Beruflich Dokumente
Kultur Dokumente
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDAT Religious
LRN (Last Name, First Name, Name E AGE
Extension, Middle Name) Affiliation House No./ Municipality/
(mm/dd/yyyy) Street/ Sitio/ Barangay Province
Purok City
1 Abigon, Kenny Dick M 9-May-00 18 Catholic Centro Cabuluan Villaverde Nueva Vizcaya
2 Alab-ab, Dexter M 10-Apr-01 17 Catholic Namnama Pieza Villaverde Nueva Vizcaya
3 Antonio, Chrz Karlo M 26-Aug-01 16 Methodist 4 San Juan Solano Nueva Vizcaya
4 Caramoan, Denver Jay M 28-Dec-98 19 INC Centro Ibung Villaverde Nueva Vizcaya
Bintawan
5 Corpuz, Gilbert M 17-May-97 20 Catholic Baligi 2 Villaverde Nueva Vizcaya
Norte
Esquivel, Johann Habbakuk Bintawan
6 M 27-Feb-01 17 Catholic Saniata 2 Villaverde Nueva Vizcaya
Coller Norte
Bintawan
7 Guerrero, Justine M 24-Aug-00 17 Catholic Bantoy Villaverde Nueva Vizcaya
Norte
8 Kelleng, Jaylord M 23-Jan-00 18 Catholic Centro Nagbitin Villaverde Nueva Vizcaya
9 Lipor, Jonard M 15-Jun-00 18 Catholic Laud Pieza Villaverde Nueva Vizcaya
Bintawan
10 Nicolas, Wilmar M 25-Oct-00 17 Methodist Saranay Villaverde Nueva Vizcaya
Sur
11 Puwok, Denver Jay M 6-Dec-00 17 Catholic Centro Cabuluan Villaverde Nueva Vizcaya
Bintawan
12 Ramos, Kyle Ceasar M 9-Sep-00 17 Catholic Sinamar 1 Villaverde Nueva Vizcaya
Sur
Bintawan
13 Saguid, Mark Lesther M 8-Jul-01 17 Catholic Balligi 2 Villaverde Nueva Vizcaya
Norte
Bintawan
14 Saludares, James Sean M 25-Mar-01 17 Methodist Sinamar 1 Villaverde Nueva Vizcaya
Sur
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
14 <=== TOTAL MALE
1 Bayudang, Camille F 7-Mar-01 17 Adventist 4 Sta. Cruz Bagabag Nueva Vizcaya
Upper
2 Bennang, Florimae F 5-Jul-00 18 Espiritista Cabuluan Villaverde Nueva Vizcaya
Calao
SFRT 2017
for Senior High School (SF1-SHS)
VILLAVERDE Division NUEVA VIZCAYA Region 2
12 Track and Strand TVL-INFORMATION AND COMMUNICATIONS TECHNOLOGY
S SERVIING
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Elino Abigon Mary Pale 09058684360
Mario Alab-ab Marites Buadilla
Gene Ben Antonio Maribel Colis 09758218598
Jayson Caramoan Mary Ellen Valdez 09365643814
Eddie Corpuz Leticia Balubar
Johny Esquivel Ana Marie Jose 09162121442
Felipe Guerrero Remy Domingo 09350235248
Gregorio Kelleng Marilyn Pahalik 09059556553
Eduardo Lipor Saturnina Balaguidan
Wilmer Nicolas Maricel Esta 09205900033
Jonathan Puwok Divina Dulyok 09267887782
Jun Ramos Marites Balangatan 09457202439
Randy Poe Saguid Teresita Turingan 09068397563
Leonardo Saludares Joycee Jacinto 09777761239
SFRT 2017
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDAT Religious
LRN (Last Name, First Name, Name E AGE
Extension, Middle Name) Affiliation House No./ Municipality/
(mm/dd/yyyy) Street/ Sitio/ Barangay Province
Purok City
3 Cangyao, Cherry Mae F 24-Jun-01 17 INC Centro Sawmil Villaverde Nueva Vizcaya
4 Dela Cruz, Emilyn F 9-May-00 18 Catholic 1 Nagbitin Villaverde Nueva Vizcaya
5 Gawaon, Diana F 28-Apr-01 17 Catholic Nag-et Cabuluan Villaverde Nueva Vizcaya
Bintawan
6 Jose, Jan Marinie F 1-Oct-00 17 Catholic Liwliwa Villaverde Nueva Vizcaya
Sur
Upper
7 Lagbun, Arianne Monette F 23-Apr-01 17 Espiritista Cabuluan Villaverde Nueva Vizcaya
Calao
8 Licupa, Rachelle F 10-Sep-00 17 Espiritista Lumoy Cabuluan Villaverde Nueva Vizcaya
9 Mesias, Kristel Cherry Deth F 18-Dec-00 17 Catholic 6 Nagbin Villaverde Nueva Vizcaya
Bintawan
10 Toledo, Micca Ella F 26-Sep-00 17 Catholic Saniata 1 Villaverde Nueva Vizcaya
Norte
Bintawan
11 Villacura, Caryl F 6-Oct-00 17 Methodist Liwliwa Villaverde Nueva Vizcaya
Sur
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
SFRT 2017
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Billy Cangyao Imelda Sarmiento 09057654911
Emilio Dela Cruz Melody Valiente 09557390815
Mario Gawaon Conchita Bih-agon 09353651290
Dominic Joy Jose Leonydel Navasero
Martin Lagbun Maria Wigan 09050830275
Bartolome Licupa Helen Lammag 09059793405
Kristofer Mesias Odessa Mangasep 09166791027
Moises Toledo Eva Oclima 09368062214
Rey Villacura Caroline Nicolas 09176853111
Prepared By:
End of the Semester
SFRT 2017
SFRT 2017
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity COMPLETE
Date ADDRESS
Sex (M/F)
Balik Aral B/A Name of school last
Transferred NAME BIRTHDAT Religious attended & Year
In LRN T/I (Last Name, First Name, Name E AGE
Name of School, Date of 1st
Extension, Middle Name) Learner With Affiliation
LWE
Specify
House Exceptionality
No./ of the Municipality/
(mm/dd/yyyy)
Attendance and Date of Last Exceptionality
Street/ Sitio/
Learner Barangay Province
Purok
Specify Level & Effectivity City
Attendance if Transferred Out Accelerated ACL Date
TOTAL 25
SFRT 2017
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Beginning of the Semester Date: End of the Semester Date:
JUNE 4, 2018
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name BINTAWAN NATIONAL HIGH SCHOOL School ID 300623 District VILLAVERDE Division NUEVA VIZCAYA Region
Semester SECOND School Year 2018-2019 Grade Level 12 Track and Strand ICT
Section BALETE Course/s (only for TVL) COMPUTER SYSTEMS SERVICING Month of MARCH
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please
TRANSFERRED IN/OUT, write the name of School. 3. If SH
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
2 Alab-ab, Dexter
5 Corpuz, Gilbert
7 Guerrero, Justine
8 Kelleng, Jaylord
9 Lipor, Jonard
10 Nicolas, Wilmar
ICT
MARCH
REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please
TRANSFERRED IN/OUT, write the name of School. 3. If SH
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
1 Bayudang, Camille
2 Bennang, Florimae
5 Gawaon, Diana
8 Licupa, Rachelle
10 Toledo, Micaela
11 Villacura, Caryl
2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
1
a. Percentage of Enrolment = x 100 SCHOOL (NLS) 14
Registered Learners as of end of the month Registered Learners as of end of the month
Summary
F TOTAL
10 23
1 2
11 25
90.91 92.00
0 0
0 0
1 2
0 0
0 0
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please
TRANSFERRED IN/OUT, write the name of School. 3. If SH
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
e. Financial-Related
e.1. Child labor, work Attested By:
MERLITA C. PADILLA, PHD
f. Others (Specify) Signature of School Head over Printed N
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
SF3-SHS)
Division Region
d Strand
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
Prepared By:
1. Title of Books Issued to each learner must be recorded by the Class Adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
4. The Total Number of Copies of Books Returned shall be reflected in the form. code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
REGISTERED
LEARNERS (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as
of the Month) Average Month the Month the Month
of Previous End of the of Previous of End of
Month Month Month the Month
M F T M F T M F T M F T M F T M F T M F T M F T M F T
Signature of Sc
ance for Senior High School (SF4-SHS)
Region
M F T M F T M F T M F T M F T M F T M F T M F T M F T
re of School Head over Printed Name
School Form 5A End of Semester and School Year Status of Learn
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)
MALE
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)
FEMALE
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of
data elements shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with
Note: Do not include learners who are No Longer in School (NLS)
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
INCOMPLETE
TOTAL
COMPLETE
INCOMPLETE
TOTAL
REGULAR
IRREGULAR
TOTAL
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
Prepared By:
Reviewed By:
End of School Year Status blank/unfilled at the end of the 1st Semester. These
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
MALE
SUMMARY TABLE A
STATUS MALE FEMALE TOTAL
Learners who
completed SHS
Program within 2
SYs or 4
semesters
Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters
TOTAL
SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
FEMALE
Reviewed By:
Reviewed By:
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL
GRADE 11
TRACK/STRAND/COURSE
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
Division Region
Noted By:
presentative over Printed Name Signature of Division Superintendent over Printed Name
shall compute the grade level total per track/strand/course and school total.
School Form 7 School Personnel Basic Profile and Assign
School Name School ID District
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items
Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
Division Region
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
FEMALE
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
SFRT 2017
gh School (SF8-SHS)
Region
School Year
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Reviewed By:
SFRT 2017
SFRT 2017