Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
School ID
School Name
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
(nos. of years as
per last birthday)
MOTHER TONGUE
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
(nos. of years as
per last birthday)
MOTHER TONGUE
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
(nos. of years as
per last birthday)
MOTHER TONGUE
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
(nos. of years as
per last birthday)
MOTHER TONGUE
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
(nos. of years as
per last birthday)
MOTHER TONGUE
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
(nos. of years as
per last birthday)
MOTHER TONGUE
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
LRN
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
MOTHER TONGUE
(nos. of years as
per last birthday)
Code
Required Information
Indicator
Transferred Out
T/O
CCT Recipient
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
Balik-Aral
Learner With Dissability
Accelarated
Division
District
School Year
Grade Level
ADDRESS
IP
(Specify Ethnic Group)
NAME
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
IP
(Specify Ethnic Group)
NAME
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
IP
(Specify Ethnic Group)
NAME
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
IP
(Specify Ethnic Group)
NAME
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
IP
(Specify Ethnic Group)
NAME
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
IP
(Specify Ethnic Group)
NAME
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
IP
(Specify Ethnic Group)
RELIGION
House # / Street/Sitio/
Purok
Code
NAME
Barangay
Municipality/ City
Province
Required Information
BoSY
CCT
MALE
B/A
LWD
ACL
FEMALE
TOTAL
Section
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number (Parent
/Guardian)
EoSY
Name
Prepared by:
Certified Correct:
BoSY Date:
Relationship
EoSYDate:
BoSY Date:
EoSYDate:
School ID
School Year
Name of School
LEARNER'S NAME
(Last
Name, First Name, Middle Name)
1
Ablas, Glenn
Allerite, Joseph
Alute, Joe
Alute, Ryan
Artiaga, Bryan
Ato, Avito
Buling, Franklin
Bungcaras, Arman
Caong, Daniel Jr.
10
11
12
Casangcapan, Aris
Celeste, Emmenyl
Grade Level
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last
Name, First Name, Middle Name)
17 Gazo, Amorsolo Fernando
18 Gazo, Daryl
19 Giban, Cris Angelo
20 Henabio, Vincent
21 Joven, Joseph
22 Laude, Lhex
23 Makiling, Artemio
24 Mendoza, Eduardo
25 Mendoza, Edward
26 Nunez, Arven
27 Ouano, Jemar
28 Pascual, Kyle Jessel
29 Piamonte, Ronnel
30 Romero, John Paul
31 Salasinas, Gerald
32 Salido, Joel
33 Sarvida, Joel
34 Sarvida, Johnny
35 Senial, Crisanto
36 Sibunga, Moises
37 Tomada, Jupeth Ellis
38 Vasquez, Dino John
39 Vasquez, Roland
LEARNER'S NAME
(Last
Name, First Name, Middle Name)
MALE | TOTAL Per Day
1
Acosta, Sheryl
Alfaro, Lorena
5
6
7
8
9
10
11
12
Balic, Jereal
Cambaya, Monalisa
Entia, Angelita
Gazo, Rosalinda
Magboo, Sheena Joy
Mendoza, Bernadeth
Tayor, Jelie Dyl
x 100
x 100
2. REASONS/CAUSES OF DROP-OUTS
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
LEARNER'S NAME
(Last
Name, First Name, Middle Name)
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
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 consecutive days of
absences or those 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
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
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
ners
Section
Total for the Month
ABSENT
TARDY
ABSENT
TARDY
ABSENT
TARDY
Month:
(beyond
TOTAL
ABSENT
TARDY
Transferred out
Transferred in
I certify that this is a true and correct report.
School ID
School Year
School Name
NO.
LEARNER'S NAME
Grade Level
Subject Area & Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NO.
LEARNER'S NAME
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NO.
LEARNER'S NAME
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NO.
LEARNER'S NAME
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
d Returned
Section
Subject Area & Title
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
refer to the legend on last page)
Date
Returned
Issued
Returned
(Please
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
refer to the legend on last page)
Date
Returned
Issued
Returned
(Please
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
refer to the legend on last page)
Date
Returned
Issued
Returned
(Please
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
refer to the legend on last page)
Date
Returned
Issued
(Please
Returned
Prepared By:
Region
Division
School ID
School Name
ATTENDANCE
NAME OF ADVISER
GRADE/ YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
(A) Cumulative as of
Previous Month
M
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:
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.
nt and Attendance
file)
District
School Year
TRANSFERRED IN
(A+B) Cumulative as
of End of the Month
M
Region
Division
School ID
School Year
School Name
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12
Elementary grades level t
Completed as of end of cu
LRN
LEARNER'S NAME
TOTAL MALE
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12
Elementary grades level t
Completed as of end of cu
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12
Elementary grades level t
Completed as of end of cu
LRN
LEARNER'S NAME
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12
Elementary grades level t
Completed as of end of cu
vel of Proficiency
s)
District
Curriculum
Grade Level
Section
ETE SUBJECT/S
lumn is for K to 12 Curriculum and remaining RBEC in High School.
ary grades level that still implementing RBEC need not to fill up this
column)
ed as of end of current SY
MALE
FEMALE
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
ETE SUBJECT/S
lumn is for K to 12 Curriculum and remaining RBEC in High School.
ary grades level that still implementing RBEC need not to fill up this
column)
ed as of end of current SY
FEMALE
BEGINNNING
(B: 74% and below)
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
TOTAL
ETE SUBJECT/S
lumn is for K to 12 Curriculum and remaining RBEC in High School.
ary grades level that still implementing RBEC need not to fill up this
column)
ed as of end of current SY
School Head
(Name and Signature)
REVIEWED BY:
ETE SUBJECT/S
lumn is for K to 12 Curriculum and remaining RBEC in High School.
ary grades level that still implementing RBEC need not to fill up this
column)
ed as of end of current SY
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
Nos. of DEVELOPING
Nos. of PROFICIENT
Nos. of ADVANCED
TOTAL
Noted by:
DIVISION REPRESENTATIVE
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
n Promotion
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
(This replaced Fo
Form 29-Tea
School ID
Region
School Name
(A) Nationally-Funded Teaching & Teaching Related Items
Number of Incumbent
Sex
Fund Source
Position/ Designation
Nature of Appointment/
Employment Status
Sex
Fund Source
Position/ Designation
Nature of Appointment/
Employment Status
GUIDELINES:
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to t
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. * Daily Program Column is for teaching personnel only.
is replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
Division
District
OP)
Number of
Incumbent
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Degree / Post
Graduate
Major/ Specialization
Minor
EDUCATIONAL QUALIFICATION
Degree / Post
Graduate
Major/ Specialization
Minor
ersonnel during SY, updated Form 19 must submit to the Division Office .
rank down to the lowest. This form shall also serve as inventory list of school personnel.
so reported.
School Year
Fund Source
(SEF, PTA,
NGO's etc.)
Number of Incumbent
Teaching
Non-Teaching
To (00:00)
To (00:00)
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