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School Form 1 (SF 1) School Register

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

School Name

LRN

NAME
(Last Name, First Name, Middle Name)

Division

Region V-Bicol

School ID 112245

Camarines Norte

Dagang Elementary School

BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)

AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)

School Year

District

2013-2014

Grade Level

ADDRESS
BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic Group)

Paracale District
IV
NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent
/Guardian)

RELIGION
House # /
Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden: 1st Name,


Middle & Last Name)

Ariada, Sherwin Bryan Asug

11/21/02

10

Camarines
Norte

Tagalog

Catholic

Pinagbirayan
Munti

Paracale

Camarines
Norte

Sonny

112245090002

Ariada, Wilmar Villan

11/21/03

Camarines
Norte

Tagalog

Catholic

Dagang

Paracale

Camarines
Norte

Wilfredo

Maribel Villanueva Villan

112245090004

Danas, Julius Yasis

9/6/03

Camarines
Norte

Tagalog

Catholic

Talusan

Paracale

Camarines
Norte

Nicolas

Nemia Salen Yasis

112245090008

Dela Torre, Mark Lester Mangubat

12/16/03

Metro Manila

Tagalog

Catholic

Pinagbirayan
Munti

Paracale

Camarines
Norte

Marvin

112245090011

Elnar, Rico Obal

2/16/01

12

Camarines
Norte

Tagalog

Catholic

Talusan

Paracale

Camarines
Norte

Richard Sr.

Evangeline Talla Obal

112245090017

Pardo, Sher Jayson Ramirez

10/10/02

10

Camarines
Norte

Tagalog

Catholic

Talusan

Paracale

Camarines
Norte

Lorenzo

Shirley Villagen Ramirez

112245090018

Postrado, Joshua Ibita

7/10/02

10

Camarines
Norte

Tagalog

Catholic

Purok 3

Dagang

Paracale

Camarines
Norte

Roel

Glenda Ariada Ibita

112245090019

Ramirez, Renato Jr. Cortuna

2/14/02

11

Camarines
Norte

Tagalog

Catholic

Purok 3

Talusan

Paracale

Camarines
Norte

Renato

Angelina Jacob Cortuna

112242090015

Salen, Martin De Lemios

9/12/02

10

Camarines
Norte

Tagalog

Catholic

Purok 1

Pinagbirayan
Munti

Paracale

Camarines
Norte

Toriano

Marlet Dar De Lemios

112245090022

Tresvalles, Angelo Yasis

10/25/02

10

Camarines
Norte

Tagalog

Catholic

Purok 2

Talusan

Paracale

Camarines
Norte

Archie

Cristina Golinggan Yasis

112234090001

Section

Purok 1

Name

Relationship

LRN

NAME
(Last Name, First Name, Middle Name)

BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)

AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)

ADDRESS
BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic Group)

NAME OF PARENTS

GUARDIAN (If not Parent)

House # /
Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden: 1st Name,


Middle & Last Name)

112245090005

Danas, Nelly Jane Hidalgo

8/1/04

Camarines
Norte

Tagalog

Catholic

Purok 1

Talusan

Paracale

Camarines
Norte

Nicanor

Analiza Lopez Hidalgo

112245090006

De Mata, Maricar Adano

8/31/02

10

Camarines
Norte

Tagalog

Catholic

Purok 2

Talusan

Paracale

Camarines
Norte

Hilario

Rosa Buenaobra Adano

Gabrillo, Mary Joy Ramirez

8/30/01

12

Camarines
Norte

Tagalog

Catholic

Purok 3

Talusan

Paracale

Camarines
Norte

112245090013

Isidoro, Josie Daza

10/9/02

10

Camarines
Norte

Tagalog

Catholic

Purok 1

Dagang

Paracale

Camarines
Norte

Ramon

Donata Barena Daza

112245090015

Lamadrid, Janice Acua

3/20/00

13

Camarines
Norte

Tagalog

Catholic

Purok 1

Talusan

Paracale

Camarines
Norte

Felicito

Anabelle Imperial Acua

112245090016

Lamadrid, Juvelyn Llobrera

8/5/03

Camarines
Norte

Tagalog

Catholic

Purok 1

Talusan

Paracale

Camarines
Norte

112245090021

Salen, Joan Ramo

8/5/03

Camarines
Norte

Tagalog

Catholic

Purok 1

Pinagbirayan
Munti

Paracale

Camarines
Norte

Juancho

Lindy Maigue Ramo

112245090024

Umerez, Emy De Vera

10/5/02

10

Camarines
Norte

Tagalog

Catholic

Pinagbirayan
Munti

Paracale

Camarines
Norte

Sonny

Estela Moron De Vera

Villan, Jessica Era

8/9/01

12

Camarines
Norte

Tagalog

Iglesia ni Crist0

Dagang

Paracale

Camarines
Norte

Yasis, Renielyn Adecer

1/23/03

10

Camarines
Norte

Tagalog

Catholic

Pinagbirayan
Munti

Paracale

Camarines
Norte

112245090027

Contact Number
(Parent
/Guardian)

RELIGION

Renato

Name

Relationship

Angelyn Andaya

Sister

Rosalie Adecer

List and code of Indicators under REMARK column


Indicator

Code

Transferred Out T/O

Required Information

Indicator

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


CCT Recipient

Code
CCT

Required Information
CCT Control/reference number & Effectivity Date

BoSY
MALE

EoSY

Prepared by:

Certified Correct:

10
JOAN V. ASAS
(Signature of Adviser over Printed Name)

Transferred IN
Dropped

T/I
DRP

Late Enrollment LE

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


Balik-Aral

B/A

Name of school last attended & Year

Reason and Effectivity Date

LWD

Specify

Reason (Enrollment beyond 1st Friday of June)

Learner With Dissability


Accelarated

ACL

Specify Level & Effectivity Data

FEMALE

10

TOTAL

20

BoSY Date:

EoSYDate:3/31/14

MANUEL A. OATE
(Signature of School Head over Printed

BoSY Date:
EoSYDate:3/31/14

School Form 1 (SF 1) School Register


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

REMARK/S

(Please refer to the


legend on last page)

REMARK/S

(Please refer to the


legend on last page)

T/I Libmanan
Elem.School

T/I Batobalani
Elem.School

Certified Correct:

MANUEL A. OATE
(Signature of School Head over Printed Name)

BoSY Date:
EoSYDate:3/31/14

School Form 2 (SF2) Daily Attendance Report of Learners


(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID

School Year

Report for the Month of


Grade Level

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

MALE | TOTAL Per Day

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

Section
Total for the
Month
ABSENT TARDY

REMARK/S (If DROPPED OUT, state reason,


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

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

Total for the


Month

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

ABSENT TARDY

REMARK/S (If DROPPED OUT, state reason,


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

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY


GUIDELINES:
1. 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 Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 Learner as of End of the month

x 100

x 100

1. CODES FOR CHECKING ATTENDANCE

Month:

blank- Present; (x)- Absent; Tardy (half shaded= Upper


for Late Commer, Lower for Cutting Classes)

* Enrolment as of (1st Friday of June)

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

Summary for the


Month
M

Late Enrollment during the month


(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month

a.4. Family problems


b. Individual-Related Factors

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

No. of Days of
Classes:

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

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.

(Signature of Teacher over Printed Name)

TOTAL

LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Form 2: Page 2 of ________

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

Total for the


Month
ABSENT TARDY

e. Financial-Related
e.1. Child labor, work
f. Others

Attested by:

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 and Returned


(This replaced Form 1 & Inventory of Text Book)

School ID

School Year

School Name
Subject Area & Title
NO.

Section

Grade Level

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

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Date
Issued

Returned

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

Subject Area & Title


NO.

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

Date
Issued

TOTAL FOR MALE | TOTAL COPIES

Subject Area & Title

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Date
Issued

Returned

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

Subject Area & Title


NO.

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

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

Subject Area & Title

Date
Issued

Returned

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

Date
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.

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.

Prepared By:

(Signature over printed name)


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

School Form 4 (SF4) Monthly Learner's Movement and Attendance


(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region

Division

District

School ID
School Name

NAME OF ADVISER

School Year

GRADE/
YEAR
LEVEL

SECTION

REGISTERED
LEARNER
(As of End of the
Month)
M

ATTENDANCE

DROPPED OUT

Daily Average

Percentage for (A) Cumulative as


(B) For the Month
of Previous Month
the Month

Report for the Month of

TRANSFERRED OUT

TRANSFERRED IN

(A+B) Cumulative
(A+B) Cumulative
(A+B)
(A) Cumulative as
(A) Cumulative as
as of End of the
(B) For the Month as of End of the
(B) For the Month Cumulative as of
of Previous Month
of Previous Month
Month
Month
End of 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 grade/year level.

Prepared and Submitted by:

(Signature of School Head over Printed Name)

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

School Form 5 (SF 5) Report on Promotion & Level of Proficiency


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

Region
School ID

V-Bicol

112234090001
112245090002
112245090004
112245090008
112245090011
112245090017
112245090018
112245090019
112242090015
112245090022

School Year

112245

School Name

LRN

Camarines Norte

Division

2013-2014

Dagang Elementary School

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

Ariada, Sherwin Bryan Asug


Ariada, Wilmar Villan
Danas, Julius Yasis
Dela Torre, Mark Lester Mangubat
Elnar, Rico Obal
Pardo, Sher Jayson Ramirez
Postrado, Joshua Ibita
Ramirez, Renato Jr. Cortuna
Salen, Martin De Lemios
Tresvalles, Angelo Yasis

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

Promoted

82.40

Promoted

79.40

Promoted

83.40

Promoted

82.20

Promoted

81.80

Promoted

83.40

Promoted

82.40

Promoted

81.20

Promoted

IV

Section

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

80.00
84.00

RBEC

Curriculum
Grade Level

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

Paracale

District

as of End of the
current SY
SUMMARY TABLE

Promoted
STATUS

MALE

10

10

20

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
BEGINNNING
(B: 74% and below)

TOTAL MALE

TOTAL

PROMOTED

MALE

10

FEMALE

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

FEMALE

TOTAL

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/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
PROFICIENT
(P: 85% -89%)
ADVANCED
(A:
90% and above)

85.80

Promoted

78.40

Promoted

82.20

Promoted

81.40

Promoted

Class Adviser

82.00

Promoted

(Name and Signature)

112245090016

Danas, Nelly Jane Hidalgo


De Mata, Maricar Adano
Gabrillo, Mary Joy Ramirez
Isidoro, Josie Daza
Lamadrid, Janice Acua
Lamadrid, Juvelyn Llobrera

81.40

Promoted

112245090021

Salen, Joan Ramo

82.40

Promoted

112245090024

Umerez, Emy De Vera


Villan, Jessica Era
Yasis, Renielyn Adecer

81.40

Promoted

82.60

Promoted

MANUEL A. OATE

82.40

Promoted

School Head

112245090005
112245090006
112698090027
112245090013
112245090015

112245090027

PREPARED BY:

JOAN V. ASAS

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)


10
20

TOTAL FEMALE
COMBINED

REVIEWED BY:

JIJI MARICEL A. LACSON


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

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/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
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 Promotion


and Level of Proficiency
(This replaced Form 20)

School ID

Region

Division

School Name

District

GRADE 1 /GRADE 7

SUMMARY TABLE

GRADE 2 / GRADE 8

GRADE 3 / GRADE 9

GRADE 4 / GRADE 10

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

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
(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:


SCHOOL HEAD

Noted by:
DIVISION REPRESENTATIVE

SCHOOLS DIVISION SUPERINTENDENT


GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the 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

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

Division

Region

School Name

District

(A) Nationally-Funded Teaching & Teaching Related Items


Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)

Number of
Incumbent

School Year

(B) Nationally-Funded Non Teaching Items


Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)

Number of
Incumbent

(C ) Other Appointments and Funding Sources


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

EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)

Name of School Personnel


(Arrange by Position, Descending)

Sex

Fund
Source

Position/
Designation

Nature of
Appointment/
Employment
Status

Degree / Post
Graduate

Major/
Specialization

Minor

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

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

* Daily Program (time duration)


Subject Taught
(include Grade &
Total Actual
Section), Advisory Class DAY
Teaching
From
To
& Other Ancillary
(M/T/W/
Minutes
(00:00) (00:00)
Assignment
TH/F)
Assignment
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Number of
Incumbent
Teaching

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

EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)

Name of School Personnel


(Arrange by Position, Descending)

Sex

Fund
Source

Position/
Designation

Nature of
Appointment/
Employment
Status

Degree / Post
Graduate

Major/
Specialization

Minor

* Daily Program (time duration)


Subject Taught
(include Grade &
Total Actual
Section), Advisory Class DAY
Teaching
From
To
& Other Ancillary
(M/T/W/
Minutes
(00:00) (00:00)
Assignment
TH/F)
Assignment
per Week

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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day


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 school 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.

Submitted by:

(Signature of School Head over Printed Name)


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

Number of
Incumbent
NonTeaching

Remark/s (For
Detailed Items,
dicate name of
chool/office, For
P's -Ethnicity)

Remark/s (For
Detailed Items,
dicate name of
chool/office, For
P's -Ethnicity)

Printed Name)

_________

ge 2 of ________

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