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School Form 2 Daily Attendance Report of Learners for Senio

School Name School ID District

Semester School Year Grade Level

Section Course/s (only for TVL)


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
1

10

11

12

13

14

15

16

17

<=== MALE | TOTAL Per Day ===>

10

11

12

13
Senior High School (SF2-SHS)
Division Region

Track and Strand


Month of

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
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
14

15

16

17

18

19

20

21

22

23

24

25

26

27

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE


1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = U
2. To compute the following: for Late Comer, Lower for Cutting Classes)

2. REASONS/CAUSES FOR NO LONGER I


a. Percentage of Enrolment = x 100 SCHOOL (NLS)
Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
a. Domestic-Related Factors
a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
a.4. Family problems

Average daily attendance


c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. 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 b.1. Illness
signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.4. Drug Abuse
b.5. Poor Academic Performance
days and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition

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

No. of Days of Classes:


ENDANCE Month: Summary
f shaded = Upper
M F TOTAL
g Classes)
* Enrolment (as of 1st Friday of the semester)

LONGER IN Late Enrolment during the month (beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

Number of students absent for 5 consecutive days

No Longer in School (NLS)

Transferred Out

Transferred In

Shifting Out

Shifting In

I certify that this report is true and correct:

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

School Name District Division

School ID Semester School Ye

ATTENDANCE DROPPED OUT TRANSFERRED OUT

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

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12


GRAND TOTAL
Prepared and Submitted By:

Signature of Sc
ance for Senior High School (SF4-SHS)

Region

hool Year For the Month of

TRANSFERRED IN SHIFTED OUT SHIFTED IN

(A) (A+B) (A) (A+B) (A) (A+B)


Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(B) Total for (B) Total for (B) Total for
Number as Number as of Number as Number as of Number as Number as
the Month the Month the Month
of Previous End of the of Previous End of the of Previous of End of the
Month Month Month Month Month 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
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:

ANTONIO C. DE LOS REYES


Signature of Class Adviser over Printed Name

Certified Correct By:

RUBY P. CASTILLO, Ed.D.


Signature of School Head over Printed Name

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

iled and checked by the School Head and


graduation.

. 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:

ANTONIO C. DE LOS REYES


Signature of Class Adviser over Printed Name

Certified Correct By:

RUBY P. CASTILLO, Ed.D.


Signature of School Head over Printed Name

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)

13 108339070120 SIASAT JR.,EFREN YOSOLON Y


GUIDELINES:
1. This form should be accomplished by the Class Adviser at End o
14 226501060625 VICOY,NHIVEE MENDOZA Y Year.
2. It should be compiled and checked by the School
passed to the Division Office before graduation.
FEMALE
1 108380070008 AMONELO,THEA MHARIE MACATANGAY Y Reviewed By:
2 108341060030 BUENCASTILLO,PAULA VILLENA Y
3 108339070030 CARDIÑO,TRISHA DELA CRUZ Y ERMIDA A. BANUELOS
Signature of Class Adviser over Printed Name
4 108339070049 ESTRELLA,AIVIE ANNE SALVADOR Y
5 108339070063 JOCSON,JENIELYN VILLEZA Y
6 108339070066 LARGO,CHARMAINE IAN BARRIGA Y
7 108343120005 LAYDIA,RAINJIE NIELSEN VOLPANE Y
8 108726070039 MACATANGAY,RIZALYN MARVILLA Y Certified Correct & Submitted By:
9 108339070076 MARJALINO,JASMINE CALAHATIAN Y
10 108339070082 MENDEZ,RINA MAE MENDEZ Y RUBY P. CASTILLO, Ed. D.
Signature of School Head over Printed Name
11 125753070012 PANDIAL,LHEA JEAN QUANIZO Y
12 111441060046 RECTO,LODELYN Y
13 108339070111 REYES,ANGELOU AZUSANO Y
14 108339070123 SUPILANAS,KRISTINE PRADO Y Reviewed By:

Signature of Division Representative over Printed Name


dviser at End of School

by the School Head and

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)

School Name District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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

Date of Assessment: Conducted/Assessed By: Certified Correct By:

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

Height for Age (HFA)


Summary Table
Tall Total

Reviewed By:

SFRT 2017

SFRT 2017

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