Beruflich Dokumente
Kultur Dokumente
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
Code
T/O
Required Information
NAME
(Last Name, First Name, Middle
LRN
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
ME
ame, Middle Name)
Region
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
ME
ame, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
ME
ame, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
ME
ame, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
formation
(P) Private (PR) School & Effectivity Date
ME
ame, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
ectivity Date
Division
School Year
RELIGION
RELIGION
RELIGION
RELIGION
Indicator
Code
Required Information
CCT Recipient
CCT
Balik-Aral
Learner With
Dissability
Accelarated
RELIGION
B/A
LWD
Specify
ACL
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
Municipality/ City
Province
REGISTERED
MALE
ADDRESS
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
FEMALE
TOTAL
District
Section
Grade Level
PARENTS
Father's Name (Last Name, First
Name, Middle Name)
PARENTS
Father's Name (Last Name, First
Name, Middle Name)
PARENTS
Father's Name (Last Name, First
Name, Middle Name)
PARENTS
Father's Name (Last Name, First
Name, Middle Name)
BoSY
EoSY
Prepared by:
PARENTS
Father's Name (Last Name, First
Name, Middle 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
EoSYDate:
Relation-ship
Contact Number of
Parent or Guardian
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)
EoSYDate:
School ID
301133
School Year
Name of School
2016-2017
LEARNER'S NAME
(Last Name, First Name, Middle Name)
13
M
TH
14
T
15
W
16
TH
17
F
20
M
21
T
22
W
23
TH
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
17
17
16
16
16
16
16
16
17
21
LEARNER'S NAME
(Last Name, First Name, Middle Name)
13
M
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
b. Individual-R
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abus
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
22
W
23
TH
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
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
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
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:
Summary
M
TOTAL
16
16
17
17
106.25
106.25
13.65
13.65
80.29
80.29
29
W
30
TH
TH
ABSENT TARDY
REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
0.0%
28
0%
27
0.0%
24
Drop out
Transferred out
Transferred in
Sch
109204
School Year
Name of School
KATIMO ELEMENTARY
2
M
10
11
12
13
14
15
16
17
18
19
20
21
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
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
2014-2015
TARY
Grade Level
JUNE
ONE
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
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
x 100
x 100
(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
11
W
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
JUNE
Section
Total for the Month
TH
ABSENT
TARDY
4
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
MA
21
20
TH
ABSENT
11
16
Month:
TARDY
Summary
M
TOTAL
12
14
26
15
17
32
1.25
1.214286
1.23
20.75
24.45
45.2
138%
144%
141.25%
FEM
25
20
11
TH
ABSENT
TARDY
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.
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
NO.
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
NO.
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 Year
Section
Grade Level
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
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
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.
Date
Issued
REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
Date
Issued
REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Prepared By:
Returned
Date
Issued
REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
School ID
School Name
301075
Region
IV-A
TANAUAN CITY
Division
GRADE/
YEAR LEVEL
SECTION
NAME OF ADVISER
7
8
8
9
9
10
Honesty
Sincerity
Generosity
Humility
Loyalty
Punctuality
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
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
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
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
1
1
1
3
1
1
1
2
1
3
0
0
0
Prepared and Submitted by:
1
1
2
1
1
1
2
1
2
1
2
3
1
2
GERLIE C. LOPEZ
(Signature of School Head over Printed Name)
2
1
1
1
2
1
3
3
2
2
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
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
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)
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)
Section
(This
chool. Elementary grades
p these columns)
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
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)
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
REVIEWED BY:
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)
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
DEVELOPING
(D: 75%-79%)
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
ADVANCED
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.
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
School Year
GRADE 6 / GRADE 12
TOTAL
FEMALE
TOTAL
MALE
FEMALE
TOTAL
FEMALE
TOTAL
MALE
FEMALE
TOTAL
SUPERINTENDENT
School ID
Region
School Name
(A) Nationally-Funded Teaching & Teaching Related Items
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
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.
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
(as it
ent document/PSIPOP)
Number of
Incumbent
Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO
specify)
EDUCATIONAL QUALIFICATION
Degree / Post
Graduate
Major/ Specialization
Minor
DAY
(M/T/W/TH/
F)
From
(00:00)
To (00:00)
EDUCATIONAL QUALIFICATION
Degree / Post
Graduate
Major/ Specialization
Minor
DAY
(M/T/W/TH/
F)
From
(00:00)
To (00:00)
achers and other personnel during the school year, an updated Form 19 must be submitted to the Division
(Signature of Scho
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
___________________________
School Form 7, Page ___ of ________