6..school Forms (JUNE)

(T
School ID 302730 Region VIII Division
School Name Dr. V.F.G.M.N.H.S.
AGE as of IP
NAME Sex BIRTH DATE MOTHER
1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)
M
1 ACURIZA, JOHNMARK T.
M
2 ALONZO, JIGGER JR A.
M
3 BARILEA, ERNIE JOHN A.
M
4 CAÑETE, ALONSO F.
M
5 CONTERVIDA, CJ L.
AGE as of IP
1st Friday (Ethnic
June Group)
M
6 DIAZ, FRANCIS L.
M
7 DOLAR, ARON KEVIN V.
M
8 GANCITA, BERNIE JR. O.
M
9 HAUTEA, VERNEIL V.
M
10 IBAÑEZ, VINCH ALBEN A.
M
11 MAGBANUA, JOSHUA B.
M
12 MAHILUM, WELBERT S.
M
13 MORAÑA, CARLO JOHN M.
M
14 MORTA, RONALDO JR. V.
AGE as of IP
1st Friday (Ethnic
June Group)
M
15 NAVARRO, JASFER A.
M
16 RAMOS, ARTHUR FRENH D.
M
17 REMILLA, JUSTIN P.
M
18 SALARSON, JAMES EDUARD A.
M
19 SANTILLAN, ANTHONY A.
M
20 SEVILLANO, REMUEL M.
M
21 TORRES, CHRISTIAN JAMES C.
M
22 TROCIO, JOMARY S.
M
23 VILLAESTER, REYNALD G.
AGE as of IP
1st Friday (Ethnic
June Group)
M
GIRLS
F
1 ALOIPONGA, ROSE ANN P.
F
2 ARMENTON, ANGELA A.
F
3 BARCO, HAZEL JANE M.
F
4 BAYON-ON, LESLY F.
F
5 BLANCO, REYNABEL V.
F
6 CABERTE, KENNELYN K.
F
7 CARACAS, CAROL GRACE R.
F
8 CARBAJAL, RONELYN S.
AGE as of IP
1st Friday (Ethnic
June Group)
F
9 CASTRO, HEIDE B.
F
10 CUSTODIO, CHARLYN A.
F
11 DEOCAMPO, JELLA MAE J.
F
12 GAMBITO, CHARA MAE B.
F
13 MAHIPUS, CARELLE NICOLE G.
F
14 OGABAN, ASHLEY R.
F
15 OLAERA, JENNY B.
F
16 PALACIOS, MARY ASHLEY B.
F
17 PEROLINO, BEA MAE D.
AGE as of IP
1st Friday (Ethnic
June Group)
F
18 RIVERA, JONNA MAE D.
F
19 SABORDO, MARICON B.
F
20 SABUERO, PAULINE JOY F.
F
21 SIACOR, LYNDY JOY J.
F
22 SOLIS, STEPHANIE G.
F
23 TOLEDO, REGINE T.
List and Code of Indicators under REMARKS column

Indicator Code Required Information Code
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity D CCT
AGE as of IP
1st Friday (Ethnic
June Group)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity D B/A
Dropped DRP Reason and Effectivity Date LWD
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Cadiz City District IV
School Year 2017 -2018 Grade Level Grade-VIII Section
ADDRESS PARENTS
RELIGION House #/ Mother's Maiden Name (Last

Municipality/ Father's Name (Last Name,
Street/ Sitio/ Barangay Province Name, First Name, Middle
City First Name, Middle Name)
Purok Name)
ADDRESS PARENTS

Purok Name)
ADDRESS PARENTS

Purok Name)
ADDRESS PARENTS

Purok Name)
ADDRESS PARENTS

Purok Name)
ADDRESS PARENTS

Purok Name)
umn
Prepared by:
Required Information REGISTERED BoSY EoSY
CCT Control/reference number & Effectivity Date MALE

CHARLIE G. CANREJO
ADDRESS PARENTS

Purok Name)
(Signature of Adviser over Printed Name

Name of school last attended & Year FEMALE
Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate
Crimson
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Name Relation-ship
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Name Relation-ship
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Name Relation-ship
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Name Relation-ship
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Name Relation-ship
Certified Correct:
. CANREJO
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Name Relation-ship
over Printed Name) (Signature of School Head over Printed Name)
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 302730 School Year 2017 - 2018 Report for the Month of JUNE
Name of School Dr. V.F.G.M.N.H.S. Grade Level VIII Section

LEARNER'S NAME (1st row for date) Total for the
(Last 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 20
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
1 AGAPUYAN, FREDERICK X X 2
2 ALMONTE, MICHAEL JAY X 1
3 BATERNA, FRANKLIN KENN
4 BAYONA, RONALD JR.
5 BENITIN, DEXTER
6 DIOLA, ELYMAYO JR
7 DOOMA, RONALD X 1
8 DESALES, JANE JALANE
9 ESTRELLA, JOHN JASON
10 GARCIA, JOHN FELIX
11 GILBALIGA, RJ X 1
12 IBAÑEZ, LEO VAN X 1
13 JARO, JOHN PAUL
14 LAMOSTE, LOURENZ
15 LONGNO, KENNY X 1
16 MAGBANUA, RONCEL
(Last 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 20
Month
17 MENESES, RODOLFO
18 MORENO, JAYSON X 1
19 OBEDA, JENNEL
20 PARCON, LYNDON
21 PASIGAY, JOHN PAUL
22 ROLDAN, JOHNBEN X 1
23 ROMERO, LARRY
24 UMBAO, JOSE MIGUEL X 1
25 YSULAN, KIER
10
1 AGOSTO, CHRISTINE JOY
2 ALTAMIA, CHRISTY
3 ALUMIA, MARRIANE X X X X X X X X X X X X X X X X X X X 19
4 ARROYO, CORALYN
5 BILBAO, MARY LEE
6 BRITO, SHELLA MAE
7 DAWA, LOVELY ANN
8 DELAGAO, CAMELLA
9 DELOS REYES, AUBREY
10 DUCA, ELLESIAH KATE
11 GALLENERO, HARLYN
12 JUROS, ANGEL
13 LARISMA, DANICA
14 NAVARRO, JAQUILYN X 1
(Last 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 20
Month
15 NORCA, JENEVEVE
16 OSAL, EJ MAE X X X X X X 6
17 SAUPAN, ALLYSA JANE
18 SAYAM ,JUDCEE
19 SEGOVIA, LOVELY
20 TANGHAL, MARRIANE MAE
21 TOLOSA, HEZEKIAH ARRIANA
22 TOMPONG, JONALYN
FEMALE | TOTAL Per Day 26
Combined TOTAL PER DAY JUNE 36
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
2. Dates shall be written in the columns after Learner's Name. for Late Commer, Lower for Cutting Classes)
* Enrolment as
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month x 100 a. Domestic-Related Factors Late Enrollment duri
a. Percentage of Enrolment =
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 Learne
Number of School Days in reporting month a.3. Parents' attitude toward schooling
c. Percentage of Attendance for the month = Average daily attendance x 100 a.4. Family problems
Percentage of Enrol
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of b.2. Overage
summary table into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of At
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.4. Drug Abuse
absent for 5 consecutive days and/or those at risk of dropping out. b.5. Poor academic performance Number of student
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
(Last 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 20
Month
c.1. Teacher Factor
Tra
c.2. Physical condition of classroom
c.3. Peer influence
Tra
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 ________
CRIMSON
al for the
h REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
al for the
TARDY
al for the
TARDY
No. of Days of Summary

Classes: M F TOTAL
ment as of (1st Friday of June) 25 22 47
ment during the month

0 0 0
(beyond cut-off)
d Learners as of end of the month 25 22 47
of Enrolment as of end of the month 100% 100% 100
Average Daily Attendance 95% 92% 94%
age of Attendance for the month 98% 98% 98%
f students absent for 5 consecutive 0 0 0

days:
Drop out 0 0 0
al for the
TARDY
Transferred out 0 0 0
Transferred in 0 0 0
this is a true and correct report.
CHARLIE G. CANAREJO
(Signature of Teacher over Printed Name)
EROL JANE BANDIOLA

(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
School ID 302730 School Year 2014 - 2015

School Name Dr. V.F.G.M.N.H.S. Grade Level VIII Section CRIM
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
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
10
11
12
LEARNER'S NAME
13
14
15
16
17
18
19
20
21
22
23
24
TOTAL FOR MALE | TOTAL COPIES
5
LEARNER'S NAME
10
11
12
13
14
15
16
17
18
19
20
21
22
23
LEARNER'S NAME
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
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
CRIMSON
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:
/Dropout, NEG=Negligence
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 Atten
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID 302730 Region VI Division CADIZ CITY District
School Name Dr. VICENTE F. GUSTILO MEMORIAL NATIONAL HIGH SCHOOL School Year 20
ATTENDANCE DROPPED OUT TRAN

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
VIII CRIMSON CHARLIE G. CANAREJO
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
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

ttendance
2014 - 2015 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:

School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
Region VI Division CADIZ CITY District III
School ID 302730 School Year 2017-2018 Curriculum K to 12
School Name D.r V.F.G.M.N.H.S. Grade Level VIII Section CRIMSON
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
LEARNER'S NAME (Numerical Value in 2
PROMOTED, implementing RBEC need not to fill up these columns)
LRN (Last Name, First Name, decimal places and 3
IRREGULAR or
Middle Name) decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
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:
CHARLIE G. CANAREJO
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:
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.
4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)
5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent
TOTAL FEMALE
COMBINED School Form 5: Page ____ of ________

School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)
School ID 302730 Region VI Division CADIZ CITY
School Name DR V.F.G.M.N.H.S. District IV
GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and above)
TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPER
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 2014 -2015
RADE 6 / GRADE 12 TOTAL
FEMALE TOTAL MALE FEMALE TOTAL
FEMALE TOTAL MALE FEMALE TOTAL

SION 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 302730 Region Division CADIZ CITY

\
School Name DR. V.F.G.M.N.H.S. District IV
(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)
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

Nature of
(include Grade &
Assignments TH/F)

Nature of
(include Grade &
Assignments TH/F)
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 2014- 2015
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

Remarks (For
Detailed Items,
Week
Minutes per Day
Minutes per Day
Minutes per Day
Minutes per Day

Remarks (For
Detailed Items,
Week
Minutes per Day
Minutes per Day
Submitted by:
Updated as of: ___________________________

School Form 7, Page ___ of ________

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School ID 302730 Region VIII Division

School Name Dr. V.F.G.M.N.H.S.

List and Code of Indicators under REMARKS column

Cadiz City District IV

School Year 2017 -2018 Grade Level Grade-VIII Section

RELIGION House #/ Mother's Maiden Name (Last

RELIGION House #/ Mother's Maiden Name (Last

RELIGION House #/ Mother's Maiden Name (Last

RELIGION House #/ Mother's Maiden Name (Last

RELIGION House #/ Mother's Maiden Name (Last

RELIGION House #/ Mother's Maiden Name (Last

CCT Control/reference number & Effectivity Date MALE

RELIGION House #/ Mother's Maiden Name (Last

(Signature of Adviser over Printed Name

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

EoSYDate: BoSY Date: EoSYDate:

Name of School Dr. V.F.G.M.N.H.S. Grade Level VIII Section

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:

No. of Days of Summary

ment as of (1st Friday of June) 25 22 47

ment during the month

d Learners as of end of the month 25 22 47

of Enrolment as of end of the month 100% 100% 100

Average Daily Attendance 95% 92% 94%

age of Attendance for the month 98% 98% 98%

f students absent for 5 consecutive 0 0 0

this is a true and correct report.

EROL JANE BANDIOLA

School ID 302730 School Year 2014 - 2015

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

llowing code: Prepared By:

School ID 302730 Region VI Division CADIZ CITY District

ATTENDANCE DROPPED OUT TRAN

Page _____ of _____ pages

2014 - 2015 Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

(Signature of School Head over Printed Name)

Region VI Division CADIZ CITY District III

School ID 302730 School Year 2017-2018 Curriculum K to 12

School Name D.r V.F.G.M.N.H.S. Grade Level VIII Section CRIMSON

STATUS MALE FEMALE TOTAL

MALE FEMALE TOTAL

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)

(Name and Signature)

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per

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

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

5. Protocols of validation & submission is under the

COMBINED School Form 5: Page ____ of ________

School ID 302730 Region VI Division CADIZ CITY

School Name DR V.F.G.M.N.H.S. District IV

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

School ID 302730 Region Division CADIZ CITY

Title of Designation Appointment:

Page _ of _ pages

COMBINED School Form 5: Page of ____