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School ID Region VIII

School Name

NAME BIRTH DATE AGE as of 1st


LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June

List and Code of Indicators under REMARKS column


Indicator Code Required Information
NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June

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 DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Division Dis

School Year Grade L

ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok

Code Required Information REGISTERED


ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok

CCT CCT Control/reference number & Effectivity Date MALE

B/A Name of school last attended & Year FEMALE

LWD Specify
TOTAL
ACL Specify Level & Effectivity Data
District

Grade Level Section


GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)

Prepared by: Certified Correct:


BoSY EoSY
GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Nam

BoSY Date: EoSYDate: 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)
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)

School Head over Printed Name)

EoSYDate:
School Form 2 (SF2) Daily Atten
(This replaces Form 1, Form 2 & STS Form 4

School ID School Year

Name of School

LEARNER'S NAME (1st row for date)


(Last Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH
LEARNER'S NAME (1st row for date)
(Last Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH

MALE | TOTAL Per Day


LEARNER'S NAME (1st row for date)
(Last Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH

FEMALE | TOTAL Per Day


Combined TOTAL PER DAY
GUIDELINES: 1. CODES F
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Pre
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following: 2. REASON
Registered Learners as of end of the month a. Domestic
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to t
Total Daily Attendance a.2. Early m
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents
Average daily attendance a.4. Family p
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individua
b.1. Illness
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 b.2. Overage
principal, this form should be returned to the adviser. b.3. Death
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 b.4. Drug Ab
dropping out.
LEARNER'S NAME (1st row for date)
(Last Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH
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. b.5. Poor ac
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/
c. School-R
c.1. Teacher
c.2. Physica
c.3. Peer inf
d. Geograph
d.1. Distance
d.2. Armed c
d.3. Calamit
e. Financial
e.1. Child lab
f. Others (S

School Form 2 : Page ___ of ________


Attendance Report of Learners
Form 4 - Absenteeism and Dropout Profile)

Report for the Month of

Grade Level Section

) Total for the Month


REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
F M T W TH F M T W TH F ABSENT TARDY
) Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
F M T W TH F M T W TH F ABSENT TARDY
) Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
F M T W TH F M T W TH F ABSENT TARDY

ODES FOR CHECKING ATTENDANCE Month: Summary


No. of Days of Classes:
nk) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower M F TOTAL
for Cutting Classes)
* Enrolment as of (1st Friday of June)
EASONS/CAUSES FOR DROPPING OUT
omestic-Related Factors Late Enrollment during the month
Had to take care of siblings (beyond cut-off)
Early marriage/pregnancy
Registered Learners as of end of the month
Parents' attitude toward schooling
Family problems
Percentage of Enrolment as of end of the month
dividual-Related Factors
Illness
Average Daily Attendance
Overage
Death
Percentage of Attendance for the month
Drug Abuse
) Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
F M T W TH F M T W TH F ABSENT TARDY
Poor academic performance
Number of students absent for 5 consecutive days:
Lack of interest/Distractions
Hunger/Malnutrition
Drop out
chool-Related Factors
Teacher Factor
Transferred out
Physical condition of classroom
Peer influence
Transferred in
eographic/Environmental
Distance between home and school
Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
Calamities/Disasters
nancial-Related
Child labor, work (Signature of Teacher over Printed Name)
hers (Specify)
Attested by:

(Signature of School Head over Printed Name)


School Form 3 (SF3) Books Issued
(This replaces Form 1 & Inventory of Textb

School ID School Year

School Name Grade Level


Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES


Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES


GUIDELINES: In case of lost/unreturned books, please provide informatio
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. A. In Column Date Returned, codes are: FM=Force Majeure, T
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
oks Issued and Returned
& Inventory of Textbooks)

Section
ct Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

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

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

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

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

e provide information with the following code: Prepared By:

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


are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher (Signature over printed name)
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code Date BoSY:____________ Date EoSY: ___________
25, s.2003, DO#14, 2.2012.
School Form 4 (SF4) Monthly Learner's M
(This replaces Form 3 & STS Form 4-Absenteeism

School ID Region Division

School Name

ATTENDANCE DROPPED OU
REGISTERED
LEARNERS
GRADE/ (As of End of the Percentage for the (A) Cumulative as of
SECTION NAME OF ADVISER Daily Average (B) For the Mon
YEAR LEVEL Month) Month Previous Month

M F T M F T M F T M F T 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 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


rner's Movement and Attendance
-Absenteeism and Dropout Profile)

District

School Year Report for the Month of

DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative as of (A) Cumulative as of (A+B) Cumulative as of (A) Cumulative as of (A+B) Cumulative as
B) For the Month (B) For the Month (B) For the Month
End of the Month Previous Month End of the Month Previous Month of End of the Month

F T M F T M F T M F T M F T M F T M F T M F T
Prepared and Submitted by:

(Signature of School Head over Printed Name)


School Form 5 (SF 5) Report on Promotion & Lev
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates

Region Division

School ID School Year

School Name

INCOMPLETE SUBJECT
GENERAL AVERAGE
column is for K to 12 Curricu
(Numerical Value in 2 ACTION TAKEN:
level that are still im
LEARNER'S NAME (Last Name, decimal places and 3 PROMOTED,
LRN
First Name, Middle Name) decimal places for honor IRREGULAR or
learners, and Descriptive RETAINED
Letter) From previous school years
of end of current Sch
INCOMPLETE SUBJECT
GENERAL AVERAGE
column is for K to 12 Curricu
(Numerical Value in 2 ACTION TAKEN:
level that are still im
LEARNER'S NAME (Last Name, decimal places and 3 PROMOTED,
LRN
First Name, Middle Name) decimal places for honor IRREGULAR or
learners, and Descriptive RETAINED
Letter) From previous school years
of end of current Sch

TOTAL MALE
INCOMPLETE SUBJECT
GENERAL AVERAGE
column is for K to 12 Curricu
(Numerical Value in 2 ACTION TAKEN:
level that are still im
LEARNER'S NAME (Last Name, decimal places and 3 PROMOTED,
LRN
First Name, Middle Name) decimal places for honor IRREGULAR or
learners, and Descriptive RETAINED
Letter) From previous school years
of end of current Sch
INCOMPLETE SUBJECT
GENERAL AVERAGE
column is for K to 12 Curricu
(Numerical Value in 2 ACTION TAKEN:
level that are still im
LEARNER'S NAME (Last Name, decimal places and 3 PROMOTED,
LRN
First Name, Middle Name) decimal places for honor IRREGULAR or
learners, and Descriptive RETAINED
Letter) From previous school years
of end of current Sch

TOTAL FEMALE

COMBINED
ion & Level of Proficiency
List of Graduates)

District

Curriculum

Grade Level Section

LETE SUBJECT/S (This


r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)

ous school years completed as


As of end of current School Year
nd of current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
LETE SUBJECT/S (This
r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)

ous school years completed as


As of end of current School Year
nd of current School Year

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and below)

DEVELOPING (D: 75%-


79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT (P:
85% -89%)

ADVANCED (A: 90%


and above)

PREPARED BY:

Class Adviser

(Name and Signature)


LETE SUBJECT/S (This
r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)

ous school years completed as


As of end of current School Year
nd of current School Year

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.
LETE SUBJECT/S (This
r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)

ous school years completed as


As of end of current School Year
nd of current School Year

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

School Form 5: Page ____ of ________


School Form 6 (SF6)
Summarized Report on Promotion and Level of Prof
(This replaces 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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

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: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
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 is under the discretion of the Schools Division Superintendent.
f Proficiency

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


SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and
(This replaces 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 Designation
Title of Plantilla Position (as it Title of Plantilla Position (as it Number of (as it ap
Number of Incumbent
appears in the appointment document/PSIPOP) appears in the appointment document/PSIPOP) Incumbent contract/document: Teach
Guard, Driver etc.)

EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of


(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of


(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of


(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate

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 the school year, an updated Form 19 must be subm
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.
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.
t List and Basic Profile
Assignment List,
Teachers)

School Year

(C ) Other Appointments and Funding Sources

Number of Incumbent
esignation Appointment:
(as it appears in the (Contractual, Substitute, Fund Source
ct/document: Teacher, Clerk, Security Volunteer, others (SEF, PTA, NGO's etc.)
uard, Driver etc.) specify) Teaching Non-
Teaching

Daily Program (time duration)

Subject Taught (include Remarks (For Detailed


Grade & Section), Advisory Items, Indicate name of
Class & Other Ancillary DAY Total Actual school/office, For IP's
From
Assignments (M/T/W/TH/ To (00:00) Teaching Minutes -Ethnicity)
(00:00)
F) per Week

Ave. Minutes per Day


Daily Program (time duration)

Subject Taught (include Remarks (For Detailed


Grade & Section), Advisory Items, Indicate name of
Class & Other Ancillary DAY Total Actual school/office, For IP's
From
Assignments (M/T/W/TH/ To (00:00) Teaching Minutes -Ethnicity)
(00:00)
F) per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day


Daily Program (time duration)

Subject Taught (include Remarks (For Detailed


Grade & Section), Advisory Items, Indicate name of
Class & Other Ancillary DAY Total Actual school/office, For IP's
From
Assignments (M/T/W/TH/ To (00:00) Teaching Minutes -Ethnicity)
(00:00)
F) per Week

Ave. Minutes per Day

Ave. Minutes per Day

Submitted by:
rm 19 must be submitted to the Division

(Signature of School Head over Printed Name)

Updated as of: ___________________________


School Form 7, Page ___ of ________