School ID School Year

Name of School
2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
M T W
T
H
F M T W
T
H
F M T W
T
H
F M T W
T
H
F M
Clemente, John Cloyd Camara
Comaje, Mark Joseph Romero
De Honor, Denzel James Estrevillo
De Leon, Jhune Michael Antonio
Dulay, Jerome Lorenzo
Erivera, Jumel Barbarona
Galang,Arvin Villalon
Jamilla, Alvin Espiritu
Liwag, Michael Angelo Victorio
Lucilo, Jhon Joyce Pablo
Ramos, Rameer Pajarito
Ruta, Jerwen
Surio, Jerome Amador
Vereynato, Yuri Abrau
Villamor, Jayson Alzaga
Beles, Nikka Joy Maluson
Caasi, Elvira Gabino
Carinan, Janet Taracatac
De Vera, Rhealyn Llanda
Dizon, Claudine Miranda
Esogon, Varie Gracelyn Baybay
Escala, Cechell Mamasig
Haloc, Iris Claire Pascua
Total for the
Month
School Form 2 (SF2) Daily Attendance Report for learner
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
*LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
Aguilar, Denis Jimenez
MALE | TOTAL Per Day
Section Grade Level
Month Reporting

2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
M T W
T
H
F M T W
T
H
F M T W
T
H
F M T W
T
H
F M
Total for the
Month
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
*LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
Herrera, Mara Dino
Jose, Jennielyn Dioquino
Oliveros, Edelyn Caraca
Soriano, Michaella Louise Grecia
Tadea, Gretchel Nozares
Santos, Mary Rose Anne Gadores
Tepase, Rose Ann Fernandez
Toralde, Bendan Perioles
Uy, Kristine De Gracia
Victoriano, Gabriel Ann
Villamor, Marvelle
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
M F TOTAL
2. REASONS/CAUSES OF DROP-OUTS
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
Average Daily Attendance
*Percentage of Enrolment as of
Percentage of Attendance for the month
* Enrolment as of
Summary for the
Month
No. of Days of
Classes:
Registered Learner as of end of the month
Enrolment as of July
Average Daily Attendance =
Percentage of Enrolment =
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:
Average daily attendance
* Automatic Generation thru LIS
Percentage of Attendance for the month =
blank- Present; (x)- Absent; Tardy (half shaded=
Upper for Late Commer, Lower for Cutting
Classes)
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
Combined TOTAL PER DAY
FEMALE | DAILY TOTAL
a.
b.
c.
Total Daily Attendance
Number of School Days
Registered Learner as of End of the month
Registered Learner as of End of the Month
x 100
x 100
b.1. Illness
Percentage of Attendance for the month
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period 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 I certify that this is a true and correct report.
d.1. Distance between home and school
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
Drop out
Transferred out
Number of students with 5 consecutive days of
absences:
Percentage of Attendance for the month
Transferred in
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
d.2. Armed conflict (incl. Tribal wars & clan
feuds)
Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
M T W
T
H
F M T W
T
H
F M T W
T
H
F M T W
T
H
F M
Total for the
Month
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
*LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
TOTAL
305452 NCR
SECTION
AGE as of
(nos. of
years as per
last
birthday)
House # / Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
1
305452100024 M 8/4/1997 15 Nueva Ecija Tagalog Iglesia Ni
Cristo
785 Gulayan Catmon Malabon
2
305452100212 M 7/11/1998 14 Valenzuela Tagalog Catholic 101 Yanga Maysilo Malabon
3
305452100215 M 8/21/1997 15 Malabon Tagalog Catholic 15 Sitio Rosal Maysilo Malabon
4
305452100249 M 9/20/1996 16 Malabon Tagalog Catholic 7 Arasity Tinajeros Malabon
5
305452100253 M 6/2/1997 16 Tagalog Catholic Malinta Valenzuela
6
305452100303 M 9/7/96 16 Malabon Tagalog Catholic 21-A Atis Road Potrero Malabon
7
305452100315 M 2/17/98 16 Manila Tagalog Catholic 98 Macopa Potrero Malabon
8
305452100350 M 5/23/97 16 Caloocan Tagalog Catholic 149 Crispin Tinajeros Malabon
9
305452100404 M 11/29/96 15 Manila Tagalog Catholic 3 Camachile Potrero Malabon
10
305452100434 M 4/26/96 17 Malabon Tagalog Catholic 163 N2 M.H. Del Pilar Tinajeros Malabon
11
305452100444 M 4/13/96 17 Malabon Tagalog Catholic Catmon Malabon
12
305388101757 M 9/3/98 14 Quezon City Tagalog Catholic 72 Mesina Tinajeros Malabon
13
305452100661 M 10/10/90 22 Quezon City Tagalog Catholic Area C, Gate 54 Barangay
275
Manila
14
305452100714 M 12/31/97 15 Malabon Tagalog Catholic 146 Int, Sanciangco Catmon Malabon
15
305452100770 M 9/10/97 15 Malabon Tagalog Catholic 8 Sociego Tinajeros Malabon
16
305452100777 M 11/18/97 15 Manila Tagalog Catholic 41 E Dionisio Maysilo Malabon
1
305452100110 F 1/9/97 16 Caloocan Tagalog Catholic 2 Vicente Tinajeros Malabon
2
305452100159 F 6/19/98 14 Manila Tagalog Catholic 131 Macopa Potrero Malabon
3
305452100189 F 2/26/98 15 Malabon Tagalog Catholic B3L3 People's Village Catmon Malabon
4
30452090269 F 12/31/96 16 Malabon Tagalog Catholic Sitio 6 Catmon Malabon
5
305452100291 F 6/26/97 15 Malabon Tagalog Catholic 161 M.H. Del Pilar Tinajeros Malabon
6
305452100316 Escala, Cechell Mamasig F 9/20/97 16 Malabon Tagalog Catholic Blk 21 LT. 7 Sitio 6 Catmon Malabon Jesus
7
305452100320 F 11/15/96 15 Malabon Tagalog Catholic 50 Yanga St. Maysilo Malabon
8
305452100383 Haloc, Iris Claire Pascua F 1/10/98 15 Malabon Tagalog Catholic 8 Industrial Road Potrero Malabon Ian Roy
9
305452100386 Herrera, Mara Dino F 8/28/94 18 Malabon Tagalog Catholic 69-A Remegis Maysilo Malabon Manuel
Restituto Jane Orolfo
Miranda
Benito Merilene B.
Baybay
Henry Glenda Galapan
Talacatac
Adam Divina Gomez
Llanda
Carinan, Janet Taracatac
De Vera, Rhealyn Llanda
Dizon, Claudine Miranda
Esogon, Varie Gracelyn Baybay
Noli Gina Malindon
Maluson
Elmer Rosalinda D.
Gabino
Rolando Cristita Sumaylo
Abrau
Jose Abad Marlene Garcia
Alzaga
Vereynato, Yuri Abrau
Villamor, Jayson Alzaga
Beles, Nikka Joy Maluson
Caasi, Elvira Gabino
N-A Mary Ann Carillo
Ruta
Reynaldo Josephine Olitan
Amador
Crispin Cristilita
Sarmiento Pablo
Ernesto Wilma Albania
Pajarito
Lucilo, Jhon Joyce Pablo
Ramos, Rameer Pajarito
Ruta, Jerwen
Surio, Jerome Amador
Abelardo Ma. Christina T.
Espiritu
Rodolfo Renida Esmino
Victorio
Melchor Juditha Balbarona
Arnel Victorina Yuson
Villalon
Erivera, Jumel Barbarona
Galang,Arvin Villalon
Jamilla, Alvin Espiritu
Liwag, Michael Angelo Victorio
Jovito Ma.Estrelita
Reyes Antonio
Jaime Rosemarie
Lantaca Lorenzo
Antonio Mary Ann
Sombillo Romero
Danilo Ma. Christina
Atinado Estrevillo
De Honor, Denzel James Estrevillo
De Leon, Jhune Michael Antonio
Dulay, Jerome Lorenzo
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
LRN
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School ID
TINAJEROS NATIONAL HIGH SCHOOL
Region Division MALABON District
School Year 2013 - 2014
RELIGION
ADDRESS NAME OF PARENTS
Grade Level IV 12
Aguilar, Denis Jimenez
Clemente, John Cloyd Camara
Comaje, Mark Joseph Romero
GUARDIAN (If not Parent)
Father (1st name only
if family name identical
to learner)
Mother (Maiden)
Rolando Alona
Tumbagahan
Nicolas Jennifer Dulap
Camara
Flordeliza
mamuad Mamasig
Mercedez De
Torres Pascua
Marcosa Brnabe
Dino

AGE as of
(nos. of
years as per
last
birthday)
House # / Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
LRN
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)
Father (1st name only
if family name identical
to learner)
Mother (Maiden)
10
305452100408 Jose, Jennielyn Dioquino F 7/10/98 14 Malabon Tagalog Catholic 288 M.H. Del Pilar Tinajeros Malabon Jessie
11
305452100544 Oliveros, Edelyn Caraca F 10/28/97 15 Manila Tagalog Catholic 12B Sitio 6 Catmon Malabon Edgardo
12
305452100678 Santos, Mary Rose Anne Gadores F 10/1/97 16 Malabon Tagalog Catholic 156 Sisa Acacia Malabon Marcus
13
30452100710 F 4/25/97 15 Malabon Tagalog Catholic Sanchez Tinajeros Malabon
14
305452100718 Tadea, Gretchel Nozares F 5/28/97 16 Malabon Tagalog Catholic 101 Remigio Maysilo Malabon Renato
15
305452100730 Tepase, Rose Ann Fernandez F 11/3/95 17 Cavite Tagalog Catholic Sitio 6 Catmon Malabon Rodolfo
16
305452100737 F 9/6/97 15 Malabon Tagalog Catholic Sitio 6 Catmon Malabon
17
305452100760 F 12/13/97 15 Malabon Tagalog Catholic 101 A Remigio Maysilo Malabon
18
305452100773 F 11/3/97 15 Malabon Tagalog Iglesia Ni
Cristo
20 Caingin Tinajeros Malabon
19
305452100778 F 5/18/97 16 Valenzuela Tagalog Catholic 5 A Remigio St. Maysilo Malabon
Indicator Code Required Information Indicator Code Required Information BoSY EoSY
Transferred Out T/O
Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient
CCT MALE 16
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 19
Dropped DRP Reason and Effectivity Date Learner With Dissability LWD
Accelarated ACL Date:
TOTAL 35
List and code of Indicators under REMARK column
Prepared by:
CCT Control/reference number & Effectivity Date
(Signature of Adviser over Printed Name)
Ireen E.
Fernandez
Cesar Amiel Gamara
Soriano, Michaella Louise Grecia
Adoracion
Lorenzo Dioquino
Ma. Raquel Carace
Fina Casilla
Nozares
Gina Bayrante
Gadores
Eduardo Editha Allera
Lorico
N-A Amarie Legazpi
Villamor
Benedicto Magdalena
Lobens Perjoles
Jonard Carolina J. De
Gracia
Toralde, Bendan Perioles
Uy, Kristine De Gracia
Victoriano, Gabriel Ann
Villamor, Marvelle
REMARK/S
Contact
Number
(Please refer to
the legend on
last page)
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
12
GUARDIAN (If not Parent)

REMARK/S
Contact
Number
(Please refer to
the legend on
last page)
GUARDIAN (If not Parent)
Date:
Certified Correct:
(Signature of School Head over Printed Name)
Ma. Victoria R. De Gulan
School ID
305452
School Year
School Name IV
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
1
Aguilar, Denis Jimenez
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014
2
Clemente, John Cloyd Camara
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
3
Comaje, Mark Joseph Romero
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
4
De Honor, Denzel James Estrevillo
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014
5
De Leon, Jhune Michael Antonio
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
6
Dulay, Jerome Lorenzo
6/4/2013 2/24/2014
7
Erivera, Jumel Barbarona
6/4/2013 2/24/2014
8
Galang, Arvin Villalon
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
9
Jamilla, Alvin Espiritu
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
10
Liwag, Michael Angelo Victorio
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014
11
Lucilo, Jhon Joyce Pablo
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014
12
Ramos, Rameer Pajarito
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014
13
Ruta, Jerwen
6/4/2013 2/24/2014
14
Surio, Jerome Amador
15
Vereynato, Yuri Abrau
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
16
Villamor, Jayson Alzaga
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013
TOTAL FOR MALE | TOTAL COPIES
Grade Level
Subject Area & Title MAPEH VALUES ED T.L.E. FILIPINO ENGLISH
ENGLISH
EXPRESSWAYS IV
MATH
Date Date Date Date Date
2013-2014
(This replace Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Date Date
TINAJEROS NATIONAL HIGH SCHOOL
Section
12
NO.
Date Date
SCIENCE ARAL. PAN
Ekonomiks
Mga Konsepto at
Aplikasyon
*LEARNER'S NAME
(Last Name, First Name, Middle Name)

Advanced
Algebra
Trigonometry
and Statistics
Physics
Textbook
Enjoy Life with
P.E. and Health
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title MAPEH VALUES ED T.L.E. FILIPINO ENGLISH
ENGLISH
EXPRESSWAYS IV
MATH
Date Date Date Date Date Date Date
NO.
Date Date
SCIENCE ARAL. PAN
Ekonomiks
Mga Konsepto at
Aplikasyon
*LEARNER'S NAME
(Last Name, First Name, Middle Name)
Advanced
Algebra
Trigonometry
and Statistics
Physics
Textbook
Enjoy Life with
P.E. and Health
1
Beles, Nikka Joy Maluson
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
2
Caasi, Elvira Gabino
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
3
Carinan, Janet Taracatac
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
4
De Vera, Rhealyn Llanda
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
5
Dizon, Claudine Miranda
6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
6
Escala, Cechell Mamasig
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
7
Esogon, Varie Gracelyn Baybay
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
8
Haloc, Iris Claire Pascua
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
9
Herrera, Mara Dino
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
10
Jose, Jennielyn Dioquino
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
11
Oliveros, Edelyn Caraca
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
14 6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
12
Soriano, Michaella Louise Grecia
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
13
Tadea, Gretchel Nozares
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
15
Tepase, Rose Ann Fernandez
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
16
Toralde, Bendan Perioles
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
17
Uy, Kristine De Gracia
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
18
Victoriano, Gabriel Ann
6/4/2013 2/24/2014 2/24/2014
19
Villamor, Marvelle
6/4/2013 2/24/2014 6/4/2013 2/24/2014 6/4/2013 2/24/2014 2/24/2014 2/24/2014 2/24/2014 2/24/2014
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
* Automatic Generation thru LIS
GUIDELINES: Prepared By:
(Signature over printed name)
School Form 3: Page 2 of ________
2. The Date of Issuance and the Date of Return shall be reflected in the form.
Santos, Mary Rose Anne Cadores
MR. CESAR AMIEL M. GAMARA
4. The Total Number of Copies of Books Returned at the EoSY shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
1. Title of Books Issued to each learner must be recorded by the class adviser.
Region Division District
School ID
School Name School Year Month Reporting
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
1 0 1 1 0
ELEMENTARY/SECONDARY:
# Need home visitation as per DECS Service Manual (page, section) Prepared and Submitted by:
GUIDELINES:
2. Furnish copy to Division Office: a week after July 31, October 30 & March 31 (Signature of School Head over Printed Name)
3. Teachers who are handling advisory class shall be reported.
TOTAL
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
GRADE 1/GRADE 7
KINDER
(A+B)
Cumulative as of
End of the
Month
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As of End of the
Month)
ATTENDANCE
(B) For the Month
4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only
accomplish the summary column per grade/year level.
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
Average Percentage
(A) Cumulative as
of Previous Month
(B) For the 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
(B) For the Month
Region: Division: District
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only
accomplish the summary column per grade/year level.
T
1
(A+B)
Cumulative as of
End of the
Month
School Form 4 (SF4) Monthly Learner's Movement and Attendance
TRANSFERRED IN
Region: Division: District
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District
Curriculum
Grade Level Section
MALE FEMALE
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
LEVEL OF PROFICIENCY
DEVELOPING
(D: 75%-79%)
BEGINNNING
(B: 74% and
below)
PROMOTED
RETAINED
SUMMARY TABLE
MALE FEMALE
INCOMPLETE SUBJECT/S
(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 column)
Completed as of end of current
SY
as of End of the current SY
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)
LRN
GENERAL
AVERAGE
(Numerical Value
in 3 decimal
places)
ACTION TAKEN:
PROMOTED or
RETAINED
(RBEC only)
School Name
School ID
LEARNER'S NAME (Last
Name, First Name, Middle Name)
School Year

INCOMPLETE SUBJECT/S
(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 column)
Completed as of end of current
SY
as of End of the current SY
LRN
GENERAL
AVERAGE
(Numerical Value
in 3 decimal
places)
ACTION TAKEN:
PROMOTED or
RETAINED
(RBEC only)
LEARNER'S NAME (Last
Name, First Name, Middle Name)
DANALYN V. SERVILLON
CERTIFIED CORRECT & SUBMITTED:
GUIDELINES:
TOTAL FEMALE
COMBINED
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.
2. On the summary table, reflect the total
number of learners promoted, retained and
the level of proficiency according to the
individual general average
3. Must tallied with the total enrollment
report as of End of School Year GESP /GSSP
(BEIS)
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grades Level
TOTAL MALE
INCOMPLETE SUBJECT/S
(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 column)
Completed as of end of current
SY
as of End of the current SY
LRN
GENERAL
AVERAGE
(Numerical Value
in 3 decimal
places)
ACTION TAKEN:
PROMOTED or
RETAINED
(RBEC only)
LEARNER'S NAME (Last
Name, First Name, Middle Name)
* May generate thru Learner's Information System or may lift from Master List of Learners.
School Form 5: Page 2 of ________
TOTAL
LEVEL OF PROFICIENCY
SUMMARY TABLE
TOTAL
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)

CERTIFIED CORRECT & SUBMITTED:
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.
2. On the summary table, reflect the total
number of learners promoted, retained and
the level of proficiency according to the
individual general average
3. Must tallied with the total enrollment
report as of End of School Year GESP /GSSP
(BEIS)
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grades Level
School Form 5: Page 2 of ________
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE
PROMOTED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DPO/EPS SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
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
SUMMARY TABLE
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.
Nos. of ADVANCED (A:
90% and above)
Nos. of PROFICIENT (P:
85% -89%)
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of DEVELOPING (D:
75%-79%)
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
School Form 6 (SF6) Summarized Report on Promotion
(This cancel Form 20)
RETAINED (RBEC)
TOTAL
Nos. of BEGINNNING
(B: 74% and below)
and Level of Proficiency
GRADE 1 /GRADE 7
School Year School Name
School ID Region Division
District

TOTAL
TOTAL
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.
TOTAL
School Form 6 (SF6) Summarized Report on Promotion
(This cancel Form 20)
and Level of Proficiency

Region
Teaching
Non-
Teaching
1
Degree / Post
Graduate
DAY From To
Actual
Teaching/
Service
Render
(Mins/Day)
Ave. Minutes per Day
(A) Nationally-Funded Teaching Related Items
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document)
(C ) Other Appointments
Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)
KINDER
Fund Source
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment document)
LOCALLY
FUNDED
(B) Nationally-Funded Non Teaching Items
Nature of
Appointment
Position/
Designation
Subject Taught (include
Grade & Section) &
Other Ancillary
Assignment (Please
Specify)
Ave. Minutes per Day
Ave. Minutes per Day
* Daily Program (time duration) EDUCATIONAL QUALIFICATION
Major/
Specialization
Minor
Remark/s (For Detailed
Items, Indicate name of
school/office, For IP's -
Ethnicity)
Number of Incumbent
No.
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School Year
School ID
School Name
Division
District

Degree / Post
Graduate
DAY From To
Actual
Teaching/
Service
Render
(Mins/Day)
Nature of
Appointment
Position/
Designation
Subject Taught (include
Grade & Section) &
Other Ancillary
Assignment (Please
Specify)
* Daily Program (time duration) EDUCATIONAL QUALIFICATION
Major/
Specialization
Minor
Remark/s (For Detailed
Items, Indicate name of
school/office, For IP's -
Ethnicity)
No.
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
GUIDELINES: Submitted by:
(Signature of School Head over Printed Name)
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
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 school personnel.
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 .
Ave. Minutes per Day
Ave. Minutes per Day
Degree / Post
Graduate
DAY From To
Actual
Teaching/
Service
Render
(Mins/Day)
Nature of
Appointment
Position/
Designation
Subject Taught (include
Grade & Section) &
Other Ancillary
Assignment (Please
Specify)
* Daily Program (time duration) EDUCATIONAL QUALIFICATION
Major/
Specialization
Minor
Remark/s (For Detailed
Items, Indicate name of
school/office, For IP's -
Ethnicity)
No.
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
School Form 7, Page 2 of ________
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 school personnel.
3. * Daily Program Column is for teaching personnel only
Pls. Check:
( ) Transferee ( ) Balik-Aral
( ) Private ( ) Public
Name of Previous School: _________________________________________________________
Division: ______________________________ Province/Region : ______________________________
A. PERSONAL DATA (to be accomplished by the parent/pupil during enrolment)
Name of Learner: ______________________________________ LRN: __________________
Date of Birth : _________________________________ Place of Birth : ____________________
Sex: ___________ Current Address/Residence:
SY House #/Street
SY
SY
SY
SY
SY
Nationality: __________________________ Religion: ______________
Name of Father: _______________________________ Occupation : ___________________
Highest Educational Attainment of Father: ______________________________
Name of Mother: _______________________________ Occupation : ______________________
Highest Educational Attainment of Mother: ______________________________
Name of Guardian (if Guardian is not the parent): ______________________________________
Relationship to Guardian: ________________________________
Contact Number of Parents/Guardian: _________________________________
Currently living with at least one of the parents : ( ) yes ( ) no
Dialect use to communicate within the family: ______________________
Recipient of 4P's* : Yes/ No SY SY
SY SY
SY SY
B. MEDICAL / HEALTH RECORD (annual updating by the health officer/teacher)
b.1 Nutritional Status
SY_____ SY_____ SY_____ SY_____ SY_____
Weight (kg)
Height (m)
Body Mass Index (BMI)
Nutritional Status
(e.g.Normal,Below Normal,Above Normal,Severely Wasted)
b.2 Learner's record of ailments: (pls. check) (to be examined by the nurse)
SY_____ SY_____ SY_____ SY_____ SY_____
( ) Pediculosis
( ) Tinea Flava
( ) Scabies
( ) Eye infection
( ) Squinting eyes
( ) Otitis Media
( ) Impacted Cerumen
( ) Colds/Cough
( ) Sinusitis
( ) Ringworm
( ) Nosebleed
( ) Decayed Tooth
( ) defective speech
( ) Sore Throat
( ) Tonsilitis
( ) Asthma
*Programang Pantawid ng
Pamilyang Pilipino
Barangay
LEARNER DATA SHEET
Republic of the Philippines
Department of Education
Region: _____________________________
Division : ____________________________
School: _______________________________
( ) Allergy
( ) Bronchitis
( ) Primary Complex
( ) Convulsions
( ) Frequent headache
( ) Heart problem
( ) Frequent Stomach Ache
b.3 Immunization
Learner's immunization shots are complete and current: yes /no
SY SY b.4 Physical Fitness and
Sports Talent Test (PFSTT) SY_____ SY_____ SY_____ SY_____ SY_____
b.4.1. Muscular Fitness
Partial: Curl Ups
Trunk: Lift (cm)
90-Degrees push- ups
b.4.2. Flexibility Fitness
Sit and Reach
Left leg bent (cm)
Right leg bent (cm)
Shoulder Flexibility
Right arm up (cm)
Left arm up (cm)
b.4.3. Physiological Fitness
1km run - Time: (min/sec)
b.5. Sports Talents
b.5.1 Anthropometrics
Sitting Height (cm)
Arm Span (cm)
b.5.2. Muscular Power
Standing Long Jump (m)
Basketball Pass (m)
b.5.3 Speed
40-meter sprint (sec.)
C. FAMILY& COMMUNITY PROFILE
Type of community ( ) Residential ( ) Commercial ( )Agricultural ( ) Industrial ( ) Fishing ( ) Mining
Disaster Prone/ Armmed Conflict ( ) Yes ( ) No
Identified as IP Community? If yes, specify: _____________________________________________
With electrical services (Home) ( ) Yes ( ) No
With water services (Home) ( ) Yes ( ) No
Distance of Home from/to school: ___________ (km) Estimated time in going to school : ______ (hour)
Means of going to school: ( ) walking ( ) by boat ( ) vehicles
D. EDUCATIONAL PROFILE (see attached Form 137)
GUIDELINE:
Other illness(specify):
The Learner Data Sheet shall be accomplish by the parent/pupil during enrolment. While, the medical/health record shall be accomplish by
SY_____ SY_____
SY_____ SY_____
*Orderof ailments (eyes, ears, etc.)
Municipality/Province
LEARNER DATA SHEET
Republic of the Philippines
Department of Education
Region: _____________________________
Division : ____________________________
School: _______________________________
SY_____ SY_____
*to be commented by PE Teachers
Type of community ( ) Residential ( ) Commercial ( )Agricultural ( ) Industrial ( ) Fishing ( ) Mining
Distance of Home from/to school: ___________ (km) Estimated time in going to school : ______ (hour)
The Learner Data Sheet shall be accomplish by the parent/pupil during enrolment. While, the medical/health record shall be accomplish by