2020-DIV.-MEMO-CHECKING-OF-FORMS-as-of-FEB-20-2020 4

OSDS-DM-20-
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Reg. No. 44 100 18 93 0053

Address: Provincial Capitol Compound, Santa Cruz, Laguna Page 1 of 21
Telefax: (049) 831-9062 | 566-5013
Email: laguna@deped.gov.ph
Website: www.depedlaguna.com.ph
Republic of the Philippines
Department of Education
Region IVA- CALABARZON
SCHOOLS DIVISION OF LAGUNA
OSDS-DM-20-
001
February 20, 2020
DIVISION MEMORANDUM
No. s. 2020
2020 DIVISION CHECKING OF SCHOOL FORMS AND

SCHOOL YEAR-END RITES
TO : Assistant Schools Division Superintendent

Chief, CID
Chief SGOD
Education Program Supervisors, Public Schools District Supervisors,
Elementary/ Secondary School Heads
Public and Private Schools
All concerned
1. Hereunder are the different activities to be undertaken in connection with

the forthcoming closing of the School Year 2019-2020.
PUBLIC SCHOOLS
A. ADMINISTRATION OF 4TH PERIODICAL EXAMINATION
March 20-21 (G6, G10 and G12) *

March 27-28 (G1- 5, G7-9 and G11) *
B. CHECKING OF SCHOOL FORMS
 Priority Grade Levels (K, G6, G10 & G12)
School Level - March 23-25, 2020

Division Level-March 26, 2020 (Kinder, G6, ALS and SPED),
March 27-28, 2020 (G10 and G12)
Reg. No. 44 100 18 93 0053

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 Other Grade Levels
School Level- March 30-31,2020 (G1-5 and G7-9 and G11)

Division Level-April 1-2, 2020 (G1-5 and G7-9 and G11)
C. CULMINATING ACTIVITIES
April 3 End of School Year/Last day of Classes
April 3-4 Recognition and Graduation of G6 and G12

Recognition (G1-5 and G7-9, SPED)
Moving Up (Kinder and G10)
April 6 Distribution of Report Cards
April 13 - May 22 - Summer classes
*In adherence to Regional Memorandum No. 75, s. 2020 MODIFIED SCHOOL CALENDAR SY 2019-2020
**In adherence to DepEd Order NO. 007, s.2019 SCHOOL CALENDAR FOR SCHOOL YEAR 2019-2020
2. For moving-up and graduation purposes, this office shall give utmost priority
to the schedule of checking of forms for Kinder, Grade 6, Gr10 and G12.
PRIVATE SCHOOLS
A. ADMINISTRATION OF 4TH PERIODICAL EXAMINATION
March 20-21,2020 (Final Exam G6 G10 and G 12)

MARCH 27-28 (Final Exam G1- 5 AND G7-9 and G11)
B. CHECKING OF SCHOOL FORMS
(Gr 6,10 and 12)
School Level
June Opening of Classes - School Level - March 23-25, 2020

July Opening of Classes - School Level - April 23-24, 2020
August Opening of Classes - School Level - May 21-22, 2020
Division Level (c/o PSDS, EPS and SHS Teacher Coor.)
June Opening of Classes - April 14-15, 2020 (Kinder, G6, G12 and SPED)
July Opening of Classes -April 28-29, 2020 (Kinder, G6, G12 and SPED)
August Opening of Classes - May 28-29, 2020 (Kinder, G6, G12 and SPED)
(Other Grade Levels)
Reg. No. 44 100 18 93 0053

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School Level - Institutional Programming c/o Private School
Division Level (c/o PSDS)

June Opening of Classes - April 16-17, 2020 (G1-5 and G7-9 and 11)
July Opening of Classes-April 30 and May 4, 2020 (G1-5 and G7-9 and 11)
August Opening of Classes – June 2-3, 2020 (G1-5 and G7-9 and 11)
GRADUATION / RECOGNITION shall commence after division checking of forms

and LIS Validation
Private schools with Senior High Schools offering are also included in the checking
of school forms. They need to accomplish SF1, SF5, SF9 & SF 10 with the original
Form 137. Submission of Special Order application for Grade12 must be at least
fifteen (15) calendar days before the end of the current academic year as
stipulated in DepEd Order N0. 10 s. 2018 in which the prerequisite is LIS
validation which will commence on April.
3. This Office also reiterates the compliance on the schedule of quarterly

examination as stipulated in Regional Memorandum No. 075, s. 2020 Modified
School Calendar S.Y.2019-2020. No internal advance schedule of examination shall
be given for graduating/moving up levels (Gr 6 and G12). The “No Disruption of
Classes Policy” must be observed and maintained during the checking of all school
forms in adherence to DepEd Order NO.9, s.2005, Instituting Measures to Increase
Engaged Time-On-Task.
4. The members of Division Monitoring Officials/ Team for the said activities shall
be composed of the following:
Monitoring Officials:
Dr. Marites A. Ibańez- Schools Division Superintendent
Mr. Edgardo B. Militante –Assistant Schools Division Superintendent
Dr. Orlando T. Valverde- Curriculum Implementation - Chief
Dr. Darwin S. Talambayan- School Governance and Operations Division - Chief
Members of the SGOD Monitoring Team:
Mrs. Arlene A. Bonggon - Planning Officer II

Mrs. Frennie V. Aquino- SEPS M&E
Mr. Cirilo E. Vista Jr.- SEPS Research
Mr. Jerson T. Volpane – EPS II
School Health Nurses
Members of the CID Monitoring Team:
All Education Program Supervisors

All Public Schools District Supervisors
Reg. No. 44 100 18 93 0053

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5. To facilitate the consistent, accurate and quality checking of school forms, the
SGOD and CID teams shall be responsible in the following focused areas:
School Forms (SFs) and

Functional Focus Areas for checking Documents for
Division Validation*
CID Enrolment eligibility and SF1
assessment compliance that SF5
includes promotion /retention SF 10*
or acceleration SF 9 or Summary
Grades/Class Records *
Completion Certificate*
Acceleration Certificate*
ECCD Checklist *
SGOD Enrolment Count SF1
Dropped out SF 2- February/March
Transferred in/out SF4- February/March
No. of Promoted/Retained SF5
SF6
SF8
6. This office expects strict compliance to DepEd Order No. 11, s. 2018 Guidelines
on the Preparation and Checking of School Forms.
7. For other information relative to the said activities, kindly see the attached
enclosures.
8. Additional forms can be accessed by the schools and district offices to capture
the following indicators such as drop-out, transferred in and out, promoted
and retained, including learners who are enrolled from private schools, public
schools and SUCs/LUCs. For the SFCR form and template, kindly click the link
bit.ly//LAGUNA-SFCR2020 which will used by the SGOD monitoring team.
9. For any clarification and question about the checking of forms procedures and
related matters, please contact Mr. Cirilo E. Vista Jr- SGOD-SEPS-
09062980165 /cirilo.vista@deped.gov.ph and Mrs. Ana R. Reblora- PSDS-
EsP/Guidance at (049) 831-9062 /
09566915230/09463878973/ana.reblora@deped.gov.ph
10. Immediate and wide dissemination of this memorandum to all concerned is

hereby desired.
MARITES A. IBAÑEZ, CESO V

Schools Division Superintendent
/CID-Arr
Reg. No. 44 100 18 93 0053

Telefax: (049) 831-9062 | 566-5013
OSDS-DM-20-
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Encls:
Enclosure No.1, Reminders in Accomplishing School Forms and related documents Effective S.Y. 2019-2020
Enclosure No.2 Assignment of Schools, Districts and Schedules of Division Checking of Forms
Enclosure No.3. Division Technical Assistance Team In the Preparation and Submission of School Forms in all
Grade levels
Enclosure No.4. SGOD 2020 Checking of Forms Consolidated Report
Enclosure No.5 Division Representatives for School Form CheckingForm2(SFCR2)
Enclosure No. 6 Certificates for Moving up and Graduation Ceremony
Enclosure No. 7. Contents of Invitations/Programs During Moving- Up and Graduation Ceremonies
Enclosure No. 8 Confirmation of Completers and Graduates
References:
Regional Memorandum No. 75, s. 2020 MODIFIED SCHOOL CALENDAR SY 2019-2020

DepEd ORDER No. 031, s.2019 The Department of Education Service Marks and Visual Identity Manual
DepEd ORDER No. 025 s.2019 Graduation Ceremony for Grade 6 Completers in School Year 2018-2019
DepEd ORDER No.002 s. 2019 School Year 2018-2019 K to 12 Basic Education Program End of School Year
Rites
DepEd ORDER NO. 007, s.2019 SCHOOL CALENDAR FOR SCHOOL YEAR 2019-2020
DepEd ORDER No.002, s.2019 School Year 2018-2019 K to 12 Basic Education Program End of School Year
Rites
DepEd ORDER No. 025 s. 2018 School Calendar for School Year 2018-2019
DepEd ORDER No. 13 s.2018- Implementing Guidelines on the Conduct of Remedial and Advancement classes
during summer for the k to 12 BEP
DepEd ORDERNo. 11, s. 2018 Guidelines on the Preparation and Checking of School Forms
DepEd ORDER No. 58 s.2017-Adoption of New Forms for Kindergarten, Senior High School, Alternative Learning
System, Health and Nutrition and Permanent Records
DepEd ORDER No. 69 s 2016-Provision of the DepEd Electronic Class Record and Form 137 for SHS
DepEd Order No. 54, s. 2016, Guidelines on the Request and Transfer of Learner's School Records
DepEd ORDER No. 36 s. 2016-Policy Guidelines on Awards and Recognition for the K to 12 Basic Education
Program
DepEd ORDER No. 4 s,2016- Omnibus Policy on Kindergarten Education
DepEd ORDER No. 8 s. 2015-Policy Guidelines on Classroom Assessment for K to 12 Basic Education Program-
DepEd ORDER No. 4, s. 2014, Adoption of the Modified School Forms (SFs) for Public Elementary and Secondary
Schools Effective End of School Year 2013-2014
DepEd ORDER No. 33, s. 2013, Learner Information System (LIS) Data Housekeeping and Implementation for
School Year (SY) 2013-2014
Reg. No. 44 100 18 93 0053

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OSDS-DM-20-
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Enclosure No.1. Reminders for the Accomplishment School Forms and other
related documents for School Year 2019-2020
General Reminders:
1. Ensure that the following School Forms (SFs) generated from the LIS
are correct. The designated LIS or ICT coordinator is required to sign
or to put his initial in the following SFs:
 -School Form 1 (SF 1)-School Register
 -School Form 2 (SF 2)-Daily Attendance Report of Learner
(for the months of February and March)
 School Form 4 (SF 4)- Monthly Learner’s Movement and Attendance

(for the months of February and March)
 School Form 5 (SF 5)-Report on Promotion and Level of Proficiency

(including SF5-K, SF5A-SHS and SF5B-SHS for
Grade 12)
 School Form 6 (SF 6)-Summarized Report on Promotion and

Level of Proficiency)
2. School Form 9 (SF 9)- Learner’s Progress Report Card and School Form10
(SF 10) /Learners Permanent Academic Record (Form 137) shall be manually
updated and must be consistent with the SF5 and other documents.
3. School Forms 5 and 6 shall be prepared in 2 copies and signed by the

Division Representatives (EPS / PSDS Division Focal Persons). One (1) copy
shall be submitted to the Division Planning Officer-Mrs. Arlene T. Bonggon
and another copy for school file.
4. DepEd Order No. 007 s.2019 School Calendar For School Year 2019-2020
stated that it shall formally open on June 3,2019 and shall end on April 3,
2020.It shall consist of 203 school days, inclusive of the five-day In-Service
Training (INSET), the three days for the Parent-Teacher Conferences and the
World Teachers’ Day. In Enclosure No. 2, a calendar is presented with the
number of days and markings on relevant dates:
June – 1 December-11
July – 23 January- 21
August- 20 February- 19
September- 21 March- 22
October - 25 April- 3
Reg. No. 44 100 18 93 0053

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November- 20 Total- 203
Specific Reminders:
 SF5K Report on Promotion and Level of Proficiency for

Kindergarten
Use the Post Assessment ECCD checklist
 School Form 9 (SF 9)- Learner’s Progress Report Card
a. Write Passed/Failed in the column for Final Rating per

learning area while Promoted/ Retained in the space next to
the General Average rating
b. Write the Age of learner as of August in whole number. This
should tally with the age on LIS generated SF1
c. Ensure the completeness and correctness of all the data .
d. Check that all documents are properly signed by the concerned
individuals, (parents, teachers and principals)
e. For Kindergarten, use the prepared template for Progress
Report Card
 SF 10 /Learners Permanent Academic Record ( Form 137)
a. Grade 2 to 6/ 8 to 10/11-12 - indicate Passed/Failed in the

Remarks Column per Learning Area, while indicate
Promoted/Retained in the General Average
b. Grade 1 & 7 – Write Passed/Failed in the Remarks Column
per Learning Area and Promoted/Retained in the General
Average
 Certificates (Kinder, Grade 6, Grade 10 & Grade 12)
1. Signatories in the Graduation/Moving UP certificates

a. If the signatory is a full pledged principal, indicate his level “(I
-IV) after the term “ Punungguro.
b. If the school is headed by an Assistant School Principal II,
indicate Kawaksi, Punungguro II.
c. If the signatory is a Head teacher or Pang-ulong Guro, indicate
his level by writing I, II or III).
d. If the school is headed by a Teacher-in-Charge or Gurong
Namamahala, he can be considered as the signatory for the
position of the principal provided that he has the official
designation signed by the Schools Division Superintendent
Reg. No. 44 100 18 93 0053

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e. In the event that the TIC has no designation signed by the
SDS, the Public Schools District Supervisor / Tagamasid
Pampurok will be the signatory.
f. The class adviser is required to put her/his initial at the right
end of the term ‘Punungguro’.
2. Education Program Supervisors/ Public Schools District

Supervisor-Division Focal Persons are responsible to check the
entries in the certificates. After ensuring that all entries are correct
and consistent with SF1 and SF5, he /she shall l affix his/her
initial after the CESO rank of the Schools Division Superintendent.
3. For Senior High Schools, write the complete track and strand both
in English and Filipino.
4. Write the date of the graduation/moving up ( ApriL 3 or 4 only).
Ex. Nilagdaan sa Santa Cruz, Laguna, Pilipinas nitong
ika- ___ng Abril 2020
Signed in Santa Cruz, Laguna, Philippines on
the _____ day of April 2020
5. Write Region IV-A CALABARZON
6. Observe correct entries e.g. names, name of school, etc. The
learner’s information should be checked against the SF1 for
consistency.
7. Refrain from using expensive paper for certificate.
8. Use black ink in signing and putting initials in the certificates.
9. As indicated in DepEd Order NO. 31 s,2019, p. 42, there is no

specific paper size to be used in the certificates. However, for
uniformity purpose, the size 8 ½ x 11 and the use of parchment
paper are hereby suggested.
10.Soft copy of Certificate templates for Moving Up and Graduation

shall be given to all districts through the Public Schools District
Supervisors / District ICT Coordinators (c/o Division ICT Officer
-Mrs Avelyn J. Advento) or click the link
http://bit.ly/certificates-diploma-template-2020 (Reference:
DepEd Order No. 031, s.2019 THE DEPARTMENT OF
EDUCATION SERVICE MARKS AND VISUAL IDENTITY MANUAL
pp.42-47).
11.Strictly follow the given template in the preparation of certificates.

Any additional marking, border or designs are highly discouraged.
 SF 8 (Learner’s Basic Health and Nutrition)
1. The baseline nutritional status shall be used in SF8.

2. The following are the assigned signatories:
Conducted/Assessed by: The class Adviser/MAPEH teacher
Reg. No. 44 100 18 93 0053
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Certified Correct by: School Health/Nutrition Coordinator
Reviewed by: School Head/ School Principal
 School Forms Checking Form 1(SFCR 1)
Signatories: School Checking Committee (SCC)
Prepared by:
Chair: Teacher
Vice Chair: School ICT
3 Members: Teachers
Conforme: School Head
 School Forms Checking Form 2 (SFCR 2)
Signatories: Division Checking Committee (DCC)
Prepared by:
Chair: ORLANDO T. VALVERDE

Vice Chair: DARWIN S. TALAMBAYAN
1st Member: EPS or PSDS-Division Focal
2nd and 3rd Members: 2 School Heads
Verified by: PSDS
Reg. No. 44 100 18 93 0053

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Enclosure No.2 Assignment of Schools, Districts and Schedules of Division

Checking of Promotional Forms
District Assigned Venue ( Checking Center )

San Pedro San Pedro Central ES
Los Banos Los Banos Central ES
Bay Bay Central ES
Calauan Calauan Central ES
Victoria Banca Banca ES
Pila Pila Central ES
Alaminos Alaminos Central ES
Nagcarlan-Rizal Rizal Central ES
Liliw Liliw Central ES
Magdalena-Majayjay Ananias Laico Mem. ES
Pagsanjan FBenitez Mem. ES
Sta, Cruz Sta. Cruz Central ES
Sta. Maria Sta. Maria Central ES
Famy-Mabitac Mabitac Central ES
Siniloan Siniloan Central ES
Pakil-Pangil Pangil Central ES
Paete Paete Central ES
Lumban-Kalayaan Lumban Central ES
Cavinti Cavinti Central ES
Luisiana Luisiana Central ES
Reg. No. 44 100 18 93 0053

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OSDS-DM-20-
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Enclosure No. 3 - Division Technical Assistance Team In the Preparation and

Submission of School Forms in all Grade levels
Division Representatives
K -12, SPED ALS
District
Alaminos Mirza J. Linga / Editha V. Rana
c/o Div. ALS
Bay Roderica R. Camacho / Prima Cecilia S. Ilagan
focal Person-
Calauan Judith V. Clemente / Ginalyn B. Freo
Mrs. Juvy L.
Cavinti Wilmer M. Gahite/Ana R. Reblora
Tobias
Famy-Mabitac Lucia F. Pagalanan/Raymunda Mauricio/ Julie C. Sarmiento Members:
Liliw Elsie M. Arban/ Zarina G. Llarena
Los Banos Erma S. Valenzuela / Allan G. Hostalero DALSC
Luisiana Godofredo C. Mercado / Mylene Solomon Mobile Teachers
EPSA
Lumban- Amada C. Fernandez/Cristina E. Talambayan
Kalayaan Bernon G. Abellera
Magdalena- Frederick B. Zaide / Evelyn S. Jocson
Majayjay
Nagcarlan-Rizal Gregoria B. Gutierrez / Leny C. Corcolon/ Mirza J. Linga
Pagsanjan Zarina G. Llarena / Lourdes S. Gecolea
Paete Juvy L. Tobias / Solomon B. Kahulugan
Pakil-Pangil Ruth C. Valdellon / Marieta Valdivia /Felicisimo Marana
Pila Redella P. Vista / Florentina C. Rancap
San Pedro Jovito M. Barcenas/Erma S. Valenzuela
Siniloan Ma. Rona I. Aguja /Lamberto Perolina
Sta. Cruz Redella P. Vista / Luis M. Germina
Sta. Maria Lamberto C. Perolina / Melba R. Real
Victoria Eva Marie S. Cambe / Judith V. Clemente
Reg. No. 44 100 18 93 0053

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Enclosure No.5 –Division Representatives for School Forms Checking Form 2

(SFCR2)
District EPS/PSDS In-Charge Members

(1st Member) ( 2nd &3rd Members-)
Alaminos Mirza J. Linga Editha V. Rana & any School
Principal
Bay Roderica R. Camacho Prima Cecilia S. Ilagan/
___________________
Calauan Judith V. Clemente / Ginalyn B. Freo

_____________________
Cavinti Ana R. Reblora Wilmer M. Gahite/

__________________
Famy-Mabitac Lucia F. Pagalanan Raymunda Mauricio/ Julie C.

Sarmiento
Liliw Zarina G. Llarena Elsie M. Arban ________________
Los Banos Erma S. Valenzuela Allan G. Hostalero/

___________________
Luisiana Godofredo C. Mercado /Myline N. Solomon

________________
Lumban-Kalayaan Cristna E. Talambayan Amada C. Fernandez/

_Bernon G. Abellera
_____________________
Magdalena-Majayjay Frederick B. Zaide Evelyn S. Jocson
Nagcarlan-Rizal Mirza J. Linga Gregoria B. Gutierrez / Leny C.

Corcolon/
Pagsanjan Zarina G. Llarena Lourdes S. Gecolea/
___________________
Paete Juvy L. Tobias Solomon B. Kahulugan/

_____________________
Pakil-Pangil Ruth C. Valdellon Marieta B. Valdivia/

Felicisimo Marana
Reg. No. 44 100 18 93 0053

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Pila Redella P. Vista Florentina C. Rancap
____________________
Erma S. Valenzuela Jovito M. Barcenas/

San Pedro _____________________
Siniloan Lamberto C. Perolina / Ma. Rona I. Aguja/
____________________
Sta. Cruz Redella P. Vista / Luis M. Germina

___________________
Sta. Maria Lamberto C. Perolina Melba R. Real/

_______________
Victoria Judith V, Clemente / Eva Marie S. Cambe
_________________
Reg. No. 44 100 18 93 0053

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OSDS-DM-20-
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Enclosure No. 7 Contents of Invitations/Programs During Moving- Up and

Graduation Ceremonies
DALOY NG PALATUNTUNAN SA PAGTATAPOS (BAITANG 6 at 12)
PALATUNTUNAN
I. Unang Bahagi................................ Pagpasok ng mga Magsisispagtapos

Mga Magulang, Mga Guro,Mga Panauhin
Mga Opisyal ng Purok o Sangay
II. Ikalawang Bahagi
Pambansang Awit ng Pilipinas

Panalangin
Himno ng Bayan
Himno ng Lalawigan
Himno ng CALABARZON
Bating Pagtanggap
at Pagpapakilala ng mga
Magsisipagtapos……………..............Punungguro
Pagpapatunay sa mga
Magsisipagtapos…………………Tagamasid Pampurok
Pagpapatibay sa mga
Magsisipagtapos………………Pansangay na Tagapamanihala ng
Mga Paaralan
Ikalawang Pansangay na Tagapamanihala
ng mga Paaralan
Pansangay na Tagamasid
Pag-aabot ng Sertipiko
ng Pagtatapos…………… …..Pansangay na Tagapamanihala ng mga
Paaralan
Ikalawang Pansangay na Tagapamanihala
ng mga Paaralan
Pansangay na Tagamasid
Tagamasid Pampurok
Punungguro
Panunumpa ng Nagsipagtapos…………Nagkamit ng Mataas na Karangalan
Pagpapakilala sa Panauhing Tagapagsalita

ng Pagtatapos………………………………………………
Reg. No. 44 100 18 93 0053

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Mensahe…………………………………………Panauhing Tagapagsalita ng
Pagtatapos
Paggagawad ng mga Medalya/Sertipiko
sa mga Batang Nagtamo ng Karangalan------Punungguro, Magulang, Mag-

aaral
Talumpati……………………………………May Pinakamataas na Karangalan
Awit ng Nagsipagtapos………………………………Mga Nagsipagtapos
Pangwakas na Pananalita………………………………
III. Ikatlong Bahagi
Paglabas ng mga Panauhin, Mga Magulang, Mga Guro at mga Nagsipagtapos
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DALOY NG PALATUNTUNAN SA MOVING-UP CEREMONY (KINDERGARTEN &

BAITANG 10)
PALATUNTUNAN
I. Prosesyunal………………Mga Mag-aaral na Tatanggap ng Sertipiko,

Mga Magulang , Mga Guro at mga Panauhin
II. Pambansang Awit ng Pilipinas

III. Panalangin
IV. Pambungad na Pananalita
V. Pagpapakilala at Pagpapahayag
ng mga mag-aaral na tatanggap
ng Sertipiko……………….......................................Punungguro
VI. Pagpapatunay at Pagpapatibay sa mga
Mag-aaral na Tatanggap ng Sertipiko…………Pansangay na Tagapamanihala
ng mga Paaralan
VII. Pag-aabot ng Sertipiko

VIII. Paglilipat ng mga mag-aaral ng Junior High School
Patungo sa Senior High School…………………Gurong Taga-Ugnay sa
Senior High School
IX. Pagtanggap……………………………………Punungguro
X. Pagkakaloob ng Medalya sa mga
Batang Nagtamo ng Karangalan
XI. Talumpati………………………………… May Pinakamataas na

Karangalan
XII. Awit
XIII. Resesyonal
Reg. No. 44 100 18 93 0053

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Enclosure NO. 8 - Presentation /Confirmation of Completers and Graduates
(MOVING -UP CEREMONY – KINDERGARTEN)

( Para sa Guro)
Pinagpipitaganan naming Punungguro , (Pangalan ng Punungguro) ,

ikinararangal ko pong iharap sa inyo ang ________ na mag-aaral na lalaki at
__________ na mag-aaral na babae, na may kabuuang __________ na mag-aaral sa
KINDERGARTEN ng ___Paaralan)_ _______sa Taong Pampaaralan__________.
Kasiya-siya po nilang natupad ang mga kinakailangan sa Kurikulum pang-
Kindergarten na itinakda ng Kagawaran ng Edukasyon ng Republika ng
Pilipinas. Hinihiling ko po ang inyong pagkilala sa kanilang pagpapatuloy sa
susunod na antas .
( Para sa Punungguro)
Iginagalang naming Tagamasid pampurok ng (Distrito)___, ( Pangalan ng
PSDS), sa kahilingan ng inyong guro sa kindergarten, ( Pangalan ng Guro) ay
kinikilala ko bilang punungguro ng paaralang ito, na ang mga mag-aaral sa
Kindergarten na ngayon ay naririto ay kasiya-siyang nakatugon sa mga
kinakailangan para sa Kurikulum pang-Kindergarten na itinakda ng
Kagawaran.Idinudulog ko po sa inyo ang pagpapatunay na sila ay karapat-dapat
na magpatuloy sa susunod na antas, ang Baitang I ng K to 12 Basic Education
Program.
( Para sa Tagamasid)
Batay sa pagkilala ng inyong punungguro na kayo ay kasiya-siyang nakatugon sa

itinadhanang Kurikulum pang Kindergarten na itinakda ng Kagawaran ng
Edukasyon ng Republika ng Pilipinas at sa bisa ng kapangyarihang iginawad sa
akin ng Pansangay na Tagapamanihala ng mga Paaralan sa Laguna, Dr. Marites
A. Ibanez, pinatutunayan ko ang inyong pag-angat at karapatang magpatuloy sa
Baitang I . Marapat lamang na tanggapin ninyo ngayung ika- ng Abril ___ ang
inyong KATUNAYAN.
Reg. No. 44 100 18 93 0053

Telefax: (049) 831-9062 | 566-5013
OSDS-DM-20-
001
(MOVING -UP CEREMONY – Grade 10)

( Para sa Guro)
Pinagpipitaganan naming Punungguro , (Pangalan ng Punungguro) ,

ikinararangal ko pong iharap sa inyo ang ________ na mag-aaral na lalaki at
__________ na mag-aaral na babae, na may kabuuang __________ na mag-aaral sa
ika-10 baitang ng ___Paaralan)_sa Taong Pampaaralan __________. Kasiya-siya
po nilang natupad ang mga kinakailangan sa Kurikulum pang- Junior High
School na itinakda ng Kagawaran ng Edukasyon ng Republika ng Pilipinas.
Hinihiling ko po ang inyong pagkilala sa kanilang pagpapatuloy sa susunod na
antas .
( Para sa Punungguro)
Iginagalang naming Tagamasid pampurok ng (Distrito)___, ( Pangalan ng
PSDS), sa kahilingan ng inyong guro sa ika-10 baitang, ( Pangalan ng Guro) ay
kinikilala ko bilang punungguro ng paaralang ito, na ang mga mag-aaral sa
Baitang 10 na ngayon ay naririto ay kasiya-siyang nakatugon sa mga
kinakailangan para sa Kurikulum pang-Junior High School na itinakda ng
Kagawaran.Idinudulog kop o sa inyo ang pagpapatunay na sila ay karapat-dapat
na magpatuloy sa susunod na antas, ang Senior High School ng K to 12 Basic
Education Program.
( Para sa Tagamasid)
Batay sa pagkilala ng inyong punungguro na kayo ay kasiya-siyang nakatugon sa

itinadhanang Kurikulum pang Junior-High School na itinakda ng Kagawaran ng
Edukasyon ng Republika ng Pilipinas at sa bisa ng kapangyarihang iginawad sa
akin ng Pansangay na Tagapamanihala ng mga Paaralan sa Laguna, Dr. Marites
A. Ibanez, pinatutunayan ko ang inyong pag-angat at karapatang magpatuloy sa
Senior High School. Marapat lamang na tanggapin ninyo ngayung ika- ng Abril ___
ang inyong KATUNAYAN.
Reg. No. 44 100 18 93 0053

Telefax: (049) 831-9062 | 566-5013
OSDS-DM-20-
001
PAGPAPAKILALA, PAGPAPATUNAY at PAGPAPATIBAY NG PAGTATAPOS

(IKA-6 NA BAITANG)
Para sa GURO (Elementarya)
Pinagpipitaganan naming Punungguro ng ________________(Pangalan ng

Paaralan), ________________(Pangalan ng Punungguro) , ikinararangal ko pong
iharap sa inyo ang ________batang lalaki at _____batang babae, na may
kabuuang bilang na _______ batang magtatapos sa ________( Pangalan ng
Paaralan) sa Taong Pampaaralan 2019-2020 ( Dalawang libo’t labing-siyam
hanggang dalawang libo’t dalawampu).
Kasiya-siya po nilang natupad ang mga kinakailangan sa pagtatapos ng
Kurikulum Pang-Elementarya na itinakda ng Kagawaran ng Edukasyon para sa
Paaralang Elementarya ng Republika ng Pilipinas. Hinihiling ko po ang
pagpapatunay ng kanilang Pagtatapos.
Para sa PUNONG-GURO (Elementarya)
Pinagpipitaganan naming Tagamasid Pampurok ng __________

(Distrito),________ (Pangalan ng Tagamasid Pampurok), sa kahilingan po ng Guro
ng _____________( Pangalan ng Paaralan), G./Gng./Bb.________________, ay
pinatutunayan ko bilang Punungguro ng _________( Paaralan ng Paaralan), na
kasiya-siya nilang natupad ang mga kinakailangan sa pagtatapos ng Kurikulum
Pang Elementarya na itinakda ng Kagawaran ng Edukasyon para sa Paaralang
Elementarya ng Republika ng Pilipinas. Hinihiling ko po ang pagpapatibay ng
kanilang Pagtatapos.
Para sa Tagamasid Pampurok/Pansangay na Tagamasid
Batay sa pagpapatunay ng inyong Punungguro ng ____________( Pangalan

ng Paaralan), na kasiya-siya ninyong natapos ang pang-Elementaryang
kurikulum na itinakda ng Kagawaran ng Edukasyon para sa Paaralang
Elementarya ng Republika ng Pilipinas at sa bisa ng kapangyarihang iginawad
sa akin ng Pansangay na Tagapamanihala ng mga Paaralan sa Laguna, Dr.
Marites A. Ibanez, ay pinagtitibay ko ang inyong pagtatapos ngayung ika-___ ng
Abril, dalawang libo’t dalawampu dito sa _________( Pangalan ng Paaralan),
Bilang katunayan ay pinagkakaloob ko ang inyong KATUNAYAN.
Binabati ko kayong lahat!
Reg. No. 44 100 18 93 0053

Telefax: (049) 831-9062 | 566-5013
OSDS-DM-20-
001
PAGPAPAKILALA, PAGPAPATUNAY AT PAGPAPATIBAY NG PAGTATAPOS

SENIOR HIGH SCHOOL
Para sa GURO ( Subject Head/ Key Teacher/Adviser )

Pinagpipitaganan naming Punungguro ng ________________(Pangalan ng
Paaralan), ________________(Pangalan ng Punungguro), ikinararangal ko pong
iharap sa inyo ang {________batang lalaki at _____batang babae, na may kabuuang
bilang na _______ batang magtatapos sa___________(Track/Strand) } sa _________
( Pangalan ng Paaralan) sa Taong Pampaaralan 2019-2020( Dalawang libo’t labing-
siyam hanggang dalawang libo’t dalawampu).
Kasiya-siya po nilang natupad ang mga kinakailangan sa pagtatapos ng
Kurikulum Pang -Sekundarya na itinakda ng Kagawaran ng Edukasyon para sa
Paaralang Sekundarya ng Republika ng Pilipinas. Hinihiling ko po ang
pagpapatunay ng kanilang Pagtatapos.
Para sa PUNONG-GURO (SHS)
Pinagpipitaganan naming Tagamasid Pampurok ng __________

(Distrito),________ (Pangalan ng Tagamasid Pampurok), sa kahilingan po ng Guro
ng _____________ ( Pangalan ng Paaralan), G./Gng./Bb.________________, ay
pinatutunayan ko bilang Punungguro ng _________( Paaralan ng Paaralan), na
kasiya-siya nilang natupad ang mga kinakailangan sa pagtatapos ng Kurikulum
Pang Sekundarya na itinakda ng Kagawaran ng Edukasyon para sa Paaralang
Sekundarya ng Republika ng Pilipinas. Hinihiling ko po ang pagpapatibay ng
kanilang Pagtatapos.
Para sa Tagamasid Pampurok/Pansangay na Tagamasid
Batay sa pagpapatunay ng inyong Punungguro ng ____________( Pangalan

ng Paaralan), na kasiya-siya ninyong natapos ang pang Sekundaryang kurikulum
na itinakda ng Kagawaran ng Edukasyon para sa Paaralang Sekundarya ng
Republika ng Pilipinas at sa bisa ng kapangyarihang iginawad sa akin ng
Pansangay na Tagapamanihala ng mga Paaralan sa Laguna, Dr. Marites A. Ibanez,
ay pinagtitibay ko ang inyong pagtatapos ngayung ika-___ ng Abril, dalawang
libo’t dalawampu dito sa _________( Pangalan ng Paaralan), Bilang katunayan ay
pinagkakaloob ko ang inyong KATIBAYAN.
Binabati ko kayong lahat!
Reg. No. 44 100 18 93 0053

Telefax: (049) 831-9062 | 566-5013

2020-DIV.-MEMO-CHECKING-OF-FORMS-as-of-FEB-20-2020 4

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OSDS-DM-20-

Reg. No. 44 100 18 93 0053

2020 DIVISION CHECKING OF SCHOOL FORMS AND

TO : Assistant Schools Division Superintendent

1. Hereunder are the different activities to be undertaken in connection with

A. ADMINISTRATION OF 4TH PERIODICAL EXAMINATION

March 20-21 (G6, G10 and G12) *

B. CHECKING OF SCHOOL FORMS

 Priority Grade Levels (K, G6, G10 & G12)

School Level - March 23-25, 2020

Reg. No. 44 100 18 93 0053

 Other Grade Levels

School Level- March 30-31,2020 (G1-5 and G7-9 and G11)

April 3 End of School Year/Last day of Classes

April 3-4 Recognition and Graduation of G6 and G12

A. ADMINISTRATION OF 4TH PERIODICAL EXAMINATION

March 20-21,2020 (Final Exam G6 G10 and G 12)

B. CHECKING OF SCHOOL FORMS

(Gr 6,10 and 12)

June Opening of Classes - School Level - March 23-25, 2020

Division Level (c/o PSDS, EPS and SHS Teacher Coor.)

(Other Grade Levels)

Reg. No. 44 100 18 93 0053

School Level - Institutional Programming c/o Private School

Division Level (c/o PSDS)

GRADUATION / RECOGNITION shall commence after division checking of forms

3. This Office also reiterates the compliance on the schedule of quarterly

Members of the SGOD Monitoring Team:

Mrs. Arlene A. Bonggon - Planning Officer II

Members of the CID Monitoring Team:

All Education Program Supervisors

Reg. No. 44 100 18 93 0053

School Forms (SFs) and

10. Immediate and wide dissemination of this memorandum to all concerned is

MARITES A. IBAÑEZ, CESO V

Reg. No. 44 100 18 93 0053

Regional Memorandum No. 75, s. 2020 MODIFIED SCHOOL CALENDAR SY 2019-2020

Reg. No. 44 100 18 93 0053

 -School Form 1 (SF 1)-School Register

 -School Form 2 (SF 2)-Daily Attendance Report of Learner

(for the months of February and March)

 School Form 4 (SF 4)- Monthly Learner’s Movement and Attendance

 School Form 5 (SF 5)-Report on Promotion and Level of Proficiency

 School Form 6 (SF 6)-Summarized Report on Promotion and

3. School Forms 5 and 6 shall be prepared in 2 copies and signed by the

Reg. No. 44 100 18 93 0053

 SF5K Report on Promotion and Level of Proficiency for

 School Form 9 (SF 9)- Learner’s Progress Report Card

a. Write Passed/Failed in the column for Final Rating per

 SF 10 /Learners Permanent Academic Record ( Form 137)

a. Grade 2 to 6/ 8 to 10/11-12 - indicate Passed/Failed in the

1. Signatories in the Graduation/Moving UP certificates

Reg. No. 44 100 18 93 0053

2. Education Program Supervisors/ Public Schools District

9. As indicated in DepEd Order NO. 31 s,2019, p. 42, there is no

10.Soft copy of Certificate templates for Moving Up and Graduation

11.Strictly follow the given template in the preparation of certificates.

 SF 8 (Learner’s Basic Health and Nutrition)

1. The baseline nutritional status shall be used in SF8.

 School Forms Checking Form 1(SFCR 1)

Signatories: School Checking Committee (SCC)

Conforme: School Head

 School Forms Checking Form 2 (SFCR 2)