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Region

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)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

List and code of Indicators under REMARK column


Indicator

Code

Required Information

Indicator

Transferred Out

T/O

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

CCT Recipient

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

School Form 1 (SF 1) School Register


(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

Division
School Year

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

ith Dissability

IP
(Specify Ethnic
Group)

Code

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Required Information

CCT

CCT Control/reference number & Effectivity Date

MALE

B/A
LWD
ACL

Name of school last attended & Year


Specify
Specify Level & Effectivity Data

FEMALE
TOTAL

District
Section

Grade Level

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

BoSY

EoSY

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Prepared by:

Certified Correct:

(Signature of Adviser over Printed Name)

BoSY Date:

Relationship

EoSYDate:

(Signature of School Head

BoSY Date:

Eo

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

ect:

of School Head over Printed Name)

EoSYDate:

School Form 2 (SF2) Daily Attenda

(This replaced Form 1, Form 2 & STS Form 4 - Abs

School ID

School Year

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

(1st row for date, 2nd row for Day: M,T

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

MALE | TOTAL Per Day

(1st row for date, 2nd row for Day: M,T

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

(1st row for date, 2nd row for Day: M,T

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY


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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 Learner as of End of the month

1. CODES F

blank- Prese
Commer, Lo

x 100

x 100

2. REASON
a. Domestic

a.1. Had to t
a.2. Early m
a.3. Parents

a.4. Family p

b. Individua

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.

b.1. Illness

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

(1st row for date, 2nd row for Day: M,T

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.2. Overage
b.3. Death
b.4. Drug Ab
b.5. Poor ac
b.6. Lack of
b.7. Hunger/
c. School-R
c.1. Teacher
c.2. Physica
c.3. Peer inf
d. Geograph
d.1. Distance

d.2. Armed c

School Form 2: Page 2 of ________

d.3. Calamit
e. Financial
e.1. Child lab
f. Others

endance Report of Learners

4 - Absenteeism and Dropout Profile)

Report for the Month of

ay: M,T,W,TH,F)

Grade Level

Section
Total for the Month

ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

ay: M,T,W,TH,F)

Total for the Month

ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


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

Total for the Month

ay: M,T,W,TH,F)

ODES FOR CHECKING ATTENDANCE

k- Present; (x)- Absent; Tardy (half shaded= Upper for Late


mer, Lower for Cutting Classes)

EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors

Had to take care of siblings


Early marriage/pregnancy
Parents' attitude toward schooling

ABSENT

Month:

TARDY

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:

* Enrolment as of (1st Friday of June)


Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month

Family problems

dividual-Related Factors

Illness

Summary for the Month

Average Daily Attendance


Percentage of Attendance for the month

TOTAL

ay: M,T,W,TH,F)

Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to


legend number 2.
If
TRANSFERRED
IN/OUT, write the name of School.)
ABSENT
TARDY
Percentage of Attendance for the month

Number of students with 5 consecutive days of absences:


Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.

Armed conflict (incl. Tribal wars & clanfeuds)

Calamities/Disasters
nancial-Related
Child labor, work
hers

(Signature of Teacher over Printed Name)


Attested by:
(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued

(This replaced Form 1 & Inventory of Text B

School ID

School Year

School Name

NO.

Grade Level
Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

TOTAL FOR MALE | TOTAL COPIES

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

TOTAL FOR FEMALE | TOTAL COPIES


TOTAL LEARNERS | TOTAL COPIES
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 the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.

In case of losses/unreturned, please provide information w

A. In Column Date Returned, codes are: FM=Force Majeure,


B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2

oks Issued and Returned

& Inventory of Text Book)

Section

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

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

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

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

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

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

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

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

Date
Returned

ovide information with the following code:

FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence


are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
25, s.2003, DO#14, 2.2012.

Issued

Returned

Prepared By:

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________
School Form 3: Page 2 of ________

School Form 4 (SF4) Monthly Learner's

(This replaced Form 3 & STS Form 4-Absenteeis

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

Percentage for the


Month
M

(A) Cumulative as of
Previous Month
M

(B) For the 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 grad

rner's Movement and Attendance

4-Absenteeism and Dropout Profile)

District

School Year

Report for the Month of

OPPED OUT

For the Month


T

TRANSFERRED OUT

(A+B) Cumulative as of (A) Cumulative as of


End of the Month
Previous Month
M

(B) For the Month


M

TRANSFERRED IN

(A+B) Cumulative as of (A) Cumulative as of


End of the Month
Previous Month
M

(B) For the Month


M

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

umn per grade/year level.

Prepared and Submitted by:

(Signature of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion & Le

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate

Region

Division

School ID

School Year

School Name

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle 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/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle 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/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle 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/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle 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/
(This column is for K to 1
Elementary grades level

Completed as of end of

otion & Level of Proficiency

and List of Graduates)

District
Curriculum
Grade Level

Section

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


SUMMARY TABLE
STATUS

MALE

FEMALE

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

TOTAL

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


MALE

FEMALE

BEGINNNING
(B: 74% and below)

DEVELOPING (D: 75%79%)


APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)

ADVANCED
(A: 90%
and above)

PREPARED BY:

Class Adviser
(Name and Signature)

TOTAL

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


CERTIFIED CORRECT & SUBMITTED:

School Head
(Name and Signature)

REVIEWED BY:

(Name and Signature)


Division Representative
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 teacher. The class adviser should
make the computation of 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

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


4. Must tallied with the total enrollment report as of End of School Year
GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under the discretion
of the Schools Division Superintendent
School Form 5: Page 2 of ________

School Form 6 (SF6) Summarized Report on Prom


and Level of Proficiency
(This replaced Form 20)

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
74% and below)
Nos. of DEVELOPING
75%-79%)

(B:
(D:

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)

(P:

Nos. of ADVANCED
90% and above)

(A:

TOTAL

Prepared and Submitted by:

Reviewed & Validated by:


SCHOOL HEAD

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

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

d.

SCHOOLS DIVISION SUPERINTENDENT

School Form 7 (SF7) School Personnel Assignment List and Basic P


(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

302595

School Name

Region VI

Buenavista National High School

(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Division
District

(B) Nationally-Funded Non Teaching Items

Number of Incumbent

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

Title of Designation
(Designation as
contract/document: Teacher,
Guard, Driver etc.)

Sex

Fund Source

918-181-528

AGUILAR, JUNELIE P.

National

T-I

Permanent

901-069-038

ALEGADO, OFELIA S.

T-I

rmanent

Nature of
Appointment/
Employment Status

ational

Number -T.I.N.)

Position/
Designation

Degree / Post
Graduate

Major/ Specialization

Minor

BSE

Science

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

None

BSE

English

EDUCATIONAL QUALIFICATION

None

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

ALEGADO, OFELIA S.

Permanent

292-821-784

ALGARME, EDISON M.

National

T-I

Permanent

929-822-864

AVIADOR, CHZARYLE D.

National

T-I

Permanent

901-069-061

DALIAN, ROBERTO B.

National

T-I

258-748-364

DELA PEA, ELDIARDO E.

National

T-I

Degree / Post
Graduate

Major/ Specialization

Minor

BSE

English

901-069-038

T-I

Nature of
Appointment/
Employment Status

National

Number -T.I.N.)

Position/
Designation

None

Science

None

BSED

Eglish

Filipino

Permanent

AB

Math

None

Permanent

BSE

English

None

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

258-748-364

DELA PEA, ELDIARDO E.

National

T-I

Permanent

901-069-079

DE LA TORRES JR., NOLI J.

National

T-I

Permanent

Degree / Post
Graduate

Major/ Specialization

Minor

BSE

English

None

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
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.

nd Basic Profile

nt List,
)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

he Division Office .

s inventory list of school personnel.

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

School Form 7 (SF7) School Personnel Assignment List and Basic P


(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

302595

School Name

Region VI

Division

Buenavista National High School

(A) Nationally-Funded Teaching & Teaching Related Items

District

(B) Nationally-Funded Non Teaching Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of Incumbent

P - III
MT - I
T- III
T - II
T-I

1
1
2
3
29

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

ADAS III
ADAS II

1
1

Title of Designation
(Designation as
contract/document: Teacher,
Guard, Driver etc.)

Sex

Fund Source

174-225-441

DOROMAL, SHARON M.

National

P - III

Permanent

148-545-582

BANGAY, HELEN I.

MT - I

Nature of
Appointment/
Employment Status

ational

Number -T.I.N.)

Position/
Designation

Permanent

Degree / Post
Graduate

Major/ Specialization

Minor

Ph.D (CAR)

Aral Pan

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

None

AB/BSE

English

EDUCATIONAL QUALIFICATION

None

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Degree / Post
Graduate

Major/ Specialization

Minor

AB/BSE

None

MA Educational
Management

Biology

None

148-545-582

BANGAY, HELEN I.

MT - I

Nature of
Appointment/
Employment Status

National

Number -T.I.N.)

Position/
Designation

English

EDUCATIONAL QUALIFICATION

Permanent

901-959-117

HONORIDEZ, NIDA D.

National

T - III

Permanent

923-081-542

TABOTABO, FELY V.

National

T - III

Permanent

148-545-670

DALIAN, ARSENIA S.

National

T - II

Permanent

BSC/BSE

Math

None

901-069-117

ROMERO, EDWIN M.

National

T - II

Permanent

BS Agri

Agronomy

Husbandry

Science

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

Minor

901-069-117

ROMERO, EDWIN M.

National

T - II

Permanent

BS Agri

Agronomy

Husbandry

901-069-221

TANGUYAN, ELIZABETH L.

National

T - II

Permanent

BSE

English

None

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
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.

nd Basic Profile

nt List,
)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day


Guidance Coordinator
DORP Coordinator
School Pub. Adviser

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

English IV (A - D)

DAY
(M/T/W/TH/
F)

From
(00:00)

M-F

9:55

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week
3:30

1200

Ave. Minutes per Day


Yes O - Adviser
Science Grade 8 (A - D)
ICL Grade 8
EP Grade 8 (B & C)

M - Thu
F
W-F

7:40
4:30

960
240
240

Ave. Minutes per Day


TIC - BNHS Japitan Ext.
Science Grade 7 A & B

M - Thu

7:30

11:35

480

TLE Fourth Year

M - Thu

1:30

2:30

240

Ave. Minutes per Day


Class Adviser III - C
Math Coordinator
School Testing Coordinator
Math Grade 9 (A -C)

M - Thu

7:40

2:30

720

ICL Grade 9 (A - C)

7:40

2:30

180

RHGP Grade 9 C

10:55

11:55

60

Ave. Minutes per Day


TLE Coordinator
TLE Grade 7

M - Thu

1:30

2:30

240

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

DAY
(M/T/W/TH/
F)

From
(00:00)

TLE Graade 8

M - Thu

9:55

10:55

240

TLE III

M - Thu

3:30

4:30

240

TLE IV

M - Thu

8:40

9:40

240

Ave. Minutes per Day


Librarian
English Grade 8 (B-C)

M-F

8:40

3:30

600

Ave. Minutes per Day


Submitted by:

he Division Office .

s inventory list of school personnel.

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

School Form 7 (SF7) School Personnel Assignment List and Basic P


(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

302595

School Name

Region VI

Buenavista National High School

(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Division
District

(B) Nationally-Funded Non Teaching Items

Number of Incumbent

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

Title of Designation
(Designation as
contract/document: Teacher,
Guard, Driver etc.)

Fund Source

125-330-683

SEDAYON, SYLVIA T.

National

441-079-172

BARRO, MARLYN E.

ational

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

Permanent

rmanent

Sex

rsing Officer

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

Bookkeeper

EDUCATIONAL QUALIFICATION

Degree / Post
Graduate

BSE/BSC

Major/ Specialization

Minor

Sex

Fund Source

441-079-172

BARRO, MARLYN E.

National

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

Permanent

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

Disbursing Officer

EDUCATIONAL QUALIFICATION

Degree / Post
Graduate

Major/ Specialization

Minor

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification
Number -T.I.N.)

Sex

Fund Source

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

Minor

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
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.

nd Basic Profile

nt List,
)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

he Division Office .

s inventory list of school personnel.

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

School Form 7 (SF7) School Personnel Assignment List and Basic P


(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

302595

School Name

Region VI

Buenavista National High School

(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Division
District

(B) Nationally-Funded Non Teaching Items

Number of Incumbent

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

Title of Designation
(Designation as
contract/document: Teacher,
Guard, Driver etc.)

EDUCATIONAL QUALIFICATION

207-361-606

MONDIN, JOAN A.

National

258-749-085

NICOS, DENNIC D.

ational

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

Permanent

BSED

English

Fund Source

T-I

Sex

T-I

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

Permanent

BSE

Minor

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Nature of
Appointment/
Employment Status

BSE

Major/ Specialization

258-749-085

NICOS, DENNIC D.

T-I

Degree / Post
Graduate

National

Number -T.I.N.)

Position/
Designation

Permanent

901-069-158

PABON, DOMINADOR D.

National

T-I

Permanent

BSC/BSE

Math

148-545-662

PAGADAL, JOJI M.

National

T-I

Permanent

BSE

Math

154-644-570

PRIETOS JR., ARTURO V.

National

T-I

Permanent

901-069-246

TUMABIENE, LUCITA B.

National

T-I

Permanent

BSE

H.E

Minor

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

Degree / Post
Graduate

Major/ Specialization

901-069-246

TUMABIENE, LUCITA B.

National

T-I

Permanent

BSE

H.E

901-069-254

VAFLOR, MELANIE T.

National

T-I

Permanent

AB/21 United

Aral Pan

Minor

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
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.

nd Basic Profile

nt List,
)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

he Division Office .

s inventory list of school personnel.

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

School Form 7 (SF7) School Personnel Assignment List and Basic P


(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

302595

School Name

Region VI

Buenavista National High School

(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Division
District

(B) Nationally-Funded Non Teaching Items

Number of Incumbent

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

Title of Designation
(Designation as
contract/document: Teacher,
Guard, Driver etc.)

GALLEGO, ALFREDO C.

National

148-545-654

LARIOSA, MA. CORAZON A.

Nature of
Appointment/
Employment Status

Permanent

BSE

BSE

Degree / Post
Graduate

Major/ Specialization

Minor

PE

901-069-096

ational

Number -T.I.N.)

Position/
Designation

None

ino/English

Fund Source

rmanent

Sex

T-I

Employee No. (or Name of School Personnel


(Arrange by Position, Descending)
Tax Identification

T-I

EDUCATIONAL QUALIFICATION

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Major/ Specialization

Minor

T-I

Permanent

BSED

English

Filipino

T-I

Permanent

BSED

PE

None

National

T-I

Permanent

BSC/BSE

Math

None

National

T-I

Permanent

BSE

English

None

148-545-654

LARIOSA, MA. CORAZON A.

National

BSE

Filipino/English

Degree / Post
Graduate

Permanent

Nature of
Appointment/
Employment Status

T-I

Number -T.I.N.)

Position/
Designation

901-069-125

LIM, LILIA M.

National

937-310-129

LIM, RODLY P.

National

901-069-133

MAGNIFICO, MARY LUZ L.

926-187-113

MAHINAY, MYRA M.

EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel
(Arrange by Position, Descending)
Tax Identification

Sex

Fund Source

Number -T.I.N.)

Position/
Designation

Nature of
Appointment/
Employment Status

926-187-113

MAHINAY, MYRA M.

National

T-I

Permanent

419-658-418

MAHINAY, RONALD L.

National

T-I

Permanent

Degree / Post
Graduate

Major/ Specialization

Minor

BSE

English

None

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
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.

nd Basic Profile

nt List,
)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

he Division Office .

s inventory list of school personnel.

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

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