AGE as of 1st

Friday of June
LRN

108425090062
108537090246

NAME
(Last Name, First Name, Middle Name)

Regondola, Jan Axel Nicoleson G.

Rey, Richard G.

Sex (M/F)

M
M

108425090063

Rodriguez, Lorence R.

108425090064

Sabas, John Carlos A.

108425090065

Saligumba, Yancy E.

108425090066

Salvador, John Martin L.

108425090071

Sibug, Mel Jovert L.

108425090072

Soriano, Jomarie D.

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

108425090076
108425090004

NAME
(Last Name, First Name, Middle Name)

Varron, Mark Anthony D.

Abendao, Jessielyn

Sex (M/F)

M
F

Ballaran, Angelica

108425090016

Bolingot, Aira G.

108425090023

Canuto, Micaela H.

108425090026

Denore, Ramelyn Jane M.

108425090035

Fule, Edcel G.

108425049

Maritana, Kayla R.

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

108425090052
108425090061
108425090069
108425120092
108971090172
108425090077
10842990267
108425090078

NAME
(Last Name, First Name, Middle Name)

Morillo,Michelle V.
Quintana, Archielyn M.
Sante, Ella Mayvhille
Saylones, Dienisse Danielle
Sotomayor, Angelica D.
Verano, Lorea D.
Vicente, Kate Ann F.
Villareal, Althea R.

Sex (M/F)

F
F
F
F
F
F
F
F

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

108425090079

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

Villareal, Joan F.

List and code of Indicators under REMARK column

Indicator

Code

Required Information

Indicator

Transferred Out

T/O

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

CCT Recipient

Transferred IN
Dropped
Late Enrollment

T/I
DRP
LE

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

Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)

Balik-Aral
Learner With Dis
Accelarated

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

Code

With Dissability

RELIGION
House # / Street/Sitio/
Purok

Barangay

Required Information

CCT

CCT Control/reference number & Effectivity Date

B/A
LWD
ACL

Name of school last attended & Year

Specify
Specify Level & Effectivity Data

Municipality/ City

NAME OF PARENTS

Province

Father (1st name only if family

name identical to learner)

Mother (Maiden: 1st Name, Middle &

Last Name)

GUARDIAN (If not Parent)

Name

Relationship

NAME OF PARENTS

Province

Father (1st name only if family

name identical to learner)

Mother (Maiden: 1st Name, Middle &

Last Name)

GUARDIAN (If not Parent)

Name

Relationship

NAME OF PARENTS

Province

Father (1st name only if family

name identical to learner)

Mother (Maiden: 1st Name, Middle &

Last Name)

GUARDIAN (If not Parent)

Name

Relationship

NAME OF PARENTS

Province

Father (1st name only if family

name identical to learner)

BoSY

EoSY

GUARDIAN (If not Parent)

Mother (Maiden: 1st Name, Middle &

Last Name)

Name

Prepared by:

MALE
(Signature of Adviser over Printed Name)

FEMALE
TOTAL

BoSY Date:

EoSYDate:

Relationship

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:

Republic of the Philippin

Department of Educati
Region 1
Division of Pangasinan
MANGALDAN NATIONAL HIGH
Mangaldan, Pangasina

School Form 2 (SF2) Daily Attendance Repo

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dro

School ID

108425

School Year

2013-2014

Repor

Name of School MAGSAYSAY ELEMENTARY SCHOOL

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

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

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)

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

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

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 =

1. CODES FOR CHECKING AT

blank- Present; (x)- Absent; Ta

Commer, Lower for Cutting Clas

x 100

2. REASONS/CAUSES OF DRO
a. Domestic-Related Factors

a.1. Had to take care of siblings

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

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

Average Daily Attendance =

c. Percentage of Attendance for the month =

Number of School Days in reporting month

Average daily attendance
Registered Learner as of End of the month

x 100

a.2. Early marriage/pregnancy

a.3. Parents' attitude toward sch
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

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 classro
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home an

d.2. Armed conflict (incl. Tribal w

School Form 2: Page 2 of ________

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

of the Philippines
ent of Education
Region 1
of Pangasinan II
ATIONAL HIGH SCHOOL
an, Pangasinan

endance Report of Learners

m 4 - Absenteeism and Dropout Profile)

Report for the Month of

Grade Level
Day: M,T,W,TH,F)

IV

Section

1 (M. ROXAS)
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.)

Day: M,T,W,TH,F)

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.)

Total for the Month

Day: M,T,W,TH,F)

CODES FOR CHECKING ATTENDANCE

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

REASONS/CAUSES OF DROP-OUTS
Domestic-Related Factors

1. Had to take care of siblings

ABSENT

Month:

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to

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

No. of Days of Classes:

Summary for the Month

M

* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month

TOTAL

Day: M,T,W,TH,F)

2. Early marriage/pregnancy
3. Parents' attitude toward schooling

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to

legend number 2.
If
TRANSFERRED
IN/OUT, write the name of School.)
ABSENT
TARDY
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month
Average Daily Attendance

Individual-Related Factors

Percentage of Attendance for the month

Number of students with 5 consecutive days of absences:

5. Poor academic performance

6. Lack of interest/Distractions

Drop out
Transferred out

School-Related Factors

Transferred in

2. Physical condition of classroom

Geographic/Environmental
1. Distance between home and school

I certify that this is a true and correct report.

2. Armed conflict (incl. Tribal wars & clanfeuds)

(Signature of Teacher over Printed Name)

3. Calamities/Disasters
Attested by:
(Signature of School Head over Printed Name)

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & T

Date
Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & T

Date
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 copy/ies of this form may use if needed.

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

A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/D

B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner
prepared letter/report duly noted by School Head for submission to School Property
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.

Subject Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

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

Date
Returned

Issued

Returned

Subject Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

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

Date
Returned

ide information with the following code:

M=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

re: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
5, s.2003, DO#14, 2.2012.

Issued

Returned

Prepared By:

(Signature over printed name)

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

Republic of the Philippines

Department of Education
Region 1
Division of Pangasinan II
MANGALDAN NATIONAL HIGH SCH
Mangaldan, Pangasinan
School Form 4 (SF4) Monthly Learner's Movement
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region
School ID

IV-A

Division

Laguna

108425

School Name

Magsaysay Elementary School

ATTENDANCE
GRADE/
YEAR
LEVEL

NAME OF ADVISER

SECTION

REGISTERED
LEARNER
(As
of End of the Month)

M
ROSE MAY G. CANINDO

IV

1 (ROXAS)

Daily Average
M

DROPPED OUT

Percentage for the

Month
M

(A) Cumulative as of
Previous Month
M

(B) For the Month

M

(A+B) Cumulative
End of 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 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.

of the Philippines
ment of Education
Region 1
of Pangasinan II
ATIONAL HIGH SCHOOL
dan, Pangasinan
Learner's Movement and Attendance

TS Form 4-Absenteeism and Dropout Profile)

District San Pedro

School Year

2013-2014

DROPPED OUT

Report for the Month of

TRANSFERRED OUT

(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
T

(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

mmary column per grade/year level.

Prepared and Submitted by:

(Signature of School Head over Printed Name)

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
Elementary grades level t

Completed as of end of c
108425090063

Rodriguez, Lorence R.

108425090064

Sabas, John Carlos A.

108425090065

Saligumba, Yancy E.

108425090066

Salvador, John Martin L.

108425090071

Sibug, Mel Jovert L.

108425090072

Soriano, Jomarie D.

108425090076

Varron, Mark Anthony D.

Total Male

108425090004

Abendao, Jessielyn
Ballaran, Angelica

108425090016

Bolingot, Aira G.

108425090023

Canuto, Micaela H.

108425090026

Denore, Ramelyn Jane M.

108425090035

Fule, Edcel G.

108425049

Maritana, Kayla R.

108425090052

Morillo,Michelle V.

108425090061

Quintana, Archielyn M.

108425090069

Sante, Ella Mayvhille

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
Elementary grades level t

Completed as of end of c
108425120092

Saylones, Dienisse Danielle

108971090172

Sotomayor, Angelica D.

108425090077

Verano, Lorea D.

10842990267

Vicente, Kate Ann F.

108425090078

Villareal, Althea R.

108425090079

Villareal, Joan F.

TOTAL FEMALE
COMBINED

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

PREPARED BY:
ROSE MAY G. CANINDO
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

RENANTE R. SORIANO
School Head
(Name and Signature)

REVIEWED BY:

(Name and Signature)

Division Representative
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per subject area should
be taken from the record of subject teacher. The class adviser should
make the computation of General Average.

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

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.
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 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 ____2____

Republic of the Philippines

Department of Education
Region 1
Division of Pangasinan II
MANGALDAN NATIONAL HIGH SCHOOL
Mangaldan, Pangasinan
School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced Form 20)

School ID

Region

108425

School Name

IV-A

MAGSAYSAY ELEMENTARY SCHOOL

GRADE 1 /GRADE 7

GRADE 2 / GRADE 8

GRADE 3 / GRADE 9

Division

LA

District

SAN

GRADE 4 / GRADE 10

GRADE 5 / GRADE 1

SUMMARY TABLE
MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY

Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
Nos. of APPROACHING
PROFICIENCY

(B:
(D:

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

(P:

Nos. of ADVANCED
90% and above)

(A:

TOTAL

Prepared and Submitted by:

RENANTE R. SORIANO
SCHOOL HEAD

Reviewed & Validated by:

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 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

the Philippines
nt of Education
egion 1
Pangasinan II
IONAL HIGH SCHOOL
n, Pangasinan

marized Report on Promotion

of Proficiency

placed Form 20)

LAGUNA
SAN PEDRO

GRADE 5 / GRADE 11

School Year

GRADE 6 / GRADE 12

2013-2014

TOTAL

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

r to reflect the result in each data field.

SCHOOLS DIVISION SUPERINTENDENT

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

Subject Taught (include

Grade & Section), Advisory
Class & Other Ancillary
Assignment

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

Subject Taught (include

Grade & Section), Advisory
Class & Other Ancillary
Assignment

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.

* Daily Program (time duration)

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

From
(00:00)

Remark/s (For Detailed

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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)

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

From
(00:00)

Remark/s (For Detailed

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

Submitted by:

(Signature of School Head over Printed Name)

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