School Forms 1 7

Region
School ID
School Name
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
AGE as of 1st
Friday of June
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
AGE as of 1st
Friday of June
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
AGE as of 1st
Friday of June
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
AGE as of 1st
Friday of June
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
AGE as of 1st
Friday of June
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
AGE as of 1st
Friday of June
NAME
LRN
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
List and code of Indicators under REMARK column

Indicator
Code
Required Information
Indicator
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
Name of Public (P) Private (PR) School & Effectivity Date

Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
Balik-Aral
Learner With Dissability
Accelarated
School Form 1 (SF 1) School Register

(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Division
School Year
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
Purok
Barangay
Municipality/ City
Province
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
Purok
Barangay
Municipality/ City
Province
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
Purok
Barangay
Municipality/ City
Province
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
Purok
Barangay
Municipality/ City
Province
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
Purok
Barangay
Municipality/ City
Province
ADDRESS
MOTHER
TONGUE
ith Dissability
IP
(Specify Ethnic
Group)
Code
RELIGION
Purok
Barangay
Municipality/ City
Province
Required Information
CCT
CCT Control/reference number & Effectivity Date
MALE
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
FEMALE
TOTAL
District
Section
Grade Level
NAME OF PARENTS
GUARDIAN (If not Parent)

Contact Number
(Parent /Guardian)
Father (1st name only if family

name identical to learner)
Mother (Maiden: 1st Name, Middle &

Last Name)
Name
Relationship
NAME OF PARENTS

Contact Number
(Parent /Guardian)


Last Name)
Name
Relationship
NAME OF PARENTS

Contact Number
(Parent /Guardian)


Last Name)
Name
Relationship
NAME OF PARENTS

Contact Number
(Parent /Guardian)


Last Name)
Name
Relationship
NAME OF PARENTS

Contact Number
(Parent /Guardian)


Last Name)
Name
Relationship
NAME OF PARENTS

Contact Number
(Parent /Guardian)


Last Name)
Name
Relationship
NAME OF PARENTS

Contact Number
(Parent /Guardian)

BoSY
EoSY

Last Name)
Name
Prepared by:
Certified Correct:
(Signature of Adviser over Printed Name)
BoSY Date:
Relationship
EoSYDate:
(Signature of School Head
BoSY Date:
Eo
REMARK/S
(Please refer to the legend on

last page)
REMARK/S

last page)
REMARK/S

last page)
REMARK/S

last page)
REMARK/S

last page)
REMARK/S

last page)
REMARK/S

last page)
ect:
of School Head over Printed Name)
EoSYDate:
School ID
Name of School
LEARNER'S NAME
1 Abueva, Delfin III
Gomez
Abestano
Marabulas
2 Calamba, Melvin
3 Calamba, John Kyle
4 Deocampo, Jaylord
5 Dela Pea, Jhon Michael
Falcis
6 Delos Reyes, Andre Ali

7 Ignacio, Tristan Jay
Prigo
Tampus
8 Lopez, Cynthric
9 Macapaz, Renz Jay
10 Pelayre, Jubal Benison
Postrano
11 Melecio, Salmer
12 Seraspe, Marc Lester
13 Tapolgo, Rexon David
14 Tilos, Rico
15 Tuyogon, Christian
Suertigosa
Igloria
Bisira
Somoza
16 Vinluan, Jurayvy
MALE | TOTAL Per Day
1 Albino, Mary Florence
Tiozon
2 Ampong, Erica
3 Estrera, Pearl Jean
4 Fabrigar, Rich Anne
5 Guerrero, Juliet
Royeras
Prado
129710
A. BONIFACIO ELEMENTARY SCHOO
LEARNER'S NAME
6 Igloria, Jennylyn
Ligan
7 Maguana, Leonah
8 Nambatac, Ashley Kate
9 Nambatac, Nikka Shane
10 Onde, Fritzie
11 Roque, Rhiann Lyn
12 Sarian, Rheyah Anne Dianne
13 Tancio, Charmel Joy
14 Velasco, Chrisel
15 Zanoria, Jeandel
Batulan
Combis
Pajaron
Majadas
Oribado
Tanasas
Bugsad
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY

GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:
a.
Percentage of Enrolment =
b.
Average Daily Attendance =
c. Percentage of Attendance for the month =
Registered Lea
Enrolment
Tota
Number of Sch
Avera
Registered Lea
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consec
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
LEARNER'S NAME
School Form 2: Page 2 of ________
School Form 2 (SF2) Daily Attendance Report of Learner

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School Year
2014 - 2015
TARY SCHOOL
Report for the M
Grad
(1st row for date, 2nd row for Day: M,T,W,TH,F)
1. CODES FOR CHECKING ATTENDANCE
blank- Present; (x)- Absent; Tardy (half shaded= U

Lower for Cutting Classes)
Registered Learner as of End of the Month

Enrolment as of 1st Friday of June
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
Registered Learner as of End of the month
x 100
x 100
dviser.
t committed 5 consecutive days of absences or those with potentials of dropping out
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
f Learners
ofile)
DECEMBER
port for the Month of

Grade Level
RAMOS
Section
Total for the Month
ABSENT
TARDY
REMARK/S (If DROPPED OUT, state reaso

legend number 2.
If TRANSFERRED IN/OUT, write the nam
Total for the Month
ABSENT
Month:
TARDY

legend number 2.
No. of Days of Classes:
dy (half shaded= Upper for Late Commer,
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students with 5 consecutive days of absences:
Drop out
Transferred out
Total for the Month
ABSENT
TARDY

legend number 2.
Transferred out
Transferred in
I certify that this is a true and correct report.
ars & clanfeuds)
(Signature of Teacher over Printed Name)

Attested by:
(Signature of School Head over Printed Name)
ED OUT, state reason, please refer to

egend number 2.
N/OUT, write the name of School.)

egend number 2.
Summary for the Month

M
TOTAL

egend number 2.
ver Printed Name)
School Form 3 (SF3) Books Issued
(This replaced Form 1 & Inventory of Text B
School ID
School Year
School Name
NO.
Grade Level
Subject Area & Title
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
TOTAL FOR MALE | TOTAL COPIES
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:
1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
In case of losses/unreturned, please provide information w
A. In Column Date Returned, codes are: FM=Force Majeure,

B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2
oks Issued and Returned
& Inventory of Text Book)
Section
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
ovide information with the following code:
FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

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

Date BoSY:____________ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absenteeis
Region
Division
School ID
School Name
ATTENDANCE
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Percentage for the

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

M
ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES:
1. This forms shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the summary column per grad
rner's Movement and Attendance
4-Absenteeism and Dropout Profile)
District
School Year
Report for the Month of
OPPED OUT
For the Month

T
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
umn per grade/year level.
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Le
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate
Region
Division
School ID
School Year
School Name
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level
Completed as of end of
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
otion & Level of Proficiency
and List of Graduates)
District
Curriculum
Grade Level
Section
LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)
eted as of end of current SY
as of End of the current SY

SUMMARY TABLE
STATUS
MALE
FEMALE
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
LETE SUBJECT/S
column)

MALE
FEMALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
TOTAL
LETE SUBJECT/S
column)

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 teacher. The class adviser should
make the computation of General Average.
3. On the summary table, reflect the total number of learners
promoted, retained and irregular ( *for grade 7 onwards only) and the
level of proficiency according to the individual general average
LETE SUBJECT/S
column)

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 6 (SF6) Summarized Report on Prom

and Level of Proficiency
(This replaced Form 20)
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
(B:
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
90% and above)
(A:
TOTAL
Prepared and Submitted by:
Reviewed & Validated by:

SCHOOL HEAD
Noted by:
DIVISION REPRESENTATIVE
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
Promotion
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
d.
SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and Basic P

(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
Title of Plantilla Position

(as
appeared in the appointment document/PSIPOP)
Number of Incumbent
(B) Nationally-Funded Non Teaching Items
Title of Plantilla Position

(as
appeared in the appointment document/PSIPOP)
Number of
Incumbent
Title of Designation
(Designation as ap
contract/document: Teacher, C
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
GUIDELINES:
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during SY, updated Form 19 must submit to the Division Office
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall also serve as inventory list of
personnel.
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.
and Basic Profile
ent List,
s)
School Year
(C ) Other Appointments and Funding Sources
ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)
Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)
Number of Incumbent
Teaching
NonTeaching
* Daily Program (time duration)

Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)
Remark/s (For Detailed

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

Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)

Items, Indicate name of
Total Actual
To (00:00)
-Ethnicity)
Assignment per
Week

Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)

Items, Indicate name of
Total Actual
To (00:00)
-Ethnicity)
Assignment per
Week

Submitted by:
o the Division Office .

as inventory list of school

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

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Region

List and code of Indicators under REMARK column

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

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

School Form 1 (SF 1) School Register

CCT Control/reference number & Effectivity Date

Name of school last attended & Year

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

(Signature of Adviser over Printed Name)

(Signature of School Head

(Please refer to the legend on

(Please refer to the legend on

(Please refer to the legend on

(Please refer to the legend on

(Please refer to the legend on

(Please refer to the legend on

(Please refer to the legend on

of School Head over Printed Name)

6 Delos Reyes, Andre Ali

1 Albino, Mary Florence

A. BONIFACIO ELEMENTARY SCHOO

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

Average Daily Attendance =

c. Percentage of Attendance for the month =

School Form 2: Page 2 of ________

School Form 2 (SF2) Daily Attendance Report of Learner

Report for the M

(1st row for date, 2nd row for Day: M,T,W,TH,F)

1. CODES FOR CHECKING ATTENDANCE

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

Registered Learner as of End of the Month

t committed 5 consecutive days of absences or those with potentials of dropping out

(1st row for date, 2nd row for Day: M,T,W,TH,F)

port for the Month of

REMARK/S (If DROPPED OUT, state reaso

Total for the Month

REMARK/S (If DROPPED OUT, state reaso

No. of Days of Classes:

dy (half shaded= Upper for Late Commer,

* Enrolment as of (1st Friday of June)

Total for the Month

REMARK/S (If DROPPED OUT, state reaso

I certify that this is a true and correct report.