School ID

School Name

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

List and code of Indica

Indicator Code Required Information
Transferred Out T/O Name of Public (P) Private (PR) School

Transferred IN T/I Name of Public (P) Private (PR) School

Dropped DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday o
 Region D

AGE as of 1st
Friday of June

BIRTH DATE BIRTH PLACE MOTHER

Sex (M/F)
(mm/ dd/yy) (Province) TONGUE
(nos. of years as
per last birthday)
 AGE as of 1st
Friday of June

BIRTH DATE BIRTH PLACE MOTHER

Sex (M/F)
(mm/ dd/yy) (Province) TONGUE
(nos. of years as
per last birthday)
 AGE as of 1st
Friday of June

BIRTH DATE BIRTH PLACE MOTHER

Sex (M/F)
(mm/ dd/yy) (Province) TONGUE
(nos. of years as
per last birthday)
 AGE as of 1st
Friday of June

BIRTH DATE BIRTH PLACE MOTHER

Sex (M/F)
(mm/ dd/yy) (Province) TONGUE
(nos. of years as
per last birthday)
 AGE as of 1st
Friday of June

BIRTH DATE BIRTH PLACE MOTHER

Sex (M/F)
(mm/ dd/yy) (Province) TONGUE
(nos. of years as
per last birthday)

de of Indicators under REMARK column

Indicator
e (PR) School & Effectivity Date CCT Recipient

e (PR) School & Effectivity Date Balik-Aral

Learner With Dissability
nd 1st Friday of June) Accelarated
 School Form 1 (SF 1) School
(This replaced Form 1, Master List & STS Form 2-Family Bac

Division

School Year

ADDRESS

IP
(Specify Ethnic RELIGION
Group)
House # / Street/Sitio/
Barangay
Purok
 ADDRESS

IP
(Specify Ethnic RELIGION
Group)
House # / Street/Sitio/
Barangay
Purok
 ADDRESS

IP
(Specify Ethnic RELIGION
Group)
House # / Street/Sitio/
Barangay
Purok
 ADDRESS

IP
(Specify Ethnic RELIGION
Group)
House # / Street/Sitio/
Barangay
Purok
 ADDRESS

IP
(Specify Ethnic RELIGION
Group)
House # / Street/Sitio/
Barangay
Purok

Code Required Information

CCT CCT Control/reference number & Effectivity Date

B/A Name of school last attended & Year

LWD Specify
ACL Specify Level & Effectivity Data
School Register
2-Family Background and Profile)

District

Grade Level

ADDRESS NAME OF PARENT

Father (1st name only if family Mother (M

Municipality/ City Province
name identical to learner)
ADDRESS NAME OF PARENT

Father (1st name only if family Mother (M

Municipality/ City Province
name identical to learner)
ADDRESS NAME OF PARENT

Father (1st name only if family Mother (M

Municipality/ City Province
name identical to learner)
ADDRESS NAME OF PARENT

Father (1st name only if family Mother (M

Municipality/ City Province
name identical to learner)
ADDRESS NAME OF PARENT

Father (1st name only if family Mother (M

Municipality/ City Province
name identical to learner)

BoSY EoSY

MALE 23

FEMALE 24

TOTAL 47
 Section

OF PARENTS GUARDIAN (If not Parent)

Mother (Maiden: 1st Name, Middle &

Name Relationship
Last Name)
OF PARENTS GUARDIAN (If not Parent)

Mother (Maiden: 1st Name, Middle &

Name Relationship
Last Name)
OF PARENTS GUARDIAN (If not Parent)

Mother (Maiden: 1st Name, Middle &

Name Relationship
Last Name)
OF PARENTS GUARDIAN (If not Parent)

Mother (Maiden: 1st Name, Middle &

Name Relationship
Last Name)
OF PARENTS GUARDIAN (If not Parent)

Mother (Maiden: 1st Name, Middle &

Name Relationship
Last Name)

Prepared by:

(Signature of Adviser over Printed Name)

BoSY Date: EoSYDate:

 REMARK/S

Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
 REMARK/S

Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
 REMARK/S

Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
 REMARK/S

Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
 REMARK/S

Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)

Certified Correct:

(Signature of School Head over Printed Name)

BoSY Date: EoSYDate:

 School ID

Name of School

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

MALE | TOTAL Per Day

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

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 preceding columns beside Learner's Name.
3. To compute the following:
Registered Lea
a. Percentage of Enrolment =
LEARNER'S NAME
(Last Name, First Name, Middle Name)
a. Percentage of Enrolment =
Enrolment
Tota
b. Average Daily Attendance =
Number of Sch
Avera
c. Percentage of Attendance for the month =
Registered Lea

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 consecuti
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

School Form 2: Page 2 of ________

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

School Year Report for

(1st row for date, 2nd row for Day: M,T,W,TH,F)

 (1st row for date, 2nd row for Day: M,T,W,TH,F)

1. CODES FOR CHECKING ATTENDANC

blank- Present; (x)- Absent; Tardy (half sh

Lower for Cutting Classes)

Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS

x 100
 (1st row for date, 2nd row for Day: M,T,W,TH,F)

x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors
b.1. Illness
b.2. Overage
b.3. Death
itted 5 consecutive days of absences or those with potentials of dropping out
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 & clan

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
of Learners
Profile)

Report for the Month of

Grade Level Section

Total for the Month

REMARK/S (If DROPPED OU
legend
ABSENT TARDY If TRANSFERRED IN/OU
 Total for the Month
REMARK/S (If DROPPED OU
legend
ABSENT TARDY If TRANSFERRED IN/OU

G ATTENDANCE Month:
No. of Days of Classes:

nt; Tardy (half shaded= Upper for Late Commer,

* Enrolment as of (1st Friday of June)
DROP-OUTS
Late Enrollment during the month (beyond cut-o
 Total for the Month
REMARK/S (If DROPPED OU
legend
If TRANSFERRED IN/OU
ABSENT TARDY
Late Enrollment during the month (beyond cut-o

Registered Learner as of end of the month

d schooling Percentage of Enrolment as of end of 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
assroom

I certify that this is a true and correct report.

e and school

bal wars & clanfeuds)

(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Prin

REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
 REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

Summary for the Month

M F TOTAL

t Friday of June)

ng the month (beyond cut-off)

 REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

gistered Learner as of end of the month

ntage of Enrolment as of end of the month

Average Daily Attendance

ercentage of Attendance for the month

f students with 5 consecutive days of absences:

Drop out

Transferred out

Transferred in

(Signature of School Head over Printed Name)

 Schoo

School ID

School Name
Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date
Issued Returned Issued Returned
 Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date
Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

 Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date
Issued Returned Issued Returned

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.
School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School Year

Grade Level Section

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

Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Tit

Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Tit

Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued

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

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.
Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date Date
Returned Issued Returned
Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date Date
Returned Issued Returned
 Subject Area & Title Subject Area & Title

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

Prepared By:

e
uardian (for code FM), TLTR=Teacher (Signature over printed name)
O), PTL=Paid by the Learner (for code
Date BoSY:____________ Date EoSY: ___________

School Form 3: Page 2 of ________

 School Form 4
School ID 108323

Balubad Elem
School Name
REGISTERED LEARNER
GRADE/ (As of End of the
YEAR SECTION NAME OF ADVISER Month)
LEVEL
M F T
Kinder JASMIN 5 17 22
I ORCHIDS MA.HAZEL LUCBAN RANA 13 13 26
II DAISY MAY MULMORIN DE ORO 20 14 34
III SAMPAGUITA MARILYN TABILLA MITRA 15 18 33
IV ROSE CRISTINE ABIGAEL CINCA ABADIER 15 13 28
V ILANG-ILANG EMYLOU ABILLO ANTONIO 15 17 32
VI SANTAN ELFRED BADURIA DE RAMOS 8 10 18
ELEMENTARY:
Kinder 5 17 22
Grade 1 13 13 26
Grade 2 20 14 34
Grade 3 15 18 33
Grade 4 15 13 28
Grade 5 15 17 32
Grade 6 8 10 18
TOTAL 91 102 193

Generated on :

School Form 4 Page1 of 1

Form 4 (SF4) Monthly Learner's Movement and Attendan
Region IV- A Division Laguna

ubad Elementary School School Year 2015-2016

ATTENDANCE DROPPED OUT

(A+B) Cumulative
Daily Average Percentage for the Month (A) Cumulative as of (B) For the Month as of End of the (A) Cumulative
Previous Month Month Previous Mo
M F T M F T M F T M F T M F T M
5 17 22 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
13 13 26 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
20 14 34 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
15 18 33 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
15 13 28 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
15 17 32 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
7 9 16 88% 90% 89% 0 0 0 0 0 0 0 0 0 0

5 17 22 100% 100% 100% 0 0 0 0 0 0 0 0 0 0

13 13 26 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
20 14 34 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
15 18 33 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
15 13 28 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
15 17 32 100% 100% 100% 0 0 0 0 0 0 0 0 0 0
7 9 16 88% 90% 89% 0 0 0 0 0 0 0 0 0 0
90 101 191 98% 99% 99% 98 0 0 0 0 0 0 0 0 0
endance
na District Lumban-Kalayaan

2016 Report for the Month of February

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative
(A) Cumulative as of (B) For the Month (A+B) Cumulative as
as of End of the (A) Cumulative as of (B) For the Month
Previous Month Previous Month of End of the Month
Month
F T M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prepared and Submitted by:

MARIBETH MARCO CABISCUELAS

(Signature of School Head over Printed Name)
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
Region IV-A Division LAGUNA District LUMBAN-KALAYAAN

School ID 108327 School Year 2013-2014 Curriculum RESTRUCTURE BASIC EDUCATION CURRICULUM

School Name LONGOS ELEMENTARY SCHOOL Grade Level SIX Section

GENERAL AVERAGE
LEARNER'S NAME (Numerical Value in 3
LRN (Last Name, First Name, Middle Name) decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
(This column is for K to 12 Curriculum
and remaining RBEC in High School. Elementary grades
level that still implementing RBEC need not to fill up this
ACTION TAKEN:
PROMOTED,
*IRREGULAR or Completed as of end of
as of End of the current SY
RETAINED current SY

108327070001 Abejuro, Rodel R. Transferred to ALS

Back to School Espinas, John Lloyd R. Dropped RETAINED
108327070059 Ingente, Erjay T. Dropped RETAINED
108327070068 Macawili, Rodin E. Transferred to ALS
108327070092 Rabisanto, Joshwa S. Transferred to BICOL
5 TOTAL MALE
GIRLS
108327070024 Daigo, Ma. Cristina N. Transferred to Famy, Lag.
Back to School Villarin , Ma. Liza Dropped RETAINED

2 TOTAL FEMALE
7 COMBINED
ncy

JUPITER

PREPARED BY:

CRESORA A. PALOMA
Class Adviser
( Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

ROSIE S. RABIN
Principal 1

(Name and Signature)

District Level Checking Com. Form 138:
Form 1:
BABYLYN M. GADAZA
(Name and Signature) Form 137:
Class Record: ROSELYN A. OREJOLA
MARYGRACE L. MABULAY (Name and Signature)
(Name and Signature) SF 5:
Grading Sheet: ROWENA B. LISBOA

Class Adviser: CRESORA A. PALOMA

(Name and Signature)
Certified Correct and Submitted: Validated:
ZARINA G. LLARENA
Reviewed by:

TERESITA L.JARAPLASAN ED.D.

District Supervisor
(Name and Signature)
GUIDELINES:

1. For All
Grade/Year Levels

2. To be prepared
by the Adviser.
Final Rating per
subject areas
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
learnes 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)

LILIA Q. LANGGULO

5. Protocol of
validation and
submission is under
the discretion of the (Name and Signature)
School Division
Superintendent.

School Form 5: Page

MICHELL M. LAGRADA

CAMILO M. ATIENZA

JUDITH V. CLEMENTE
Division Representative
(Name and Signature)

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

Region IV-A Division LAGUNA District

108327
School ID School Year 2013-2014 Curriculum

School Name LONGOS ELEMENTARY SCHOOL Grade Level

INCOMPLETE SUBJECT/S
(This column is for K to 12 Cu
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary g
LEARNER'S NAME (Last Name, PROMOTED, still implementing RBEC need not to fill up t
LRN decimal places for honor
First Name, Middle Name) *IRREGULAR or
learner, 2 for non-honor &
RETAINED
Descriptive Letter) Completed as of end of
current SY
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Cu
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary g
LEARNER'S NAME (Last Name, PROMOTED, still implementing RBEC need not to fill up t
LRN decimal places for honor
First Name, Middle Name) *IRREGULAR or
learner, 2 for non-honor &
RETAINED
Descriptive Letter) Completed as of end of
current SY
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Cu
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary g
LEARNER'S NAME (Last Name, PROMOTED, still implementing RBEC need not to fill up t
LRN decimal places for honor
First Name, Middle Name) *IRREGULAR or
learner, 2 for non-honor &
RETAINED
Descriptive Letter) Completed as of end of
current SY
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Cu
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary g
LEARNER'S NAME (Last Name, PROMOTED, still implementing RBEC need not to fill up t
LRN decimal places for honor
First Name, Middle Name) *IRREGULAR or
learner, 2 for non-honor &
RETAINED
Descriptive Letter) Completed as of end of
current SY
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Cu
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary g
LEARNER'S NAME (Last Name, PROMOTED, still implementing RBEC need not to fill up t
LRN decimal places for honor
First Name, Middle Name) *IRREGULAR or
learner, 2 for non-honor &
RETAINED
Descriptive Letter) Completed as of end of
current SY
Level of Proficiency
uates)

LUMBAN-KALAYAAN

RESTRUCTURE BASIC EDUCATION CURRICULUM

Section

UBJECT/S
(This column is for K to 12 Curriculum and
C in High School. Elementary grades level that
enting RBEC need not to fill up this column)

as of End of the current SY

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

MALE FEMALE TOTAL

 UBJECT/S
(This column is for K to 12 Curriculum and
C in High School. Elementary grades level that
enting RBEC need not to fill up this column)

as of End of the current SY

BEGINNNING
(B: 74% and below)

DEVELOPING (D: 75%-

79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT (P:
85% -89%)

ADVANCED (A: 90%

and above)

DISTRICT CLUSTER CHECKING COMMITTEE

CHAIRMAN:
ZARINA G. LLARENA (Name &
Signature)

CO CHAIRMAN:
CAMILO B. ATIENZA (Name &
Signature)

FORM 1:

BABYLYN M. GADAZA (Name &

Signature)
 UBJECT/S
(This column is for K to 12 Curriculum and
C in High School. Elementary grades level that
enting RBEC need not to fill up this column)

as of End of the current SY

CLASS RECORD:

MARY GRACE L. MABULAY (Name & Signature)

GRADING SHEET:

ROWENA B. LISBOA (Name &

Signature)

FORM 138:
LILIA O. LACANGULO (Name &
Signature)

SCHOOL FORM 5:

MICHELLE M. LAGRADA (Name & Signature)

PREPARED BY:
CRESORA A. PALOMA (Name &
Signature)

CERTIFIED CORRET AND SUBMITTED:

ROSIE S. RABIN PRINCIPAL I

REVIWED:
TERESITA L. JARAPLASAN, Ed . D. DISTRICT
SUPERVISOR

VALIDATED:

JUDITH V. CLEMENTE EPS 1-

MSEP

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final Rating per subject areas should be
taken from the record of subject teachers. The class adviser should compute
for the General Average
 UBJECT/S
(This column is for K to 12 Curriculum and
C in High School. Elementary grades level that
enting RBEC need not to fill up this column)

as of End of the current SY

3. On the summary table, reflect the total number of learnes 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. Protocol of validation and submission is under the discretion of the School Division Superintendent.
 UBJECT/S
(This column is for K to 12 Curriculum and
C in High School. Elementary grades level that
enting RBEC need not to fill up this column)

as of End of the current SY

 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

PROMOTED

IRREGULAR

RETAINED

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

Nos. of BEGINNNING (B:

74% and below)

Nos. of DEVELOPING (D:

75%-79%)

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

Nos. of PROFICIENT (P:

85% -89%)

Nos. of ADVANCED (A:

90% and above)
 TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD 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

 SCHOOLS DIVISION SUPERINTENDENT

d.
 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 (B) Nationally-Funded Non Teaching Items

Title of Designation
Title of Plantilla Position (as Title of Plantilla Position (as Number of (Designation as ap
Number of Incumbent
appeared in the appointment document/PSIPOP) appeared in the appointment document/PSIPOP) Incumbent contract/document: Teacher, C
Guard, Driver etc.)

EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of

(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
 EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of

(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
 EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of

(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate

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 Number of Incumbent

Appointment:
(Designation as appeared in the Fund Source
(Contractual, Substitute,
cument: Teacher, Clerk, Security Volunteer, others specify) (SEF, PTA, NGO's etc.) Non-
Driver etc.) Teaching
Teaching

* Daily Program (time duration)

Subject Taught (include Remark/s (For Detailed

Grade & Section), Advisory Total Actual Items, Indicate name of
Class & Other Ancillary DAY
From Teaching Minutes school/office, For IP's
Assignment (M/T/W/TH/ To (00:00) -Ethnicity)
(00:00) Assignment per
F)
Week

Ave. Minutes per Day

 * Daily Program (time duration)

Subject Taught (include Remark/s (For Detailed

Grade & Section), Advisory Total Actual Items, Indicate name of
Class & Other Ancillary DAY
From Teaching Minutes school/office, For IP's
Assignment (M/T/W/TH/ To (00:00) -Ethnicity)
(00:00) Assignment per
F)
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 * Daily Program (time duration)

Subject Taught (include Remark/s (For Detailed

Grade & Section), Advisory Total Actual Items, Indicate name of
Class & Other Ancillary DAY
From Teaching Minutes school/office, For IP's
Assignment (M/T/W/TH/ To (00:00) -Ethnicity)
(00:00) Assignment per
F)
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 ________