School Forms Spread Sheet

School ID
Region
107168
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
CAMP OLIVAS ELEMENTARY
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday of
June
(nos. of
years as per
last
birthday)
1 107168090006
Aquino, Kiannu Royce Edloy
1/20/04
11
2 106298090009
Canlas, Ivan Torres
6/13/04
10
3 107168090027
Chico, Ernan Jake Supan
3/15/04
11
4 107168090028
Codilla, Jorge Ricomelo Nicole Ramos
4/13/04
11
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday of
June
(nos. of
years as per
last
birthday)
Cuenco Jr., Rolando Santos
12/27/03
11
6 107168090031
David, Jasher Aron Vasquez
1/10/03
12
7 105924090057
Dizon, Oliver Angat
6/6/04
11
8 107168090048
Ferrer, Arnold De Paz
12/10/02
12
9 107168090058
Jota III., Jianscen Eduard Dayao
8/10/04
11
10 107176120391
Lopez, Jhustine Vien
5/9/04
11
11 106302090036
Manaloto, Jascha Simbul
9/30/03
11
12 107176090157
Miclat, Joven Razon
8/17/04
10
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday of
June
(nos. of
years as per
last
birthday)
13 107168090069
Mora, Daniel Sanchez
7/27/00
14
14 107168090073
Nario, Marc Joshua
5/25/04
11
15 107168090078
Opolinto, Jay-ar Del Rosario
8/11/03
11
16 107168090079
Orellaneda, Kiel Kiezer Bundalian
8/11/04
10
17 107168090086
Pangilinan, Jan Wency Balingit
5/8/04
11
18 107168090090
Ponsaran, Adrian Cyrus Sivillano
12/29/03
11
19 107168090101
Sambat, Michael Lloyd Aana
12/19/03
11
20 107168140001
Tabelisma, Kade Japeth
10/2/03
11
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday of
June
(nos. of
years as per
last
birthday)
21 107168090107
Taduran, Paul Bon
5/4/04
11
22 1071680901100
Tupaz, Mark Angelo Ponsaran
7/7/02
12
23 107168090115
Venzon, Rusty Dela Cruz
10/17/02
12
24
107168090120
Zamboanga, Michael Angelo Santos
9/28/03
11
107168090004
Ancheta, Katrina Mae Vallero
7/22/03
11
26 107168090025
Castro, Jananeah Fernandez
7/1/04
10
27 107168090033
David, Luisa Angeline Taeza
12/15/03
11
28 159024090019
Gado, Rochelle
6/5/03
12
25
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday of
June
(nos. of
years as per
last
birthday)
29 107168090065
Medina, Princess Jenoel Aliya
2/28/04
11
30 107168090067
Miranda, Izzy Jane Capajo
8/11/03
11
31 107168090074
Ocampo, Jerica Mamaradlo
10/11/03
11
32 107168090080
Ortega, Mica Deausin
5/8/02
13
33 107168140002
Repol, Ira Mae Milagracia
8/2/04
11
34
Sacdalan, Nicole Adriano
8/31/03
11
35 107168090106
Soria, Ruffa Tan
4/8/03
12
36 107168090109
Tullao, Alyssa Mae Valdez
6/2/04
11
107168090099
NAME
LRN
37 107168090117
Yabut, Angelica Tremor
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday of
June
(nos. of
years as per
last
birthday)
7/3/03
38
39
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)
11
School Form 1 (SF 1) School Register

(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
III
Division
City of San Fernando (P)
ELEMENTARY
BIRTH PLACE
(Province)
School Year
IP
(Specif
MOTHER TONGUE
y
Ethnic
Group)
2015- 2016
ADDRESS
RELIGION
House # / Street/Sitio/
Purok
Barangay
Pampanga
Tagalog
BAC
Sta. Monica
San Nicolas
Pampanga
Tagalog
Catholic
Sta. Monica
San Nicolas
Pampanga
Kapampangan
Catholic
San Nicolas
Pampanga
Tagalog
Catholic
San Matias
BIRTH PLACE
(Province)
IP
(Specif
MOTHER TONGUE
y
Ethnic
Group)
ADDRESS
RELIGION
Purok
Barangay
Pampanga
Tagalog
Catholic
Moras Dela Paz
Pampanga
Kapampangan
BAC
Moras Dela Paz
Pampanga
Kapampangan
Catholic
San Nicolas
Pampanga
Tagalog
Catholic
Pampanga
Tagalog
Catholic
Moras Dela Paz
Pampanga
Kapampangan
Moras Dela Paz
Pampanga
Kapampangan
Catholic
Saksi ni
Jehovah
Pampanga
Kapampangan
Catholic
San Nicolas
Sta. Monica
San Nicolas
San Matias
BIRTH PLACE
(Province)
IP
(Specif
MOTHER TONGUE
y
Ethnic
Group)
ADDRESS
RELIGION
Purok
Barangay
Pampanga
Kapampangan
Catholic
Sta. Monica
San Nicolas
Sorsogon
Tagalog
Catholic
Sta. Monica
San Nicolas
Pampanga
Tagalog
Catholic
Moras Dela Paz
Pampanga
Kapampangan
Catholic
San Nicolas
Pampanga
Kapampangan
Catholic
Moras Dela Paz
Pampanga
Tagalog
Catholic
Moras Dela Paz
Pampanga
Kapampangan
Catholic
Quezon City
Tagalog
Catholic
Olivas Subd.
San Nicolas
San Nicolas
BIRTH PLACE
(Province)
IP
(Specif
MOTHER TONGUE
y
Ethnic
Group)
ADDRESS
RELIGION
Purok
Sta. Monica
Barangay
Pasay City
Tagalog
Catholic
San Nicolas
Pampanga
Kapampangan
Catholic
Moras Dela Paz
Pampanga
Tagalog
Catholic
Moras Dela Paz
Pampanga
Tagalog
Catholic
Olivas Subd.
San Nicolas
Pampanga
Tagalog
Catholic
Tagulod
San Nicolas
Pampanga
Kapampangan
Catholic
Pirsa
Pandaras
Quezon City
Tagalog
Catholic
Sta. Monica
San Nicolas
Pampanga
Tagalog
Catholic
Olivas Subd.
San Nicolas
BIRTH PLACE
(Province)
IP
(Specif
MOTHER TONGUE
y
Ethnic
Group)
ADDRESS
RELIGION
Purok
Barangay
Pampanga
Tagalog
Catholic
Moras Dela Paz
Pampanga
Tagalog
Catholic
Tagulod
San Nicolas
Pampanga
Tagalog
Catholic
Sta. Monica
San Nicolas
Pampanga
Kapampangan
Catholic
Samar
Tagalog
Catholic
Pampanga
Kapampangan
Catholic
Pampanga
Tagalog
Catholic
Pampanga
Kapampangan
Catholic
Moras Dela Paz

Olivas Subd.
San Nicolas
San Nicolas
Sta. Monica
San Nicolas
San Nicolas
BIRTH PLACE
(Province)
Pampanga
IP
(Specif
MOTHER TONGUE
y
Ethnic
Group)
Kapampangan
ADDRESS
RELIGION
Purok
Catholic
Barangay
Moras Dela Paz
CCT Recipient
CCT CCT Control/reference number & Effectivity Date
Balik-Aral
B/A Name of school last attended & Year
Learner With Dissability
LWD Specify
Accelarated
ACL Specify Level & Effectivity Data
egister
und and Profile)
o (P)
District
2015- 2016
Grade Level
East
Six
ADDRESS
Section
NAME OF PARENTS
Father (1st name only if

family name identical to
learner)
Mother (Maiden: 1st Name, Middle & Last

Name)
Municipality/ City
Province
City of San Fdo.
Pampanga
City of San Fdo.
Pampanga
Noli
Evelyn Bazan Torres
City of San Fdo.
Pampanga
Ernani
Jackilou C .Supan
Sto. Tomas
Pampanga
Recumelo
Merlyn Lantano Ramos
Ruby Lissa Aquino
Earth
GUARDIAN (If not Parent)
Name
ADDRESS
Municipality/ City
NAME OF PARENTS
Province

learner)

Name)
Sto. Tomas
Pampanga
Rolando
Diana C. Santos
Sto. Tomas
Pampanga
Enrique
Annalyn Carreon Vasquez
City of San Fdo.
Pampanga
Orley
Arlene Cordova Angat
City of San Fdo.
Pampanga
Armando
Camila T. De Paz
Sto. Tomas
Pampanga
Eduardo
Jasceth B. Dayao
Sto. Tomas
Pampanga
Sto. Tomas
Pampanga
Hermenegildo
Marissa Santos Simbul
City of San Fdo.
Pampanga
Rico
Lany Tapnio Razon
Jasmin Palad Lopez
Name
Anthony
Manaloto
ADDRESS
NAME OF PARENTS

learner)

Name)
Municipality/ City
Province
City of San Fdo.
Pampanga
City of San Fdo.
Pampanga
Sto. Tomas
Pampanga
Judigil
Leonisa Fernando Del Rosario
Sto. Tomas
Pampanga
Erwin
Verkist Bundalian
Sto. Tomas
Pampanga
Aldwin
Catherine Yambao Balingit
Sto. Tomas
Pampanga
City of San Fdo.
Pampanga
Romer
Analyn Montemayor Aana
City of San Fdo.
Pampanga
Ricardo
Name
Angelita Reyes Sanchez

Anicia Rodriguez Nario
Arnani A. Cruz
Jestine E. Tabelisma
Percival
Tabelisma
ADDRESS
NAME OF PARENTS

learner)

Name)
Municipality/ City
Province
City of San Fdo.
Pampanga
Zaldy
Maritess Mabisao Bon
Sto. Tomas
Pampanga
Ronald
Mary Jane Manaloto Ponsaran
Sto. Tomas
Pampanga
Ronnie
Cristina M. Dela Cruz
City of San Fdo.
Pampanga
Sonny
Lanie Garcia Santos
City of San Fdo.
Pampanga
Ronnie
Crictina Facun Vallero
City of San Fdo.
Pampanga
Abelardo
Catherine Rosalejos Fernandez
City of San Fdo.
Pampanga
Lenard
Maureen Joy Garcia Taeza
City of San Fdo.
Pampanga
Edeliza A. Gado
Name
ADDRESS
Municipality/ City
NAME OF PARENTS
Province

learner)

Name)
Sto. Tomas
Pampanga
Emmanuel
Jennifer Bugayong Jota
City of San Fdo.
Pampanga
Romel
Janet Manaloto Capajo
City of San Fdo.
Pampanga
Ericson
Jennifer Due Mamaradlo
Sto. Tomas
Pampanga
Orbanito
Rowena Anquera Deausin
City of San Fdo.
Pampanga
City of San Fdo.
Pampanga
Eduardo
Julie Sangil Adriano
City of San Fdo.
Pampanga
Rafael
Rosemarie Oliva Tan
City of San Fdo.
Pampanga
Jeffrey
Lea S. Valdez
Mernie H. Milagracia
Name
Teresita Jota
ADDRESS
NAME OF PARENTS
Municipality/ City
Sto. Tomas
Province
Pampanga
MALE

learner)
Charlie
24

Name)
Name
Norma O. Tremor
MICHELLE M. DAYRIT
(Signature of Adviser over Printed Name)
FEMALE
TOTAL
13
37
BoSY Date: 6/01/15 EoSYDate:
Earth
N (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationship
9273661026
(Please refer to the

legend on last
page)
N (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationship
9323756884
9056188295
Brother
9493410200
9351662091

legend on last
page)
N (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationship
9174576479
9109886398
Uncle
9996506089

legend on last
page)
N (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationship
9995804922
9994047172
9332981160
9367943818
9999468882

legend on last
page)
N (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationship
Grandmother
9363526467
9356677030
9996515171
9494389384
9278417534

legend on last
page)
N (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationship

legend on last
page)
9066055341
FELISA T. CABAOBAS
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attend
(This replaced Form 1, Form 2 & STS Form 4 - A
107168
School Year
Name of School
(1st row for date, 2nd row for Day: M,

17
18
19
TH
16
13
12
11
10
TH
3
T
TH
LEARNER'S NAME
1 Aquino, Kiannu Royce Anciade
2 Chico, Ernan Jake Supan
3 Canlas, Ivan Torres
4 Codilla, Jorge Ricomelo Nicole Ramos
5 Cuenco Jr., Rolando Santos
6 David, Jasher Aron Vasquez
7 Dizon, Oliver Angat
8 Ferrer, Arnold De Paz
9 Jota III., Jianscen Eduard Dayao
10 Lopez, Jhustine Vien
11 Manaloto, Jascha Timbol
12 Miclat, Joven Razon
13 Mora, Daniel Sanchez
14 Nario, Mark Joshua
15 Opolinto, Jay-Ar Del Rosario
2015- 2016
School ID
16 Orellaneda, Kiel Kiezer Bundalian

17 Pangilinan, Jan Wency Balingit
18 Ponsaran, Adrian Cyrus Sivillano
19 Sambat, Michael Lloyd Anana
20 Tabelisma, Kade Japeth
21 Taduran , Paul Bon
22 Tupaz, Mark Angelo Ponsaran
23 Venzon, Rusty Dela Cruz
24 Zamboanga, Michael Angelo Santos
25
MALE | TOTAL Per Day
1 Ancheta, Katrina Mae Vallero

2 Castro, Jananeah Fernandez
3 David, Luisa Angeline Taeza
4 Gado, Rochelle
5 Medina, Princess Jenoel Aliya Jota
6 Miranda Izzy Jane Capajo
7 Ocampo, Jerica Mamaradlo
8 Ortega, Mica O
9 Repol, Ira Mae Millagracia
10 Sacdalan, Nicole Adriano
11 Soria, Ruffa Tan
18
19
TH
17
W
16
T
13
M
12
F
11
TH
10
W
9
T
6
M
5
F
4
TH
3
T
LEARNER'S NAME

18
19
TH
17
W
16
T
13
M
12
F
11
TH
10
W
9
T
6
M
5
F
4
TH
3
T
LEARNER'S NAME
12 Tullao, Alyssa Mae Valdez
13 Yabut, Angelica Tremor
14
15
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
1. CODES F
blank- Pres
Commer, Lo
x 100
x 100
2. REASON
a. Domestic
a.1. Had to t
a.2. Early m
a.3. Parents
a.4. Family p
b. Individua
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. Overag
b.3. Death
b.4. Drug Ab
b.5. Poor ac
b.6. Lack of
b.7. Hunger
c. School-R
c.1. Teacher

18
19
TH
17
W
16
T
13
M
12
F
11
TH
10
W
9
T
6
M
5
F
4
TH
3
T
LEARNER'S NAME
c.2. Physica
c.3. Peer inf
d. Geograp
d.1. Distanc
d.2. Armed c
School Form 2: Page 2 of ________
d.3. Calamit
e. Financial
e.1. Child la
f. Others
tendance Report of Learners
m 4 - Absenteeism and Dropout Profile)
Report for the Month of
NOVEMBER
Grade Level
Six
Section
Total for the Month
ay: M,T,W,TH,F)
TH
30
M
27
F
26
TH
25
W
24
T
23
M
20
Earth
ABSENT
TARDY
REMARK/S (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T/I- San Antonio E/S- 6/01/15- Bacolor Pamp.

T/I- San Isidro E/S- 6/01/15- CSFP
T/I- Telapayong E/S- 6/01/15- Arayat Pampanga
Total for the Month
ay: M,T,W,TH,F)
TH
30
M
27
F
26
TH
25
W
24
T
23
M
20
ABSENT
TARDY

number 2.
Total for the Month
ay: M,T,W,TH,F)
Had to take care of siblings

Early marriage/pregnancy
Parents' attitude toward schooling
No. of Days of Classes:
13
Summary for the Month

M
TOTAL
24
13
37
24
13
37
Number of students with 5 consecutive days of absences:
0%
EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors
TH
Month: OCTOBER
TARDY
0%
k- Present; (x)- Absent; Tardy (half shaded= Upper for Late

mer, Lower for Cutting Classes)
ABSENT

number 2.
0%
ODES FOR CHECKING ATTENDANCE
30
M
27
F
26
TH
25
W
24
T
23
M
20
Drop out
Transferred out
Transferred in
* Enrolment as of (1st Friday of June)

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
Family problems
dividual-Related Factors
Illness
Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Average Daily Attendance

Percentage of Attendance for the month
Total for the Month
ay: M,T,W,TH,F)
Physical condition of classroom

Peer influence
eographic/Environmental
Distance between home and school
TH
30
M
27
F
26
TH
25
W
24
T
23
M
20
ABSENT
Transferred in
I certify that this is a true and correct report.
RENALOU L. MANLUCU
Armed conflict (incl. Tribal wars & clanfeuds)
Calamities/Disasters
nancial-Related
Child labor, work
hers
TARDY

number 2.
(Signature of Teacher over Printed Name)

Attested by:
FELISA T. CABAOBAS
School Form 3 (SF3) Books Issued

(This replaced Form 1 & Inventory of Text
School ID
School Name
School Year
107168
ENGLISH FOR YOU
AND ME-LANGUAGE
ENGLISH FORYOU AND

ME-READING
Date
Date
LEARNER'S NAME
NO.
Issued
1
Aquino, Kiannu Royce
Canlas, Ivan T.
3 Chico,
4
Ernan Jake S.
Codilla, Jorge Ricomelo Nicole R.
5 Cuenco
6
David, Jasher Aron V.
7 Dizon,
8
Jr., Rolando S.
Oliver A.
Returned
Issued
III., Jianscen Eduard D.
10
Lopez, Jhustine Vien P.
11
Manaloto, Jascha S.
12 Miclat,
Joven R.
FILIPINO-LANDAS SA
PAGBASA
FILIPINO- LANDAS SA
WIKA
Date
Returned
Issued
Date
Returned
Issued
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
Ferrer, Arnold D.
9 Jota
Grade Level
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
ENGLISH FOR YOU

AND ME-LANGUAGE
ENGLISH FORYOU AND

ME-READING
Date
Date
LEARNER'S NAME
NO.
Issued
13 Mora,
Daniel S.
14 Nario,
Marc Joshua
15 Olleraneda,
Kiel
16 Opolinto,
Jay- ar D.
17 Pangilinan, Jan Wency B.
18
Michael Lloyd A.
paul B.
22
Tupaz, Mark Angelo P.
23
Venzon, Rusty D.
24 Zamboanga,
Michael Angelo S.
TOTAL FOR MALE | TOTAL COPIES
4 David,
Luisa Angeline T
Date
Returned
Issued
Date
Returned
Issued
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
17
Jananeah F.
Gado, Rochelle
FILIPINO- LANDAS SA
WIKA
6/1/2015
Ancheta, Katrina Mae V.
2 Castro,
3
6/1/2015
21 Taduran,
Issued
Ponsaran, Adrian Cyrus S.
19 Sambat,
20
Returned
FILIPINO-LANDAS SA
PAGBASA
12
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
12
12
ENGLISH FOR YOU

AND ME-LANGUAGE
ENGLISH FORYOU AND

ME-READING
Date
Date
LEARNER'S NAME
NO.
Issued
5
Medina, Princess Jenoel Aliya J.
6 Miranda,
Izzy Jane C.
7 Ocampo, Jerica M.
8
Ortega. Mica O.
9 Repol,
10
Ira Mae H.
Sacdalan, Nicole A.
11 Soria,
Ruffa T.
Tullao, Alyssa Mae V.
12
13 Yabut, Angelica
14
15
16
17
18
19
20
21
22
T.
Returned
Issued
FILIPINO-LANDAS SA
PAGBASA
FILIPINO- LANDAS SA
WIKA
Date
Returned
Issued
Date
Returned
Issued
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
ENGLISH FOR YOU

AND ME-LANGUAGE
ENGLISH FORYOU AND

ME-READING
Date
Date
LEARNER'S NAME
NO.
Issued
98
TOTAL FOR FEMALE | TOTAL COPIES
36
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.
Returned
Issued
FILIPINO-LANDAS SA
PAGBASA
FILIPINO- LANDAS SA
WIKA
Date
Returned
Issued
Date
Returned
Issued
In case of losses/unreturned, please provide information w
A. In Column Date Returned, codes are: FM=Force Majeure,

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 Text Book)
2014- 2015
SIX
O- LANDAS SA
WIKA
Section
SCIENCE-INTO THE
FUTURE
Date
EARTH
MATHEMATICS FOR
EVERYDAY LIFE
Date
Returned
Issued
EDUKASYONG
PANTAHANAN AT
PANGKABUHAYAN
Subject Area & Title
Date
Date
Date
Returned
Issued
Returned
Issued
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Returned
O- LANDAS SA
WIKA
SCIENCE-INTO THE
FUTURE
Date
MATHEMATICS FOR
EVERYDAY LIFE
Date
Returned
Issued
EDUKASYONG
PANTAHANAN AT
PANGKABUHAYAN
Date
Date
Date
Returned
6/1/2015
Issued
Returned
Issued
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
12
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
12
12
11
6/1/2015
11
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
Returned
Issued
REMARK/ACTION TAKEN
Returned
O- LANDAS SA
WIKA
SCIENCE-INTO THE
FUTURE
Date
MATHEMATICS FOR
EVERYDAY LIFE
Date
Returned
Issued
EDUKASYONG
PANTAHANAN AT
PANGKABUHAYAN
Date
Date
Date
Returned
Issued
Returned
Issued
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
6/1/2015
Returned
Issued
REMARK/ACTION TAKEN
Returned
O- LANDAS SA
WIKA
SCIENCE-INTO THE
FUTURE
Date
MATHEMATICS FOR
EVERYDAY LIFE
Date
Returned
Issued
EDUKASYONG
PANTAHANAN AT
PANGKABUHAYAN
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
ovide information with the following code:
FM=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
REMARK/ACTION TAKEN
Returned
Prepared By:
MICHELLE M. DAYRIT
(Signature over printed name)
Date BoSY: 6/2/2014 Date EoSY: 3/27/2015
School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absenteeis
Region
Division
School ID
School Name
ATTENDANCE
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Percentage for the

Month
M
(A) Cumulative as of
Previous Month
M
(B) For 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 grad
rner's Movement and Attendance
4-Absenteeism and Dropout Profile)
District
School Year
Report for the Month of
OPPED OUT
For the Month

T
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
umn per grade/year level.
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & L
(This replaced Forms 18-E1, 18-E2, 18A and List of Gradu
Region
School ID
III
Division
107168
10716809006
106298090009
107168090027
107168090028
107168090031
107168090048
107168090058
107176120391
School Year
2015- 2016
Camp Olivas Elem. School
School Name
LRN
CITY OF SAN FERNANDO(P)
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
Aquino, Kiannu Royce

Canlas, Ivan Torres
Chico, Ernan Jake Supan
Codilla, Jorge Ricomelo Nicole Ramos
Cuenco Jr., Rolando Santos
David, Jasher Aron Vasquez
Dizon, Oliver Angat
Ferrer, Arnold De Paz
Jota III., Jianscen Eduard Dayao
Lopez, Jhustine Vien
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor
& Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJ
(This column is f
School. Elementary
Completed as of e
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
LRN
107176090157
107168090069
107168090073
107168090078
107168090079
107168090086
107168090090
107168090101
107168140001
107168090107
1071680901100
107168090115
107168090120
LEARNER'S NAME
(Last Name,
Manaloto, Jascha Simbol

Miclat, Joven Razon
Mora, Daniel Sanchez
Nario, Marc Joshua
Opolinto, Jay-ar Del Rosario
Orellaneda, Kiel Kiezer Bundalian
Pangilinan, Jan Wency Balingit
Ponsaran, Adrian Cyrus Sivillano
Sambat, Michael Lloyd Aana
Taduran, Paul Bon
Tupaz, Mark Angelo Ponsaran
Venzon, Rusty Dela Cruz
Zamboanga, Michael Angelo Santos
GENERAL AVERAGE
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
Completed as of e
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
TOTAL MALE
10716809004
107168090025
Ancheta, Katrina Mae Vallero

Castro, Jananeah Fernandez
INCOMPLETE SUBJ
(This column is f
School. Elementary
PROMOTED
PROMOTED
LRN
107168090033
159024090019
107168090065
107168090067
107168090074
107168090080
107168140002
107168090099
107168090106
107168090109
107168090117
LEARNER'S NAME
(Last Name,
David, Luisa Angeline Taeza

Gado, Rochelle
Medina, Princess Jenoel Aliya
Miranda, Izzy Jane Capajo
Ocampo, Jerica Mamaradlo
Ortega, Mica Deausin
Repol, Ira Mae H
Sacdalan, Nicole Adriano
Soria, Ruffa Tan
Tullao, Alyssa Mae Valdez
Yabut, Angelica Tremor
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJ
(This column is f
School. Elementary
Completed as of e
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
tion & Level of Proficiency

List of Graduates)
District
EAST
Curriculum
BEC
Grade Level
EARTH
Section
LETE SUBJECT/S
column is for K to 12 Curriculum and remaining RBEC in High
Elementary grades level that still implementing RBEC need not to
fill up this column)
ted as of end of current SY
as of End of the current SY

SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
LETE SUBJECT/S

MALE
FEMALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)
PREPARED BY:
MICHELLE M. DAYRIT
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
FELISA T. CABAOBAS
School Head
TOTAL
LETE SUBJECT/S
REVIEWED BY:
MARIA MAGDALENA T. ARCEO

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.
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
5. Protocols of validation & submission will remain under the discretion
of the Schools Division Superintendent
School Form 6 (SF6) Summarized Report on Prom

and Level of Proficiency
(This replaced 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
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
(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:
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 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
Promotion
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
d.
SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and Basi

(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
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
(B) Nationally-Funded Non Teaching Items
Title of Plantilla Position

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

(as appeared
in the appointment document/PSIPOP)
Number of
Incumbent
Title of Designation
(Designation a
contract/document: Teach
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
4340516
MICHELLE M. DAYRIT
Fund Source
Position/ Designation
TEACHER III- JUNE 10,

2008
Identification
Number -T.I.N.)
Sex
NATIONAL
Employee No. Name of School Personnel

(or Tax
(Arrange by Position, Descending)
Nature of
Appointment/
Employment Status
PERMANENT
Degree / Post
Graduate
BEED
Major/ Specialization
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
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 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
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.
and Basic Profile
ent List,
s)
School Year
(C ) Other Appointments and Funding Sources
ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)
Appointment: (Contractual,
Fund Source
Substitute, 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
Assignment
GRADE 6 ADVISER
SIX-EARTH
ENGLISH 6
DAY
(M/T/W/TH/F)
From
(00:00)
MONDAY
7:30
TO FRIDAY
FRIDAY
Remark/s (For Detailed

Items,
Indicate name of
Total Actual
school/office,
For IP's
Teaching Minutes
To (00:00)
-Ethnicity)
Assignment per
Week
4:30
FILIPINO 6-MERCURY
FILIPINO 6- VENUS
FILIPINO 6- EARTH
MSEP 6
ESP 6
Ave. Minutes per Day
300 MINS

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

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

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

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

Submitted by:
Division Office .
ventory list of school personnel.

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

School Forms Spread Sheet

Hochgeladen von

Dokumentinformationen

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

School Forms Spread Sheet

Hochgeladen von

Copyright:

Verfügbare Formate

School ID

CAMP OLIVAS ELEMENTARY

Aquino, Kiannu Royce Edloy

Canlas, Ivan Torres

Chico, Ernan Jake Supan

Codilla, Jorge Ricomelo Nicole Ramos

Cuenco Jr., Rolando Santos

David, Jasher Aron Vasquez

Dizon, Oliver Angat

Ferrer, Arnold De Paz

Jota III., Jianscen Eduard Dayao

Lopez, Jhustine Vien

Manaloto, Jascha Simbul

Miclat, Joven Razon

Mora, Daniel Sanchez

Nario, Marc Joshua

Opolinto, Jay-ar Del Rosario

Orellaneda, Kiel Kiezer Bundalian

Pangilinan, Jan Wency Balingit

Ponsaran, Adrian Cyrus Sivillano

Sambat, Michael Lloyd Aana

Tabelisma, Kade Japeth

Taduran, Paul Bon

Tupaz, Mark Angelo Ponsaran

Venzon, Rusty Dela Cruz

Zamboanga, Michael Angelo Santos

Ancheta, Katrina Mae Vallero

Castro, Jananeah Fernandez

David, Luisa Angeline Taeza

Medina, Princess Jenoel Aliya

Miranda, Izzy Jane Capajo

Ocampo, Jerica Mamaradlo

Ortega, Mica Deausin

Repol, Ira Mae Milagracia

Sacdalan, Nicole Adriano

Soria, Ruffa Tan

Tullao, Alyssa Mae Valdez

Yabut, Angelica Tremor

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

City of San Fernando (P)

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

Moras Dela Paz

CCT CCT Control/reference number & Effectivity Date

B/A Name of school last attended & Year

Learner With Dissability

ACL Specify Level & Effectivity Data

und and Profile)

Father (1st name only if

Mother (Maiden: 1st Name, Middle & Last

City of San Fdo.

City of San Fdo.