Beruflich Dokumente
Kultur Dokumente
School ID
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
Code
Required Information
Transferred Out
T/O
Transferred IN
T/I
Dropped
Late Enrollment
DRP
LE
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
Code
Required Information
Transferred Out
T/O
Transferred IN
T/I
Dropped
DRP
LRN
Late Enrollment
NAME
(Last Name, First Name, Middle Name)
LE
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
(This replace Form 1, Master List & STS Form 2-Family Background and Profile
Division
School Year
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Code
Required Information
CCT Recipient
CCT
Balik-Aral
B/A
LWD
Specify
Accelarated
ACL
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Code
Required Information
CCT Recipient
CCT
Balik-Aral
B/A
LWD
Specify
BIRTH
PLACE
(Province)
Accelarated
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ACL
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
chool Register
District
Grade Level
DDRESS
Municipality/ City
Section
NAME OF PARENTS
Province
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province
Mother (Maiden)
Name
DDRESS
Municipality/ City
ectivity Date
NAME OF PARENTS
Province
BoSY
MALE
FEMALE
TOTAL
EoSY
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province
Mother (Maiden)
Name
DDRESS
Municipality/ City
ectivity Date
NAME OF PARENTS
Province
BoSY
EoSY
Mother (Maiden)
Name
Prepared by:
MALE
FEMALE
TOTAL
DDRESS
Municipality/ City
NAME OF PARENTS
Province
TOTAL
Mother (Maiden)
Name
Date:_________________________________
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
Certified Correct:
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
______________ Date:__________________________________________________
_________
School ID
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
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.
x 100
x 100
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
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.
5. 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
Month Reporting
Grade Level
Section
Total for the
Month
ABSENT
TARDY
TARDY
TARDY
L E G E N D:
1. CODES FOR CHECKING ATTENDANCE
blank- Present; (x)- Absent; Tardy (half shaded=
Upper for Late Comer, Lower for Cutting Classes)
Month:
No. of Days of
Classes:
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
b. Individual-Related Factors
b.1. Illness
TOTAL
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 & clan
feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
School ID
School Year
School Name
Grade Level
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Section
ct Area &
Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Returned
ct Area &
Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Returned
ct Area &
Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Returned
ct Area &
Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Returned
Prepared By:
School ID
Region
Division
School Name
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
ELEMENTARY/SECONDARY:
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
F
Average
DROPPED
Percentage
(A) Cumulative
as of Previous
Month
M
(B) For th
Month
M
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 Form 1 submitted by the teachers/advisers to update figures fo
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
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, t
accomplish the summary column per grade/year level.
District
School Year
OPPED OUT
Month Reporting
TRANSFERRED OUT
(A+B)
Cumulative as
of End of the
Month
M
(A) Cumulative
as of Previous
Month
M
TRANSFERRED IN
(A+B)
Cumulative as
of End of the
Month
M
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
M
Region
VI
114920
School ID
2013-2014
School Year
School Name
LRN
AKLAN
Division
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)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Completed as
114920100001
85.200
PROMOTED
114920100003
86.800
PROMOTED
114920100004
80.20
PROMOTED
114920100005
Alovera, Arcel
Torreblanca
86.000
PROMOTED
114920100007
82.00
PROMOTED
114920100008
81.80
PROMOTED
114920100010
80.00
PROMOTED
114920100015
Crispino, Lj Val
82.00
PROMOTED
114920100017
81.80
PROMOTED
114920100026
80.40
PROMOTED
Alovera
Laurdaus
remaining RB
implem
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)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Completed as
114920130034
86.400
PROMOTED
114920100061
85.80
PROMOTED
12
TOTAL MALE
remaining RB
implem
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)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Completed as
114920100009
83.60
PROMOTED
114920100011
81.40
PROMOTED
114920100016
81.80
PROMOTED
114920100018
86.000
PROMOTED
114753100027
81.40
PROMOTED
114920100090
86.800
PROMOTED
114920100036
Malumay, Aleah
82.40
PROMOTED
114920100037
84.80
PROMOTED
114920100041
84.20
PROMOTED
114920100042
Milloroso, Monaliza
Marcelo
82.40
PROMOTED
114920100043
87.200
PROMOTED
114920100045
87.800
PROMOTED
114920100048
86.600
PROMOTED
114920100055
83.20
PROMOTED
114920100057
79.00
PROMOTED
114920100059
79.80
PROMOTED
114920100067
86.800
PROMOTED
Estolloso
Placencia
Malumay
Baltazar
Silvestre
remaining RB
implem
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
17
TOTAL FEMALE
29
COMBINED
GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
E2, 18A)
District
NUMANCIA
Curriculum
Grade Level
BEC
THREE
RAMBUTAN
Section
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
SUMMARY TABLE
MALE
FEMALE
TOTAL
12
17
29
PROMOTED
IRREGULAR
RETAINED
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and
below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP:
80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
FEMALE
TOTAL
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
Prepared by:
JOYCE I. CAWALING
Class Adviser
(Name and Signature)
Certified Correct and Submitted:
RAMIE T. MANSAYON
School Head
(Name and Signature)
Reviewed by:
RITA M. REY
( Name and Signature)
Division Representative
GUIDELINES:
1. For All Grades Level
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
School ID
Region
Division
School Name
SUMMARY TABLE
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
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:
School Head
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Leve
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
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP.
Division
District
RADE 10
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
Noted by:
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignmen
Form 29-Teacher Program and Form 31-Summary Information of Teachers
School ID
School Name
Region
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
Division
District
Number of Incumbent
Number of
Incumbent
Nature of Appoin
(Contractual, Subs
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
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 duri
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
lowest. This form shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only.
19-Assignment List,
on of Teachers)
School Year
(C) Other Appointments and Funding Sources
Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)
Fund Source
(SEF, PTA, NGO's etc.)
Number of Incumbent
Teaching
Non-Teaching
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)