You are on page 1of 81

School Form 2 (SF2) Daily Attenda

(This replaced Form 1, Form 2 & STS Form 4 - Abs

School ID

304753

School Year

2014-2015

Name of School Trento National High School

(1st row for date, 2nd row for Day: M,T,

Atamosa,

Ermeto, Jr.

Mabayao

Bamtillo,

Jezriel

Beldeneza,

Ryan

Duran

Benayao,

Jason

Orcullo

Biazon,

Jason

Rizaldo

Bracho,

Erwin John

Dinampo

Calvez,

Evan Chris

Castillo,

Ringo

Lagos

Cutar, Jr.,

Randy

Borromeo

10

Diamante,

Glend

Elberio

11

Fabular,

Jomary

Palermo

12

Fernandez,

Carlos

Ortillano

13

Granada,

Cleisthenes

Galagar

14

Guangco,

Regie

Galapin

15

Iroy,

Rodolfo

Corpuz

Maranga

17

18
Thur

16
Wed

15
Tues

12
Mon

11
Fri

10
Thur

9
Wed

8
Tues

5
Mon

4
Fri

3
Thur

2
Tues

Mon

Wed

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

(1st row for date, 2nd row for Day: M,T,

16

Jamil,

Jumar

Plaza

17

Jomuad,

Quihm Jhay

Magbago

18

Laba,

Jhonmark

Aragon

19

Manligro,

Jefren

Pilantes

20

Marapao,

21

Martinez,

22

Mendezabal,

Ian

Amar

23

Montalva,

Imerol

24

Plaza,

Melvon

Mongado

25

Pulido,

Alex

Formentera

26

Salibay,

Joey, Jr.

Garcia

27

Sina,

Ian

Castro

28

Tustado,

Roldan

29

Villa,

Patrick

Christian James
Jeason

Principe

Pealoga
Burao

MALE | TOTAL Per Day


1 Altiza,

Aramina

Aguilar

2 Amyer,

Jaycebeelle

Ancheta

3 Asis,

Ailen

4 Barnaja,

Romelyn

Penaloga
Mahinay

17

18
Thur

16
Wed

15
Tues

12
Mon

11
Fri

10
Thur

9
Wed

8
Tues

5
Mon

4
Fri

3
Thur

2
Tues

Mon

Wed

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

(1st row for date, 2nd row for Day: M,T,

5 Barrios,

Angel Ann

6 Buenavista,

Grace Ann

Lampedario

7 Coraza,

Charlene

Baylon

8 Culio,

Shiela Mae

De Felix

9 Defelix,

Manilyn

Songcog

10 Duron,

Rolaliza

Comendador

11 Equio,

Angelica

Obat

12 Guevarra,

Lira Jane

13 Maste,

Michelle

Alicando

14 Mediano,

Manilyn

Anino

15 Noquera,

Rizza

Alegarme

16 Parajes,

Jessa

Blanco

17 Ramon,

Cathy

Sortida

18 Salibay,

Joylyn Grace

Garcia

Vidal

19 Soldia,

Vanessa

Aguilar

20 Solis,

Yonalyn

Malilin

21 Suarez,

Ritchel

Tustado

22 Tacal,

Rose Den

Sancho

23 Toloza,

Julie Ann

Flores

24 Urat,

Ana Mae

Balberona

25 Vale,

Jolina

FEMALE | TOTAL Per Day

17

18
Thur

16
Wed

15
Tues

12
Mon

11
Fri

10
Thur

9
Wed

8
Tues

5
Mon

4
Fri

3
Thur

2
Tues

Mon

Wed

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

(1st row for date, 2nd row for Day: M,T,


17

18
Thur

16
Wed

15
Tues

12
Mon

11
Fri

10
Thur

9
Wed

8
Tues

5
Mon

4
Fri

3
Thur

2
Tues

Mon

Wed

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Combined TOTAL PER DAY
GUIDELINES:

1. CODES FO

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:

blank- Prese
Commer, Low

a.

Percentage of Enrolment =

b.

Average Daily Attendance =

c. Percentage of Attendance for the month =

53

53

x 100

x 100

2. REASONS
a. Domestic-

a.1. Had to ta
a.2. Early ma
a.3. Parents'

a.4. Family pr

b. Individual

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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of absences or those with
potentials of dropping out
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abu

b.5. Poor aca


b.6. Lack of in
b.7. Hunger/M
c. School-Re
c.1. Teacher F
c.2. Physical
c.3. Peer influ
d. Geograph
d.1. Distance

d.2. Armed co

(1st row for date, 2nd row for Day: M,T,

School Form 2: Page 2 of ________

17

18
Thur

16
Wed

15
Tues

12
Mon

11
Fri

10
Thur

9
Wed

8
Tues

5
Mon

4
Fri

3
Thur

2
Tues

Mon

Wed

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

d.3. Calamitie
e. Financiale.1. Child lab
f. Others

endance Report of Learners

m 4 - Absenteeism and Dropout Profile)

Report for the Month of


Grade Level 4th year

Section

Aguinaldo
Total for the Month

ay: M,T,W,TH,F)

Fri

19
ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

ay: M,T,W,TH,F)

Total for the Month

Fri

19
ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

ay: M,T,W,TH,F)

Total for the Month

Fri

19
ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

Promoted (PEPT)

Total for the Month

ay: M,T,W,TH,F)

Fri

19

ODES FOR CHECKING ATTENDANCE

k- Present; (x)- Absent; Tardy (half shaded= Upper for Late


mer, Lower for Cutting Classes)

EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors

Had to take care of siblings


Early marriage/pregnancy
Parents' attitude toward schooling

ABSENT

Month:

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

No. of Days of Classes:

TOTAL

27

24

51

Registered Learner as of end of the month

29

24

53

Percentage of Enrolment as of end of the month

100%

100%

100%

* Enrolment as of (1st Friday of June)


Late Enrollment during the month
(beyond cut-off)

Family problems

dividual-Related Factors

Illness
Overage
Death
Drug Abuse

Poor academic performance


Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school

Armed conflict (incl. Tribal wars & clanfeuds)

Summary for the Month

Average Daily Attendance


Percentage of Attendance for the month
Number of students with 5 consecutive days of absences:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
MA. NICETAS JEANITH J. LOGROO

(Signature of Teacher over Printed Name)

ay: M,T,W,TH,F)

Total for the Month

Fri

19

Calamities/Disasters
nancial-Related
Child labor, work
hers

ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

Attested by:
LEOPOLDO M. PULIDO, Ph.D.
(Signature of School Head over Printed Name)

Region

School ID
School Name

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

List and code of Indicators under REMARK column


Indicator

Code

Required Information

Indicator

Transferred Out

T/O

Name of Public (P) Private (PR) School & Effectivity Date

CCT Recipient

Transferred IN
Dropped
Late Enrollment

T/I
DRP
LE

Name of Public (P) Private (PR) School & Effectivity Date


Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)

Balik-Aral
Learner With Dissability
Accelarated

School Form 1 (SF 1) School Register


(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

Division
School Year

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

ith Dissability

IP
(Specify Ethnic
Group)

Code

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Required Information

CCT

CCT Control/reference number & Effectivity Date

MALE

B/A
LWD
ACL

Name of school last attended & Year


Specify
Specify Level & Effectivity Data

FEMALE
TOTAL

District
Section

Grade Level

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

BoSY

EoSY

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Prepared by:

Certified Correct:

(Signature of Adviser over Printed Name)

BoSY Date:

Relationship

EoSYDate:

(Signature of School Head

BoSY Date:

Eo

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

ect:

of School Head over Printed Name)

EoSYDate:

School Form 2 (SF2) Daily Attenda

(This replaced Form 1, Form 2 & STS Form 4 - Abs

School ID

304753

School Year

2014-2015

Name of School Trento National High School

(1st row for date, 2nd row for Day: M,T

1 Atamosa, Ermeto, Jr. Mabayao


2

Bamtillo, Jezriel

Beldeneza, Ryan Duran

Benayao, Jason

Biazon, Jason

Bracho, Erwin John Dinampo

Calvez, Evan Chris Maranga

Castillo, Ringo Lagos

Cutar, Jr., Randy Borromeo

10

Diamante, Glend Elberio

11

Fabular, Jomary Palermo

12

Fernandez, Carlos Ortillano

13

Granada, Cleisthenes Galagar

14

Guangco, Regie Galapin

15

Iroy, Rodolfo Corpuz

16

17
Thur

15
Wed

14
Tues

11
Mon

10
Fri

9
Thur

8
Wed

7
Tues

4
Mon

3
Fri

2
Wed

Tues

Mon

Thur

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

(1st row for date, 2nd row for Day: M,T

16

Jamil, Jumar Plaza

17

Jomuad, Quihm Jhay Magbago

18

Laba, Jhonmark Aragon

19

Manligro, Jefren Pilantes

20

Martinez, Jeaso Principe

21

Mendezabal, Ian

22

Montalva, Imerol

23

Plaza, Melvon Mongado

24

Pulido, Alex Formentera

25

Salibay, Joey, Jr. Garcia

26

Sina, Ian Castro

27

Suarez, Rolando

28

Tustado, Roldan Pealoga

29

Villa, Patrick Burao

MALE | TOTAL Per Day


1 Altiza, Aramina Aguilar
2 Amyer, Jaycebeelle Ancheta
3 Asis, Ailen Penaloga
4 Barnaja, Romelyn Mahinay

29

26

29

27

27

26

23

29

15

28

16

29

17
Thur

14

Wed

11

Tues

10

Mon

Fri

Thur

Fri

29

Wed

Tues

Mon

2
Wed

Tues

Mon

Thur

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

27

27

(1st row for date, 2nd row for Day: M,T


15

16

17
Thur

14

Wed

11

Tues

10

Mon

Fri

Fri

Thur

Wed

Tues

Mon

2
Wed

Tues

Mon

Thur

LEARNER'S NAME
(Last Name, First Name, Middle Name)
5 Barrios, Angel Ann
6 Buenavista, Grace Ann Lampedario
7 Coraza, Charlene Baylon
8 Culio, Shiela Mae De Felix
9 Defelix, Manilyn Songcog
10 Duron, Rolaliza Comendador
11 Equio, Angelica Obat
12 Guevarra, Lira Jane Vidal
13 Maste, Michelle Alicando
14 Mediano, Manilyn Anino
15 Noquera, Rizza Alegarme
16 Parajes, Jessa Blanco
17 Ramon, Cathy Sortida
18 Salibay, Joylyn Grace Garcia
19 Soldia, Vanessa Aguilar
20 Solis, Yonalyn Malilin
21 Suarez, Ritchel Tustado
22 Tacal, Rose Den Sancho
23 Toloza, Julie Ann Flores
24 Urat, Ana Mae Balberona
25 Vale, Jolina

FEMALE | TOTAL Per Day

25

25

25

25

23

23

24

23

25

25

25

24

24

(1st row for date, 2nd row for Day: M,T

Combined TOTAL PER DAY

54

51

54

50

50

50

46

54

15

53

16

54

17
Thur

14

Wed

11

Tues

10

Mon

Fri

Thur

Fri

54

Wed

Tues

Mon

2
Wed

Tues

Mon

Thur

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

51

51

GUIDELINES:

1. CODES F

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:

blank- Prese
Commer, Lo

a.

Percentage of Enrolment =

b.

Average Daily Attendance =

c. Percentage of Attendance for the month =

54
54
1117
22
52
54

x 100

x 100

2. REASON
a. Domestic

a.1. Had to t
a.2. Early m
a.3. Parents

a.4. Family p

b. Individua

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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of absences or those with
potentials of dropping out
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Ab
b.5. Poor ac
b.6. Lack of
b.7. Hunger/
c. School-R
c.1. Teacher
c.2. Physica
c.3. Peer inf
d. Geograph
d.1. Distance

d.2. Armed c

d.3. Calamit
e. Financial

(1st row for date, 2nd row for Day: M,T

School Form 2: Page 2 of ________

16

17
Thur

15
Wed

14
Tues

11
Mon

10
Fri

9
Thur

8
Wed

7
Tues

4
Mon

3
Fri

2
Wed

Tues

Mon

Thur

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

e.1. Child lab


f. Others

endance Report of Learners

4 - Absenteeism and Dropout Profile)

Report for the Month of

July

Grade Level 4th year

Section
Total for the Month

ay: M,T,W,TH,F)

REMARK/S (If DROPPED OUT, state reason, please refer to


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

31
Thur

30
Wed

29
H

28
Mon

25
Fri

24
Thur

23
Wed

22
Tues

21
Mon

Fri

18

Aguinaldo

ABSENT

TARDY
1
1

2.5

3.5
4.5
1
1
3

0.5

0.5

0.5

1.5

Total for the Month

ay: M,T,W,TH,F)
30

REMARK/S (If DROPPED OUT, state reason, please refer to


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

31
Thur

Fri

29
Wed

28
H

25
Mon

24
Thur

23
Wed

Fri

22
Tues

21
Mon

18

ABSENT

TARDY

4.5
9.5

4
1.5
7
4

1
0.5

5.5

2.5
2.5

8.5

22

25

23

25

25

29

25 H

29

29

587

2.5

5.5

00081

00032

4
1.5
`

1
3

Total for the Month

ay: M,T,W,TH,F)
30

REMARK/S (If DROPPED OUT, state reason, please refer to


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

31
Thur

Fri

29
Wed

28
H

25
Mon

24
Thur

23
Wed

Fri

22
Tues

21
Mon

18

ABSENT

TARDY

0.5
2
2.5
2

1
1.5

1
1

0.5

1
2

1.5
5.5

0.5

23

25

25

25

24

23

19 H

25

25

530

1.5

18

Total for the Month

ay: M,T,W,TH,F)

50

48

50

52

44 H

ODES FOR CHECKING ATTENDANCE

k- Present; (x)- Absent; Tardy (half shaded= Upper for Late


mer, Lower for Cutting Classes)

EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors

Had to take care of siblings


Early marriage/pregnancy
Parents' attitude toward schooling

30

31
Thur

29
H

Fri

49

28

Wed

25
Mon

24
Thur

23
Wed

Fri

45

22
Tues

21
Mon

18

54

ABSENT
54

1117

99

Month:

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

35

No. of Days of Classes:

Summary for the Month


M

TOTAL

27

24

51

Registered Learner as of end of the month

29

25

54

Percentage of Enrolment as of end of the month

100%

100%

100%

* Enrolment as of (1st Friday of June)


Late Enrollment during the month
(beyond cut-off)

Family problems

93%

96%

94%

Number of students with 5 consecutive days of absences:

0%

0.0%

51

Percentage of Attendance for the month

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

Armed conflict (incl. Tribal wars & clanfeuds)

Calamities/Disasters
nancial-Related

24

0.0%

Illness
Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school

27

Average Daily Attendance

dividual-Related Factors

(Signature of Teacher over Printed Name)


Attested by:

Total for the Month

ay: M,T,W,TH,F)

Child labor, work


hers

31
Thur

30
Wed

29
H

28
Mon

25
Fri

24
Thur

23
Wed

22
Tues

21
Mon

Fri

18

ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued

(This replaced Form 1 & Inventory of Text B

School ID

School Year

School Name

NO.

Grade Level
Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

TOTAL FOR MALE | TOTAL COPIES

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

TOTAL FOR FEMALE | TOTAL COPIES


TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:
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.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.

In case of losses/unreturned, please provide information w

A. In Column Date Returned, codes are: FM=Force Majeure,


B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2

oks Issued and Returned

& Inventory of Text Book)

Section

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

ovide information with the following code:

FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence


are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
25, s.2003, DO#14, 2.2012.

Issued

Returned

Prepared By:

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________
School Form 3: Page 2 of ________

School Form 4 (SF4) Monthly Learner's

(This replaced Form 3 & STS Form 4-Absenteeis

Region

Division

School ID
School Name
ATTENDANCE
NAME OF ADVISER

GRADE/
YEAR
LEVEL

SECTION

REGISTERED
LEARNER
(As
of End of the Month)

Daily Average
M

DROPPED OUT

Percentage for the


Month
M

(A) Cumulative as of
Previous Month
M

(B) For the Month


M

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
TOTAL
GUIDELINES:
1. This forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.

4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the summary column per grad

rner's Movement and Attendance

4-Absenteeism and Dropout Profile)

District

School Year

Report for the Month of

OPPED OUT

For the Month


T

TRANSFERRED OUT

(A+B) Cumulative as of (A) Cumulative as of


End of the Month
Previous Month
M

(B) For the Month


M

TRANSFERRED IN

(A+B) Cumulative as of (A) Cumulative as of


End of the Month
Previous Month
M

(B) For the Month


M

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

umn per grade/year level.

Prepared and Submitted by:

(Signature of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion & Le

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate

Region

Division

School ID

School Year

School Name

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL MALE

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL FEMALE
COMBINED

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

otion & Level of Proficiency

and List of Graduates)

District
Curriculum
Grade Level

Section

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


SUMMARY TABLE
STATUS

MALE

FEMALE

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

TOTAL

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


MALE

FEMALE

BEGINNNING
(B: 74% and below)

DEVELOPING (D: 75%79%)


APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)

ADVANCED
(A: 90%
and above)

PREPARED BY:

Class Adviser
(Name and Signature)

TOTAL

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


CERTIFIED CORRECT & SUBMITTED:

School Head
(Name and Signature)

REVIEWED BY:

(Name and Signature)


Division Representative
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per subject area should
be taken from the record of subject teacher. The class adviser should
make the computation of 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

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


4. Must tallied with the total enrollment report as of End of School Year
GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under the discretion
of the Schools Division Superintendent
School Form 5: Page 2 of ________

School Form 6 (SF6) Summarized Report on Prom


and Level of Proficiency
(This replaced Form 20)

School ID

Region

Division

School Name

District

GRADE 1 /GRADE 7

GRADE 2 / GRADE 8

GRADE 3 / GRADE 9

GRADE 4 / GRADE 10

SUMMARY TABLE
MALE

FEMALE

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

Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)

(B:
(D:

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)

(P:

Nos. of ADVANCED
90% and above)

(A:

TOTAL

Prepared and Submitted by:

Reviewed & Validated by:


SCHOOL HEAD

Noted by:
DIVISION REPRESENTATIVE

GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
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
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent

Promotion

School Year

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

d.

SCHOOLS DIVISION SUPERINTENDENT

School Form 7 (SF7) School Personnel Assignment List and Basic P


(This replaced 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

(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of Incumbent

(B) Nationally-Funded Non Teaching Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

Title of Designation
(Designation as ap
contract/document: Teacher, C
Guard, Driver etc.)

EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)

Sex

Fund Source

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

Minor

EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)

Sex

Fund Source

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

Minor

EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)

Sex

Fund Source

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

Minor

GUIDELINES:

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 SY, updated Form 19 must submit to the Division Office
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. This form shall also serve as inventory list of
personnel.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. * Daily Program Column is for teaching personnel only.

and Basic Profile

ent List,
s)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

o the Division Office .


as inventory list of school

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion w
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. Oth

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

5. In the future, the format of the modified forms may be adjusted to align with the most recent polic

d Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12

ting K to 12 program. Other grade/year level will keep that column blank.
6. (SF 4 may be used or the current form 3)

ith the most recent policy of K to 12 program.

dary, RBEC and K to 12

You might also like