Beruflich Dokumente
Kultur Dokumente
10
11
12
13
14
15
16
17
10
11
12
13
Senior High School (SF2-SHS)
Division Region
15
16
17
18
19
20
21
22
23
24
25
26
27
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 & clan feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
Total for the Month 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).
W TH F S ABSENT TARDY
Transferred Out
Transferred In
Shifting Out
Shifting In
feuds)
Signature of Class Adviser over Printed Name
Attested By:
DATE
NAME
No. (Last Name, First Name, Name Extension, Middle
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
f. Others (Specify)
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
Total for the Month 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).
W TH F S ABSENT TARDY
Signature of School Head over Printed Name
School Form 4 Monthly Learners' Movement and Attendanc
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
BACK SUBJECT/S END OF
LEARNER'S NAME SEMESTER
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name) STATUS
below 75%) (Complete/ Incomplete)
FEMALE
1 COMPLETE
2 COMPLETE
3 COMPLETE
4 COMPLETE
5 COMPLETE
6 COMPLETE
7 COMPLETE
8 COMPLETE
9 COMPLETE
10 COMPLETE
11 COMPLETE
12 COMPLETE
13 COMPLETE
14 COMPLETE
15 COMPLETE
16 COMPLETE
END OF SCHOOL
YEAR STATUS
(Regular/ Irregular)
Prepared By:
Reviewed By:
FREDERICK B. ZAIDE
Signature of Division Representative over Printed Name
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)
GUIDELINES:
1. This form should be accomplished by the Class Adviser at End o
Year.
2. It should be compiled and checked by the School
passed to the Division Office before graduation.
FEMALE
1 Y Reviewed By:
2 Y
3 Y ANTONIO C. DE LOS REYES
4 Y Signature of Class Adviser over Printed Name
5 Y
6 Y
7 Y
8 Y Certified Correct & Submitted By:
9 Y
10 Y RUBY P. CASTILLO, Ed. D.
11 Y Signature of School Head over Printed Name
12 Y
13 Y
14 Y Reviewed By:
15 Y
16 Y FREDERICK B. ZAIDE
Signature of Division Representative over Printed Name
d by the Class Adviser at End of School
. DE LOS REYES
Adviser over Printed Name
ASTILLO, Ed. D.
ol Head over Printed Name
ICK B. ZAIDE
presentative over Printed Name
FEMALE
1 COMPLETE
2 COMPLETE
3 COMPLETE
4 COMPLETE
5 COMPLETE
6 COMPLETE
7 COMPLETE
8 COMPLETE
9 COMPLETE
10 COMPLETE
11 COMPLETE
12 COMPLETE
13 COMPLETE
14 COMPLETE
COMPLETE
COMPLETE
Prepared By:
Reviewed By:
FREDERICK B. ZAIDE
Signature of Division Representative over Printed Name
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)
OS
ed Name
d. D.
ed Name
Printed Name
SF 8
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