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School ID 123456 RegionX Division

School Name Valencia National High School

AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
1
Caitum, Ian A. M 11/14/06 12 Bagontaas, VaVisayan Cebuano

2
Cataraja, Jay B. M 6/7/06 13 P10, Valencia Visayan Cebuano

3
Calfoforo, Lou C. M 7/8/06 12 Grand Meadows
Visayan Cebuano

4
Malabanan, Anthony D. M 12/15/06 12 Lurugan, ValenVisayan Cebuano
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
5
Nono, Albrail E. M 10/15/06 12 Tagawili, Cab Visayan Cebuano

6
Gonzaga, Ella N. F 9/24/06 12 Maramag, BukVisayan Cebuano

7
Hallasgo, Mari R. F 10/12/06 12 Don Carlos, BVisayan Cebuano

8
Ho, Grace T. F 10/22/06 12 Casisang, MalVisayan Cebuano

9
Madorable, Alaiza P. F 8/3/06 12 P4, Valencia CVisayan Cebuano

10
Traya, Daniella T. F 9/28/06 12 Batangan, ValeVisayan Cebuano

List and code of Indicators under REMARK column


Indicator Code Required Information Indicator Code
Transferred Ou T/O Name of Public (P) Private (PR) School & EffectivCCT Recipient CCT
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)

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

Valencia City District 4th

School Year 2019-2020 Grade Level 7 Section

ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Penticostal Purok 1 San Carlos Valencia City Bukidnon Caitum, Rudy A. Aro, Risa C.

Roman Catholic Purok 2 Batangan Valencia City Bukidnon Cataraja, Max N. Bato, Jean B.

Roman Catholic Purok 3 Lurugan Valencia City Bukidnon Calfoforo, Ronel B. Camo, Jessa N.

Baptist Purok 4 Bagontaas Valencia City Bukidnon Malabanan, Arnel T. Denuyo, Bersina M.
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

Roman Catholic Purok 5 Kahaponan Valencia City Bukidnon Nono, Bernie C. Etoc, Teri B.

Roman Catholic Purok 6 Sugod Valencia City Bukidnon Gonzaga, Kris V. Nahial, Berna C.

SDA Purok 7 Patag, Valencia City Bukidnon Hallasgo, Rex J. Rubanso, Elenea F.
Bagontaas
Roman Catholic Purok 8 Colonia Valencia City Bukidnon Ho, Ivan S. Tonso, Grace L.

INC Purok 9 P11,Valencia Valencia City Bukidnon Madorable, Felip O. Paragoso, Welma S.

Roman Catholic Purok 10 Kawayanun Valencia City Bukidnon Traya, Bitoy C. Tormis, Catherine W.

olumn
Prepared by:
Required Information BoSY EoSY

CCT Control/reference number & Effectivity Date MALE


ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

(Signature of Adviser over Prin


Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYD
Laurel

GUARDIAN (If not Parent) REMARK/S


Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

9245678758

9234178630

9538265489

9785123865
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

9542876495

9423611542

9783564782

9354526287

9864847646

9864554870

Certified Correct:
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

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

EoSYDate: BoSY Date: EoSYDate:


School Form 2 (SF2) Daily Attendance Report of Learn
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 123456 School Year 2019-2020 Report for the Month of

Name of School Valencia National High School Grade Level 7

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)

1 Caitum, Ian A.
2 Cataraja, Jay B.

3 Calfoforo, Lou C.
4 Malabanan, Anthony D.
5 Nono, Albrail E.

MALE | TOTAL Per Day


1 Gonzaga, Ella N.

2 Hallasgo, Mari R.
3 Ho, Grace T.
4 Madorable, Alaiza P.

5 Traya, Daniella T.

FEMALE | TOTAL Per Day


LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
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= Uppe
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 b.3. Death
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
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 & clanfeuds)

d.3. Calamities/Disasters
e. Financial-Related
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others
earners

7 Section Laurel

Total for the


Month REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Total for the
Month REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)

Summary for the


Month: No. of Days of
Month
Classes:
M F TOTAL
d= Upper
* Enrolment as of (1st Friday of June)

Late Enrollment during the month


(beyond cut-off)

Registered Learner 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 with 5 consecutive days of


absences:
Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

Ms. Ella Mari Grace C. Traya


s)
(Signature of Teacher over Printed Name)

Attested by:
Total for the
Month REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Mrs. Ana G. Buntog
(Signature of School Head over Printed Name)
S

School ID 123456 School Year

Name of School Valencia National High School


LEARNER'S NAME

(Last Name, First Name, Middle


Name)
1 Caitum, Ian A.
2 Cataraja, Jay B.
3 Calfoforo, Lou C.
4 Malabanan, Anthony D.
5
MALE | TOTAL Per Day
1 Gonzaga, Ella N.
2 Hallasgo, Mari R.
3 Ho, Grace T.
4 Madorable, Alaiza P.
5 Traya, Daniella T.
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY

GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:
Registered Learner as of End of the Month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of June
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learner as of End of the month
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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consec
with potentials of dropping out
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

School Form 2: Page 2 of ________


School Form 2 (SF2) Daily Attendance Report of Learner
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

2019-2020 Report for the Month of

Grade Level

(1st row for date, 2nd row for Day: M,T,W,TH,F)

1. CODES FOR CHECKING ATTENDANCE

.
blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Com
Cutting Classes)

er as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS


x 100
of 1st Friday of June a. Domestic-Related Factors
aily Attendance a.1. Had to take care of siblings
Days in reporting month a.2. Early marriage/pregnancy
daily attendance a.3. Parents' attitude toward schooling
x 100
er as of End of the month a.4. Family problems
b. Individual-Related Factors
ording of b.1. Illness
d to the adviser. b.2. Overage
ner/s that committed 5 consecutive days of absences or those b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
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 & clanfeuds)

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
rt of Learners
ut Profile)

or the Month of

Grade Level 7 Section Laurel

Total for the Month


REMARK/S (If DROPPED OUT, state reason, ple
legend number 2.
ABSENT TARDY If TRANSFERRED IN/OUT, write the name of

Month: No. of Days of


Classes:
aded= Upper for Late Commer, Lower for
* Enrolment as of (1st Friday of June)

Late Enrollment during the month


(beyond cut-off)

Registered Learner 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 with 5 consecutive days of absences:

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

Ms. Ella Mari Grace C. Traya


uds)
(Signature of Teacher over Printed Name)

Attested by:
Mrs. Ana G. Buntog
(Signature of School Head over Printed Name)
OPPED OUT, state reason, please refer to
legend number 2.
ED IN/OUT, write the name of School.)

Summary for the Month


M F TOTAL
over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID 123456 School Year 2019-2020


School Name Valencia National High School Grade Level 7 Section Lau
ESP 7 MAPEH 7 ENG 7 AP 7 MATH 7 FIL 7

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) 9-Jun-19 Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Caitum, Ian A.
1 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Cataraja, Jay B.
2 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Calfoforo, Lou C.
3 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Malabanan, Anthony D.
4 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Nono, Albrail E.
5 6/9/2019 TDO 6/9/2019 TDO 6/9/2019 TDO 6/9/2019 TDO 6/9/2019 TDO 6/9/2019
Tadle, Christopher C.
6 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019
TOTAL FOR MALE | TOTAL COPIES 6 5 6 5 6 5 6 5 6 5 6
Gonzaga, Ella N.
1 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Hallasgo, Mari R.
2 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Ho, Grace T.
3 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Madorable, Alaiza P.
4 6/9/2019 3/27/2020 6/9/2019 NEG 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 6/9/2019
Traya, Daniella T.
5 6/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020 12/9/2019
ESP 7 MAPEH 7 ENG 7 AP 7 MATH 7 FIL 7

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) 9-Jun-19 Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES 5 5 5 4 5 5 5 5 5 5 5

TOTAL LEARNERS | TOTAL COPIES 11 10 11 9 11 10 11 10 10 10 11


GUIDELINES: In case of losses/unreturned, 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, NE
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
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
ned

Laurel
FIL 7 TLE SCIENCE 7

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

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020

TDO 6/9/2019 TDO 6/9/2019 TDO TLTR

3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020


5 6 5 6 5

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020

NEG 6/9/2019 3/27/2020 6/9/2019 3/27/2020 PTL

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020

3/27/2020 6/9/2019 3/27/2020 6/9/2019 3/27/2020 PTL

3/27/2020 12/9/2019 3/27/2020 12/9/2019 3/27/2020


FIL 7 TLE SCIENCE 7

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

4 5 5 5 5

9 11 10 11 10
ing code: Prepared By:

ed/Dropout, NEG=Negligence Ms. Ella Mari Grace C. Traya


rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property
ces: DO#23, s.2001, DO#25, s.2003, Date BoSY:_____ 88 Date EoSY: ____78_____

School Form 3: Page 2 of ________


School Form 4 (SF4) Monthly Learner's Movement and Atte
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region X Division Valencia City District


School ID 123456

School Name Valencia National High School School Year 2

ATTENDANCE DROPPED OUT TRAN


REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative
Percentage for (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average (B) For the Month as of End of the
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
Ms. Ella Mai Grace C. Traya 7 Laurel 5 5 10 5 5 10
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 forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
nd Attendance

4th

2019-2020 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
Prepared and Submitted by:

(Signature of School Head over Printed Name)


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

Region X Division Valencia City District 4th

123456
School ID School Year 2019-2020 Curriculum K to 12

School Name Valencia National High School Grade Level 7

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

1 Caitum, Ian A. 92.6 PROMOTED

2 Cataraja, Jay B. 95.3 PROMOTED

3 Calfoforo, Lou C. 98.6 PROMOTED

4 Malabanan, Anthony D. 89 PROMOTED

5 Tadle, Christopher C. 90.3 PROMOTED


INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

5 TOTAL MALE

1 Gonzaga, Ella N. 94.5 PROMOTED

2 Hallasgo, Mari R. 92.3 PROMOTED

3 Ho, Grace T. 88.0 PROMOTED

4 Madorable, Alaiza P. 90.6 PROMOTED

5 Traya, Daniella T. 93.1 PROMOTED


INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

5 TOTAL FEMALE

10 COMBINED
iciency

4th

K to 12

Section Laurel

Curriculum and
grades level that
p this column)

of the current SY

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED 5 5 10

*IRREGULAR 0 0 0

RETAINED 0 0 0

LEVEL OF PROFICIENCY
Curriculum and
grades level that
p this column)

of the current SY

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and 0 0 0
below)

DEVELOPING (D:
75%-79%)
0 0 0

APPROACHING
PROFICIENCY
(AP:
0 0 0
80%-84%)

PROFICIENT
(P: 85% -89%)
1 1 2

ADVANCED (A:
90% and above)
4 4 8

PREPARED BY:

Ms. Ella Mari Grace C. Traya

Class Adviser

(Name and Signature)


Curriculum and
grades level that
p this column)

of the current SY

CERTIFIED CORRECT & SUBMITTED:

Mrs. Ana G. Buntog

School Head

(Name and Signature)

REVIEWED BY:

Ms. Cleo Castigon

(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 teacher. The class adviser should make the
computation of 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
Curriculum and
grades level that
p this column)

of the current SY

4. Must tallied with the total enrollment report as of


End of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain


under the discretion of the Schools Division
Superintendent

School Form 5: Page 2 of ________

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