School Form 1 (SF 1) School Register Summary

School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
School Name
NAME
(Last Name, First Name, Middle Name)
LRN
Region
106450
III
Division
Tarlac Province
Gabaldon Elementary School
BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)
AGE as of
1st Friday
of June
School Year
District
2014-2015
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
Grade Level
ADDRESS
BIRTH
PLACE
(Province)
Gerona North
Section
NAME OF PARENTS
RIZAL
GUARDIAN (If not Parent)
RELIGION
(nos. of years as
per last birthday)
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if

family name identical to
learner)
Mother (Maiden: 1st Name,

Middle & Last Name)
106450100005
AGUSTIN
MARK LAURENCE
VIAJEDOR
11/13/05
1 7/2
Tarlac
Tagalog
Christianity
N/A
Pinasling
Gerona
Tarlac
AGUSTIN,MARVIN
CORPUZ
MARY LUZ RAIJEZ

VIAJEDOR
106451100007
AILES
JAMES
CACAYURAN
05/03/05
9/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
AILES, HILARIO N.
REBEXXA CACAYURAN
106450130175
AMANDE
ALEXIS JAY
SABADO
10/23/04
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
AMANDE, ELMER MEJIA CARLA FLORIG SABADO
106450100015
BAIS
FERDINAND
OCAMPO
05/30/04
1 0/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
106450100016
BELTRAN
JOHN RACE
VIADAN
05/11/03
1 1/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Pura
Tarlac
106450100018
BENITEZ
TYRON
AMATORIO
02/02/04
10
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106450100023
BUGAYONG
RUEL
BASILAS
10/01/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106450100025
CALIGAGAN
JOHN LEINARD
GONZAGA
02/24/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
CALIGAGAN, IAN
BELANDO
106450100030
CONDE
NEIL LESTER
BERNABE
12/16/04
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
CONDE, NOEL RIVERA LUZ GARCIA BERNABE
106450100026
CUNANAN
RUSSEL JAMES
DAILEG
04/25/05
9/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
CUNANAN JEFREY A
ROSE ANN DAILEG
106450100035
FABIAN
RAYMARK
MAMARIL
08/11/03
11
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
FABIAN RIZALDY
MARCELINA MAMARIL
106450100041
FERNANDEZ
JOHN DANIEL
DONATO
03/24/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
FERNANDEZ, ROLANDO
JOSIE M. DONATO
S.
106450130176
GARCIA
ROB THOMAS
MIFUEL
07/27/04
1 0/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
###
GUANDE
NICO
ANCHETA
03/20/05
Tarlac
Tagalog
Christianity
N/A
Pinasling
Gerona
Tarlac
GUANDE, DOMY D.
MERLY D. ANCETA
106450100044
IGLESIAS
GIAN CARLO
CUPAG
12/17/04
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
IGLESIAS, HERNAN
FACUN
MYLENE ALCAIDE CUPAG
106450100050
MADRIAGA JR,
FREDDIE
JUNIO
05/23/05
9/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
ARLENE JUNIO
106450100054
MENDOZA
JOHN MICHAEL
DE GUZMAN
04/23/02
1 1/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
CRISTINA DE GUZMAN
106450100055
MILLA
FREDDIE
CAPINDING
02/01/04
10
Tarlac
Tagalog
Christianity
N/A
Poblacion 2
Gerona
Tarlac
MILLA FRANCISCO T.
CRISTINA DELA CRUZ

CAPINDING
106450100056
MOLINA
HARMES
BAUTISTA
01/05/04
10
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
MOLINA, ROLLY
ANALIE BAUTISTA
10650100061
PAGRAD
JOMEL
TORALDE
03/19/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 2
Gerona
Tarlac
MELANIE SORIANO
TORALDE
106464100029
PASCUA
RHEY MARC
MARTINEZ
08/12/05
9/1
Tarlac
Tagalog
Christianity
N/A
Bawa
Gerona
Tarlac
106450100063
PEREZ
JOHN GABRIEL
SANTOS
11/01/05
Tarlac
Tagalog
Christianity
N/A
Pinasling
Gerona
Tarlac
106450100067
SALMASAN
APRIL JAY
JUNIO
04/01/05
9/1
Tarlac
Tagalog
Christianity
N/A
Abagon
Gerona
Tarlac
PAGRAD, JOSEPH
SIARES
PASCUA, REYNALDO
SAPUNGAY
PEREZ, JESSIE
AGUSTIN
SALMASAN
REYNOLD E
BAIS, ROLANDO
VALENCIA
BELTRAN, JOHN
ARCIAGA
BENITEZ, ZALDE
JUVY SORIANO OCAMPO

GRACE CORPUZ VIADAN
RHEA AMATORIO
AILEEN BASILAS
MARY ANN GONZAGA
DALIA MIFUEL
Name
AGUSTIN,MARVIN
CORPUZ
AILES, HILARIO N.
AMANDE, ELMER
MEJIA
JUVY OCAMPO BAIS
BELTRAN, JOHN
ARCIAGA
BENITEZ, ZALDE R.
REYNAN BUGAYONG
CALIGAGAN, IAN
BELANDO
LUZ BERNABE
CONDE
JEFREY CUNANAN
MARCELINA M.
FABIAN
RONALDO
FERNANDEZ
CHRISTOPHER ROY
GARCIA
DOMY D. GUANDE
HERNAN FACUN
IGLESIAS
FREDDIE
MADRUAGA SR.
JAYMER MENDOZA
FRANCISCO T. MILLA
ROLLY MOLINA
JOSEPH SIARES
PAGRAD
REYNALDO
MARICEL TOMAS MARTINEZ
SAPUNGAY PASCUA
PEREZ JESSIE
SANTOS JOANNE CANO
AGUSTIN
VERONICA JUNIO
VERONICA JUNIO
SALMASAN
NAME
LRN
BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)
AGE as of
1st Friday
of June
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME OF PARENTS
RELIGION
(nos. of years as
per last birthday)
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
106450100070
SOLOMON JR.
JONAR
ENERO
02/16/04
10
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
106450100071
SANTA MARIA
MHAR JOSEPH
MARIANO
10/13/05
Tarlac
Tagalog
Christianity
N/A
Carbonel
Gerona
Tarlac
106450100072
SANTA MARINA
ALI JAY
DUMALAG
06/11/05
9/1
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
26
<=====
TOTAL MALE
106450100001
AGBUNAG
LYNDSEY
CORTEZ
07/02/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106450130170
ALIOSADA
MARIA CHRISTINE
FACUN
10/06/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
106450100011
ARELLANO
KAYCELENE
RAMOS
08/26/03
11
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
101742100015
CRUZ
MA. KYLA
LOPEZ
05/26/05
11
Tarlac
Tagalog
Christianity
N/A
Pinasling
Gerona
Tarlac

learner)
STA.
MARIA
MARLON
PANGILINA
N
AGBUNAG ,
CARLO
MAGNO
FACUN,
CHRISTOPH
ER R.
ARELLANO
ARTURO
SABADO

Middle & Last Name)
EMILY ENERO
ROSARIO WAGE
MARIANO
AILEEN DUMALAG
CORTEZ LOVELY
VILLANUEVA
CRISTETA LLABES
RAMOS
JULITA LOPEZ
DESTURA
MARVIN
BERZAL
106450100034
DESTURA
IRISH TRISHA LEIGH
FACUN
02/06/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
REINA RAMOS FACUN
106457100020
EVANGELISTA
SHANE
CAVERTO
04/01/05
Tarlac
Tagalog
Christianity
N/A
Singat
Gerona
Tarlac
MARILOU CAVERTO
106450100036
FABIAN
ROXANNE
MAMARIL
11/05/04
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
MARCELINA MAMARIL
106450100038
FACUN
JONA
PANIBON
10/12/04
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
FACUN, PEPITO
LUMIBAO JR.
NOIME GARCIA PANIBON
106450100039
FACUN
MAURICE JHADE
GADDANG
09/03/05
Tarlac
Tagalog
Christianity
N/A
Abagon
Gerona
Tarlac
FACUN, HAZEL R.
MARILOU Y. GADDANG
106450130177
GALEON
SHEENA
DIZON
07/28/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 3
Gerona
Tarlac
106450100045
JUNIO
FREDELYN
JUNIO
01/28/03
11
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106450130171
MILLADO
ANGELICA BEA
IBARRA
03/17/05
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106450100060
ORPILLA
RENALYN
SOLIVEN
08/13/04
10
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106477100038
PEREZ
ALONA MAE
ANCHETA
11/09/05
Tarlac
Tagalog
Christianity
N/A
Pinasling
Gerona
Tarlac
106450100066
SABANGAN
AIRA
GUARIN
12/15/03
10
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
106450090077
VINUYA
LIBERTY JOY
FLORES
09/09/03
11
Tarlac
Tagalog
Christianity
N/A
Poblacion 1
Gerona
Tarlac
16
<====
TOTAL FEMALE
42
<====
COMBINED
MA. JOSEPHINE DIZON

GALEON
ARLENE JUNIO
MILLADO TELESFORO
MALLARI
ORPILLA, RODOLFO
ESPANOLA
MARIA VICTORIA PINEDA

IBARRA
Transferred Out
Code
T/O
Required Information
Indicator
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
Code
CCT
Required Information
CCT Control/reference number & Effectivity Date
MALE
JULIE FACUN SOLIVEN

ROSE ACHETA
BoSY
EoSY
26
26
CARLO MAGGNO
AGBUNAG
CHRISTOPHER
FACUN
CRISTETA RAMOS
ARELLANO
RENATO A. CRUZ SR.
MARVIN BERZAL
DESTURA
MARILOU CAVERTO
EVANGELISTA
RIZALDY FABIAN
PEPITO LUMIBAO
FACUN JR.
HAZEL R. FACUN
MARIO GALEON
TELOSFONO
MILLADO JR.
JULIE SOLIVEN
ORPILLA
ALI D PEREZ
ANGELO SABANGAN
VILMA GUARIN
VIRGINIA FLORES
List and code of Indicators under REMARK column

Indicator
JONAR SOLOMON
SR.
MARLON P. STA.
MARIA
AILEEN STA. MARINA
ARELENE JUNIO
MADRIAGA FREDDIE
SABANGAN ANGELO
Name
NOEL VINUYA
Prepared by:
ANGELITA MEJIA CORPUZ
NAME
LRN
BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)
AGE as of
1st Friday
of June
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
(nos. of years as
per last birthday)
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
Name of Public (P) Private (PR) School & Effectivity Date

Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
Balik-Aral
Learner With Dissability
Accelarated
B/A
LWD
ACL
NAME OF PARENTS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
Municipality/ City
Province

learner)
FEMALE
16
16
TOTAL
42
42

Middle & Last Name)
Name
(Signature of Adviser over Printed Name)
06/02/14
RIZAL
ARDIAN (If not Parent)
REMARK/S
Contact Number
(Parent
/Guardian)
Relationship
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
(Please refer to the

legend on last page)
REMARK/S
Contact Number
(Parent
/Guardian)
Relationship

RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
RELATIVE
Certified Correct:
RICHARD R. MELCHOR, ED.D.
REMARK/S
Contact Number
(Parent
/Guardian)
Relationship

(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
JUNE
Report for the Month of
Grade 4
Grade Level
(1st row for date)
No.
NAME
9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
TH
TH
TH
TH
RIZAL
Section
Total for the

Month
T
TH
ABSENT
TARDY
AGUSTIN, MARK LAURENCE

VIAJEDOR
AILES, JAMES CACAYURAN
AMANDE, ELIXIS JAY SABADO
BAIS, FERDINAND OCAMPO
BELTRAN, JOHN RACE VIADAN
BENITEZ, TYRON AMATORIO
BUGAYONG, RUEL BACILES
CALIGAGAN, JOHN LEINARD

GONZAGA
CONDE, NEIL LESTER BERNABE
10 CUNANAN, RUSSEL JAMES DAILEG
11 FABIAN, RAYMARK MAMARIL
12 FERNANDEZ, JOHN DANIEL DONATO
13 GARCIA, ROB THOMAS MIFUEL
14 GUANDE, NICO ANCHETA
15 IGLESIAS, GIAN CARLO CUPAG
16 MADRIAGA JR, FREDDIE JUNIO
18 MILLA, FREDDIE CAPINDING
19 MOLINA, HARMES BAUTISTA
20 PAGRAD, JOMEL TORALDE
21 PASCUA, RHEY MARC MARTINEZ
17
MENDOZA, JOHN MICHAEL DE

GUZMAN
REMARKS (If DROPPED OUT, state reason, please

refer to legend number 2. If TRANSFERRED IN/OUT,
write the name of School.)
22 PEREZ, JOHN GABRIEL SANTOS
23 SALMASAN, APRIL JAY JUNIO
24 SOLOMON, JONALD ENERO
25 STA MARIA, MHAR JOSEPH MARIANO
26 STA MARINA, ALIJAY DUMALAG
26
<=== MALE | TOTAL Per Day ===>
26 26 26 26 26 26 26 26
26 26 26 26 26 26 26 26 26 26 26 26
AGBUNAG, LYNDSEY CORTEZ
ALIOSADA, MARIA CHRISTINE FACUN
ARELLANO, KAYCELENE RAMOS
CRUZ, MARIA KYLA LOPEZ
DESTURA, IRISH TRISHA LEIGH

FACUN
EVANGELISTA, SHANE CAVERTO
FABIAN, ROXANNE MAMARIL
FACUN, JONA PANIBON
FACUN, MAURICE JHADE GADDANG
10 GALEON, SHEENA DIZON
11 JUNIO, FREDYLYN JUNIO
12 MILLADO, ANGELICA BEA IBARRA
13 ORPILLA, RENALYN SOLIVEN
14 PEREZ, ALONA MAE ANCHETA
15 SABANGAN, AIRA GUARIN
16 VINUYA, LIBERTY JOY FLORES
16
<=== FEMALE | TOTAL Per Day ===>
16 16 16 16 16 16 16 16
16 16 16 16 16 16 16 16 16 16 16 16
42
Combined TOTAL Per Day
42 42 42 42 42 42 42 42
42 42 42 42 42 42 42 42 42 42 42 42
GUIDELINES:
1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
a. Percentage of Enrolment =
b. Average Daily Attendance =
Registered Learners as of end of the month

Enrolment as of 1st Friday of the school year
Total Daily Attendance
Month: JUNE
No. of Days of
Classes: 20
* Enrolment as of (1st Friday of June)
Summary
M
TOTAL
26
16
42
26
16
42
2. REASONS/CAUSES FOR DROPPING OUT
x 100
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
Late Enrollment during the month

(beyond cut-off)
Registered Learners as of

c. Percentage of Attendance for the month =

Number of School Days in reporting month

Average daily attendance
x 100
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 School
Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
*Beginning of School Year cut-off report is every 1st Friday of the School Year
26
16
42
100%
100%
100%
Average Daily Attendance
26
16
42
Percentage of Attendance for the month
100%
100%
100%
Number of students absent for 5 consecutive days
end of month
Percentage of Enrolment as of
end of month
b. Individual-Related Factors
b.1. Illness
b.2. Overage
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
Dropped out
Transferred out
Transferred in
I certify that this is a true and correct report.
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
RICHARD RAMOS MELCHOR


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
JULY
Grade 4
Grade Level
(1st row for date)
No.
NAME
M
9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31
TH
TH
TH
TH
RIZAL
Section
TH
Total for the

Month
F
ABSENT
TARDY

VIAJEDOR

GONZAGA

17

GUZMAN

X
X
X
X

13
26
26 26 26 26 26 26 26 26 26 24 26 26 25 24 25 26 26 26 25 22
24 26

FACUN
FACUN, JONA PANIBON
12
25
X
X

16
16 16 16 16 16 16 16 16 16 14 16 16 16 12 15 16 14 16 16 14
15 16
42
42 42 42 42 42 42 42 42 42 38 42 42 41 36 40 42 40 42 42 36
39 42
GUIDELINES:

Month: JULY
No. of Days of
Classes: 22
Summary
TOTAL
26
16
42
x 100
26
16
42
(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.41
15.45
40.91
97.73
96.56
97.40
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
AUGUST
Grade 4
Grade Level
(1st row for date)
No.
NAME
M
TH
8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29
TH
TH
TH
RIZAL
Section
TH
Total for the

Month
ABSENT
TARDY

VIAJEDOR

GONZAGA
17

GUZMAN

26
26 26 26 25 25 26 26 26 26 26 26 26 26 26
26
26 26 25 26

FACUN
FACUN, JONA PANIBON
X
X


16
16 16 15 15 16 16 16 16 16 16 16 16 16 16
16
16 15 14 16
42
42 42 41 40 41 42 42 42 42 42 42 42 42 42
42
42 41 39 42
GUIDELINES:

Month: AUGUST
No. of Days of
Classes: 19
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.84
15.74
41.58
99.38
98.38
99
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
SEPTEMBER
Grade 4
Grade Level
(1st row for date)
No.
NAME
9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30
TH
TH
TH
TH
RIZAL
Section
Total for the

Month
W
TH
ABSENT
TARDY

VIAJEDOR

GONZAGA

17
X
X
X
X

GUZMAN


18

26
26 22 25 25 26 25 26 25 26 26 26 21 21 26 26 26 26 26 26 26 26 26

FACUN
FACUN, JONA PANIBON
13
31

X
X

16
16 13 16 16 16 14 15 16 16 16 16 13 12 16 16 16 16 16 16 16 16 16
42
42 35 41 41 42 39 41 41 42 42 42 34 33 42 42 42 42 42 42 42 42 42
GUIDELINES:

Month: SEPTEMBER No. of Days of

Classes: 22
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.18
15.41
40.59
96.85
96.31
96.65
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
Grade 4
Grade Level
(1st row for date)
No.
NAME
M
9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 31
TH
TH
TH
TH
RIZAL
Section
TH
Total for the

Month
ABSENT
TARDY

VIAJEDOR

GONZAGA

17

GUZMAN

26
26 26 26 26 25 24 25 26 26 25 26 26 26 26 26 26 26 26 26 26 26 26 26

FACUN
FACUN, JONA PANIBON


16
15 16 16 16 15 16 16 15 15 16 16 16 16 16 16 16 16 16 16 16 16 16 16
42
41 42 42 42 40 40 41 41 41 41 42 42 42 42 42 42 42 42 42 42 42 42 42
GUIDELINES:

Month: OCTOBER
No. of Days of
Classes: 23
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.78
15.83
41.61
99.16
98.91
99.07
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
NOVEMBER
Grade 4
Grade Level
(1st row for date)
No.
NAME
7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28
TH
TH
TH
TH
RIZAL
Section
Total for the

Month
M
TH
ABSENT
TARDY

VIAJEDOR

GONZAGA
17

GUZMAN
X
X

26
26 26 26 26 26 26 26 26 26 25 25 25 25 26 26 26 26 26 26 26

FACUN
FACUN, JONA PANIBON
X
X

10
16
16 16 16 16 14 15 16 15 14 16 16 16 16 16 16 16 16 16 16 16
42
42 42 42 42 40 41 42 41 40 41 41 41 41 42 42 42 42 42 42 42
GUIDELINES:

Month: NOVEMBER
No. of Days of
Classes: 20
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.8
15.7
41.5
99.23
98.13
98.81
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
DECEMBER
Grade 4
Grade Level
(1st row for date)
No.
NAME
9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 31
TH
TH
TH
TH
RIZAL
Section
Total for the

Month
TH
ABSENT
TARDY

VIAJEDOR

GONZAGA

17

GUZMAN
X
X


14
26
23 24 22 26 26 26 26 26 26 26 21 26 26 26 26

FACUN
FACUN, JONA PANIBON
21


16
13 16 14 16 16 16 16 16 16 16 14 16 16 16 16
42
36 40 36 42 42 42 42 42 42 42 35 42 42 42 42
GUIDELINES:

Month: DECEMBER
No. of Days of
Classes: 15
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.07
15.53
40.6
96.41
97.08
96.67
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
JANUARY
Grade 4
Grade Level
(1st row for date)
No.
NAME
M
TH
9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
TH
TH
TH
RIZAL
Section
TH
Total for the

Month
ABSENT
TARDY

VIAJEDOR

GONZAGA

17

GUZMAN

11

26
26 26 26 26 26 26 26 26 26 26 25 26 25 25 23 21 26 26 26 26

FACUN
FACUN, JONA PANIBON
18
29
X
X
X
X
X
X
16
16 16 16 16 16 16 15 15 14 16 16 14 14 15 15 12 16 14 15 15
42
42 42 42 42 42 42 41 41 40 42 41 40 39 40 38 33 42 40 41 41
GUIDELINES:

Month: JANUARY
No. of Days of
Classes: 20
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.45
15.1
40.55
97.88
94.38
96.55
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
Gabaldon ES
Name of School
Grade 4
Grade Level
(1st row for date)
No.
NAME
9 10 11 12 13 16 17 18 19 20 23 24 25 26 27
TH
TH
TH
TH
RIZAL
Section
Total for the

Month
M
TH
ABSENT
TARDY

VIAJEDOR

GONZAGA
X
X

17

GUZMAN

26
26 26 26 26 26 26 26 26 26 26 23 25 26 26 26 25 26 26 25 24

FACUN
FACUN, JONA PANIBON
17
25
X
X
X
X
X
X
X
X
X
X


X
X
16
16 16 15 13 16 16 15 14 13 16 14 15 16 15 16 15 16 16 15 15
42
42 42 41 39 42 42 41 40 39 42 37 40 42 41 42 40 42 42 40 39
GUIDELINES:

Month: FEBRUARY
No. of Days of
Classes: 20
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.6
15.15
40.75
98.46
94.69
97.02
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:


School ID
106450
2014 - 2015
School Year
MARCH
Grade Level
Grade 4
Gabaldon ES
Name of School
(1st row for date)

No.
NAME
9 10 11 12 13 16 17 18 19 20 23 24 25 26 27
TH
TH
TH
TH
RIZAL
Section
Total for the

Month
M
TH
ABSENT
TARDY

VIAJEDOR
8
9

GONZAGA


17

GUZMAN


19


26
26 24 24 24 21 21 26 23 26 26 26 26 26 26 26 26 26 26 26 26
X

FACUN
FACUN, JONA PANIBON
15
34
X
X
X
X


X
X
X
16
15 13 14 15 12 12 16 16 16 16 16 16 16 16 16 16 16 16 16 16
42
41 37 38 39 33 33 42 39 42 42 42 42 42 42 42 42 42 42 42 42
GUIDELINES:

Month: MARCH
501
305
806
No. of Days of
Classes: 20
Summary
M
TOTAL
26
16
42
26
16
42
x 100

(beyond cut-off)



x 100
26
16
42
100%
100%
100%
25.05
15.25
40.3
96.35
95.31
95.95
end of month
end of month
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Dropped out
Transferred out
Transferred in
f. Others (Specify)
Attested by:

School Form 5 (SF5)
School Form 5 (SF 5) Report on Promotion & Lev

(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
Region
Region III
School ID
Division
106450
Tarlac
School Year
School Name
District
2014 - 2015
Gabaldon ES
Grade Level
INCOMPLETE SUBJECT
GENERAL AVERAGE
LRN
LEARNER'S NAME
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
MALE
106450100005
AGUSTIN , MARK LAURENCE VIAJEDOR
81.30
PROMOTED
106451100007
AILES , JAMES CACAYURAN
81.60
PROMOTED
106450130175
AMANDE , ELIXIS JAY SABADO
79.30
PROMOTED
106450100015
BAIS , FERDINAND OCAMPO
79.10
PROMOTED
106450100016
BELTRAN , JOHN RACE VIADAN
79.30
PROMOTED
106450100018
BENITEZ , TYRON AMATORIO
80.60
PROMOTED
106450100023
BUGAYONG , RUEL BACILES
83.15
PROMOTED
106450100025
CALIGAGAN , JOHN LEINARD GONZAGA
81.10
PROMOTED
106450100030
CONDE , NEIL LESTER BERNABE
80.15
PROMOTED
106450100026
CUNANAN , RUSSEL JAMES DAILEG
79.55
PROMOTED
106450100035
FABIAN , RAYMARK MAMARIL
80.00
PROMOTED
106450100041
FERNANDEZ , JOHN DANIEL DONATO
81.65
PROMOTED
106450130176
GARCIA , ROB THOMAS MIFUEL
79.45
PROMOTED
106477100028
GUANDE , NICO ANCHETA
81.55
PROMOTED
106450100044
IGLESIAS , GIAN CARLO CUPAG
81.00
PROMOTED
106450100050
MADRIAGA JR, FREDDIE JUNIO
79.50
PROMOTED
106450100054
MENDOZA , JOHN MICHAEL DE GUZMAN
81.75
PROMOTED
106450100055
MILLA , FREDDIE CAPINDING
80.00
PROMOTED
Page 37
Curriculum
(This column is for K to 12 Curriculum and remai

School. Elementary grades level that are still im
From previous school years
completed as of end of current
School
School Form 5 (SF5)

106450100056
MOLINA , HARMES BAUTISTA
80.55
PROMOTED
106450100061
PAGRAD , JOMEL TORALDE
79.65
PROMOTED
106464100029
PASCUA , RHEY MARC MARTINEZ
82.85
PROMOTED
106450100063
PEREZ , JOHN GABRIEL SANTOS
81.50
PROMOTED
106450100067
SALMASAN , APRIL JAY JUNIO
79.45
PROMOTED
106450100070
SOLOMON , JONALD ENERO
81.80
PROMOTED
106450100071
STA MARIA , MHAR JOSEPH MARIANO
79.95
PROMOTED
106450100072
STA MARINA , ALIJAY DUMALAG
81.50
PROMOTED
26 <=== TOTAL MALE

FEMALE
106450100001
AGBUNAG , LYNDSEY CORTEZ
79.85
PROMOTED
106450130170
ALIOSADA , MARIA CHRISTINE FACUN
82.50
PROMOTED
106450100011
ARELLANO , KAYCELENE RAMOS
78.60
PROMOTED
101742100015
CRUZ , MARIA KYLA LOPEZ
81.60
PROMOTED
106450100034
DESTURA , IRISH TRISHA LEIGH FACUN
82.55
PROMOTED
106457100020
EVANGELISTA , SHANE CAVERTO
83.55
PROMOTED
106450100036
FABIAN , ROXANNE MAMARIL
80.75
PROMOTED
106450100038
FACUN , JONA PANIBON
81.10
PROMOTED
106450100039
FACUN , MAURICE JHADE GADDANG
82.40
PROMOTED
106450130177
GALEON , SHEENA DIZON
82.15
PROMOTED
106450100045
JUNIO , FREDYLYN JUNIO
80.65
PROMOTED
106450130171
MILLADO , ANGELICA BEA IBARRA
85.10
PROMOTED
106450100060
ORPILLA , RENALYN SOLIVEN
81.30
PROMOTED
106477100038
PEREZ , ALONA MAE ANCHETA
81.70
PROMOTED
106450100066
SABANGAN , AIRA GUARIN
81.30
PROMOTED
106450090077
VINUYA , LIBERTY JOY FLORES
81.00
PROMOTED
16 <=== TOTAL FEMALE

42 <=== COMBINED
Page 38
School Form 5 (SF5)
omotion & Level of Proficiency
18A and List of Graduates)
Gerona North
BEC
Grade 4
Section
RIZAL
INCOMPLETE SUBJECT/S
SUMMARY TABLE
This column is for K to 12 Curriculum and remaining RBEC in High

School. Elementary grades level that are still implementing RBEC
From previous school years

completed as of end of current
School
As of end of current School

Year
STATUS
MALE
FEMALE
TOTAL
PROMOTED
26
16
42
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY (K to 12 Only)
MALE
FEMALE
TOTAL
BEGINNING
(B: 74% and below)
DEVELOPING
(75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%-89%)
ADVANCED
(A: 90% and above)
PREPARED BY:
Page 39
School Form 5 (SF5)

Class Adviser
(Name and Signature)

School Head
REVIEWED:
AUGUSTO L. BALLESTEROS
EDUCATION PROGRAM SUPERVISOR MATHEMATICS
RECOMMENDING APPROVAL:
PAULINO D. DE PANO, Ph.D.

CHIEF OF THE CURRICULUM IMPLEMENTATION DIVISION
APPROVED:
MAY BATENGA ECLAR, Ph.D. CESO V

SCHOOLS DIVISION SUPERINTENDENT
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 teachers. The class Adviser should compute for the
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.
4. Must tally with the total enrollment report as of End of School Year GESP
/GSSP (EBEIS).
5. Protocols of validation and submission is under the
Page 40

School Form 1 (SF 1) School Register Summary

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School Form 1 (SF 1) School Register

Gabaldon Elementary School

Father (1st name only if

Mother (Maiden: 1st Name,

MARY LUZ RAIJEZ

AMANDE, ELMER MEJIA CARLA FLORIG SABADO

CONDE, NOEL RIVERA LUZ GARCIA BERNABE

ROSE ANN DAILEG

MYLENE ALCAIDE CUPAG

CRISTINA DELA CRUZ

JUVY SORIANO OCAMPO

GUARDIAN (If not Parent)

Father (1st name only if

Mother (Maiden: 1st Name,

IRISH TRISHA LEIGH

REINA RAMOS FACUN

NOIME GARCIA PANIBON

MA. JOSEPHINE DIZON

MARIA VICTORIA PINEDA

Name of Public (P) Private (PR) School & Effectivity Date

JULIE FACUN SOLIVEN

List and code of Indicators under REMARK column

ANGELITA MEJIA CORPUZ

Name of Public (P) Private (PR) School & Effectivity Date

GUARDIAN (If not Parent)

Name of school last attended & Year

Father (1st name only if

Mother (Maiden: 1st Name,

(Signature of Adviser over Printed Name)

ARDIAN (If not Parent)

(Please refer to the

ARDIAN (If not Parent)

(Please refer to the

RICHARD R. MELCHOR, ED.D.

ARDIAN (If not Parent)

(Please refer to the

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report of Learners

Report for the Month of

Total for the

AGUSTIN, MARK LAURENCE

AILES, JAMES CACAYURAN

AMANDE, ELIXIS JAY SABADO

BAIS, FERDINAND OCAMPO

BELTRAN, JOHN RACE VIADAN

BENITEZ, TYRON AMATORIO

BUGAYONG, RUEL BACILES

CALIGAGAN, JOHN LEINARD

CONDE, NEIL LESTER BERNABE

10 CUNANAN, RUSSEL JAMES DAILEG

11 FABIAN, RAYMARK MAMARIL

12 FERNANDEZ, JOHN DANIEL DONATO

13 GARCIA, ROB THOMAS MIFUEL

14 GUANDE, NICO ANCHETA

15 IGLESIAS, GIAN CARLO CUPAG

16 MADRIAGA JR, FREDDIE JUNIO

18 MILLA, FREDDIE CAPINDING

19 MOLINA, HARMES BAUTISTA

20 PAGRAD, JOMEL TORALDE

21 PASCUA, RHEY MARC MARTINEZ

MENDOZA, JOHN MICHAEL DE

REMARKS (If DROPPED OUT, state reason, please

22 PEREZ, JOHN GABRIEL SANTOS