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School Form 1 (SF 1) School Register

(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)

(no. of years as per last


birthday)

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

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

Name

School Form 1 (SF 1) School Register


(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)

(no. of years as per last


birthday)

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

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

Name

School Form 1 (SF 1) School Register


(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)

(no. of years as per last


birthday)

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

Father (1st name only if


family name identical to
learner)

Required Information

Indicator

Code

Required Information

No. of Learners

BoSY

Transferred Out

T/O

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

CCT Recipient

CCT

CCT Control/reference number & Effectivity Date

MALE

Transferred IN

T/I

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

Balik-Aral

B/A

Name of school last attended & Year

FEMALE

Reason and Effectivity Date

Learner With Dissability

LWD

Specify

Reason (Enrollment beyond 1st Friday of June)

Accelarated

ACL

Specify Level & Effectivity Data

Dropped
Late Enrollment

Dr/O
LE

GUARDIAN (If not Parent)

Mother (Maiden)

Name

Prepared by:

List and code of Indicators under REMARK/S column


Code

RELIGION

atl

Indicator

Section

TOTAL

EoSY

(Signature of Adviser over Printed Name)

Date:

1
not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relations
hip

(Please refer to the legend on


last page)

1
not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relations
hip

(Please refer to the legend on


last page)

1
not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relations
hip

(Please refer to the legend on


last page)

Certified Correct:

(Signature of School Head over Printed Name)

Date:

School Form 2 (SF2) Daily Attendance Report of Learners


(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

Region

NCR

Division

School ID

School Year

QUEZON CITY

SY 2014-2015

Report for the Month of

Name of School

June 30, 2014

Grade Level

Section

(2nd row for date, 1st row for day-count)

LEARNER'S NAME
(Last Name, First Name, Middle Name)

Total for the Month

REMARKS*: (If DROPPED OUT, sta


If TRANSFERRED IN/O

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

Learner Movement (put a { / } in the


appropriate box)

ABSENT

TARDY

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

TH

T/I

T/O

(2nd row for date, 1st row for day-count)

LEARNER'S NAME
(Last Name, First Name, Middle Name)

Total for the Month

REMARKS*: (If DROPPED OUT, sta


If TRANSFERRED IN/O

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

Learner Movement (put a { / } in the


appropriate box)

T/I

T/O

0.0

0.0

0.0

TH

0.0

0.0

0.0

MALE | TOTAL Per Day

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

(2nd row for date, 1st row for day-count)

LEARNER'S NAME
(Last Name, First Name, Middle Name)

Total for the Month

REMARKS*: (If DROPPED OUT, sta


If TRANSFERRED IN/O

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

Learner Movement (put a { / } in the


appropriate box)

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

Combined TOTAL PER DAY

0.0

FEMALE | TOTAL Per Day

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.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:
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

Using laptop or personal computer

Month:

* Enrolment as of (1st Friday of June)


(/) - Present; (a)- Absent; Tardy = (t)-[black]-Late-Comer, (t)-[red]-Cutting Classes

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

2. REASONS/CAUSES OF DROP OUT

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

Late Enrollment during the month


cut-off)

of

pages

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)

(beyond

Registered Learners as of end of the month


Percentage of Enrolment as of end of the month

Average Daily Attendance


Percentage of Attendance for the month
Number of students absent for 5 consecutive days:
Drop out (Dr/O)
Transferred out (Tr/O)
Transferred in (Tr/I)
I certify that this is a true and correct report.

d.2. Armed conflict (tribal wars & clan feuds)

School Form 2 : Page

No. of Days of
Classes:

June 30, 2014

(Signature of Teacher over Printed Na


Attested by:

(Signature of School Head over Prin

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

acher over Printed Name)

ol Head over Printed Name)

School Form 3 (SF3) Books Issued and Returned


(This replace Form 1 & Inventory of Text Book)

Region
School ID
School Name

Division

2015-2016

Grade Level

VILLANUEVA ELEMENTARY

Subject Area &


Title
NO.

ISABELA

School Year

103728

Subject Area &


Title

Subject Area &


Title

Section

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

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

TOTAL FOR MALE | TOTAL COPIES

Returned

Date
Issued

Returned

Date
Issued

Returned

Date
Issued

Returned

Date
Issued

Returned

Date
Issued

Returned

Date
Issued

Returned

Date
Issued

Returned

School Form 3 (SF3) Books Issued and Returned


(This replace Form 1 & Inventory of Text Book)

Region

School ID
School Name

Division

2015-2016

Grade Level

VILLANUEVA ELEMENTARY

Subject Area &


Title
NO.

ISABELA

School Year

103728

Subject Area &


Title

Subject Area &


Title

Section

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

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 FOR FEMALE | TOTAL COPIES


TOTAL LEARNERS

| 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.

In case of losses/unreturned, please provide information with the following code:


A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepared
letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References:
DO#23, s.2001; DO#25 s.2003; DO#14, s.2012.

3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected.

School Form 3 : Page

Prepared By:

of

pages

(Signature over print

REMARK/ACTION TAKEN
(Please refer to the code on last page)

REMARK/ACTION TAKEN
(Please refer to the code on last page)

0
0

(Signature over printed name)

School Form 4 (SF4) Monthly Learner's Movement and Attendance


(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

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

(B) For the


Month
T

Month R

(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

School Form 4 (SF4) Monthly Learner's Movement and Attendance


(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

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

(B) For the


Month
T

Month R

(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

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 Form 4 (SF4) Monthly Learner's Movement and Attendance


(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

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

(B) For the


Month
T

Month R

(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

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 Form 4 (SF4) Monthly Learner's Movement and Attendance


(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

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

(B) For the


Month
T

Month R

(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

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

TOTAL FOR NON-GRADED

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

Prepared and Submitted by:

(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.

School Form 4 : Page

pages

Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

Month Reporting
TRANSFERRED IN
(A) Cumulative
as of Previous
Month
M

(A+B)
Cumulative as
of End of the
Month

(B) For the


Month
M

re of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion & Level of Proficiency


(This replace Forms 18-E1, 18-E2, 18A)

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

School Form 5: Page 25 of 40 pages

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

(Name and Signature)

16

(B)

IRREGULAR

17

(B)

IRREGULAR

18

(B)

IRREGULAR

19

(B)

IRREGULAR

School Head

20

(B)

IRREGULAR

(Signature over Printed Name )

21

(B)

IRREGULAR

22

(B)

IRREGULAR

GUIDELINES:

23

(B)

IRREGULAR

1. For All Grades Levels

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

School Form 5: Page 26 of 40 pages

Prepared by:

Certified Correct and Submitted:

2. To be prepared by the Adviser. Final ratin


subject area should be taken from the reco
subject teacher. The class adviser should m
computation of General Average.

3. On the summary table, reflect the total


of learners promoted, retained and irregula
the level of proficiency according to the ind
general average

4. Must be tallied with the total enrollment


as of End of School Year GESP /GSSP (BEIS)

MARY TABLE
FEMALE

TOTAL

35

70

F PROFICIENCY
FEMALE

TOTAL

35

70

School Form 5: Page 27 of 40 pages

ss Adviser

and Signature)

ubmitted:

ool Head

ver Printed Name )

e Adviser. Final rating per


taken from the record of
ass adviser should make the
l Average.

le, reflect the total number


etained and irregular and
according to the individual

he total enrollment report


r GESP /GSSP (BEIS)

School Form 5: Page 28 of 40 pages

School Form 5 (SF 5) Report on Promotion & Level of Proficiency


(This replace Forms 18-E1, 18-E2, 18A)

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

Completed as of end of current SY

Num. Val.

as of End of the current SY

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

School Form 5: Page 29 of 40 pages

SUMMARY TABLE
MALE

PROMOTED

IRREGULAR

35

RETAINED

LEVEL OF PROFICIENCY
Num. Rating

MALE

74% and below

35

75%-79%

80%-84%

85% -89%

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

LRN

Completed as of end of current SY

Num. Val.
1

(B)

IRREGULAR

(B)

IRREGULAR

(B)

IRREGULAR

(B)

IRREGULAR

(B)

IRREGULAR

Class Adviser

(B)

IRREGULAR

(Name and Signature)

(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

as of End of the current SY

Adj. Rtng

COMBINED

atl

School Form 5: Page 30 of 40 pages

Prepared by:

Certified Correct and Submitted:

School Head

(Signature over Printed Nam

GUIDELINES:

1. For All Grades Levels

2. To be prepared by the Adviser. Fina


subject area should be taken from the
subject teacher. The class adviser sh
computation of General Average.

3. On the summary table, reflect the


of learners promoted, retained and irr
the level of proficiency according to th
general average

4. Must be tallied with the total enroll


as of End of School Year GESP /GSSP (

SUMMARY TABLE
FEMALE

TOTAL

35

70

VEL OF PROFICIENCY
FEMALE

TOTAL

35

70

School Form 5: Page 31 of 40 pages

Class Adviser

Name and Signature)

t and Submitted:

School Head

ature over Printed Name )

Levels

d by the Adviser. Final rating per


uld be taken from the record of
The class adviser should make the
General Average.

ary table, reflect the total number


oted, retained and irregular and
ciency according to the individual

d with the total enrollment report


ool Year GESP /GSSP (BEIS)

School Form 5: Page 32 of 40 pages

School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency


(This cancel Form 20)

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:

Reviewed & Validated 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,

Schools Division Superinte

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

(A) Nationally-Funded Teaching Related Items


Title of Plantilla Position
(as appeared in the appointment document)

QUEZON CITY

Division

School Year

(B) Nationally-Funded Non Teaching Items


Title of Plantilla Position
(as appeared in the appointment document)

Number of Incumbent

(C) Other Appointments and Funding Sources


Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)

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

* Daily Program (time duration)


Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
From
Service
Ancillary Assignment (M/T/W/T (00:00) To (00:00)
H/F)
Render
(Please Specify)

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

Ave. Minutes per Day :

380

Ave. Minutes per Day :

Ave. Minutes per Day :

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

* Daily Program (time duration)


Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
From
Service
Ancillary Assignment (M/T/W/T (00:00) To (00:00)
H/F)
Render
(Please Specify)

(Mins/Day)

Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)

Ave. Minutes per Day :

Ave. Minutes per Day :

Ave. Minutes per Day :

Ave. Minutes per Day :

Ave. Minutes per Day :

Ave. Minutes per Day :


atl
Submitted by:
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 SY, updated Form 19 must
submit to the Division Office .
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 the lowest. This form shall also
serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only.

School Form 7 : Page

(Signature of School Head)


(Printed Name )
(Printed Position Title)

of

pages

School Form 2 (SF2) Daily Attendance Report for learner


(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

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)

MALE | TOTAL Per Day

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)

Total for the


Month
ABSENT

TARDY

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY


L E G E N D:

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 =

Registered Learner as of End of the Month


Enrolment as of 1st Friday of June
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
Registered Learner as of End of 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

School Form 2: Page 2 of ________

x 100

x 100

1. CODES FOR CHECKING ATTENDANCE

Month:

blank- Present; (x)- Absent; Tardy (half shaded=


Upper for Late Comer, Lower for Cutting Classes)

Enrollment as of (1st Friday of June

2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors

Late Enrollment (beyond cut-off)

a.1. Had to take care of siblings


a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling

Registered Learner as of end of the

a.4. Family problem

Percentage of Enrollment as of end


month

b. Individual-Related Factors

Average Daily Attendance

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

Percentage of Attendance for the m

Number of students with 5 consecut


absences:
Drop out
Transferred out
Transferred in

I certify that this is a true and corr

(Signature of Tea
Attested by:

(Signature of School

REMARK/S (If DROPPED OUT, state reason,


please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)

REMARK/S (If DROPPED OUT, state reason,


please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)

No. of Days of
Classes:

Summary for the


Month
M

st Friday of June)

yond cut-off)

as of end of the month

ment as of end of the

dance

dance for the month


with 5 consecutive days of

a true and correct report.

(Signature of Teacher over Printed Name)

gnature of School Head over Printed Name)

TOTAL

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