

Bayugan, Agusan Del

SurAntipolo

CityPurok 5 Zone 8 Dayandante, Mary Jane

Eulogio

Quezon City

Zone 4 Josenia Ext. Sumulong

Marikina City

36 Saint Ignacius St.

Capariño, Jeremy Caguimbay

Antipolo City

4B St. Claire St. Ma. Corazon Subd.

Marikina City

Tumana St. Ma. Corazon

Quezon City

161 Caimito St. Tamenggo

Antipolo City

214 Purok 1 Zone 8

Marikina City

Blk 1 L7 Tumana

Antipolo City

555 Bayan Bayanan

Concepcion Uno

86 Redeo St. Rancho E St. II

Concepcion Dos

Quezon City

12 C Magat Salamat St.

Concepcion Dos

Quezon City

36 St. Anthony St. Ma Corazon

Regalado, Ma. Dolores C.

Marikina City

46 P. Oliveros St.

Marikina City

Salvador, Alvin Pagapulaan

Antipolo City

9 Saint Ignacius St. Ma. Corazon

Marikina City

Saint Ignacius St. Ma Corazon

Tambadoc, Maricris Sorronda

Quezon City

126 Purok 3 Zone 8

Tuvilla, Jose Antonio Enano

Indicator

Required Information

Required Information

Transferred Out

CCT RecipientTra

nsferred IN

Name of school last attended & Year

Dropped

Learner With Dissability

LRN RELIGION

ADDRESS PARENTS REMARKS

Barangay Province Name Relation-ship

NAME(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/dd/ yyyy)

AGE as of 1st Friday

June

BIRTH PLACE

(Province)MOTHER TONGUE

IP (Ethnic Group)

GUARDIAN (If not Parent)

Contact Number of Parent or

GuardianHouse #/ Street/ Sitio/Purok

Municipality/ City

Father's Name (Last Name, First Name, Middle Name)

Mother's Maiden Name (Last Name, First Name, Middle

Name)(Please refer to the

legend on last page)

LE Reason (Enrollment beyond 1st Friday of June) ACLTOTAL 49

Late Enrollment

Accelarated

Specify Level & Effectivity Data

BoSY Date: EoSYDate:

BoSY Date: EoSYDate:

School Form 2 (SF2) Daily Attendance Report of Learners(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Report for the Month of

Name of School Grade Level Section

(1st row for date)

M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

MALE | TOTAL Per Day

LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month REMARKS (If DROPPED OUT, state reason, please refer

to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)

(1st row for date)

M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month REMARKS (If DROPPED OUT, state reason, please refer

to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL

2. Dates shall be written in the columns after Learner's Name.* Enrolment as of (1st Friday of June)

3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT

a. Percentage of Enrolment =Registered Learners as of end of the month

x 100a. Domestic-Related Factors

Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings

b. Average Daily Attendance = Total Daily Attendance a.2. Early marriage/pregnancy

Number of School Days in reporting month a.3. Parents' attitude toward schooling

c. Percentage of Attendance for the month =Average daily attendance

x 100a.4. Family problems

Registered Learners as of end of the month b. Individual-Related Factors

b.1. IllnessAverage Daily Attendance

b.2. Overageb.3. Death

Percentage of Attendance for the month b.4. Drug Abuseb.5. Poor academic performance

Number of students absent for 5 consecutive days:6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions

* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/MalnutritionDrop out

c. School-Related Factorsc.1. Teacher Factor

Transferred outc.2. Physical condition of classroomc.3. Peer influence

Transferred ind. Geographic/Environmentald.1. Distance between home and schoold.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.

d.3. Calamities/Disasterse. Financial-Related

e.1. Child labor, work (Signature of Teacher over Printed Name)f. Others (Specify)

No. of Days of Classes:

(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)

Late Enrollment during the month (beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by the principal, this form should be returned to the adviser.

5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of dropping out.

(1st row for date)

M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month REMARKS (If DROPPED OUT, state reason, please refer

to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)

School Form 2 : Page ___ of ________Attested by:

(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued and Returned(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section

NO.

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

Date Date Date Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

LEARNER'S NAME (Last Name, First Name, Middle

Name)

REMARKS/ACTION TAKEN (Please refer to the

legend on last page)

NO.

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

Date Date Date Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

LEARNER'S NAME (Last Name, First Name, Middle

Name)

REMARKS/ACTION TAKEN (Please refer to the

legend on last page)

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:1. Title of Books Issued to each learner must be recorded by the class adviser.2. The Date of Issuance and the Date of Return shall be reflected in the form.3. The Total Number of Copies issued at BoSY shall be reflected in the form. (Signature over printed name)4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Date BoSY:____________ Date EoSY: ___________5. All textbooks being used must be included. Additional copies of this form may be used if needed.

A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=NegligenceB. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.

School Form 4 (SF4) Monthly Learner's Movement and Attendance(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year Report for the Month of

SECTION NAME OF ADVISER

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

Daily Average (B) For the Month (B) For the Month (B) For the Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T

ELEMENTARY/SECONDARY:

KINDER

GRADE 1/GRADE 7

GRADE 2/GRADE 8

GRADE 3/GRADE 9

GRADE 4/GRADE 10

GRADE 5/GRADE 11

GRADE 6/GRADE 12

TOTAL FOR NON-GRADED

TOTALGUIDELINES: Prepared and Submitted by:

1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month. 2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

(Signature of School Head over Printed Name)

GRADE/ YEAR LEVEL

REGISTERED LEARNERS (As of End of the

Month)Percentage for

the Month(A) Cumulative as of Previous Month

(A+B) Cumulative as of End of the

Month(A) Cumulative as of Previous Month

(A+B) Cumulative as of End of the

Month(A) Cumulative as of Previous Month

(A+B) Cumulative as of End of the Month

Page _____ of _____ pages

School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

LRN

As of end of current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

MALE FEMALE TOTAL

LEARNER'S NAME (Last Name, First Name, Middle Name)

GENERAL AVERAGE

(Numerical Value in 2 decimal places and 3

decimal places for honor learners, and Descriptive Letter)

ACTION TAKEN: PROMOTED,

IRREGULAR or RETAINED

INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC

need not to fill up these columns)

From previous school years completed as of end of current

School Year

BEGINNNING (B: 74% and

below)

DEVELOPING (D: 75%-79%)

APPROACHING PROFICIENCY

(AP: 80%-84%)

PROFICIENT (P: 85% -89%)

ADVANCED (A: 90% and above)

LRN

As of end of current School Year

LEARNER'S NAME (Last Name, First Name, Middle Name)

GENERAL AVERAGE

(Numerical Value in 2 decimal places and 3

decimal places for honor learners, and Descriptive Letter)

ACTION TAKEN: PROMOTED,

IRREGULAR or RETAINED

INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC

need not to fill up these columns)

From previous school years completed as of end of current

School Year

TOTAL MALE

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

Division Representative

GUIDELINES:

1. For All Grade/Year Levels

ADVANCED (A: 90% and above)

2. To be prepared by the Adviser. Final rating per subject area should be taken from the record of subject teachers. The class adviser should compute for the General Average.

3. On the summary table, reflect the total number of learners promoted, retained and *irregular (*for grade 7 onwards only) and the level of proficiency according to the individual General Average.

4. Must tally with the total enrollment report as of End of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent

LRN

As of end of current School Year

LEARNER'S NAME (Last Name, First Name, Middle Name)

GENERAL AVERAGE

(Numerical Value in 2 decimal places and 3

decimal places for honor learners, and Descriptive Letter)

ACTION TAKEN: PROMOTED,

IRREGULAR or RETAINED

INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC

need not to fill up these columns)

From previous school years completed as of end of current

School Year

TOTAL FEMALE

COMBINED School Form 5: Page ____ of ________

5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent

School Form 6 (SF6)Summarized Report on Promotion and Level of Proficiency

(This replaces Form 20)

School ID Region Division

School Name District School Year

SUMMARY TABLEGRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT

GUIDELINES:

1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.3. The Report on Promotion per grade level is reflected in the End of School Year Report of GESP/GSSP.

BEGINNNING (B: 74% and below)

DEVELOPING (D: 75%-79%)

APPROACHING PROFICIENCY

(AP: 80%-84%)

PROFICIENT (P: 85% -89%)

ADVANCED (A: 90% and above)

4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.

School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,

Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division

School Name District School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

Teaching

Sex

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Minor

Ave. Minutes per Day

Ave. Minutes per Day

Title of Plantilla Position (as it appears in the appointment

document/PSIPOP)Number of Incumbent

Title of Plantilla Position (as it appears in the appointment

document/PSIPOP)Number of Incumbent

Title of Designation (as it appears in the contract/document: Teacher, Clerk, Security Guard, Driver etc.)

Appointment: (Contractual, Substitute,

Volunteer, others specify)

Fund Source (SEF, PTA,

NGO's etc.)

Number of Incumbent

Non-Teaching

Employee No. (or Tax Identification

Number -T.I.N.)

Name of School Personnel (Arrange by

Position, Descending) Fund

SourcePosition/

Designation

Nature of Appointment/ Employment

Status

Subject Taught (include Grade &

Section), Advisory Class & Other Ancillary

Assignments

Remarks (For Detailed Items,

Indicate name of school/office, For IP's

-Ethnicity)Degree / Post

GraduateMajor/

SpecializationDAY

(M/T/W/TH/F)

From (00:00)

To (00:00)

Total Actual Teaching

Minutes per Week

Sex

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Minor

Employee No. (or Tax Identification

Number -T.I.N.)

Name of School Personnel (Arrange by

Position, Descending) Fund

SourcePosition/

Designation

Nature of Appointment/ Employment

Status

Subject Taught (include Grade &

Section), Advisory Class & Other Ancillary

Assignments

Remarks (For Detailed Items,

Indicate name of school/office, For IP's

-Ethnicity)Degree / Post

GraduateMajor/

SpecializationDAY

(M/T/W/TH/F)

From (00:00)

To (00:00)

Total Actual Teaching

Minutes per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)

3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an updated SF 7 must be submitted to the Division Office .

Sex

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Minor

Employee No. (or Tax Identification

Number -T.I.N.)

Name of School Personnel (Arrange by

Position, Descending) Fund

SourcePosition/

Designation

Nature of Appointment/ Employment

Status

Subject Taught (include Grade &

Section), Advisory Class & Other Ancillary

Assignments

Remarks (For Detailed Items,

Indicate name of school/office, For IP's

-Ethnicity)Degree / Post

GraduateMajor/

SpecializationDAY

(M/T/W/TH/F)

From (00:00)

To (00:00)

Total Actual Teaching

Minutes per Week

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________School Form 7, Page ___ of ________

1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12

2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.

3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Other grade/year level will keep that column blank.

4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or the current form 3)

5. In the future, the format of the modified forms may be adjusted to align with the most recent policy of K to 12 program.

1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12

3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Other grade/year level will keep that column blank.

4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or the current form 3)

5. In the future, the format of the modified forms may be adjusted to align with the most recent policy of K to 12 program.