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School ID

School Name

LRN

NAME
(Last Name, First Name, Middle

LRN

NAME
(Last Name, First Name, Middle

LRN

NAME
(Last Name, First Name, Middle

NAME
(Last Name, First Name, Middle

LRN

List and Code of Indica


Indicator
Transferred Out

Code
T/O

Required Information

Name of Public (P) Privat

NAME
(Last Name, First Name, Middle

LRN

Transferred IN
Dropped
Late Enrollment

T/I

Name of Public (P) Privat

DRP

Reason and Effectivity Da

LE

Reason (Enrollment beyon

ME
ame, Middle Name)

Region

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st MOTHER TONGUE


Friday June
3 Only)

ME
ame, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st MOTHER TONGUE


Friday June
3 Only)

ME
ame, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st MOTHER TONGUE


Friday June
3 Only)

ME
ame, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

of Indicators under REMARKS column

formation
(P) Private (PR) School & Effectivity Date

AGE as of 1st MOTHER TONGUE


Friday June
3 Only)

ME
ame, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

(P) Private (PR) School & Effectivity Date

ectivity Date

ment beyond 1st Friday of June)

AGE as of 1st MOTHER TONGUE


Friday June
3 Only)

School Form 1 (SF 1) Sch

(This replaces Form 1, Master List & STS Form 2-Fam

Division

School Year

MOTHER TONGUE (Grade 1 to


IP
3 Only)
(Ethnic Group)

RELIGION

MOTHER TONGUE (Grade 1 to


IP
3 Only)
(Ethnic Group)

RELIGION

MOTHER TONGUE (Grade 1 to


IP
3 Only)
(Ethnic Group)

RELIGION

MOTHER TONGUE (Grade 1 to


IP
3 Only)
(Ethnic Group)

RELIGION

Indicator

Code

Required Information

CCT Recipient

CCT

CCT Control/reference number &

MOTHER TONGUE (Grade 1 to


IP
3 Only)
(Ethnic Group)

Balik-Aral
Learner With
Dissability
Accelarated

RELIGION

B/A

Name of school last attended & Ye

LWD

Specify

ACL

Specify Level & Effectivity Data

ol Form 1 (SF 1) School Register

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

School Year

Gra
ADDRESS

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
House #/ Street/
Sitio/
Purok

Barangay

formation

/reference number & Effectivity Date

Municipality/ City

Province

REGISTERED

MALE

ADDRESS
House #/ Street/
Sitio/
Purok

ool last attended & Year

el & Effectivity Data

Barangay

Municipality/ City

Province

FEMALE

TOTAL

District
Section

Grade Level
PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

BoSY

EoSY

Mother's Maiden Name (Last Name,


First Name, Middle Name)

Prepared by:

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)
(Signature of Adviser over Printed Name)

BoSY Date:

EoSYDate:

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

Certified Correct:

GUARDIAN

(If
not Parent)

Name

r over Printed Name)

EoSYDate:

Relation-ship

Contact Number of
Parent or Guardian

(Signature of School Head over Printed Name)

BoSY Date:

EoSYDate:

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

ect:

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

School Head over Printed Name)

EoSYDate:

School Form 2 (SF2) Daily Atten

(This replaces Form 1, Form 2 & STS Form 4 -

School ID

301133

School Year

Name of School

2016-2017

PANTAY NATIONAL HIGH SCHOOL


(1st row for date)

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

13
M

TH

1 Alay-ay, Joshua Medrana

2 Capuz, Marlon Redondo

3 Cesario, Edric Pagsaligan

4 Mabaga, Kim Edcel Lleva

5 Macayanan, Jobert Aclan

6 Manalo, Jerry Pla

7 Pagsaligan, Gerald Dizagun

8 Pagsaligan, Oliver Salvador

9 Panganiban, John Paulo Mercado

10 Paz, Mharvin Delas Alas

11 Pioquinto, John Peter Vargas

12 Ramos, Jimmuel Villanueva

13 Tuiza, Christian Gajardo

14 Vargas, Jayvee Terrible

15 Vargas, Joven Reyes

14
T

15
W

16
TH

17
F

20
M

21
T

22
W

23
TH

(1st row for date)

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

13
M

TH

14
T

15
W

16
TH

17
F

20
M

22
W

23
TH

16 Vicencio, Joseph Mhiko Banta

17

17

16

16

16

16

16

16

17

17 Padilla, Enrique Lanceta

MALE | TOTAL Per Day

21

(1st row for date)

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

13
M

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

TH

14
T

15
W

16
TH

17
F

20
M

21
T

22
W

23
TH

16

16

16

16

16

16

17

17

17

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 =
Registered Learners as of end of the month

1. CODES FOR

(blank) - Pre

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.

2. REASONS/C
a. Domestic-R
a.1. Had to tak

a.2. Early marr


a.3. Parents' at
a.4. Family pro

b. Individual-R

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abus

(1st row for date)

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

13
M

TH

14
T

15
W

16
TH

17
F

20
M

21
T

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

School Form 2 : Page ___ of ________

22
W

23
TH

b.5. Poor acad


b.6. Lack of int
b.7. Hunger/Ma
c. School-Rela
c.1. Teacher Fa
c.2. Physical co
c.3. Peer influe
d. Geographic
d.1. Distance b
d.2. Armed con
d.3. Calamities
e. Financial-R
e.1. Child labor
f. Others (Spe

Attendance Report of Learners

Form 4 - Absenteeism and Dropout Profile)

Report for the Month of

JUNE

Grade Level

11

Section

MECHANICS (Automotive)
Total for the Month

24
F

27
M

28
T

29
W

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

30
TH

TH

ABSENT TARDY
0

Total for the Month

TH

TH

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

30

29

17

28

17

17

17

27

17

24

ABSENT TARDY
0

Total for the Month


24
F

27
M

28
T

29
W

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

30
TH

TH

ABSENT TARDY

17

17

17

17

17

DES FOR CHECKING ATTENDANCE

ank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer,
Lower for Cutting Classes)
ASONS/CAUSES FOR DROPPING OUT
mestic-Related Factors
ad to take care of siblings

arly marriage/pregnancy
arents' attitude toward schooling
amily problems

ividual-Related Factors

ness
verage
eath
rug Abuse

Month:

No. of Days of Classes:

Summary
M

TOTAL

16

16

Registered Learners as of end of the month

17

17

Percentage of Enrolment as of end of the month

106.25

106.25

Average Daily Attendance

13.65

13.65

Percentage of Attendance for the month

80.29

80.29

* Enrolment as of (1st Friday of June)


Late Enrollment during the month
(beyond cut-off)

Total for the Month

29
W

30
TH

oor academic performance


ack of interest/Distractions
unger/Malnutrition
hool-Related Factors
eacher Factor
hysical condition of classroom
eer influence
ographic/Environmental
istance between home and school
rmed conflict (incl. Tribal wars & clanfeuds)
alamities/Disasters
ancial-Related
hild labor, work
ers (Specify)

TH

ABSENT TARDY

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

Number of students absent for 5 consecutive days:

0.0%

28

0%

27

0.0%

24

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.


LAWRENCE B. ICASIANO
(Signature of Teacher over Printed Name)
Attested by:
MARITES O. MIRANDA
(Signature of School Head over Printed Name)

Sch
109204

School Year

Name of School

KATIMO ELEMENTARY

2
M

10

11

12

13

14

15

16

17

18

19

20

21

MALE | TOTAL Per Day


1

5
TH

6
F

9
M

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

School ID

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

2
M

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

3
T

4
W

5
TH

6
F

9
M

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 m
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the scho
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting m
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the m

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 Schoo
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 cons
dropping out.

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

2
M

3
T

4
W

5
TH

6
F

9
M

5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 cons
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

School Form 2 : Page ___ of ________

School Form 2 (SF2) Daily Attendance Report of Learners


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

2014-2015

Report for the Month of

TARY

Grade Level

JUNE
ONE

(1st row for date)


10
T

11
W

12
TH

13
F

16
M

17
T

18
W

19
TH

20
F

23
M

24
T

INDEPENDENCE DAY

25
W

26
TH

27
F

30
M

INDEPENDENC

1
1

11
W

INDEPENDENCE DAY

10

(1st row for date)

12

TH

13
F

16
M

17
T

18
W

19
TH

20
F

23
M

24
T

25
W

26
TH

27
F

30
M

1
1

end of the month


of the school year
ndance
n reporting month
endance
end of the month

1. CODES FOR CHECKING ATTENDANCE

x 100

x 100

e into School Form 4. Once signed by

nt for 5 consecutive days and/or those at risk of

(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

(1st row for date)


10
T

11
W

12
TH

13
F

16
M

17
T

18
W

19
TH

20
F

23
M

24
T

25
W

26
TH

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)

27
F

30
M

JUNE
Section
Total for the Month

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to legend


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

4
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0

MA

21

20

Total for the Month

TH

ABSENT

11

16

Month:

TARDY

REMARKS (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:

* Enrolment as of (1st Friday of June)

Summary
M

TOTAL

12

14

26

15

17

32

1.25

1.214286

1.23

20.75

24.45

45.2

Late Enrollment during the month


(beyond cut-off)
Registered Learners as of end of the month
Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month

138%

144%

141.25%

FEM
25
20
11

Total for the Month

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to legend


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

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:
BUENAVENTURA E. SALAZAR
(Signature of School Head over Printed Name)

MALE
No. of pupils
no. of sch. Days
No. of days absent

FEMALE
No. of pupils
no. of sch. Days
No. of days absent

Scho

School ID
School Name

NO.

Subject Area & Title

Subject Area & Title

Date

Date

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

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Date

Date

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

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES


TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Date

Date

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

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.

Returned

Issued

School Form 3 (SF3) Books Issued and Returned


(This replaces Form 1 & Inventory of Textbooks)

School Year
Section

Grade Level

ct Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

In case of lost/unreturned books, please provide information with the following code:

Issued

Returned

ct Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), T
prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Le
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.

Subject Area & Title

Subject Area & Title

Date
Issued

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

Date
Returned

Issued

Returned

Subject Area & Title

Subject Area & Title

Date
Issued

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

Date
Returned

Issued

Prepared By:

Returned

Subject Area & Title

Subject Area & Title

Date
Issued

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

Date
Returned

r code FM), TLTR=Teacher


aid by the Learner (for code

Issued

Returned

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________

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


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

School ID
School Name

301075

Region

IV-A

TANAUAN CITY

Division

District TANAUAN EAST

BANJO LAUREL NATIONAL HIGH SCHOOL

GRADE/
YEAR LEVEL

SECTION

NAME OF ADVISER

7
8
8
9
9
10

Honesty
Sincerity
Generosity
Humility
Loyalty
Punctuality

Mrs. Lorna S. Garcia


Mrs. Angelene Libunao
Mr. Wilfred Maymay
Mrs. Teresa Macaraig
Mr. Norwin C. De La Rosa
Mrs. Irene B. Bron

REGISTERED
LEARNERS
(As of End of the
M Month)
F
T
30
23 53
13
16 29
16
18 34
19
14 33
15
13 28
25
26 51

School Year

ATTENDANCE

Daily Average
M
27.57
12.29
14.21
17.71
12.64
20.93

F
21.71
15.86
17.86
12.64
12.79
23.36

T
49.28
28.15
32.07
30.35
25.43
44.29

Percentage for the


Month
M

91.9
94.538462
88.8125
93.210526
84.266667
83.72

F
94.391
99.125
99.222
90.286
98.385
89.846

T
92.981
97.069
94.324
91.97
90.821
86.843

DROPPED OUT
(B) For the Month
M
F
T
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1

(A) Cumulative as of
Previous Month
M
F
T
0
1
1
0
0
0
0
0
0
1
1
2
0
1
1
0
0
0

2015-2016

Report for the Month of

TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of
(B) For the Month
End of the Month
Previous Month
M
F
T
M
F
T
M
F
T
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
1
0
1
0
0
0
1
1
2
0
1
1
0
0
0
0
1
1
1
2
3

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


End of the Month
Previous Month
M
F
T
M
F
T
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
0
0
0
1
1
1
1
2
1
0
1
0
1
1

OCTOBER

TRANSFERRED IN
(B) For the Month
M
F
T
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0

(A+B) Cumulative as
of End of the Month
M
F
T
2
0
2
0
0
0
1
0
1
1
0
1
0
2
2
1
2
3

ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
TOTAL FOR NON-GRADED
TOTAL

30
29
34
25

23
34
27
26

53
63
61
51

27.57
26.5
30.35
20.93

21.71
33.72
25.43
23.36

49.28
63
55.78
44.29

118
110
228
105.35 104.22
212.35
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

3
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Prepared and Submitted by:

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GERLIE C. LOPEZ
(Signature of School Head over Printed Name)

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School Form 5 (SF 5


(This

Region

Division

School ID

School Ye

School Name

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL MALE

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL FEMALE
COMBINED

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


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

District
School Year

Curriculum
Grade Level

GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)

ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
column is for K to 12 Curriculum and remaining RBEC in High School. Elementar
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 Y

GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)

ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
column is for K to 12 Curriculum and remaining RBEC in High School. Elementar
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 Y

GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)

ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
column is for K to 12 Curriculum and remaining RBEC in High School. Elementar
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 Y

Section

(This
chool. Elementary grades
p these columns)

current School Year


SUMMARY TABLE
STATUS

MALE

FEMALE

TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)


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

(This
chool. Elementary grades
p these columns)

current School Year


ADVANCED
(A: 90%
and above)

PREPARED BY:

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

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 teachers. The class adviser should
compute for the 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 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

(This
chool. Elementary grades
p these columns)

current School Year


5. Protocols of validation & submission is under the discretion of the
Schools Division Superintendent
School Form 5: Page ____ of ________

Summarized Re
School ID

Reg

School Name

GRADE 1 /GRADE 7

GRADE 2 / GRADE 8

SUMMARY TABLE
MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

PROMOTED
IRREGULAR (Grade 7 onwards only)
RETAINED
LEVEL OF PROFICIENCY (K to 12 Only)

BEGINNNING

(B: 74% and below)

DEVELOPING

(D: 75%-79%)

APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT

(P: 85% -89%)

ADVANCED

(A: 90% and above)


TOTAL

Prepared and Submitted by:

Reviewed & Validated by:

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

School Form 6 (SF6)

ed Report on Promotion and Level of Proficiency


(This replaces Form 20)

Region

Division
District

GRADE 3 / GRADE 9

GRADE 4 / GRADE 10

GRADE 5 / GRADE 11

GRADE 6 / GRA

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

Noted by:
DIVISION REPRESENTATIVE

de level total and school total.


fice by the end of the school year.

SCHOOLS DIVISION SUPERINTENDE

School Year

GRADE 6 / GRADE 12

TOTAL

FEMALE

TOTAL

MALE

FEMALE

TOTAL

FEMALE

TOTAL

MALE

FEMALE

TOTAL

SUPERINTENDENT

School Form 7 (SF7) School Pe

(This replaces Form 12-Monthly


Form 29-Teacher Program

School ID

Region

School Name
(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position


(as it
Number of Incumbent
appears in the appointment document/PSIPOP)

Employee No. Name of School Personnel


(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)

Sex

Fund Source

(B) Nationally-Funded Non Teach

Title of Plantilla Position


appears in the appointment document/PSIPOP

Position/
Designation

Nature of
Appointment/
Employment Status

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

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 perso
Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest ran
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also r
4. Daily Program Column is for teaching personnel only.

School Personnel Assignment List and Basic Profile

ces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
29-Teacher Program and Form 31-Summary Information of Teachers)

Division
District

Sch

ly-Funded Non Teaching Items

(C ) Other Appointments and Funding Sources


Title of Designation

(as it

ent document/PSIPOP)

Number of
Incumbent

(as it appears in the


contract/document: Teacher, Clerk, Security
Guard, Driver etc.)

Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO
specify)

EDUCATIONAL QUALIFICATION

Degree / Post
Graduate

Major/ Specialization

Daily Program (time duration)

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

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

From
(00:00)

To (00:00)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

EDUCATIONAL QUALIFICATION

Degree / Post
Graduate

Major/ Specialization

Daily Program (time duration)

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

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

From
(00:00)

To (00:00)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

achers and other personnel during the school year, an updated Form 19 must be submitted to the Division

ed from the highest rank down to the lowest.


ative duties must also reported.

(Signature of Scho

Updated as of: _____________

School Year

ing Sources
Number of Incumbent

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

Teaching

NonTeaching

time duration)
Remarks (For Detailed
Items, Indicate name of
Total Actual
school/office, For IP's
Teaching Minutes
-Ethnicity)
per Week

time duration)
Remarks (For Detailed
Items, Indicate name of
Total Actual
school/office, For IP's
Teaching Minutes
-Ethnicity)
per Week

ignature of School Head over Printed Name)

___________________________
School Form 7, Page ___ of ________

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