You are on page 1of 57

S

(This

School ID Region VIII Division

School Name

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

List and Code of Indicators under REMARKS column


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

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A
Dropped DRP Reason and Effectivity Date LWD
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

District

School Year Grade Level Section

ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

mn
Prepared by:
Required Information REGISTERED BoSY EoSY
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Printed Name)


Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate:
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

Certified Correct:
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

er over Printed Name) (Signature of School Head over Printed Name)

EoSYDate: BoSY Date: EoSYDate:


School Form 2 (SF2) Daily At
(This replaces Form 1, Form 2 & STS Fo

School Year 2017-2018 Report for th

Name of School GERRY H. RODRIGUEZ HIGH SCHOOL


LEARNER'S NAME
(1st row for date)
(Last 1 4 5 6 7 8 11 12 13 14 15
Name, First Name, Middle M T W TH F M T W TH F M T W TH F
Name)
1 ALORO, MARK WILSON U.
2 BERNARDO, MARK JOSEPH L.
3 CAJES, GEORGE
4 CELIN, JANN CHRISTIAN
5 COLIS, GIO S.

6 DAYRIT, JOHN JOBERT C.


7 DE GUZMAN, REGGIE G.

8 DELOS SANTOS, VINCE LEANDREI

9 ESPINO, VLADIMHIR RENAN G.


10 FRANCISCO, CHAT

11 GAMBOAANGELO P
12 GOMEZ, JOHN ROSS G.

13 GOMEZ, JOHN WILFRED M.


14 MACASPAC, JEZZY MIGUEL B.

MALE | TOTAL Per Day


1 BONIFACIO, KATHLEEN M.
2 CRUZ, CRICEL B.

3 DAVID, JENALIN S.
4 GOMEZ, JENE ROSE P.
5 GOMEZ, MA. CRISELDA

6 GOMEZ, TRISIA LEI


7 LAXAMANA, WINNIE ANN T.

8 MALGAPO, CLARISSA G.
9 MANITI, CATHLENE G.
10 MENESES, MERCEDITA D.

FEMALE | TOTAL Per Day


Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Presen
2. Dates shall be written in the columns after Learner's Name. Late C
3. To compute the following: 2. REASONS/C
Registered Learners as of end of the month a. Domestic-Re
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take c
Total Daily Attendance a.2. Early marriag
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitu
LEARNER'S NAME
(1st row for date)
(Last 1 4 5 6 7 8 11 12 13 14 15
Name, First Name, Middle M T W TH F M T W TH F M T W TH F
Name) Average daily attendance a.4. Family proble
c. Percentage of Attendance for the month x 100
Registered Learners as of end of the month b. Individual-Re
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 b.2. Overage
summary table into School Form 4. Once signed by the 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 b.4. Drug Abuse
were absent for 5 consecutive days and/or those at risk of dropping out. b.5. Poor academ
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of intere
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Maln
c. School-Relat
c.1. Teacher Fact
c.2. Physical con
c.3. Peer influenc
d. Geographic/E
d.1. Distance bet
d.2. Armed conflic
d.3. Calamities/D
e. Financial-Re
e.1. Child labor, w
f. Others (Spec

School Form 2 : Page ___ of ________


Daily Attendance Report of Learners
m 2 & STS Form 4 - Absenteeism and Dropout Profile)

eport for the Month of DECEMBER

Grade Level 11 Section ABM

te) Total for the


Month REMARKS (If DROPPED OUT, state reason, pleas
18 19 20 legend number 2.
If TRANSFERRED IN/OUT, write the name of Sc
M T W TH F M T W TH F ABSENT TARDY
0 0
2 0
2 0
0 0
0 0

0 0
0 0

0 0
4 0
3 0

0 0
0 0

2 0
0 0
0

0 0
1 0

0 0
0 0
0 0

0 0
1 0

0 0
0 0
0 0

0
0

CODES FOR CHECKING ATTENDANCE Month: No. of Days of 14 Summary


DECEMBER Classes: M F
lank) - Present; (x)- Absent; Tardy (half shaded= Upper for
Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 14 10
REASONS/CAUSES FOR DROPPING OUT
Domestic-Related Factors Late Enrollment during the month
0 0
. Had to take care of siblings (beyond cut-off)
. Early marriage/pregnancy
Registered Learners as of end of the month 14 10
. Parents' attitude toward schooling
te) Total for the
Month REMARKS (If DROPPED OUT, state reason, pleas
18 19 20 legend number 2.
If TRANSFERRED IN/OUT, write the name of Sc
M T W TH F M T W TH F ABSENT TARDY
. Family problems
Percentage of Enrolment as of end of the month 100% 100%
ndividual-Related Factors

Average Daily Attendance


. Overage

Percentage of Attendance for the month


. Drug Abuse
. Poor academic performance
Number of students absent for 5 consecutive days: 0 0
. Lack of interest/Distractions
. Hunger/Malnutrition
Drop out 0 0
School-Related Factors
Teacher Factor
Transferred out 0 0
Physical condition of classroom
Peer influence
Transferred in 0 0
Geographic/Environmental
. Distance between home and school
. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
. Calamities/Disasters
Financial-Related CHARIZEL T. ARCILLA
. Child labor, work (Signature of Teacher over Printed Name)
Others (Specify)
Attested by:
MA. ANA G. DEPONA
(Signature of School Head over Printed Name)
s

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


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

Summary
TOTAL

24

23
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

100%

0
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section


Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES


Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned 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 information with the following code:
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, TDO: Transferred/Dropout, NEG
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 Letter from Learner duly signed
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
ned

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

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

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

llowing code: Prepared By:

/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
School Form 4 (SF4) Monthly Learner's Movement and Atten
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRAN


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

M F T M F T M F T M F T M F T M F T M F T
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: Prepared
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


ttendance

Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)


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

M F T M F T M F T M F T M F T
epared and Submitted by:

(Signature of School Head over Printed Name)


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

Region Division District

School ID School Year Curriculum

School Name Grade Level

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year

TOTAL MALE
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year

TOTAL FEMALE

COMBINED
ficiency

Section

um and remaining
vel that are still
se columns)

current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
um and remaining
vel that are still
se columns)

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)


um and remaining
vel that are still
se columns)

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.
um and remaining
vel that are still
se columns)

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 Proficiency
(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 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

PROMOTED

IRREGULAR

RETAINED

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

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 SCHOOLS DIVISION SUPER
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.
School Year

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL


SION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(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 (C ) Other Appointments and Funding

Title of Designation Appointment:


Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual,
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others
specify)

EDUCATIONAL QUALIFICATION Daily Program (time d


Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION Daily Program (time d
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION Daily Program (time d
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:


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 submitted 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. (Signature o
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. Updated as of: __
Sc
Profile

School Year

nts and Funding Sources

Number of
Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching

y Program (time duration)


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

Minutes per Day


y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Minutes per Day

Minutes per Day


y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Submitted by:

(Signature of School Head over Printed Name)

Updated as of: ___________________________


School Form 7, Page ___ of ________