School Forms Grade III 014

School ID
107130
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
Tabacuhan Eleme
Sex
(M/F)
M
1
107130100018
ANASTACIO, LUCKY RUNDINA

M
117711120028
BALAGA, JUDE YRO BESA

M
107130100031
BARTOLOME, ANTHONY REYES
LRN
NAME
Sex
(M/F)
M
4
107130110022
BASA, JUSTIN JAY SATORRE

M
107130110029
CALLOS, LAURENCE LAURENTE

M
107130110030
CANAPATI, JOSHUA RAMAT

M
107130110032
CASCO JR, CARLOS ALONZO

M
107130110034
CAYANONG, JUSTINE TEPASI

M
107130110035
CEREZO, MIGUEL ZAMORA

M
10
107130110037
CIELO, ADRIAN CAMPOMANES

M
11
107130120219
ESCAMILIAN, JOHN MARVIN ADOL
LRN
NAME
Sex
(M/F)
M
12
107130110060
ESTEBAN, GABRIEL DELOS REYES

M
13
14
107130120220
107130120222
FELARCA, RAFAEL
GARCIA, LAWRENCE
M
M
15
107130110073
GREGORIO, JEROME RYAN ABALAYAN

M
16
107141100088
JIMENEZ JR, ARIEL PATINO

M
17
107130100147
LAGRIMAS, LIAN GABRINO

M
18
107130120257
LONGGA, CRISTIAN JAY RODASTE

M
19
107137120125
MACARONSING, JALIL PAMPA
LRN
NAME
Sex
(M/F)
M
20
107130120262
PACALUNDO, JONAID MUSTHAPA

M
21
107130120281
PINEDA, HAROLD SOLAJER

M
22
107130120228
POTAZO, JAYRICHO VIODOR

M
23
107130110109
RAQUINO, KYLE CYRUS PRIVADO

M
24
107130110110
ROSALES, GABRIEL RAY ALIDON

M
25
107130100226
SANTILLAN, HARVY FABILINIA
NAME
LRN
Sex
(M/F)
GIRLS
1
2
3
4
5
6
107123100013
136581120276
107130110013
107130110018
107010090017
107130120265
ALFANTE, JENNYLYN TATOY

ALIBUYOG, RACHELLE VIRAY
AMAD, ANGELICA FERNANDEZ
APOSTOL, EUSES BEA DIZON
ARQUILLO, JUVILYN LABAJAN
ATCHIVAR, MARIVIC CABE
F
F
F
F
F
F
LRN
7
8
9
10
11
12
13
14
107130120249
107130110024
107130110049
107130110083
107130120269
107130110106
104777120098
107129120407
NAME
BANSIL, PRINCESS JOECIEN SOLA

BENAVIDEZ, KAYE DELA CRUZ
DELA CRUZ, ASHLEY NICOLE FRANCAS
LAGBAS, JASMIN BALINTOS
MACASLANG, MADIHAH MANOGANGCAR
RAMOS, JANE ROCHELLE ANNE MADEJA
RINGOR, ANGELA RAINE ABAY
RODILLAS, SHANE JEYUSON
Sex
(M/F)
F
F
F
F
F
F
F
F
LRN
15
16
17
18
107130120241
107130110119
107130130004
107130120295
NAME
SILAO, MARYLON NABOR

TEPPANG, ERICA MAE DAVID
TRINIDAD, SACHI ANDREA OBEREZ
YUSON, MAYKA ABITONA
Sex
(M/F)
F
F
F
F
List and Code of Indicators under REMARK
NAME
LRN
Sex
(M/F)
Indicator
Code
Required Information
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
Transferred IN
T/I
Name of Public (P) Private (PR) School & Effectivity Date
Dropped
Late Enrollment
DRP
LE
Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Region III
Division
Olongapo City
cuhan Elementary School
School Year
2014-2015
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
8
8
IP
(Ethnic
Group)
RELIGION
House #/ Street/ Sitio/

Purok
Barangay
Christianity
1527 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
Sta. Rita
Tagalog
Christianity
44 Holy spirit
Tabacuhan S.R.
Tulio Tabacuhan Rd.
9/22/2005
5/7/2006
6/22/2005
Sta. Rita
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
IP
(Ethnic
Group)
RELIGION

Purok
Barangay
Christianity
Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1448 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1478 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
Sta. Rita
Tagalog
Christianity
40 Holy Spirit
Tabacuhan Rd.
1432 Tabacuhan Rd.
Tagalog
Christianity
Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1561 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
Tabacuhan Rd.
Sta. Rita
7/3/2006
3/6/2006
11/25/2005
6/30/2006
Sta. Rita
8/20/2006
8/4/2006
10/3/2006
2/1/2006
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
IP
(Ethnic
Group)
RELIGION

Purok
Barangay
Christianity
1344 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1432 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1448 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1539 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1432 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
Tabacuhan Rd.
Sta. Rita
Tagalog
Islam
Tabacuhan Rd.
Sta. Rita
12/16/2005
8/10/2006
9/6/2006
8/21/2005
9/1/2005
4/22/2005
10/7/2005
10/3/2004
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
IP
(Ethnic
Group)
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
Islam
Tagalog
RELIGION

Purok
Barangay
Sta. Rita
Christianity
10 Holy Spirit
Tabacuhan Rd.
1472 Tabacuhan Rd.
Christianity
1478 Tabacuhan Rd.
Sta. Rita
1/1/2006
Sta. Rita
3/1/2006
8
6/18/2005
Tagalog
Tagalog
Christianity
1492 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1476 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
9/25/2006
2/12/2006
7/13/2004
Sta. Rita
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
IP
(Ethnic
Group)
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
Christianity
Tagalog
RELIGION
9/3/2006
9/11/2006
7/1/2003
1/1/2002
Barangay
Christianity
Holy Spirit Tabacuhan

Rd.
1583 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1551 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1561 Tabacuhan Rd.
Sta. Rita
10
Tagalog
Christianity
Sta. Rita
12
Tagalog
Christianity
Holy Spirit Tabacuhan

Rd.
1551 Tabacuhan Rd.
6/2/05
5/2/2006

Purok
sta. Rita
Sta. Rita
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
9/5/2006
2/7/2006
7/19/2006
4/3/2006
8/4/2006
9/8/2006
4/27/2006
9/20/2005
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
IP
(Ethnic
Group)
RELIGION

Purok
Barangay
Christianity
1527 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1472 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1426 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1386 Tabacuhan Rd.
Sta. Rita
Tagalog
Islam
Sta. Rita
Tagalog
Christianity
69 Holy Spirit
Tabacuhan Rd.
1459 Tabacuhan Rd.
Tagalog
Christianity
Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
Tabacuhan Rd.
Sta. Rita
Sta. Rita
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
12/5/2005
12/27/2005
8/6/2006
5/17/2004
AGE as of 1st
Friday June
MOTHER
TONGUE
Tagalog
IP
(Ethnic
Group)
RELIGION

Purok
Barangay
Christianity
1432 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1495 Tabacuhan Rd.
Sta. Rita
Tagalog
Christianity
1448 Tabacuhan Rd.
Sta. Rita
10
Tagalog
Christianity
1432 Tabacuhan Rd.
Sta. Rita
nder REMARKS column
ADDRESS
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
IP
(Ethnic
Group)
RELIGION

Purok
Code Required Information
Effectivity Date
CCT
CCT Control/reference number & Effectivity Date
Effectivity Date
B/A
Name of school last attended & Year
une)
LWD Specify
ACL Specify Level & Effectivity Data
Barangay
gister
nd and Profile)
District
014-2015
Grade Level
II
III
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales
Olongapo
Olongapo
Section
Father's Name (Last Name, First

Name, Middle Name)
Mother's Maiden Name (Last Name, First

Name, Middle Name)
JOEL A ANASTACIO
HELEN P RUNDINA
RANNIE B BALAGA
GIRLIE VILLEGAS BESA
ANTONIO E BARTOLOME JR
MARIVIO J REYES
Zambales
Zambales
Pear
GUARDIAN
(If not Parent)
Name
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales
Olongapo
Olongapo
Olongapo
Olongapo
Olongapo
Olongapo
Olongapo

Name, Middle Name)

Name, Middle Name)
ANDREW SANTOS BASA
MERZA S SATORRE
ERROL SORIA CALLOS
NENITA L CALLOS
JASON COLLADO CANAPATI
JENELYN ARIOLA RAMAT
CARLOS HERRERA CASCO
RAQUEL CASCO
PEPITO JR GETES CAYANONG
MARILOU CAYANONG
ALEX CEREZO
LORIE ANN ZAMORA
CELEDONIO SENANO CIELO
ELEONOR A CAMPOMARES
Zambales
Zambales
Zambales
Zambales
Zambales
Zambales
Zambales
HENRY BACALING ESCAMILIAN JENNIFER A ADOL
GUARDIAN
(If not Parent)
Name
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales

Name, Middle Name)
ANTONIO KARR ESTEBAN

Olongapo

Name, Middle Name)
DIVINIA JABONNETTE DELOS REYES
Zambales
MINERVA P FELARCA
Olongapo
Olongapo
Olongapo
Olongapo
Zambales
NAZARENO ATIENZA SANTOS
MIRADEL ANDRES GARCIA
ROMEL PEREZ GREGORIO
SHERIL A ABALAYAN
ARIEL PATINO JIMENEZ SR
NOVA ZARAGOZA PATINO
Zambales
Zambales
Zambales
SULPICIO BONIAO LAGRIMAS JR MARY GRACE G LAGRIMAS
Olongapo
Olongapo
Zambales
Zambales
ROBERTO CABALTERA LONGGA CRISTINA RODASTE

PACORAC BOROCA
MACARONSING
FERMINA C PAMPA
GUARDIAN
(If not Parent)
Name
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales
Olongapo
Olongapo
Olongapo
Olongapo
Olongapo

Name, Middle Name)

Name, Middle Name)
SCLAIMAN PACALUNDO
AKISA MUSTHAPA
VICENTE ALCAIRO PINEDA

FREDELITO FACTORANAN
POTAZO
RAQUEL A SOLAJER
INO CANTUBA RAQUINO
VHERLY PRIVADO
RAYMUNDO EBINA ROSALES
MILICENT SUE ALIDON
HARDY UBANAN SANTILLAN
ESTRILITA F SANTILLAN
Zambales
Zambales
MERITA VIODOR
Zambales
Zambales
Zambales
GUARDIAN
(If not Parent)
Name
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales
Olongapo
Olongapo
Olongapo
Olongapo
Olongapo

Name, Middle Name)

Name, Middle Name)
AGAPITO ALFANTE
ROWNLYN TATYO
RICHARD I ALIBUYOG
REXIE F VIRAY
EDDIE CALIET AMAD
MERLITA FERNANDEZ
JACINTO REYES APOSTOL
CANDY PEARL DIZON
JOLITO GERONA ARQUILIO
LUZVIMINDA LABAJAN
Zambales
Zambales
Zambales
Zambales
Zambales
MAURITO ABRASADO ATCHIBAR ANNALYN ATCHIVAR
GUARDIAN
(If not Parent)
Name
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales
Olongapo
Olongapo
Olongapo
Olongapo

Name, Middle Name)

Name, Middle Name)
JASON RAMOS BANSIL
JAYSON BANSIL
CRISPIN CARINO BENAVIDEZ
NORA DELA CRUZ
JASON L DELA CRUZ
CRISTY B FRANCAS
JOSEPH GABORNE LAGBAS
ELINETA BALINTOS
Zambales
Zambales
Zambales
Zambales
DAOSARY AMPASO MACASLANG MAIRA SARIP MANOGANGCAR
Olongapo
Olongapo
Olongapo
Zambales
JUNE DONADILLO RAMOS
MARY ANN MADEJA
RAFEL SALO RINGOR
VICLYN SIEGO ABAY
Zambales
Zambales
BERNARD MERCURIO RODILLAS JESSICA EMPESTAN JEYUSON
GUARDIAN
(If not Parent)
Name
ADDRESS
PARENTS
Municipality/ City
Province
Olongapo
Zambales
Olongapo
Olongapo
Olongapo

Name, Middle Name)

Name, Middle Name)
ARSENIO M SILAO
MYLA B NABOR
ERICSON BARLET TEPPANG
MAE ANN DAVID
JOEL SAGUM TRINIDAD
LOIDA ESTEL OBEREZ
ROLAND YUSON
LOIDA ABITONA
Zambales
Zambales
Zambales
Prepared by:
GUARDIAN
(If not Parent)
Name
ADDRESS
Municipality/ City
GUARDIAN
PARENTS
Province

Name, Middle Name)
REGISTERED
BoSY
MALE
25
EoSY
(If not Parent)

Name, Middle Name)
Name
Prepared by:
MARITES G. RIVERO
(Signature of Adviser over Printed Name)
FEMALE
18
TOTAL
43
BoSY Date:
EoSYDate:
Pearl
REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian
(Please refer to the

legend on last page)
REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian

REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian

REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian

REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian

REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian

REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian
Certified Correct:

REMARKS
If not Parent)
Relation-ship
Contact Number of
Parent or Guardian

Certified Correct:
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily A

(This replaces Form 1, Form 2 & STS
School ID
107130
School Year
Name of School
LEARNER'S NAME
Alonto, Amera Ace Hussie Umpad

2 Ampunin, Mark Joshua Baltazar
3 Arbizo, Romeo Jr. Ladino
4 Barnes, Joshua Felarca
5 Bueno, Floyd Allen Baula
6 Constantino, Mark Jerico Coloma
7 Cortez, Genron Bonifacio
8 De Mesa , John Lloyd Dabon
9 Derder, Desmond Clay Espineli
10 Duterte, Ivan Jay Medina
11 Edaol, Kyle Luis
1
2014-2015
Tabacuhan Elementary School
J
2
10
11
12
13
16
TH
TH
LEARNER'S NAME
Enriquez, Wincel Bermejo

13 Flores, Troy Espina
14 Harrison, Akintola Olawale Bico
15 Isidro, John Michael Bajar
16 Jalandoni , Justine Beltran
17 Manabat, Vhon Justine S.
18 Miguel , Reymart Sabatin
19 Monton, Mattrain Ace Hermosa
20 Panganiban, Jonathan M.
21 Parico, Sherwin Llenares
22 Quijano, John Gabriel
23 Redondo, Samuel Adona
24 Sarip, Saad B.
25 Uzon, Ferdinand
26 Vidallon, Michael-J Oligan
27 Uzon, Ferdinand
28 Yap, Jan Rhaymond Romualdo
12
GIRLS
J
2
10
11
12
13
16
TH
TH
LEARNER'S NAME
1 Burlan, Angela Louise Tungpalan

2 Cielo, Danica Esmar
3 Cruz, Aaliyah Joy Felarca
4 Dairo, Joann Mesia
5 Daniac, Jahzel Lei Acson
6 De Pedro, Shiela Jane De Oro
7 Depusoy , Thea Alexianne Abalos
8 Diaz, Mariel Nicole A.
9 Gabriel, Veronica A.
10 Grijalvo, Jenalyn R.
11 Janier , Joyce Anne G.
12 Magtibay , Princess Nathalie V.
13 Potawan, Norhani Ibrahim
14 Quijano, Gwenael Twila
15 Roscano, Jean Rose
16 Tialengco, Andrea Lugto
17 Varde, Ma. Cristina Labandilo
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
J
2
10
11
12
13
16
TH
TH
LEARNER'S NAME
J
2
10
11
12
13
16
TH
TH
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 =
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
LEARNER'S NAME
School Form 2 : Page ___ of ________
J
2
10
11
12
13
16
TH
TH
Daily Attendance Report of Learners
m 2 & STS Form 4 - Absenteeism and Dropout Profile)
Report for the Month of
June
Grade Level
III
Section
Opal
Total for the Month
June* 2014
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
ABSENT
TARDY
REMARKS (If DROPPED OUT, state reason,

please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
Total for the Month
June* 2014
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
ABSENT
TARDY

School.)
Total for the Month
June* 2014
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
ABSENT
TARDY

School.)
Total for the Month
June* 2014
17
18
19
20
23
24
25
26
27
30
TH
TH
1. CODES FOR CHECKING ATTENDANCE

(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
t risk of
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
TH
ABSENT
TARDY

School.)
Month:
Summary
No. of Days of Classes:

M
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students absent for 5 consecutive days:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
TOTAL
Total for the Month
June* 2014
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
ABSENT
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
TARDY

School.)
(Signature of Teacher over Printed Name)

Attested by:
School Form 3 (SF3) Books Issued
(This replaces Form 1 & Inventory of Textb
School ID
School Name
NO.
School Year
107130
Subject Area & Title
Date
Date
Date
Date
LEARNER'S NAME
Issued
1 Alonto, Amera Ace Hussie Umpad

2 Ampunin, Mark Joshua Baltazar
3 Arbizo, Romeo Jr. Ladino
4 Barnes, Joshua Felarca
5 Bueno, Floyd Allen Baula
6 Constantino, Mark Jerico Coloma
7 Cortez, Genron Bonifacio
8 De Mesa , John Lloyd Dabon
9 Derder, Desmond Clay Espineli
10 Duterte, Ivan Jay Medina
11 Edaol, Kyle Luis
12 Enriquez, Wincel Bermejo
Grade Level
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
13 Flores, Troy Espina

14 Harrison, Akintola Olawale Bico
15 Isidro, John Michael Bajar
16 Jalandoni , Justine Beltran
17 Manabat, Vhon Justine S.
18 Miguel , Reymart Sabatin
19 Monton, Mattrain Ace Hermosa
20 Panganiban, Jonathan M.
21 Parico, Sherwin Llenares
22 Quijano, John Gabriel
23 Redondo, Samuel Adona
24 Sarip, Saad B.
25 Uzon, Ferdinand
26 Vidallon, Michael-J Oligan
27 Uzon, Ferdinand
28 Yap, Jan Rhaymond Romualdo
GIRLS
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
1 Burlan, Angela Louise Tungpalan

2 Cielo, Danica Esmar
3 Cruz, Aaliyah Joy Felarca
4 Dairo, Joann Mesia
5 Daniac, Jahzel Lei Acson
6 De Pedro, Shiela Jane De Oro
7 Depusoy , Thea Alexianne Abalos
8 Diaz, Mariel Nicole A.
9 Gabriel, Veronica A.
10 Grijalvo, Jenalyn R.
11 Janier , Joyce Anne G.
12 Magtibay , Princess Nathalie V.
13 Potawan, Norhani Ibrahim
14 Quijano, Gwenael Twila
15 Roscano, Jean Rose
16 Tialengco, Andrea Lugto
17 Varde, Ma. Cristina Labandilo
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:
1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, please provide informatio
A. In Column Date Returned, codes are: FM=Force Majeure, T

B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2
oks Issued and Returned
& Inventory of Textbooks)
2013-2014
Section
III
ct Area & Title
Date
Opal
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
e provide information with the following code:
M=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

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

Date BoSY:____________ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's M
(This replaces Form 3 & STS Form 4-Absenteeism
School ID
Region
Division
School Name
GRADE/
YEAR LEVEL
SECTION
NAME OF ADVISER
REGISTERED
LEARNERS
(As of End of the
Month)
M
ATTENDANCE
Daily Average
M
DROPPED OU
Percentage for the

Month
M
(A) Cumulative as of
Previous Month
M
(B) For the Mon

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
Page _____ of _____ pages
rner's Movement and Attendance
-Absenteeism and Dropout Profile)
District
School Year
DROPPED OUT
B) For the Month

F
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
M
(B) For the Month

M
TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion
(This replaces Forms 18-E1, 18-E2, 18A and List o
Region
School ID
III
Division
107130
School Name
LRN
Olongapo City
School Year
2013-2014
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
Abas, John Michael F.
Promoted
107130100001
107130100010
Alabata, Cromwell Jay A.
Promoted
107130100017
Ampunin, Robert John Jr. B.
Promoted
107130100058
Cayanong, John Paul T.
Promoted
107130100059
Cayosa, Raniel I.
Promoted
107130100077
Del Carmen, Ace Y.
Promoted
107126100127
Edaol, Jeric A.
Promoted
107130100101
Figueroa, Justin Oliver B.
Promoted
107130100129
Ignacio, Christian Earl B.
Promoted
10
107130100133
Jalandoni, John Lester J.
Promoted
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
11
107130100138
Kapili, David Ramon B.
Promoted
12
107130100143
Lagbas, Jasper B.
Promoted
13
107130100161
Mapa, Jhefferson G.
Promoted
14
107130100182
Orias, Angel A.
Promoted
15
107130100187
Panara-ag, Jamel D.
Promoted
16
107130100190
Pangcatan, Ali R.
Promoted
17
107130100216
Roscano, Jhon Andrei L.
Promoted
18
107125100251
San Jose, Karlo Eury
Promoted
19
107129100267
Sarmiento, John Vincent M.
Promoted
20
107130100239
Solomon, Gian F.
Promoted
21
107130100241
Sunga, Alcel Benedict A.
Promoted
22
107130100247
Tismo, John Lawrence I.
Promoted
23
107130100250
Turno, Rain A.
Promoted
23
TOTAL MALE
107130100035
Bautista, Bea Camel S.
Promoted
107130100039
Bellones, Jomara L.
Promoted
Calma, Joeljen G.
Promoted
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Didaagun, Raica S.
Promoted
Flores, Roanne A.
Promoted
Galuyo, Andrea Lee M.
Promoted
Gloria, Sarah A.
Promoted
107130100126
Hipolito, Lizette
Promoted
107130100158
Magdamit, Mhee Anne E.
Promoted
10
106940090048
Magno, Ruby Genn C.
Promoted
11
107130100160
Maniago, Norilyn M.
Promoted
12
Nogalada, Angela D.
Promoted
13
107130100177
107130100188
Panara-ag, Nashannah A.
Promoted
14
136658100287
Perozo, Francine Gayle Ayeka
Promoted
15
107130100208
Rocero, Rachelle Anne M.
Promoted
16
107130100220
Sabatin, Coolin Jasmin D.
Promoted
17
107130100230
Sarip, Sumaya B.
Promoted
18
107130100237
Solis, Nikki
Promoted
19
107130100238
Solomon, Aliyah Joy A.
Promoted
20
107130100259
Yap, Precious Love M.
Promoted
107124100263
107130100102
6
7
105144100245
107130100114
LRN
20
43
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Promotion & Level of Proficiency
E2, 18A and List of Graduates)
District
014
Curriculum
Grade Level
II
Basic Education
Three
Section
Sapphire
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
23
20
43
IRREGULAR
RETAINED
(This

LEVEL OF PROFICIENCY
MALE
FEMALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
PREPARED BY:
DOLORES N. DAYAO
TOTAL
(This


Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:

ELVIRA S. CORPUZ
School Head
REVIEWED BY:

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.
(This


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
School Form 5: Page ____ of ________
School Form 6 (SF6)
Summarized Report on Promotion and Level of Prof

(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
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%
-89%)
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.
4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
f Proficiency
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
School Form 7 (SF7) School Personnel Assignment List and

(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
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 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 ap
contract/document: Teach
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
GUIDELINES:
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an updated Form 19 must be subm
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.
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.
t List and Basic Profile
Assignment List,
Teachers)
School Year
(C ) Other Appointments and Funding Sources
esignation
(as it appears in the

ct/document: Teacher, Clerk, Security
uard, Driver etc.)
Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO's etc.)
specify)
Number of Incumbent
Teaching
NonTeaching
Daily Program (time duration)

Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH/
F)
From
(00:00)
Remarks (For Detailed

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

Assignments
DAY
(M/T/W/TH/
F)
From
(00:00)

Total Actual
-Ethnicity)
per Week

Assignments
DAY
(M/T/W/TH/
F)
From
(00:00)

Total Actual
-Ethnicity)
per Week

Submitted by:
rm 19 must be submitted to the Division

Updated as of: ___________________________
School Form 7, Page ___ of ________
School ID
School Year
Name of School
(Last Name,
MALE | TOTAL Per Day
TH
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 mon
a. Percentage of
Enrolment as of 1st Friday of the school y
Average
Daily
b.
Attendance
Number of School Days in reporting mon
=
c. Percentage of Attendance f
Registered Learners as of end of the mon
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 S
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
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
School Form 2 : Page ___ of ________
School Form 2 (SF2) Dai
(This replaces Form 1, Form 2 &
chool Year
(1st row for date)

M
TH
e.
d Learners as of end of the month

as of 1st Friday of the school year
of School Days in reporting month
d Learners as of end of the month
cording of summary table into School Form 4. Once signed by the principal, this form should
earner/s who were absent for 5 consecutive days and/or those at risk of dropping out.
x 100
x 100
Form 2 (SF2) Daily Attendance Report of Learners
This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

Grade Level
row for date)
TH
TH
1. CODES FOR CHECKING ATTENDANCE

(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)
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)
Section
Total for the Month
T
TH
ABSENT
TARDY
REMARKS (If DROPPED OUT, state reason

If TRANSFERRED IN/OUT, write
Month:
No. of Days of Classes:
or Cutting Classes)
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)

Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students absent for 5 consecutive days:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
(Signature of Teacher over Printed Name)

Attested by:
DROPPED OUT, state reason, please refer to legend number 2.

TRANSFERRED IN/OUT, write the name of School.)
Summary
M
ne)
(beyond cut-off)
month
e month
onth
tive days:
TOTAL
ool Head over Printed Name)

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School ID

ANASTACIO, LUCKY RUNDINA

BALAGA, JUDE YRO BESA

BARTOLOME, ANTHONY REYES

BASA, JUSTIN JAY SATORRE

CALLOS, LAURENCE LAURENTE

CANAPATI, JOSHUA RAMAT

CASCO JR, CARLOS ALONZO

CAYANONG, JUSTINE TEPASI

CEREZO, MIGUEL ZAMORA

CIELO, ADRIAN CAMPOMANES

ESCAMILIAN, JOHN MARVIN ADOL

ESTEBAN, GABRIEL DELOS REYES

GREGORIO, JEROME RYAN ABALAYAN

JIMENEZ JR, ARIEL PATINO

LAGRIMAS, LIAN GABRINO

LONGGA, CRISTIAN JAY RODASTE

MACARONSING, JALIL PAMPA

PACALUNDO, JONAID MUSTHAPA

PINEDA, HAROLD SOLAJER

POTAZO, JAYRICHO VIODOR

RAQUINO, KYLE CYRUS PRIVADO

ROSALES, GABRIEL RAY ALIDON

SANTILLAN, HARVY FABILINIA

ALFANTE, JENNYLYN TATOY

BANSIL, PRINCESS JOECIEN SOLA

SILAO, MARYLON NABOR

List and Code of Indicators under REMARK

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

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

Reason and Effectivity Date

School Form 1 (SF 1) School Register

cuhan Elementary School

House #/ Street/ Sitio/

1527 Tabacuhan Rd.

House #/ Street/ Sitio/

1448 Tabacuhan Rd.

1478 Tabacuhan Rd.

1561 Tabacuhan Rd.

House #/ Street/ Sitio/

1344 Tabacuhan Rd.

1432 Tabacuhan Rd.

1448 Tabacuhan Rd.

1539 Tabacuhan Rd.

1432 Tabacuhan Rd.

House #/ Street/ Sitio/

1478 Tabacuhan Rd.

1492 Tabacuhan Rd.

1476 Tabacuhan Rd.

Holy Spirit Tabacuhan

1551 Tabacuhan Rd.

1561 Tabacuhan Rd.

Holy Spirit Tabacuhan

House #/ Street/ Sitio/

House #/ Street/ Sitio/

1527 Tabacuhan Rd.

1472 Tabacuhan Rd.

1426 Tabacuhan Rd.

1386 Tabacuhan Rd.

House #/ Street/ Sitio/

1432 Tabacuhan Rd.

1495 Tabacuhan Rd.

1448 Tabacuhan Rd.