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School Form 1 (SF 1) School Register

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

Region VIII

School ID

Division

District

School Name

School Year
ADDRESS

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
MOTHER TONGUE
Friday June

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Section

Grade Level

Barangay

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

ADDRESS
NAME
(Last Name, First Name, Middle Name)

LRN

Sex
(M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
MOTHER TONGUE
Friday June

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First


Name, Middle Name)

List and Code of Indicators under REMARKS column


Indicator
Transferred Out

Code
T/O

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

Code

Required Information

CCT

CCT Control/reference number & Effectivity Date

REGISTERED

MALE

BoSY

EoSY

Mother's Maiden Name (Last Name,


First Name, Middle Name)

Prepared by:

ADDRESS
NAME
(Last Name, First Name, Middle Name)

LRN

Transferred IN
Dropped
Late Enrollment

T/I
DRP
LE

Sex
(M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
MOTHER TONGUE
Friday June

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

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

B/A

Name of school last attended & Year

Reason and Effectivity Date


Reason (Enrollment beyond 1st Friday of June)

LWD
ACL

Specify
Specify Level & Effectivity Data

Barangay

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)
(Signature of Adviser over Printed Name)

FEMALE

TOTAL

BoSY Date:

EoSYDate:

GUARDIAN

(If

REMARKS

not Parent)
Name

Relation-ship

Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

GUARDIAN

(If

REMARKS

not Parent)
Name

Relation-ship

Contact Number of
Parent or Guardian

Certified Correct:

(Please refer to the legend


on last page)

GUARDIAN

(If

REMARKS

not Parent)
Name
of Adviser over Printed Name)

EoSYDate:

Relation-ship

Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

(Signature of School Head over Printed Name)

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

Total for the Month

(1st row for date)

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

MALE | TOTAL Per Day

Section

TH

TH

TH

TH

TH

ABSENT

TARDY

Total for the Month

(1st row for date)

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

TH

TH

TH

TH

TH

ABSENT

TARDY

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY


GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month

1. CODES FOR CHECKING ATTENDANCE


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

x 100

x 100

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.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year

2. REASONS/CAUSES FOR DROPPING OUT


a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)

Month:

* Enrolment as of (1st Friday


Late Enrollment during the month
(beyond cut-off)

Registered Learners as of end o

Percentage of Enrolment as of end

Average Daily Attendan

Percentage of Attendance for t

Number of students absent for 5 con


Drop out
Transferred out
Transferred in

I certify that this is a true and correct report.

(Signature of Teacher o

School Form 2 : Page ___ of ________

Total for the Month

(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)
T

TH

TH

TH

TH

TH

ABSENT

TARDY

Attested by:
(Signature of

REMARKS (If DROPPED OUT, state reason, please refer to legend


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

REMARKS (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:

as of (1st Friday of June)

he month
beyond cut-off)

ners as of end of the month

olment as of end of the month

ge Daily Attendance
Attendance for the month

s absent for 5 consecutive days:


Drop out

ransferred out

Transferred in

orrect report.

ature of Teacher over Printed Name)

Summary
M

TOTAL

REMARKS (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 and Returned


(This replaces Form 1 & Inventory of Textbooks)

School ID

School Year

School Name

NO.

Section

Grade Level
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

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

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & T

Date
Returned

Issued

NO.

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

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

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & T

Date
Returned

Issued

TOTAL FOR MALE | TOTAL COPIES

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 copies of this form may be used if needed.

In case of lost/unreturned books, please provide information with the following code:

Prepared By:

A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. 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.

Date BoSY:_____

ect Area & Title


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

Date
Returned

ect Area & Title


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

Date
Returned

(Signature over printed name)

BoSY:____________ Date EoSY: ___________

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

GRADE/
YEAR LEVEL

School Year

SECTION

NAME OF ADVISER

REGISTERED
LEARNERS
(As of End of the
Month)
M

ATTENDANCE

Daily Average
M

DROPPED OUT

Percentage for the


Month
M

Rep

(A) Cumulative as of
Previous Month
M

(B) For the Month


M

TRANSFERRED OUT
(A+B) Cumulative as
of End of 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 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

Prepared and Submitted by:

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

(Signature of S
Page _____ of _____ pages

Report for the Month of


TRANSFERRED IN
(A) Cumulative as of
Previous Month
M

(B) For the Month


M

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

ignature of School Head over Printed Name)

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

School ID

District
School Year

Curriculum

School Name

LRN

Grade Level

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

Section

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

As of end of current School Year

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL MALE

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

As of end of current School Year

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL FEMALE
COMBINED

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

As of end of current School Year

SUMMARY TABLE
STATUS

MALE

FEMALE

TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE

BEGINNNING
(B: 74% and below)

DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)

ADVANCED
(A: 90%
and above)

FEMALE

TOTAL

ADVANCED
(A: 90%
and above)

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
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

5. Protocols of validation & submission is under the discretion of the


Schools Division Superintendent
School Form 5: Page ____ of ________

School Form 6 (SF6)


Summarized Report on Promotion and Level of Proficiency
(This replaces 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

GRADE 5 / GRADE 11

GRADE 6 / GRADE 12

SUMMARY TABLE
MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY

BEGINNNING
74% and below)
DEVELOPING
75%-79%)

(B:
(D:

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

(P:

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 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.

SCHOOLS DIVISION SUPERINTENDENT

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

School Year

GRADE 12

NDENT

TOTAL

TOTAL

MALE

FEMALE

TOTAL

TOTAL

MALE

FEMALE

TOTAL

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

110159

School Name

Region

IV B

CASAGUE ELEMENTARY

(A) Nationally-Funded Teaching & Teaching Related Items

Division

OCCIDENTAL MINDORO

District

SANTA CRUZ

(B) Nationally-Funded Non Teaching Items

(C ) Other Appointments and Fundi


Title of Designation

Title of Plantilla Position


(as it
Number of Incumbent
appears in the appointment document/PSIPOP)

Title of Plantilla Position


(as it
appears in the appointment document/PSIPOP)

Number of
Incumbent

(as it appears in the


contract/document: Teacher, Clerk, Security
Guard, Driver etc.)

Appointment:
(Contractual,
Substitute, Volunteer,
others specify)

EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)

Nature of
Appointment/
Employment
Status

Degree / Post
Graduate

BEED

ARLENE G. MALICSI

REGULAR

REALYN F. COMILANG

REGULAR

Position/
Designation

T-I

Fund Source

T-I

Identification
Number -T.I.N.)

Sex

BEED

SABINA GARCIA

T-I

REGULAR

BEED

Major/ Specialization

Daily Program (t

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

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

From
(00:00)

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

SABINA GARCIA

Sex
F

Fund Source

Position/
Designation

Nature of
Appointment/
Employment
Status

Degree / Post
Graduate

T-I

REGULAR

BEED

Major/ Specialization

Daily Program (t

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

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

From
(00:00)

Ave. Minutes p
SEGUNDA A. PUNZALAN

T-I

REGULAR

BEED

Ave. Minutes p
MARJORIE R. CODON

MT-I

REGULAR

BEED

Ave. Minutes p
JOHN ACE RONALD L. FACALARIN

T-I

REGULAR

BEED

Ave. Minutes p
MARK ANTHONY ROLDAN

T-I

REGULAR

BEED

Ave. Minutes p
CATHERINE B. SOTELO

T-I

REGULAR

BEED

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

CATHERINE B. SOTELO

Sex
F

Fund Source

Position/
Designation
T-I

Nature of
Appointment/
Employment
REGULAR
Status

Degree / Post
BEED
Graduate

Major/ Specialization

1. This form
shall be
HAPPY TUSCANO
F
T-I
REGULAR
BEED
accomplished
at the
beginning of
the school
year by the
school head.
In
case of
GUIDELINES:
movement of
teachers and
other
personnel
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.
4.
Dailythe
during
3.
Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
Program
school year, an
Column
for
updated isForm
teaching
19 must be
personnel
only.
submitted to
the Division
Office .

Daily Program (t

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

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

From
(00:00)

Ave. Minutes p

Ave. Minutes p

Ave. Minutes p
Submitted by:

(Sig

Updated as of: _

School Year

2015 - 2016

nts and Funding Sources


Number of Incumbent
Fund Source
(SEF, PTA, NGO's etc.)

Teaching

NonTeaching

aily Program (time duration)

To (00:00)

Total Actual
Teaching
Minutes per
Week

Remarks (For Detailed


Items, Indicate name of
school/office, For IP's
-Ethnicity)

aily Program (time duration)

To (00:00)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Total Actual
Teaching
Minutes per
Week

Remarks (For Detailed


Items, Indicate name of
school/office, For IP's
-Ethnicity)

aily Program (time duration)

To (00:00)

Total Actual
Teaching
Minutes per
Week

Remarks (For Detailed


Items, Indicate name of
school/office, For IP's
-Ethnicity)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

ubmitted by:
ROMEO B. GABRIEL
(Signature of School Head over Printed Name)

pdated as of: _____________________ `


School Form 7, Page ___ of ________

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