Sc

(This

School ID RegionIV-B Division

School Name CONCEPCION NATIONAL HIGH SCHOOL

IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
110742060016
Baterna, Dante Marabi M 11/9/00 13 1/2 Bisaya Christianity
Cebuano
110742060021
Beloria, Harvey Belasa M 11/18/00 13 1/2 Bisaya Christianity
Cebuano
309120130052
Cervantes, Felipe Quezon Jr. M 11/29/98 15 1/2 Bisaya Christianity
Cebuano
110742060051
Fabiano, Eron Casampol M 5/28/01 13 Agutaya Christianity
Agutaynen
 IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
309120130056
Gigante, Joselito Masocul M 1/22/00 14 1/2 Bisaya Christianity
Cebuano
110742060060
Guidoc, Jeffy Zumaraga M 12/21/99 14 1/2 Tagalog Christianity
Tagalog
110742120003
Laurenaria, Malcohm Nelgen Balmonte M 9/27/00 14 Tagalog Christianity
Tagalog
110295060014
Llacuna, Arlie Jay Ocampo M 3/9/00 14 1/2 Tagalog Iglesia Ni Crist
Tagalog
110742060083
Odasco, Markie Mape M 7/2/00 14 Tagalog Christianity
Tagalog
110741060043
Omanio, Andro Zumaraga M 2/2/00 Agutaya Christianity
Agutaynen
14 1/2
309120130010
Ombao, Aljun Cabanza M 7/25/00 14 1/2 Bisaya Christianity
Cebuano
309120130012
Quijano, Jeryl Bacuel M 4/14/99 15 Cuyo Christianity
Cuyunon
 IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
110741060046
Quilloy, Bernard Escultor M 2/10/00 14 1/2 Agutaya Christianity
Agutaynen

Quiňo, Emilquio Navarro M 8/9/00 14 Bisaya Christianity

Cebuano
110742060098
Rodrigo, Crisjay Delos Angeles M 12/25/99 14 1/2 Tagalog Christianity
Tagalog
309120130015
Role, Gregson Zumaraga M 1/19/00 14 1/2 Bisaya Christianity
Cebuano
110742060102
Santosidad, Jobie Montańo M 7/8/00 14 Bisaya Christianity
Cebuano
110742060105
Sumampong, Johnrey Gilbuena M 7/14/00 14 Bisaya Christianity
Cebuano
309120130069
Verdera, Christian Dave Monzales M 10/28/00 13 1/2 Agutaya Christianity
Agutaynen
110742060001
Abanes, Mary Rose Patalita F 4/26/00 14 Tagalog Christianity
Tagalog
 IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
110742060002
Abarollo, Vivien Camua F 4/12/00 14 Tagalog Christianity
Tagalog
111250060008
Amatos, Anita Arguilles F 10/18/97 16 1/2 Bisaya Christianity
Cebuano
110741060007
Atchedera, Clarisse Abrina F 6/30/00 14 Cuyo Christianity
Cuyunon
309120130016
Amorin, Lara Flane Medici F 2/27/00 14 1/2 Agutaya Christianity
Agutaynen
110742060013
Balin, Mary Ann Castro F 2/13/01 13 1/2 Tagalog Christianity
Tagalog
309120130017
Brane, Daisyrie Baylosis F 12/19/00 13 1/2 Bisaya Christianity
Cebuano
309120130018
Colongan, Keyce Polo F 1/17/01 13 1/2 Bisaya Christianity
Cebuano
309120130053
Daprosa, Baby Jane Madjos F 9/13/00 14 Tagalog Christianity
Tagalog
 IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
110742060039
Dela Cruz, Alma Lagutan F 11/30/00 13 1/2 Tagalog Christianity
Tagalog
309120130022
Dela Peňa, Sharmina Crista Pontillas F 12/25/00 13 1/2 Bisaya Christianity
Cebuano
309120130021
Dela Luna, Anamarie Fabila F 9/20/99 15 Ilongo Christianity
Ilongo
110742060047
Diola, Evelyn Ofiasa F 2/7/01 13 1/2 Bisaya Christianity
Cebuano
309120130080
Dondriano, Maricel Toca F 11/13/00 13 1/2 Bisaya Christianity
Cebuano
309120130023
Dondriano, Princess Rago F 11/3/00 13 1/2 Bisaya Christianity
Cebuano
110742060050
Evangelista, Rogielyn Enriquez F 10/10/00 13 1/2 Tagalog Christianity
Tagalog
309120130064
Gobangco, Nicca Cadlaon F 7/5/00 14 Agutaya Christianity
Agutaynen
 IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
309120130090
Lobo, Melinda Desucatan F 6/30/00 14 Bisaya Iglesia Ni Crist
Cebuano
309120130066
Macoy, Dhinden Radoc F 10/1/00 13 1/2 Cuyo Christianity
Cuyunon
11074360024
Manrique, Lovely Medici F 10/25/00 13 1/2 Agutaya Christianity
Agutaynen
309120130091
Marohom, Hairah Sarif F 5/14/00 14 Maranao Islam
Muslim
309120130092
Matis, Margie Saldo F 2/25/00 14 1/2 Bisaya Roman Catholi
Cebuano

Pontillas, Jireh Faith Kristurum F 11/26/00 13 1/2 Bisaya Christianity

Cebuano
110742060096
Rabe, Rene Rose Daprosa F 11/9/00 13 1/2 Tagalog Christianity
Tagalog
309120130079
Ruado, Aira Tenorio F 10/10/00 13 1/2 Bisaya Christianity
Cebuano
 IP
BIRTH
NAME Sex MOTHER (Specify
LRN DATE RELIGION
(Last Name, First Name, Middle Name) (M/F) TONGUE Ethnic
(mm/ dd/yy) AGE as of
Group)
1st Friday
of June
309120130082
Salubre, Alona Gomarao F 1/24/00 14 1/2 Bisaya Christianity
Cebuano
309120130098
Sarip, Nadjifah Tambong F 12/10/00 Maranao Islam
Muslim
13 1/2
309120130085
Sucidor, Aires Bronola F 1/30/00 14 1/2 Cebuano Bisaya Christianity

List and code of Indicators under REMARK column

Indicator Code Required Information Indicator Code

Transferred Ou T/O Name of Public (P) Private (PR) School & EffectivCCT Recipient CCT

Tra u T/I Name of Public (P) Private (PR) School & EffectivBalik-Aral B/A
Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL
 School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

PALAWAN

School Year 2014-2015 Section

ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Napuro Concepcion Agutaya Baterna, Jose Salinas Marabi, Richil Almonicar

Palawan
Silad Algeciras Agutaya Palawan Beloria, Henry Velasco Belasa Juvelyn Almoguera

Napuro Concepcion Agutaya Palawan Cevantes, Felipe Opunda Quezon, Macrina Sillar
Sr.
Cambian Concepcion Agutaya Palawan Fabiano, Ernesto Delos Casampol, Charlene Dapit
Angeles
 ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Sara - Sara Concepcion Agutaya Palawan Gigante, Jose Fabro Masocul, Violeta Tolda

Centro Concepcion Agutaya Palawan Guidoc, Jarson Globasa Zumaraga, Josefa Delos Angeles

Centro Concepcion Agutaya Palawan Laurenaria, Nestor Bornel Balmonte, Margie Lagutan

Bucana Concepcion Agutaya Palawan Llacuna, Ariel Feria Ocampo, Mary Jane Paz

Centro Concepcion Agutaya Palawan Odasco, Oliver Pacon Mape, Babylyn Casampol

Abagat Algeciras Agutaya Palawan Omanio, Armando Bacaro Zumaraga, Amelia Quincela

Nedepey Algeciras Agutaya Palawan Ombao, Alvin Urbano Sr. Cabanza, Lorna Yap

Cambian Algeciras Agutaya Palawan Quijano, Jurdy Delos Bacuel, Lucelie Zumaraga
Angeles
 ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Banted Algeciras Agutaya Palawan Quilloy, Felix Bacuel Escultor, Maria Liza

Cambian Concepcion Agutaya Palawan Quiňo, Elueterio Navarro, Melanie Sabolo

Villacera
Cambian Concepcion Agutaya Palawan Rodrigo, Jeffrey Delos Angeles, Rosana Lagutan
Villacarlos
Guinatapan Algeciras Agutaya Palawan Role, Gregorio Rubio Zumaraga, Anabel Lagrosa

Silad Algeciras Agutaya Palawan Santosidad, Roben

Silad Algeciras Agutaya Palawan Sumampong, Allan Gilbuena, Juanito Illustrisimo

Giducos
Maligalig Concepcion Agutaya Palawan Verdera, Divino Cayupan Monzales, Elnissa Bronula

Maligalig Concepcion Agutaya Palawan Abanes, Ramil Lagutan Patalita, Sally Dalingding
 ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Centro Concepcion Agutaya Palawan Abarollo, Vivencio Salon Camua, Carolyn Francisco

Nedepey Algeciras Agutaya Palawan Amatos, Sergio C Arguilles, Rosana G

Banted Algeciras Agutaya Palawan Atchedera, Roel Llamera Abrina, Rowena Sacamay

Abagat Algeciras Agutaya Palawan Amorin, Felvin Medici, Marybel

Cambian Concepcion Agutaya Palawan Balin, Cristituto Chavez Castro, Virginia Palomares

Nedepey Algeciras Agutaya Palawan Brane, Rodel Pontillas Baylosis, Marily Catubay

Nedepey Algeciras Agutaya Palawan Colongan, Joel Mecantina Polo, Juvy Aripin

Centro Concepcion Agutaya Palawan Daprosa, Leopoldo Madjos, Leonisa Lucion

Zabanal
 ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Napuro Concepcion Agutaya Palawan Dela Cruz, Abelardo Lagutan, Estrelita Abanes
Lagareja
Nedepey Algeciras Agutaya Palawan Dela Peňa, Agustin Pontillas, Norlyn Luzares
Esquillo
Bucana Concepcion Agutaya Palawan Dela Luna, Maricel Danga Fabila, Anabelle Cabatana

Bucana Concepcion Agutaya Palawan Diola, Randy Martinez Ofiasa, Jenebeth Giducos

Nedepey Algeciras Agutaya Palawan Dondriano, Manny Toca, Andresa Dela Cruz
Comeso
Nedepey Algeciras Agutaya Palawan Dondriano, Manolo Rago, Robelyn Orbeta
Comeso
Bucana Concepcion Agutaya Palawan Evangelista, Roland Enriquez, Angielyn Sabigan
Latube
Abagat Algeciras Agutaya Palawan Gobangco, Benjamin Cadlaon, Elenita Catain
Gatona
 ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Sara - Sara Concepcion Agutaya Palawan Lobo, Emelito Mancao Desucatan, Teresita Golisao

Napuro Concepcion Agutaya Palawan Macoy, David Austria Radoc, Nedelina Zumadia

Cambian Concepcion Agutaya Palawan Manrique, Joel Tabusao Medici, Macel Abon

Centro Concepcion Agutaya Palawan Marohom, Moamar P. Sarif, Rohaida M.

Cambian Concepcion Agutaya Palawan Matis, Ruel Canales Saldo, Deolita Periro

Nedepey Algeciras Agutaya Palawan Francisco, Jeric Pontillas, Madeline Kristurum

Comadezo
Centro Concepcion Agutaya Palawan Rabe, Reneboy Race Daprosa, Rosalie Cadapan

Nedepey Algeciras Agutaya Palawan Ruado, edging Repollo Tenorio, Mirasol Ybanez
 ADDRESS NAME OF PARENTS

House # / Father's Name(Last

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

Nedepey Algeciras Agutaya Palawan Salubre, Romulo Y Gomarao, Alma R

Centro Concepcion Agutaya Palawan Sarip, Casan Anding Tambong, Norjanah

Cambian Concepcion Agutaya Palawan Sucidor, Bryan Buena Bronola, Analou Velasco

olumn Prepared by:

Required Information BoSY

CCT Control/reference number & Effectivity Date

SHERALYN B. CATED
(Signature of Adviser ove
Name of school last attended & Year
Specify
Specify Level & Effectivity Data BoSY Date:
 GARNET

GUARDIAN (If not Parent) REMARK/S

Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
 GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

pared by: Certified Correct:

YN B. CATED GLENN A. MAMON

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

Y Date: EoSYDate: BoSY Date: EoSYDate:

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

School ID 309120 School Year 2019-2020 Report for the Month of A

Name of School CONCEPCION NATIONAL HIGH SCHOOL Grade Level VIII

LEARNER'S NAME (1st row for date, 2nd row for Day: 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 M
(Last Name, First Name, Middle

12

13

14

15

16

19

20

21

22

23

26
1

9
Name)
1
ARANETA, REX MARK A.
2 BALESTRAMON, JOHN CYREX A.
3 BELORIA, SANLIE V. H H H
4 DAPROSA, NATHANIEL T.
5 DELOS SANTOS, ADRIAN P. O O O
6 GABAS, KURT BRIAN Q.
7 GASTADOR, JOLIER C. X L X X L L
8 GIDACAN, JENARD A. X X
9 GIGANTE, JONATHAN M. X I I I
10 MAAT, JOVAN JAY A.

11 MUAÑA, LLOYD M. D D D
12 PANDO,EDGIE G.
13 PANDO, JOHN MARK A. A A A
LEARNER'S NAME (1st row for date, 2nd row for Day: 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 M
(Last Name, First Name, Middle

12

13

14

15

16

19

20

21

22

23

26
1

9
Name)
14 PARCON, JHON RAMIL S. X X X X
15 RAGA, JORLAND I. Y X Y Y
16 SANGGO, BYNCHIE M.

17 SARIP, AL-MODJEB T.
18 SUCIDOR, ARIES B.

19 TORRALBA, MARK CEDRICK G.

20 TUOL, RONALD A. X
21 VILLACAMPA, DHARKLUVIN S.

22 VILLACAMPA, KING JADIE S.

MALE | TOTAL Per Day

19

19

19

19

19

19

15

19

19

18

14

17

19

19

19
1 AGBO, JENALYN P.
2 ALAPORMINA, MA. KHRIZIAN MAE Z.
3 ALIT, ANNIYA E.

4 ALIT, RHEA D. X H X X H H
5 BACUEL, ALIYAH MAE W. X
6 CAABAY, MA. ELENA M. O O O
7 COLONGAN, HONEY MAE P. X X
8 DAPROSA, MARIZ R. L L L
9 ENALISAN, JOLINA D.
10 ESCALICAS, JIEAH T. I I I
11 FABRO, GINALYN M.
LEARNER'S NAME (1st row for date, 2nd row for Day: 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 M
(Last Name, First Name, Middle

12

13

14

15

16

19

20

21

22

23

26
1

9
Name)
12 GALON, RYZA V. D D D
13 HERNANDEZ, NECY MAE B.
14 LARESMA, MABEL G. A A A
15 MUAÑA, PRINCESS JEAN D.
16 PAGUAGAN, ANGEL C. Y Y Y
17 RUALLO, CRESYL ANN Q.
18 TIGLAO, SOPHIA L.
19 ZUMARAGA, ELLA ESZA JANE R.

FEMALE/ TOTAL Per Day 19 19 19 19 19 17 19 19 19 17 17 19 19 19

1. CODES FOR CHECKING ATTENDANCE

GUIDELINES:
blank- Present; (x)- Absent; Tardy (half shaded= Upper
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. for Late Commer, Lower for Cutting Classes)
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 2. REASONS/CAUSES OF DROP-OUTS
x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
a. Percentage of Enrolment =
Total Daily Attendance a.1. Had to take care of siblings

Number of School Days in reporting month a.2. Early marriage/pregnancy

b. Average Daily Attendance =
Average daily attendance a.3. Parents' attitude toward schooling
x 100
Registered Learner as of End of the month a.4. Family problems
c. Percentage of Attendance for the month =
 will
extend
LEARNER'S NAME
necces (1st row for date, 2nd row for Day: M,T,W,TH,F)
sary M T W TH F M T W TH F M T W TH F M T W TH F M
interve(Last Name, First Name, Middle
ntion

12

13

14

15

16

19

20

21

22

23

26
1

9
Name)
includic. Percentage of Attendance for the month =
b. Individual-Related Factors
ng but
not b.1. Illness
limited
4.
to b.2. Overage
Every
home b.3. Death
End of
visitati
the
on to b.4. Drug Abuse
month,
learner
the b.5. Poor academic performance
/s that
class
commit
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.6. Lack of interest/Distractions
adviser
ted 5 * Beginning of School Year cut-off report is
will b.7. Hunger/Malnutrition
consec every 1st Friday of School Calendar Days
submit
utive c. School-Related Factors
this
days of
form
absenc to c.1. Teacher Factor
the
es or c.2. Physical condition of classroom
office
those c.3. Peer influence
of the
with d. Geographic/Environmental
princip
potenti d.1. Distance between home and school
al
alsfor
of
recordi
droppi d.2. Armed conflict (incl. Tribal wars & clanfeuds)
ng
ng ofout
d.3. Calamities/Disasters
summa
e. Financial-Related
ry table
into the e.1. Child labor, work
School
orm 2:Form
Page 2 of ________ f. Others
4.
Once
signed
by the
princip
al, this
form
should
be
 Learners
e)

AUGUST

VIII Section QUEZON

Total for the

REMARK/S (If DROPPED OUT, state
Month
T W TH F reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
27

28

29

30

ABSENT TARDY name of School.)

0 0

0 0
0 0

0 0
0 0

0 0
3 0
2 0

1 0
0 0

0 0
0 0
0 0
 Total for the
REMARK/S (If DROPPED OUT, state
Month
T W TH F reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
27

28

29

30
ABSENT TARDY name of School.)
X 5 0

X 2 0
0 0

0 0
0 0

0 0
1 0
0 0

0 0
19

00346
16

19

19

0 0
0 0

X 1 0

X 4 0
1 0

0 0

X 3 0
0 0

0 0
0 0

0 0
 Total for the
REMARK/S (If DROPPED OUT, state
Month
T W TH F reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
27

28

29

30
ABSENT TARDY name of School.)
0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0

16 19 19 19 333

Summary for the

Month: No. of Days of Month
Classes: M F TOTAL
aded= Upper
s) * Enrolment as of (1st Friday of June) 22 19 41

Late Enrollment during the month

(beyond cut-off)

Registered Learner as of end of the month 22 19 41

Percentage of Enrolment as of end of the

month 100% 100%
 Total for the
REMARK/S (If DROPPED OUT, state
Month
T W TH F reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
27

28

29

30
ABSENT TARDY name of School.)
Average Daily Attendance 18 18 36

Percentage of Attendance for the month 82% 95% 89%

Number of students with 5 consecutive days

of absences:

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.

MELISSA Q. ABANES
euds)
(Signature of Teacher over Printed Name)

Attested by:

GLENN A. MAMON
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID School Year

School Name Grade Level Section

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
 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

TOTAL FOR MALE | TOTAL COPIES

 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
 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

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 with the following code:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NE
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
(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
DO#14, 2.2012.
ned

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

REMARK/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

REMARK/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

REMARK/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

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

ing code: Prepared By:

ed/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property
ces: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________

School Form 3: Page 2 of ________

 School Form 4 (SF4) Monthly Learner's Movement and Atte
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District

School ID

School Name School Year

ATTENDANCE DROPPED OUT TRAN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative
Percentage for (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average (B) For the Month as of End of the
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
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 grade/year level.
nd 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
Prepared and Submitted by:

(Signature of School Head over Printed Name)

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

Region MIMAROPA Division PALAWAN District AGUTAYA

School ID 309120 School Year 2017-2018 Curriculum K to12

School Name CONCEPCION NATIONAL HIGH SCHOOL Grade Level VIII Section

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for *IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY

110742090004 1. ABIQUE, CHRISSIAN JAY PACALDO 90 PROMOTED

110742090007 2. AGANTA, RODERICK VERDERA 93 PROMOTED

110741090005 3. ALCANTARA, RELLAN DELOS ANGELES 90 PROMOTED

110742140004 4. CAABAY, JULIUS JR. MAAT 92 PROMOTED

110742090037 5. CAYUPAN, JOHN DHAVE MACOY 78 PROMOTED

403486150182 6. COLONGAN, JERAN MUÑEZ 62 RETAINED

110742090059 7. FABIANO, EMMANUEL QUINCELA 85 PROMOTED

110742090061 8. FABIANO, WENDHEL JADE PAZ 86 PROMOTED

110742090065 9. GALORPORT, ALFEO JR. ABEJO 86 PROMOTED

110742090068 10. GIDOC, ERICKSON MAAT 75 PROMOTED

110742090083 11. MAAT, FRANZ LAURINCE ABRINA 88 PROMOTED

 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for *IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY

110742090084 12. MAAT, MEINARDFERD AMANTE GALLARDE 92 PROMOTED

110742090105 13. PURACAN. MARK KEVIN RADOC 87 PROMOTED

110741050033 14. QUILLOY, DIETHER DELOS ANGELES 86 PROMOTED

110742090108 15. QUINCELA, MICHAEL MORANTE 77 PROMOTED

### 16. REBUSIT, REYMOND PAUL OFIASA 82 PROMOTED

### 17. SEVILLA, NOLI BOY JR. SORDILLA 83 PROMOTED

### 18. TENORIO, RICHARD YVANES 62 RETAINED

### 19. TIONGSON, JOHN LENARD VILLANUEVA 80 PROMOTED

19 TOTAL MALE

### 1. ABEJO, ANA MARIE ZUMARAGA 89 PROMOTED

### 2. AGANTA, JORELYN RADOC 91 PROMOTED

110741090011 3. BAAC, DENIA BACUEL 90 PROMOTED
110742090036 4. CAYUPAN, IMARE GUNDRAN 88 PROMOTED
110742090042 5. DAPROSA, PRINCESS MADJOS 90 PROMOTED
110742090043 6. DAPROSA, RIZZA RADOC 90 PROMOTED
110742090045 7. DELOS ANGELES, NICOLE GABAS 89 PROMOTED
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for *IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY

110742130125 8. DONDRIANO, NIECY JENN RAGO 87 PROMOTED

110742090052 9. DUMAGUIT, JOVIE ANN TORREFIEL 79 PROMOTED
110742090053 10. ENALISAN, SHANIE MAE DELOS ANGELES 89 PROMOTED
110742090066 11. GASTADOR, JENZEL CASIANO 95 PROMOTED
110742090071 12. GIGANTE, MERRY JANE PACAUL 82 PROMOTED
110295090014 13. LLACUNA, CRISTY FE OCAMPO 88 PROMOTED
110741150071 14. LLAMAZARES, ANGELA ARNADO 92 PROMOTED
110741090050 15. LLAMERA, GLORIE JEAN BACARO 95 PROMOTED
403486150200 16. QUIPAO, MHELROSE SANGUTAN 85 PROMOTED

### 17. SABOLO, ANGEL MAE VELIGANIO 84 PROMOTED

### 18. SORDILLA, MA. VICTORIA ABON 90 PROMOTED

### 19. VARGAS, CREAMLYN LIBRIA 86 PROMOTED

 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for *IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY

19 TOTAL FEMALE

38 COMBINED
ency

SUNFLOWER

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED 17 19 36

*IRREGULAR 0 0 0

RETAINED 2 0 2

LEVEL OF PROFICIENCY
 MALE FEMALE TOTAL

BEGINNNING
(B: 74% and 2 0 3
below)

DEVELOPING (D:
75%-79%)
3 1 4

APPROACHING
PROFICIENCY
(AP:
3 2 5
80%-84%)

PROFICIENT
(P: 85% -89%)
6 8 14

ADVANCED (A:
90% and above)
5 8 13

PREPARED BY:

MELISSA Q. ABANES

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

 GLENN A. MAMON

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

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 Promotion
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 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 PROFICIENCYMALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

Nos. of BEGINNNING
(B: 74% and below)

Nos. of DEVELOPING
(D: 75%-79%)

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

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of ADVANCED
(A: 90% and above)
 TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERI
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
 School Year

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

SION SUPERINTENDENT

eld.