Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
103728
School Name
Region
Division
VILLANUEVA ELEMENTARY
School Year
AGE as of 1st
Friday of June
No.
LRN
NAME
(Last Name, First Name, Middle Name)
ISABELA
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
6/5/2014
114
114
114
114
114
114
114
114
114
10
114
11
114
12
114
13
114
14
114
15
114
16
114
17
114
18
114
19
114
20
114
21
114
22
114
23
114
24
114
25
114
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
District
2015-2016
Grade Level
ADDRESS
SAN MANUEL
III
Section
NAME OF PARENTS
1
GUARDIAN (If not Parent)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Mother (Maiden)
Name
School ID
103728
School Name
Region
Division
VILLANUEVA ELEMENTARY
School Year
AGE as of 1st
Friday of June
No.
LRN
NAME
(Last Name, First Name, Middle Name)
ISABELA
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
6/5/2014
26
114
27
114
28
114
29
114
30
114
31
114
32
114
33
114
34
114
35
114
36
114
37
114
38
114
39
114
40
114
41
114
42
114
43
114
44
114
45
114
46
114
47
114
48
114
49
114
50
114
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
District
2015-2016
Grade Level
ADDRESS
SAN MANUEL
III
Section
NAME OF PARENTS
1
GUARDIAN (If not Parent)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Mother (Maiden)
Name
School ID
103728
School Name
Region
Division
VILLANUEVA ELEMENTARY
School Year
AGE as of 1st
Friday of June
No.
LRN
NAME
(Last Name, First Name, Middle Name)
ISABELA
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
6/5/2014
51
114
52
114
53
114
54
114
55
114
56
114
57
114
58
114
59
114
60
114
61
114
62
114
63
114
64
114
65
114
66
114
67
114
68
114
69
114
70
114
IP
(Specify
Ethnic
Group)
District
Grade Level
2015-2016
ADDRESS
SAN MANUEL
III
NAME OF PARENTS
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Required Information
Indicator
Code
Required Information
No. of Learners
BoSY
Transferred Out
T/O
CCT Recipient
CCT
MALE
Transferred IN
T/I
Balik-Aral
B/A
FEMALE
LWD
Specify
Accelarated
ACL
Dropped
Late Enrollment
Dr/O
LE
Mother (Maiden)
Name
Prepared by:
RELIGION
atl
Indicator
Section
TOTAL
EoSY
Date:
1
not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relations
hip
1
not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relations
hip
1
not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relations
hip
Certified Correct:
Date:
Region
NCR
Division
School ID
School Year
QUEZON CITY
SY 2014-2015
Name of School
Grade Level
Section
LEARNER'S NAME
(Last Name, First Name, Middle Name)
6/2
6/3
6/4
6/5
6/6
6/9
6/10
6/11
6/12
6/13
6/16
6/17
6/18
6/19
6/20
6/23
6/24
6/25
6/26
6/27
6/30
TH
TH
TH
TH
20
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TH
T/I
T/O
LEARNER'S NAME
(Last Name, First Name, Middle Name)
6/2
6/3
6/4
6/5
6/6
6/9
6/10
6/11
6/12
6/13
6/16
6/17
6/18
6/19
6/20
6/23
6/24
6/25
6/26
6/27
6/30
TH
TH
TH
TH
20
T/I
T/O
0.0
0.0
0.0
TH
0.0
0.0
0.0
0.0
0
0.0
35
0.0
0.0
34
0.0
0.0
33
0.0
0.0
32
0.0
0.0
31
0.0
30
0.0
0.0
0.0
29
0.0
0.0
28
0.0
27
0.0
0.0
TARDY
0.0
ABSENT
26
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
LEARNER'S NAME
(Last Name, First Name, Middle Name)
6/2
6/3
6/4
6/5
6/6
6/9
6/10
6/11
6/12
6/13
6/16
6/17
6/18
6/19
6/20
6/23
6/24
6/25
6/26
6/27
6/30
TH
TH
TH
TH
20
0.0
0.0
0.0
0.0
0.0
TH
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
T/I
T/O
0.0
0.0
0
0.0
35
0.0
0.0
34
0.0
0.0
33
0.0
0.0
32
0.0
0.0
31
0.0
30
0.0
0.0
0.0
29
0.0
0.0
28
0.0
27
0.0
0.0
TARDY
0.0
ABSENT
26
atl
GUIDELINES:
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:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
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 Learners as of end of the month
Month:
x 100
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
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
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
of
pages
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(beyond
No. of Days of
Classes:
S*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
nt (put a { / } in the
ate box)
Dr/O
Code (for
reason of Dr/O)
School Name
(if Tr/O)
S*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
nt (put a { / } in the
Code (for
reason of Dr/O)
ate box)
Dr/O
School Name
(if Tr/O)
S*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
nt (put a { / } in the
Code (for
reason of Dr/O)
ate box)
School Name
(if Tr/O)
Dr/O
0
0
20
Summary
M
TOTAL
0
(beyond
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
s:
0
0
Region
School ID
School Name
Division
2015-2016
Grade Level
VILLANUEVA ELEMENTARY
ISABELA
School Year
103728
Section
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Issued
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Region
School ID
School Name
Division
2015-2016
Grade Level
VILLANUEVA ELEMENTARY
ISABELA
School Year
103728
Section
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Date
Date
Date
Date
Date
Date
Date
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
0
| TOTAL COPIES
atl
GUIDELINES:
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.
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected.
Prepared By:
of
pages
REMARK/ACTION TAKEN
(Please refer to the code on last page)
REMARK/ACTION TAKEN
(Please refer to the code on last page)
0
0
School ID
Region NCR
Division
QUEZON CITY
District
School Name
NAME OF ADVISER
School Year
GRADE/
YEAR
LEVEL
SECTION
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
M
Average
DROPPED OUT
Percentage
(A) Cumulative
as of Previous
Month
M
TRANSFERRED OUT
(A+B)
Cumulative as
of End of the
Month
Month R
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
School ID
Region NCR
Division
QUEZON CITY
District
School Name
NAME OF ADVISER
School Year
GRADE/
YEAR
LEVEL
SECTION
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
M
Average
DROPPED OUT
Percentage
(A) Cumulative
as of Previous
Month
M
TRANSFERRED OUT
(A+B)
Cumulative as
of End of the
Month
Month R
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
School ID
Region NCR
Division
QUEZON CITY
District
School Name
NAME OF ADVISER
School Year
GRADE/
YEAR
LEVEL
SECTION
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
M
Average
DROPPED OUT
Percentage
(A) Cumulative
as of Previous
Month
M
TRANSFERRED OUT
(A+B)
Cumulative as
of End of the
Month
Month R
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
School ID
Region NCR
Division
QUEZON CITY
District
School Name
NAME OF ADVISER
School Year
GRADE/
YEAR
LEVEL
SECTION
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
M
Average
DROPPED OUT
(A) Cumulative
as of Previous
Month
Percentage
TRANSFERRED OUT
(A+B)
Cumulative as
of End of the
Month
Month R
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
76
77
78
79
80
81
82
83
84
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
85
ELEMENTARY/SECONDARY:
TOTAL
atl
GUIDELINES:
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
of
(Signature of School
4. Small school that has one section per grade/year level are 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.
pages
Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
Region
NCR
Division
QUEZON CITY
School ID
District
School Year
Curriculum
School Name
Grade Level
Grade 8
Section
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: School. Elementary grades level that still implementing RBEC need not to fill
LEARNER'S NAME
decimal places for honor
PROMOTED,
up this column)
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
IRREGULAR or
Descriptive Letter)
RETAINED
Completed as of end of current SY
as of End of the current SY
LRN
Num. Val.
Adj. Rtng
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
10
(B)
IRREGULAR
11
(B)
IRREGULAR
12
(B)
IRREGULAR
13
(B)
IRREGULAR
14
(B)
IRREGULAR
15
(B)
IRREGULAR
16
(B)
IRREGULAR
17
(B)
IRREGULAR
18
(B)
IRREGULAR
19
(B)
IRREGULAR
20
(B)
IRREGULAR
21
(B)
IRREGULAR
22
(B)
IRREGULAR
23
(B)
IRREGULAR
24
(B)
IRREGULAR
25
(B)
IRREGULAR
26
(B)
IRREGULAR
27
(B)
IRREGULAR
28
(B)
IRREGULAR
29
(B)
IRREGULAR
30
(B)
IRREGULAR
31
(B)
IRREGULAR
32
(B)
IRREGULAR
33
(B)
IRREGULAR
34
(B)
IRREGULAR
35
(B)
IRREGULAR
TOTAL MALE
SUMMARY TABLE
MALE
PROMOTED
IRREGULAR
35
RETAINED
LEVEL OF PROFICIENCY
Adj. Rating
MALE
BEGINNNING
(B: 74% and below)
35
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A:
90% and above)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: School. Elementary grades level that still implementing RBEC need not to fill
LEARNER'S NAME
decimal places for honor
PROMOTED,
up this column)
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
IRREGULAR or
Descriptive Letter)
RETAINED
Completed as of end of current SY
as of End of the current SY
LRN
Num. Val.
Adj. Rtng
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
10
(B)
IRREGULAR
11
(B)
IRREGULAR
12
(B)
IRREGULAR
13
(B)
IRREGULAR
14
(B)
IRREGULAR
Class Adviser
15
(B)
IRREGULAR
16
(B)
IRREGULAR
17
(B)
IRREGULAR
18
(B)
IRREGULAR
19
(B)
IRREGULAR
School Head
20
(B)
IRREGULAR
21
(B)
IRREGULAR
22
(B)
IRREGULAR
GUIDELINES:
23
(B)
IRREGULAR
24
(B)
IRREGULAR
25
(B)
IRREGULAR
26
(B)
IRREGULAR
27
(B)
IRREGULAR
28
(B)
IRREGULAR
29
(B)
IRREGULAR
30
(B)
IRREGULAR
31
(B)
IRREGULAR
32
(B)
IRREGULAR
33
(B)
IRREGULAR
34
(B)
IRREGULAR
35
(B)
IRREGULAR
TOTAL FEMALE
COMBINED
atl
Prepared by:
MARY TABLE
FEMALE
TOTAL
35
70
F PROFICIENCY
FEMALE
TOTAL
35
70
ss Adviser
and Signature)
ubmitted:
ool Head
Region
NCR
Division
School ID
QUEZON CITY
District
School Year
Curriculum
School Name
Grade Level
Section
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
(Numerical Value in 3
ACTION TAKEN: School. Elementary grades level that still implementing RBEC need not to fill
LEARNER'S NAME
decimal places for honor
PROMOTED,
up this column)
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
GENERAL AVERAGE
LRN
Descriptive Letter)
IRREGULAR or
RETAINED
Num. Val.
Adj. Rtng
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
10
(B)
IRREGULAR
11
(B)
IRREGULAR
12
(B)
IRREGULAR
13
(B)
IRREGULAR
14
(B)
IRREGULAR
15
(B)
IRREGULAR
16
(B)
IRREGULAR
17
(B)
IRREGULAR
18
(B)
IRREGULAR
19
(B)
IRREGULAR
20
(B)
IRREGULAR
21
(B)
IRREGULAR
22
(B)
IRREGULAR
23
(B)
IRREGULAR
24
(B)
IRREGULAR
25
(B)
IRREGULAR
26
(B)
IRREGULAR
27
(B)
IRREGULAR
28
(B)
IRREGULAR
29
(B)
IRREGULAR
30
(B)
IRREGULAR
31
(B)
IRREGULAR
32
(B)
IRREGULAR
33
(B)
IRREGULAR
34
(B)
IRREGULAR
35
(B)
IRREGULAR
TOTAL MALE
SUMMARY TABLE
MALE
PROMOTED
IRREGULAR
35
RETAINED
LEVEL OF PROFICIENCY
Num. Rating
MALE
35
75%-79%
80%-84%
85% -89%
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: School. Elementary grades level that still implementing RBEC need not to fill
LEARNER'S NAME
decimal places for honor
PROMOTED,
up this column)
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
IRREGULAR or
Descriptive Letter)
RETAINED
LRN
Num. Val.
1
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
Class Adviser
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
(B)
IRREGULAR
10
(B)
IRREGULAR
11
(B)
IRREGULAR
12
(B)
IRREGULAR
13
(B)
IRREGULAR
14
(B)
IRREGULAR
15
(B)
IRREGULAR
16
(B)
IRREGULAR
17
(B)
IRREGULAR
18
(B)
IRREGULAR
19
(B)
IRREGULAR
20
(B)
IRREGULAR
21
(B)
IRREGULAR
22
(B)
IRREGULAR
23
(B)
IRREGULAR
24
(B)
IRREGULAR
25
(B)
IRREGULAR
26
(B)
IRREGULAR
27
(B)
IRREGULAR
28
(B)
IRREGULAR
29
(B)
IRREGULAR
30
(B)
IRREGULAR
31
(B)
IRREGULAR
32
(B)
IRREGULAR
33
(B)
IRREGULAR
34
(B)
IRREGULAR
35
(B)
IRREGULAR
TOTAL FEMALE
Adj. Rtng
COMBINED
atl
Prepared by:
School Head
GUIDELINES:
SUMMARY TABLE
FEMALE
TOTAL
35
70
VEL OF PROFICIENCY
FEMALE
TOTAL
35
70
Class Adviser
t and Submitted:
School Head
Levels
School ID
Region
NCR
Division
School Name
District
GRADE 1 / GRADE 7
SUMMARY TABLE
MALE
QUEZON CITY
FEMALE
GRADE 2 / GRADE 8
TOTAL
MALE
FEMALE
GRADE 3 / GRADE 9
TOTAL
MALE
FEMALE
GRADE 4 / GRADE 10
TOTAL
MALE
FEMALE
GRADE 5 / GRADE 11
TOTAL
MALE
FEMALE
GRADE 6 / GRADE 1
TOTAL
MALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
FEMALE
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
75%-79%)
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
(A: 90% and above)
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
FEMALE
MALE
FEMALE
atl
Prepared and Submitted by:
(Printed Name)
School Head: (Position Title)
(Signature over Printed Name and Position Title)
Noted by:
ARACELI T. LIWANAGAN
Supervising Education Program Specialist
Acting Division Planning Officer
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 advisers, 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.
PONCIANO A. MENGUITO,
School Year
GRADE 12
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
NGUITO, CESO V
Superintendent
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
Region
NCR
School Name
District
QUEZON CITY
Division
School Year
Number of Incumbent
Number of Incumbent
Fund Source
(SEF, PTA, NGO's etc.)
Number of Incumbent
Teaching
Non-Teaching
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Fund
Source
Position/
Designation
Nature of
Appointment
Degree / Post
Graduate
Major/ Specialization
Minor
phd
eng
math
Math 1
Math 2
Math 3
Eng1
Eng2
Clinic
bse
permanent
permanent
principal iv
T-III
general
segundina
carboradoratindahan
marcoporfirio
manadakilasalahat
national
(Mins/Day)
12345
234567
Employee No.
atl
m
w
f
t
th
f
Ave. Minutes
8-12nn
8-12nn
8-11nn
8-12nn
8-12nn
11-12nn
per Day :
1-5pm
1-5pm
2-5pm
1-4pm
1-4pm
1-2pm
480
480
360
420
420
120
380
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Fund
Source
Position/
Designation
Nature of
Appointment
Degree / Post
Graduate
Major/ Specialization
Minor
(Mins/Day)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
of
pages
School ID
Name of School
School Year
Month Reporting
Grade Level
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
Section
Total for the
Month
ABSENT
TARDY
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
TARDY
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:
a. Percentage of Enrolment =
b. Average Daily Attendance =
c. Percentage of Attendance for the month =
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
5. 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
x 100
x 100
Month:
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
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 & clan
feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Tea
Attested by:
(Signature of School
No. of Days of
Classes:
st Friday of June)
yond cut-off)
dance
TOTAL