School ID 306717 Region

School Name TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL

AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

Males
1 306717110002 Adriano, Marlou Villafuerte
2 306717140011 Banayos, Genesis Gajeles
3 306717110012 Basical, Noli Falcon
4 306717110014 Barron, Dayren Bayle
 AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

5 300753100247 Colinares, Erin Patrick Alvarez

6 306717110044 Garbin, Ramil, Buquiod
7 306701110076 Geronimo, Genessary Persona
8 306717120027 Gervacio, Jhonnel, Lumapag
9 300753100614 Leano, Nathaniel, Sampan
10 306717100065 Logo, Marco, Mallari
11 300753110641 Luis, Joemin Na
12 300781100182 Mauricio, Alfred Mircoe, Gavanes
13 306717100078 Palconit, Mark Jayson
 AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

14 306717110085 Patawaran Jr., Randy

15 306717110091 Ramos, Ericzon, Coloquid
16 306717130011 Rivera, Christopher Cano
17 306717140012 Romero, Rowell Kyle Ranjo
18 306717110104 Salvacion, Christian Diaz
19 306717100098 Santos, Joseph Bryan Diño
20 300753111028 Sebastian, Edward Alsen
21 306717110114 Surigao, Christian Timbang
22 306717110119 Tarog, Ramoncito Torres
 AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

23 306717100112 Tinio, Christian Badoy

24 300753111171 Yangco, John Rey D.C.
Females
1 300781110059 Calara, Ma. Lizeth Na
2 306717120026 Canton, Mervic Ann Lacsamana
3 300753110177 Caragay, Jan Pauline Dana C
4 306717110019 Carigma, Jhonna Lyn Sape
5 306717140014 Celzo, Jirre Gee Abraham
6 306717110027 Custodio, Rebbie Jean
 AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

7 306717110031 De Leon, Hannah Gem Villamor

8 306717110032 De Vera, Ella Deri
9 300781090077 De Vera, Emelita Tupaz
10 300753110507 Garcera, Jesselle
11 306717110046 Garcia, Mary Rose
12 306701110075 Geronimo, Genessa Persona
13 300753110640 Luis, Angelica Bertiz
14 306717110071 Mahilum, Mary Jane Mendoza
15 300781110203 Mangalino, Katrina Claire Mutuc
 AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

16 300781110242 Nicolas, Trixia P

17 304356130732 Odoño, Alyssa Marie
18 300874110274 Oledan, Mhelissa Grace
19 300781110307 Roamar, Joanna Marie
20 306717110107 Santos, Ranelyn Flores
21 306717110124 Viñas,Chajara Gell Taganos
22 300753110007 Ablen, Noralyn Pacaul

Code Required Information

 AGE as of
NAME Sex BIRTH DATE MOTHER TON
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) (Grade 1 to 3
June

Indicator T/O Name of Public (P) Private (PR) School & Effectivity Date

Transferred Out T/I Name of Public (P) Private (PR) School & Effectivity Date

Transferred IN DRP Reason and Effectivity Date

Dropped LE Reason (Enrollment beyond 1st Friday of June)

Late Enrollment
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

III Division BULACAN District

HIGH SCHOOL School Year 2014-2015 Grade Level IV

ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M
 ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M
 ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M
 ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M
 ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M
 ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M

Indicator Code Required Information REGISTERED BoSY EoSY

 ADDRESS PARENTS
IP
MOTHER TONGUE
(Ethnic RELIGION House #/ Father's Name (Last Mothe
(Grade 1 to 3 Only) Municipality/
Group) Street/ Sitio/ Barangay Province Name, First Name, (Last N
City
Purok Middle Name) M

CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE
ME
Balik-Aral B/A Name of school last attended & Year FEMALE

Learner With
LWD Specify
Dissability TOTAL

Accelarated ACL Specify Level & Effectivity Data

 II

Section VIGAN
GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)
 GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)
 GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)
 GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)
 GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)
 GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)

Prepared by: Certified Correct:

 GUARDIAN
RENTS REMARKS
(If not Parent)
Contact Number
Mother's Maiden Name of Parent or
Guardian (Please refer to the
(Last Name, First Name, Name Relation-ship
legend on last page)
Middle Name)

MELODY M. RELLOMA MA.REGINA M. LOPEZ

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)

BoSY Date: EoSYDate: BoSY Date: EoSYDate:

 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 306717 School Year 2016- 2017 Report for the Month of JUNE

Name of School TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL Grade Level 9 Section
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

MALE 13 14 15 16 17 20 21 22 23 24 27 28 29 30

1 Balboa, Arvy H.
2 Cruz, Franz Carlo R.
3 Dimatulac, John Isaac G.
4 Florentino, Roly B.
5 Lagrimas, Dariel
6 Lorenzo, Ronnel Peewee A.
7 Lozano, Aldrin T.
8 Ong, Mark Aaron C.
9 Pilapil, John Paul N.
10 Ramirez, John Greg
11 Sampoton, Denille Jesrylle
12 Santos, Efraim P.
13 Santos,John Lloyd L.
14 Trinidad,Kurt Dale SD.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

15 Yabut, Mark Ivan G.

16 Yumol, Ver Joseph B.
MALE | TOTAL Per Day
FEMALE
1 Abucay,Maribel
2 Alperez, Jonabel T.
3 Bartolome, Catherine C.
4 Bermudez, Rosalinda M.
5 Beñegas, Sophia V.
6 Bigcas, Jonalyn B.
7 Cadalin, Haizel T.
8 Cao, Diserie Rose V.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

9 Carlos, Hazel Ann T.

10 Catral, Roshelyn D.
11 Cruz, Mariane T.
12 Delula,Morena C.
13 Devela, Samantha Edryl B.
14 Doncillo, Kristine Mae A.
15 Escalona, Andrea Rose O.
16 Grota, Mechelle V.
17 Magat, Rich Marie M.
18 Mangalinao, Angelica C.
19 Manuel, Rica R.
20 Mañozo,Marjorie R.
21 Nicolas, Hilary Mae
22 Pabustan, Shaina Alyssa Mae D.
23 Pabustan,Shin Cheryse
24 Padilla, Nicole D.
25 Palubon, Elaine A.
26 Ponggos, Charill L.
27 Ramos, Lara Jane D.
28 Ramos,Ma. Jowella Ann G.
29 Ramos, Patricia Joy V.
30 Rivera, Bea Marice T.
31 Rivera, Bianca Mae T.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

32 Rosales, Jennifer S.
33 Salvador, Shaina T.
34 Sapanhila,Camille Anne B.
35 Sombillo, Jenilyn
36 Soriano, Jenny Rose B.
37 Swing, Clarissa Claire
38 Tamayo, Louise Janelle C.
39 Valino,Janna Marie L.
40 Villacorta, Dixie Mae J.
41 Villamor,Renelyn A.
42 Villanada,Johnna Anne B.
43 Villareal, Crizel R.
FEMALE | TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment du
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Lea
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of En
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Avera
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 b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
4. Every end of the month, the class adviser will submit this form toMthe office
T ofWthe principal
TH F for recording
M T ofWsummary
TH table
F into
M T W TH F M T W TH F M T W TH F ABSENT
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage o
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of studen
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
T
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a t
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________
 GOLD

Total for the

Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY

No. of Days of Summary

Classes: M F TOTAL

Enrolment as of (1st Friday of June)

ollment during the month

(beyond cut-off)

stered Learners as of end of the month

ntage of Enrolment as of end of the month

Average Daily Attendance

 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY

ercentage of Attendance for the month

r of students absent for 5 consecutive days:

Drop out 0 0

Transferred out 0 0

Transferred in 0 0

hat this is a true and correct report.

JOHANNA PAULYNE C. VICTORIA

(Signature of Teacher over Printed Name)

RODRIGO V. JACINTO, JR.

(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 306717 School Year 2014- 2015

School Name TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL Grade Level IV Section VIG
PHYSICS Science and GEOMETRY Advanced AP IV Ekonomiks MAPEH IV P.E. Health Subject Area & Title Subject Area & Title
Technology IV Algebra Trigonometry and
Statistics IV
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

1 Adriano, Marlou Villafuerte 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

2 Banayos, Genesis, Gajeles 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

3 Basical, Noli Falcon 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

4 Bayron, Darren Bayle 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

5 Colinares, Erin Patrik Alvarez 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

6 Garbin, Ramil Buquid 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

7 Geronimo, Genessary Persona 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

8 Gervacio, Jhonnel Lumapag 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

9 Leaño, Nathaniel Sampan 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

10 Logo, Marco Mallari 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

11 Luis, Joemin 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

12 Mauricio, Alfred Mircoe Gavanes 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015
 PHYSICS Science and GEOMETRY Advanced AP IV Ekonomiks MAPEH IV P.E. Health Subject Area & Title Subject Area & Title
Technology IV Algebra Trigonometry and
Statistics IV
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

13 Palconit, Mark Jayson 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

14 Patawaran Jr., RandyPerlada 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

15 Ramos, Ericzon Coloquio 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

16 Rivera, Christopher Cano 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

17 Romero, Rowell Kyle Ranjo 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

18 Salvacion, Christian Diaz 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

19 Santos, Joseph Byran Diño 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

20 Sebastian, Edward Alisen 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

21 Surigao, Christian Timbang 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

22 Tarog, Ramoncito Torres 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

23 Tinio, Christian Badoy 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

24 Yangco, John Rey Dela Cruz 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

MALE | TOTAL Per Day

1 Ablen, Noralyn Pacaul 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

2 Calara, Ma. Lizeth 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

3 Canton, Mervic Ann Laxamana 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

4 Caragay, Jan Pauline Dana 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

5 Carigma, Jhonna Lyn Sape 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015
 PHYSICS Science and GEOMETRY Advanced AP IV Ekonomiks MAPEH IV P.E. Health Subject Area & Title Subject Area & Title
Technology IV Algebra Trigonometry and
Statistics IV
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

6 Celzo, Jirre Gee Abraham 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

7 Custodio, Rebbie Jean 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

8 De Leon, Hannah Gem Villamor 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

9 De Vera, Ella Deri 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

10 De Vera, Emelita Tupas 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

11 Garcera, Jesselle Delagente 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

12 Garcia, Mary Rose Astillero 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

13 Geronimo, Geneessa, Persona 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

14 Luis, Angelica Bertiz 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

15 Mahilum, Mary Jane Mendoza 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

16 Mangalino, Katrina Claire Mutuc 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

17 Nicolas, Trixia Mae 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

18 Odoño, Alyssa Marie Angeles 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

19 Oledan, Mhelissa Grace Puno 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

20 Roamar, Joanna Marie Cielos 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

21 Santos, Ranelyn Flores 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015

22 Viñas, Chajara Gell Taganos 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015 6/3/2014 3/27/2015
4 TOTAL LEARNERS | TOTAL COPIES 46 46 46 46 46 46 46 46
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
 PHYSICS Science and GEOMETRY Advanced AP IV Ekonomiks MAPEH IV P.E. Health Subject Area & Title Subject Area & Title
Technology IV Algebra Trigonometry and
Statistics IV
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
ned

VIGAN
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

llowing code: Prepared By:

ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

/Dropout, NEG=Negligence MELODY M. RELLOMA

rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
 School Form 4 (SF4) Monthly Learner's Movement and Attend
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRANSFER

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the
LEVEL the Month) the Month of Previous Month
Month
of Previous Month

M F T M F T M F T M F T M F T M F T M F T
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: Prepared and
1. This form 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 the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

Attendance

Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

(A) Cumulative as
(B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month
Month End of the Month

M F T M F T M F T M F T M F T
epared and Submitted by:

(Signature of School Head over Printed Name)

 School Form 5 (SF 5) Report on Promotion & Level of Pro
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level

GENERAL INCOMPLETE SUBJECT/S

AVERAGE (This column is for K to 12 C
ACTION TAKEN: RBEC in High School. Elementary gra
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fil
NO LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current
School Year

1
2
3
4
5
6
7
8
9
10
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12 C
ACTION TAKEN: RBEC in High School. Elementary gra
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fil
NO LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current
School Year

11
12
13
14
15
16
17
18
19
20
21
22
23
24
TOTAL MALE

1
2
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12 C
ACTION TAKEN: RBEC in High School. Elementary gra
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fil
NO LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current
School Year

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12 C
ACTION TAKEN: RBEC in High School. Elementary gra
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fil
NO LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current
School Year

20
21
22
TOTAL FEMALE

COMBINED
 of Proficiency

Section

or K to 12 Curriculum and remaining

mentary grades level that are still
ed not to fill up these columns)

As of end of current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)

or K to 12 Curriculum and remaining
mentary grades level that are still
ed not to fill up these columns)

As of end of current School Year

MALE FEMALE TOTAL

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)

or K to 12 Curriculum and remaining
mentary grades level that are still
ed not to fill up these columns)

As of end of current School Year

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 teachers. The class adviser should compute
for the General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and *irregular (*for grade
7 onwards only) and the level of proficiency according
to the individual General Average.
or K to 12 Curriculum and remaining
mentary grades level that are still
ed not to fill up these columns)

As of end of current School Year

4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)

School Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces 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 GRADE 5 / GRADE 11
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

PROMOTED

IRREGULAR (Grade 7 onwards only)

RETAINED

LEVEL OF PROFICIENCY (K to 12
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Only)

BEGINNNING (B: 74%

and below)

DEVELOPING (D: 75%-

79%)

APPROACHING PROFICIENCY
(AP: 80%-84%)

PROFICIENT (P: 85%

-89%)

ADVANCED (A: 90%

and above)
 ADVANCED (A: 90%
and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVIS
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
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 is under the discretion of the Schools Division Superintendent.
 School Year

GRADE 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

OLS DIVISION SUPERINTENDENT
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces 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 Division

School Name District

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding

Title of Designation Appointment:

Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual,
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others
specify)

Teacher 1 3
Teacher 2 4
Teacher 3 5

EDUCATIONAL QUALIFICATION Daily Program (time d

Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time d
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time d
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

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 the school year, an
updated Form 19 must be submitted 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. (Signature o
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. Updated as of: __
Sc
Profile

School Year

nts and Funding Sources

Number of
Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching

y Program (time duration)

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

Minutes per Day

y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Minutes per Day

Minutes per Day

y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Submitted by:

(Signature of School Head over Printed Name)

Updated as of: ___________________________

School Form 7, Page ___ of ________
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 306717 School Year 2016- 2017 Report for the Month of JULY

Name of School TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL Grade Level 9 Section
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

MALE 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

1 Balboa, Arvy H.
2 Cruz, Franz Carlo R.
3 Dimatulac, John Isaac G.
4 Florentino, Roly B.
5 Lagrimas, Dariel
6 Lorenzo, Ronnel Peewee A.
7 Lozano, Aldrin T.
8 Ong, Mark Aaron C.
9 Pilapil, John Paul N.
10 Ramirez, John Greg
11 Sampoton, Denille Jesrylle
12 Santos, Efraim P.
13 Santos,John Lloyd L.
14 Trinidad,Kurt Dale SD.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

15 Yabut, Mark Ivan G.

16 Yumol, Ver Joseph B.
MALE | TOTAL Per Day
FEMALE
1 Abucay,Maribel
2 Alperez, Jonabel T.

3 Bartolome, Catherine C.
4 Bermudez, Rosalinda M.

5 Beñegas, Sophia V.
6 Bigcas, Jonalyn B.
7 Cadalin, Haizel T.

8 Cao, Diserie Rose V.

LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

9 Carlos, Hazel Ann T.

10 Catral, Roshelyn D.
11 Cruz, Mariane T.

12 Delula,Morena C.
13 Devela, Samantha Edryl B.
14 Doncillo, Kristine Mae A.

15 Escalona, Andrea Rose O.

16 Grota, Mechelle V.

17 Magat, Rich Marie M.

18 Mangalinao, Angelica C.
19 Manuel, Rica R.

20 Mañozo,Marjorie R.
21 Nicolas, Hilary Mae

22 Pabustan, Shaina Alyssa Mae D.

23 Pabustan,Shin Cheryse
24 Padilla, Nicole D.

25 Palubon, Elaine A.
26 Ponggos, Charill L.

27 Ramos, Lara Jane D.

28 Ramos,Ma. Jowella Ann G.
29 Ramos, Patricia Joy V.

30 Rivera, Bea Marice T.

31 Rivera, Bianca Mae T.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT

32 Rosales, Jennifer S.

33 Salvador, Shaina T.
34 Sapanhila,Camille Anne B.

35 Sombillo, Jenilyn
36 Soriano, Jenny Rose B.
37 Swing, Clarissa Claire

38 Tamayo, Louise Janelle C.

39 Valino,Janna Marie L.

40 Villacorta, Dixie Mae J.

41 Villamor,Renelyn A.
42 Villanada,Johnna Anne B.

43 Villareal, Crizel R.
FEMALE | TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment du
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Lea
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of En
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Avera
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 b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser.
LEARNER'S NAME (1st row for date) Total for t
(Last Month
Name, First Name, Middle Name)
4. Every end of the month, the class adviser will submit this form toMthe office
T ofWthe principal
TH F for recording
M T ofWsummary
TH table
F into
M T W TH F M T W TH F M T W TH F ABSENT
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage o
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of studen
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
T
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a t
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________
 GOLD

Total for the

Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY

No. of Days of Summary

Classes: M F TOTAL

Enrolment as of (1st Friday of June)

ollment during the month

(beyond cut-off)

stered Learners as of end of the month

ntage of Enrolment as of end of the month

Average Daily Attendance

 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY

ercentage of Attendance for the month

r of students absent for 5 consecutive days:

Drop out 0 0

Transferred out 0 0

Transferred in 0 0

hat this is a true and correct report.

JOHANNA PAULYNE C. VICTORIA

(Signature of Teacher over Printed Name)

RODRIGO V. JACINTO, JR.

(Signature of School Head over Printed Name)
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 306717 School Year 2016- 2017 Report for the Month of NOVEMBER

Name of School TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL Grade Level 9 Section
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH

MALE 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 24 28 29 30
A
1 Balboa, Arvy H. B
L
2 Cruz, Franz Carlo R. O
L
3 Dimatulac, John Isaac G. N
4 Florentino, Roly B. I
S
5 Lagrimas, Dariel F
A
6 Lorenzo, Ronnel Peewee A. A
I
7 Lozano, Aldrin T. C
N
8 Ong, Mark Aaron C. I
T
9 Pilapil, John Paul N. O
S
10 Ramirez, John Greg
11 Sampoton, Denille Jesrylle D
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH

12 Santos, Efraim P. D A
13 Santos,John Lloyd L. A Y
14 Trinidad,Kurt Dale SD. Y

15 Yabut, Mark Ivan G.

16 Yumol, Ver Joseph B.
MALE | TOTAL Per Day
FEMALE
1 Abucay,Maribel

2 Alperez, Jonabel T.
3 Bartolome, Catherine C.
4 Bermudez, Rosalinda M.

5 Beñegas, Sophia V.
6 Bigcas, Jonalyn B.

7 Cadalin, Haizel T.
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH

8 Cao, Diserie Rose V.

9 Carlos, Hazel Ann T.

10 Catral, Roshelyn D. A B

11 Cruz, Mariane T. L O

12 Delula,Morena C. L N

13 Devela, Samantha Edryl B. I

14 Doncillo, Kristine Mae A. S F

15 Escalona, Andrea Rose O. A A

16 Grota, Mechelle V. I C

17 Magat, Rich Marie M. N I

18 Mangalinao, Angelica C. T O

19 Manuel, Rica R. S

20 Mañozo,Marjorie R. D

21 Nicolas, Hilary Mae D A

22 Pabustan, Shaina Alyssa Mae D. A Y

23 Pabustan,Shin Cheryse Y

24 Padilla, Nicole D.
25 Palubon, Elaine A.

26 Ponggos, Charill L.
27 Ramos, Lara Jane D.
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH

28 Ramos,Ma. Jowella Ann G.

29 Ramos, Patricia Joy V.

30 Rivera, Bea Marice T.

31 Rivera, Bianca Mae T.

32 Rosales, Jennifer S.
33 Salvador, Shaina T.

34 Sapanhila,Camille Anne B.
35 Sombillo, Jenilyn

36 Soriano, Jenny Rose B.

37 Swing, Clarissa Claire
38 Tamayo, Louise Janelle C.

39 Valino,Janna Marie L.
40 Villacorta, Dixie Mae J.

41 Villamor,Renelyn A.
42 Villanada,Johnna Anne B.
43 Villareal, Crizel R.
FEMALE | TOTAL Per Day
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
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 b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH
e. Financial-Related
e.1. Child labor, work (Signature of Tea
f. Others (Specify)

School Form 2 : Page ___ of ________

rners

NOVEMBER

Section GOLD

20 REMARKS (If DROPPED OUT, state reason, please

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

0 0
0 0
0 0
6 0
4 0
2 0
0 0
1 0
2 0
0 0
0 0
 20 REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
F ABSENT TARDY If TRANSFERRED IN/OUT, write the name of School.)

10 0
7 0
0 0
1 0
0 0
287 0

3 0
0 0
5 0
2 0
0 0
1 0
0 0
 20 REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
F ABSENT TARDY If TRANSFERRED IN/OUT, write the name of School.)

0 0
1 0
5 0
4 0
1 0
0 0
0 0
0 0
1 0
1 0
3 0
1 0
0 0
6 0
0 0
0 0
0 0
0 0
2 0
0 0
 20 REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
F ABSENT TARDY If TRANSFERRED IN/OUT, write the name of School.)

1 0
0 0
0 0
0 0
0 0
4 0
0 0
0 0
0 0
5 0
0 0
2 0
0 0
2 0
0 0
0 0
810 0
 20 REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
F ABSENT TARDY If TRANSFERRED IN/OUT, write the name of School.)

Month: No. of Days of Summary

Classes: M F TOTAL

* Enrolment as of (1st Friday of June) 14 41 55

Late Enrollment during the month

0 0 0
(beyond cut-off)

Registered Learners as of end of the month 16 43 59

Percentage of Enrolment as of end of the

114.2857 104.878 107.27
month

Average Daily Attendance 14.35 40.5 54.85

Percentage of Attendance for the month 89.69 94.19 92.97

Number of students absent for 5 consecutive

0 0 0
days:
Drop out 0 0 0

Transferred out 0 0 0

Transferred in 0 0 0

I certify that this is a true and correct report.

 20 REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
F ABSENT TARDY If TRANSFERRED IN/OUT, write the name of School.)
JOHANNA PAULYNE C. VICTORIA
(Signature of Teacher over Printed Name)

Attested by:
RODRIGO V. JACINTO, JR.
(Signature of School Head over Printed Name)