School Form 1 (SF 1) School Register: School ID School Name

School ID
136685
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
SSS V
Sex
(M/F)
136685080331
Adorna, Jose Angelo Carajay
136685080025
Angeles, Kyle Gabriel de Guzman
LRN
NAME
Sex
(M/F)
136685080040
Atacador, Jho Nicko Alapad
136685130445
Bongon, Emmanuel John Paghubasan
136685080136
Corocoto, Jobert Adorayan
136676130103
de Guzman, Sean Duka
136685080158
dela Cruz, John Clarence Gonzaga
136685080182
dela Paz, Prince Just-Once Jarder
LRN
NAME
Sex
(M/F)
136685080184
Dolencio, Christian dela Cruz
10
136685080197
Escape, Jaime Stephen
11
136685080208
Estor, Andrei Emmanuel Oliverio
12
136685080210
Evangelista, Aivan Cantor
13
136685080228
Gentugao, Robert Dell San Lorenzo
14
136685080257
Jardeleza, Adrian Josel Espinida
LRN
NAME
Sex
(M/F)
15
136685080266
Labiran, Sebastian Panganiban
16
136685080286
Lito, Angel Bien
17
136685080293
Lopez, Vinzcent Kyle Rosal
18
136685080308
Magat, Ken Aldrich Taboral
19
136685080342
Mendoza, John Christian
20
136685080411
Pepito, Aljohn Lloyd Corre
LRN
NAME
Sex
(M/F)
21
136685080426
Porio, Joey Povie Arizala
22
136685120784
Rellosa, Brian Clark Amar
23
136685080441
Rey, Danmark Balcueva
24
136685080508
Urbano, David Louis Solimus
LRN
NAME
Sex
(M/F)
LRN
NAME
Sex
(M/F)
136685080001
Aban, Mhel Ann Dinagit
136685080004
Abellar, Cyren Ann Reyes
113720800012
Almencion, Jellian Mae Camposan
136685080021
Andal, Denyse Cuasay
136685080070
Bermudez, Mickaella Laonilla
136685080086
Borrinaga, Mayra Kaori Martinez
LRN
NAME
Sex
(M/F)
136685070069
Botor, Maricar Ibareta
136685080105
Cadag, April Fiona Bernardino
136685080117
Carullo, Izza Thea Alinton
10
136685080180
Dimyao, Leslie Joy Pestilos
11
136685080194
Embana, Gemma Rose Alas
12
136685080200
Esperon, Maria Glaiza Portuguez
LRN
NAME
Sex
(M/F)
13
136685080265
Labios, Chyna Eriana Cristobal
14
136685080304
Mabag, Regine Cabigayan
15
136685080329
Manuel, Jewell Kirsten Lorenzo
16
136685080037
Mejia, Arianne Raiven Arevalo
17
136685080362
Nangyo, Marjorie Michaella Saligao
18
136685080368
Nayve, Norjini Melorin
LRN
NAME
Sex
(M/F)
19
136685080471
Silva, Joy Guella
20
136685080473
Sison, Princess Ann Agunod
21
136685080477
Solas, Veronica Mae Marzan
22
136685080482
Taboso, Aira Andrea Bonina
23
136685080488
Tagle, Judy Ann Nuez
24
136685080500
Tolentino, Mykha Jazmine Lanceta
NAME
LRN
25
136685080506
Tuberon, Dianne Cleofe
Indicator
Code
Required Information
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
Transferred IN
T/I
Dropped
DRP
Reason and Effectivity Date
Sex
(M/F)
NAME
LRN
Late Enrollment
LE
Reason (Enrollment beyond 1st Friday of June)
Sex
(M/F)
LRN
NAME
School ID
136685
School Name
LRN
136685120050
NAME
Angawa, Christian Labiran
Sex
(M/F)
SSS V
Sex (M/F)
LRN
NAME
Sex
(M/F)
136685120051
Atacador, Leonid King Rubio
136685110032
Bacer, Alfred Mitchel Felipe
136685120039
Bendiola, Gian Emmanuel Clares
136685110054
Buraga, Pierre Benedict Navarro
136685120240
Calanoga, III Virgilio Cayetano
136685120117
Corrachea, Marc Niel Howell Miranda
136685110115
Fortes, Mark Lorenz Mercado
LRN
NAME
Sex
(M/F)
136685110120
Garcia, Arron Eroles
10
136685120584
Guinto, Melbien Hilario
11
136685120244
Herrera, Lee Rain Jyzen Ondivilla
12
136685120245
Itubay, Carl Ivan Garduque
13
136685120248
Marcelo, Jian Benedict Anub
14
136685120066
Nicerio, Vincent Sazon
15
136685110216
Ramos, Ar Jan Abundancia
LRN
NAME
Sex
(M/F)
16
136685120249
Real, Luis Paolo Lugnasin
17
136685110232
Samson, Keanne Martin Omadto
18
136685120252
Sorongan, Jophen Emmanuel Namocatcat
19
136685120048
Telan, Kyle Quioc
20
136685120259
Vias, Sean Timothy Torrecampo
21
136685110264
Vital, Karl David Talucod
LRN
NAME
Sex
(M/F)
LRN
NAME
Sex
(M/F)
136685120261
Aragon, Marichelle Inocentes
136685120285
Bercida, Thresa Mae Millare
136685120262
Bernardino, Stephanie Claire Ladreno
136685140315
Briones, Nathalie Kaye Verac
136685120147
Catingkoy, Shaeina de Guzman
136685110063
Cordero, Ysabel Clarisse Lopez
13668510086
De Castro, Nicka Joyce Santos
136685110091
Del Mundo, Earl Liana Leatrice Rubas
136685120266
Dizon, LeeAn Aleja Dueas
LRN
NAME
Sex
(M/F)
10
136685120267
Feliciano, Francesca Ysabel Eugenio
11
136685120269
Gabriel, Jyzel Mae Torres
12
136685120476
Garong, Jellian Ayesa Espeleta
13
136685120100
Gutierrez, Catherine Nicole Delco
14
136685120272
Jabines, Patricia Nicole Payod
15
136685120276
Mallari, Csyreign Keith Dulo
16
136685120279
Motay, Cassie Jaycen Eulogio
17
136685130588
Ordoa, Princess Angel Esmundo
18
136685120102
Pacheco, Maidy Jane Macasillig
LRN
NAME
Sex
(M/F)
19
136685140316
Parasdas, Lhovy Ahnn Victoriano
20
136685110260
Pascual, Eliz Hyacinth Guevara
21
136685110263
Santosidad, Nea Mendina
22
136685100473
Salinas, Jhennylyn Collet Guevarra
23
136685120281
Teves, Asleigh Salvador
NAME
LRN
Indicator
Code
Transferred Out
T/O
Transferred IN
T/I
Dropped
Late Enrollment
DRP
LE
Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of June)
Sex
(M/F)
School F
Region
NCR
Division
SS Village Elementary School

AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
12/05/2002
11
Antipolo
Tagalog
None
10/22/2002
11
Marikina
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
07/01/2002
11
Antipolo
Tagalog
None
03/08/2003
11
Antipolo
Tagalog
None
06/19/2003
11
Marikina
Tagalog
None
10/10/2002
12
Marikina
Tagalog
None
06/17/2003
11
Marikina
Tagalog
None
03/31/2003
11
Antipolo
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
10/18/2001
12 1/2
Antipolo
Tagalog
None
12/19/2003
10 1/2
Antipolo
Tagalog
None
Antipolo
Tagalog
None
Marikina
Tagalog
None
03/17/2003
01/02/2003
11
11 1/2
08/12/2003
12
Antipolo
Tagalog
None
02/12/2003
11
Antipolo
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
11/20/2003
12 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Antipolo
Tagalog
None
02/04/2003
11
Marikina
Tagalog
None
04/24/2003
11
Marikina
Tagalog
None
08/13/2003
11
Antipolo
Tagalog
None
12/25/2001
12 1/2
Antipolo
Tagalog
None
10/02/2002
11 1/2
Marikina
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
02/12/2002
12/22/2002
11
11 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Antipolo
Tagalog
None
Antipolo
Tagalog
None
08/07/2002
12
Marikina
Tagalog
None
08/07/2002
12
Antipolo
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
02/22/2003
11
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
10/27/2002
11 1/2
Tagalog
None
01/01/2002
12 1/2
Tagalog
None
01/27/2003
11
Tagalog
None
07/09/2002
12
Tagalog
None
04/10/2002
12
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
07/21/2001
13
Tagalog
None
08/06/2002
12
Tagalog
None
08/13/2003
11
Tagalog
None
09/16/2002
12
Tagalog
None
04/20/2003
12
Tagalog
None
08/11/2002
12
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
04/30/2003
11
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
11/05/2001
12 1/2
Tagalog
None
12/31/2002
11 1/2
Tagalog
None
09/19/2002
11 1/2
Tagalog
None
09/21/2002
11 1/2
Tagalog
None
11/28/2002
12
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
11/26/2002
11 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
02/04/2001
11
Tagalog
None
06/01/2003
11
Tagalog
None
09/28/2002
11 1/2
Tagalog
None
10/29/2001
12 1/2
Tagalog
None
Tagalog
None
09/18/2003
12
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
01/23/2003
11 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
Code
CCT
B/A
LWD
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
ACL
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
Region
MOTHER
TONGUE
NCR
IP
(Ethnic
Group)
Division
SS Village Elementary School
BIRTH DATE (mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER TONGUE
IP
(Ethnic Group)
12/26/2005
8 1/2
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
11/20/2005
01/20/2006
9
8 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
Tagalog
None
06/30/2006
Tagalog
None
09/01/2005
Tagalog
None
10/02/2005
Tagalog
None
11/25/2005
Tagalog
None
10/07/2005
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
10/16/2005
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
01/07/2006
8 1/2
Tagalog
None
04/12/2006
8 1/2
Tagalog
None
06/12/2006
Tagalog
None
10/28/2005
Tagalog
None
04/04/2005
9 1/2
Tagalog
None
01/08/2006
8 1/2
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
03/01/2006
10/06/2005
8 1/2
9
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
Tagalog
None
03/11/2006
8 1/2
Tagalog
None
01/21/2006
8 1/2
Tagalog
None
12/22/2005
8 1/2
Tagalog
None
03/07/2006
8 1/2
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
10/27/2005
8 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
05/13/2005
Tagalog
None
09/25/2005
Tagalog
None
Tagalog
None
11/23/2006
7 1/2
05/06/2006
Tagalog
None
05/04/2005
Tagalog
None
10/17/2005
8 1/2
Tagalog
None
03/30/2006
8 1/2
Tagalog
None
Tagalog
None
06/11/2005
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
10/14/2005
8 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
09/19/2005
Tagalog
None
04/09/2006
Tagalog
None
05/07/2006
Tagalog
None
12/16/2005
8 1/2
Tagalog
None
03/03/2006
8 1/2
Tagalog
None
Tagalog
None
08/03/2006
11/13/2005
8 1/2
Tagalog
None
12/15/2006
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
10/28/2006
08/17/2006
12/28/2005
7 1/2
8
8 1/2
MOTHER
TONGUE
IP
(Ethnic
Group)
Tagalog
None
Tagalog
None
Tagalog
None
07/28/2006
Tagalog
None
09/04/2006
Tagalog
None
AGE as of
BIRTH DATE (mm/dd/
BIRTH PLACE
1st Friday
yyyy)
(Province)
June
MOTHER
TONGUE
IP
(Ethnic
Group)
Code
CCT
B/A
LWD
ACL
School Form 1 (SF 1) School Regis

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
MARIKINA CITY
School Year
ADDRESS
RELIGION
House #/ Street/ Sitio/

Purok
Roman Catholic
Purok 5 Zone 8
Roman Catholic
59 Gold St.
ADDRESS
RELIGION
Roman Catholic
Baptist

Purok
Purok 1 Zone 8
7 St. Ignatius St. Ma. Corazon
Roman Catholic
40 Panganiban St.
Roman Catholic
4-A Apo St. Hacienda Hts.
Roman Catholic
14 Bronze St.
Roman Catholic
Purok 2
ADDRESS
RELIGION

Purok
Roman Catholic
Ma. Corazon Subd.
Roman Catholic
Unit 3 Pagrai
Roman Catholic
Ma. Corazon Subd.
Roman Catholic
Lot 9 B4 Midland Rancho
Roman Catholic
85 Purok 5
Roman Catholic
Tumana
ADDRESS
RELIGION

Purok
Roman Catholic
Purok 2
Roman Catholic
Purok 4
BAC
28 Crimson St.
Iglesia ni Cristo
Tamenggo
Roman Catholic
Tumana
Roman Catholic
Ma. Corazon Subd.
ADDRESS
RELIGION

Purok
Roman Catholic
31 Carmine St.
Roman Catholic
2 Cadena de Amor GHghts.
Roman Catholic
10 Bonanza St. Rancho Estate II
Roman Catholic
55 Zone 8
ADDRESS
RELIGION

Purok
ADDRESS
RELIGION

Purok
Adventist
Unit 3 Baybay Sapa
Roman Catholic
Ma. Corazon Subd.
Roman Catholic
42 Lime St.
Roman Catholic
6 Alley B Sable St.
Iglesia ni Cristo
Tamenggo
Roman Catholic
Alley 3 8 Magat Salamat St.
ADDRESS
RELIGION

Purok
Roman Catholic
353 Rosal St.
Methodist
18 Sienna St.
Roman Catholic
83 Purok 3 Zone 8
Roman Catholic
17 Velvet St.
Roman Catholic
Friendly Village
Roman Catholic
Purok 5
ADDRESS
RELIGION

Purok
Roman Catholic
Ma. Corazon Subd.
Roman Catholic
Baybay Sapa
Roman Catholic
80 Saarland St.
Roman Catholic
56 Santol St.
Roman Catholic
Ma. Corazon Subd.
Roman Catholic
28 Aquamarine St.
ADDRESS
RELIGION

Purok
Roman Catholic
57 Bronze St.
Roman Catholic
98 Olive St.
BAC
Purok 5 Zone 8
Roman Catholic
Tamenggo
Roman Catholic
22 Panganiban
Iglesia ni Cristo
207 Bugallon St.
ADDRESS
RELIGION
Roman Catholic

Purok
Sulucan St.
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
ADDRESS
RELIGION
Specify Level & Effectivity Data

Purok
ADDRESS
RELIGION

Purok
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
MARIKINA CITY
School Year
ADDRESS
RELIGION
Roman Catholic

Purok
Purok 2
ADDRESS
RELIGION

Purok
Roman Catholic
219 Purok 1
Roman Catholic
Purok 1 Zone 8
Roman Catholic
54 Panorama St.
Roman Catholic
B3 L21 Tanguile St.
Roman Catholic
106 Gen. Ordoez St.
Roman Catholic
187 Purok 1
Roman Catholic
72 Azure St.
ADDRESS
RELIGION
Roman Catholic
INC

Purok
33 Panorama St.
2 Liamzon St. Ma. Corazon
Roman Catholic
27 Sta. Bernardita St. La Milagrosa
Roman Catholic
Purok 3 Zone 8
Roman Catholic
26 Purok 5 Zone 8
Roman Catholic
20 Gen. Ordoez St.
Roman Catholic
77 Eastdrive St.
ADDRESS
RELIGION

Purok
Roman Catholic
7 Palomino St. Rancho I
Roman Catholic
27 Sienna St.
Roman Catholic
Purok 5 Zone 8
Roman Catholic
47 Tangerine St.
Roman Catholic
Purok 5 Zone 8
Roman Catholic
99 Narra St.
ADDRESS
RELIGION

Purok
ADDRESS
RELIGION

Purok
Roman Catholic
Unit 3 Purok 12 Baybay Sapa
Roman Catholic
52 Sapphire St.
Roman Catholic
75 Yellowbell St.
Roman Catholic
44 P. Oliveros St.
Roman Catholic
1 Katipunan St.
Roman Catholic
44 Peach St.
Roman Catholic
84 Sulucan st.
Roman Catholic
Roman Catholic
103 Anonas St.
ADDRESS
RELIGION

Purok
Roman Catholic
90 Narra St.
Roman Catholic
7 Saint Ignatius St.
Roman Catholic
Purok 3 Zone 8
Roman Catholic
36 Saint Ignatius St.
Latter Day Saint
Blk 3 L4 Tumana
Roman Catholic
B25 L2 Baybay Sapa
Roman Catholic
24 Carmel St.
INC
94 Makiling St.
Roman Catholic
Unit 3 Baybay Sapa
ADDRESS
RELIGION

Purok
Mormon
B5 L20 Tumana
Roman Catholic
39 Tangerine St.
Roman Catholic
14 Panorama St.
Roman Catholic
335 Apitong St.
Roman Catholic
19 Sto. Nio St.
ADDRESS
RELIGION
CCT Control/reference number & Effectivity Date
Name of school last attended & Year
Specify
Specify Level & Effectivity Data

Purok
chool Register
and Profile)
District
2014-2015
Grade Level
ADDRESS
Barangay
Father's Name (Last Name, First Name,

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Adorna, Jose Angelo
Concepcion Dos
Marikina
NCR
Angeles, Joselito Idion
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
NCR
Atacador, Aquino Vergara
Cupang
Antipolo
NCR
Bongon, John Clave
Concepcion Dos
Marikina
NCR
Corocoto, Ronnie Dulay
Concepcion Dos
Marikina
NCR
de Guzman, Chryster
Concepcion Dos
Marikina
NCR
dela Cruz, Joselito Apo
Cupang
Antipolo
Rizal
dela Paz, Manuel Magat
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Dolencio, Christopher Abukay
Cupang
Antipolo
Rizal
Arizala, Allan
Cupang
Antipolo
Rizal
Estor, Eduardo Parada
Concepcion Dos
Marikina
NCR
Evangelista, Iamedio Balicillo
Cupang
Antipolo
Rizal
Gentugao, Roberto Caadan
Cupang
Antipolo
Rizal
Jardeleza, Mario Dacillo
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Labiran,Jr. Francisco Capones
Cupang
Antipolo
Rizal
Bernal, Bienvenido Teves
Concepcion Dos
Marikina
NCR
Lopez, William Diza
Cupang
Antipolo
Rizal
Magat, Enrico Rodriguez
Cupang
Antipolo
Rizal
n/a
Cupang
Antipolo
Rizal
Pepito, Antonio Jr. Colinco
ADDRESS
Barangay

Name)
Municipality/ City
Province
Concepcion Dos
Marikina
NCR
Porio, Jovy Cuntapay
Mayamot
Antipolo
Rizal
Cornelio, Clarito
Concepcion Dos
Marikina
NCR
Roy, Dante Puti
Cupang
Antipolo
Rizal
Urbano, Ronaldo Corporal
ADDRESS
Barangay
Municipality/ City
Province

Name)
ADDRESS
Barangay

Name)
Municipality/ City
Province
Mayamot
Antipolo
Rizal
Arcenal, Rommel Dadula
Cupang
Antipolo
Rizal
Abellar, Rodney Alegre
Concepcion Dos
Marikina
NCR
Almencion, Recto Meteore
Concepcion Dos
Marikina
NCR
Andal, Danilo Cabrera
Cupang
Antipolo
Rizal
Bermudez, Enrico Cuya
Concepcion Dos
Marikina
NCR
Briones, Jorge Luis Cerrion
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Botor, Jake
Concepcion Dos
Marikina
NCR
Cadag, Jonjon Borrinaga
Cupang
Antipolo
Rizal
Carullo, Joan Sabanal
Concepcion Dos
Marikina
NCR
Dimyao, Melvin Superio
Concepcion Uno
Marikina
NCR
Embana, Eugene dela Cruz
Cupang
Antipolo
Rizal
Esperon, Norberto Hermogino
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Labios, Arlan Edria
Mayamot
Antipolo
Rizal
Mabag, Reynaldo Nardo
Cupang
Antipolo
Rizal
Manuel, Jonathan Cabrera
Concepcion Dos
Marikina
NCR
Mejia, Marwin Pantaleon
Concepcion Dos
Marikina
NCR
Nangyo, Marvin Gances
Mayamot
Antipolo
Rizal
Nayve, Archie Nuyda
ADDRESS
Barangay

Name)
Municipality/ City
Province
Concepcion Dos
Marikina
NCR
Concepcion Dos
Marikina
NCR
Raganit, Rolando de Luna
Cupang
Antipolo
Rizal
Solas, Bernaldo Olympia
Cupang
Antipolo
Rizal
Taboso, Renato Arpon
Concepcion Dos
Marikina
NCR
Tagle, Joel Trambulo
Marikina Hghts.
Marikina
NCR
Tolentino Jeffrey Enao
ADDRESS
Barangay
Cupang
Municipality/ City
Province
Antipolo
Rizal

Name)
Tuberon, Dante Nuguto
REGISTERED
BoSY
MALE
24
FEMALE
25
TOTAL
49
ADDRESS
Barangay
Municipality/ City
Province
TOTAL

Name)
49
ADDRESS
Barangay
Municipality/ City
Province

Name)
ster
and Profile)
District
2014-2015
Grade Level
ADDRESS
Barangay
Cupang
Municipality/ City
Province
Antipolo
Rizal
Father's Name (Last Name, First Name, Middle Name
Angawa, Arnold Competente
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Atacador, Melvin Banaag
Cupang
Antipolo
Rizal
Bacer, Karlo Angelo Manalili
Concepcion Dos
Marikina
NCR
Bendiola, Elmer Gonzales
Marikina Hghts.
Marikina
NCR
Buraga, Pedro Gepiga
Marikina Hghts.
Marikina
NCR
Calanoga, Virgilio Salabun
Cupang
Antipolo
Rizal
Corrachea, Mario Mayo
Concepcion Dos
Marikina
NCR
Fortes, Rodel Equipado
ADDRESS
Barangay

Name)
Municipality/ City
Province
Concepcion Dos
Marikina
NCR
Garcia, Arisaldo Damasen
Cupang
Antipolo
Rizal
Guinto, Bien de Leon
Cupang
Antipolo
Rizal
Herrera, Evine Jhon Racca
Cupang
Antipolo
Rizal
Cupang
Antipolo
Rizal
Itubay, Michael Lontes

Marcelo, Rommel
Astronomina
Marikina Hghts.
Marikina
NCR
Nicerio, Raymond Chavez
Marikina Hghts.
Marikina
NCR
Ramos, Orlando Ruiz
ADDRESS
Barangay

Name)
Municipality/ City
Province
Concepcion Dos
Marikina
NCR
Rel, Robinson Lledo
Concepcion Dos
Marikina
NCR
Samson, Enrique Roy Salta
Cupang
Antipolo
Rizal
Sorongon, Stephen Tobilla
Concepcion Dos
Marikina
NCR
Telan, Raul Mangusib
Cupang
Antipolo
Rizal
Vias, Albert Bilaro
Marikina Hghts.
Marikina
NCR
Vital, Jr. Austria Antonio
ADDRESS
Barangay
Municipality/ City
Province

Name)
ADDRESS
Barangay

Name)
Municipality/ City
Province
Mayamot
Antipolo
Rizal
Andeza, Jet D.
Concepcion Dos
Marikina
NCR
Bercida, Parlo C.
Mayamot
Antipolo
Rizal
Bernardino, Celso V.
Cupang
Antipolo
Rizal
Briones, Arnold O.
Concepcion Dos
Marikina
NCR
Catingkoy, Dave H.
Concepcion Dos
Marikina
NCR
Cordero, Ronald V.
Cupang
Antipolo
Rizal
de Castro, Dexter Ian L.
Cupang
Antipolo
Rizal
del Mundo, Estelito V.
Cupang
Antipolo
Rizal
Dizon, Dennis M.
ADDRESS
Barangay

Name)
Municipality/ City
Province
Marikina Hghts.
Marikina
NCR
Feliciano, Antonio F.
Cupang
Antipolo
Rizal
Gabriel, Sonny Boy E.
Cupang
Antipolo
Rizal
Garong, Gabriel S. Jr.
Cupang
Antipolo
Rizal
Gutierrez, Amerito D. Jr.
Cupang
Antipolo
Rizal
Jabines, Renato I.
Mayamot
Antipolo
Rizal
Mallari, Lou Jen G.
Concepcion Dos
Marikina
NCR
Motay, Ramon D.
Concepcion Dos
Marikina
NCR
Ordoa,Frederick
Mayamot
Antipolo
Rizal
Pacheco, Monatano A.
ADDRESS
Barangay

Name)
Municipality/ City
Province
Cupang
Antipolo
Rizal
Parasdas, Lovy S.
Concepcion Dos
Marikina
NCR
Pascual, Jenazar E.
Concepcion Dos
Marikina
NCR
Santosidad, Argie G.
Marikina Hghts.
Marikina
NCR
Salinas, Joey Albert C.
Cupang
Antipolo
Rizal
Teves, Neilsan Aleistar V.
ADDRESS
Barangay
Municipality/ City
Province

Name)
REGISTERED
BoSY
MALE
27
FEMALE
27
TOTAL
54
MARIKINA II
SIX
Section
PARENTS
, First Name, Middle
Mother's Maiden Name (Last Name, First

Name, Middle Name)
Carajay, Yolanda Godinez

de Guzman, Leah Agustin
HYDROGEN
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS
ra

Name, Middle Name)
Alapag, Lani Cantoria

Paghubasan, Nanette Samson
Adayan, Lina Rendon
Duka, Maureen Porras
Gonzaga, Elna Gaquit
Jarder, Catherine Caullo
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS
bukay
alicillo
dan

Name, Middle Name)
dela Cruz, Airene delos Santos

Escape, Emy Biete
Oliverio, Mairene Yu
Cantor, Juliet Manzano
San Lorenzo, Candel Cabarles
Espinida, Susana Abay
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS
apones
co

Name, Middle Name)
Panganiban, Leonora Llavares

Lito, Annaliza Cortel
Rosal, Mary Grace Eustaguio
Tarbornal, Rose Roschelle Inso
Mendoza, Annaliza Gallego
Corre, Amelia Maricaban
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS
ral

Name, Middle Name)
Arizala, Editha Bordaje

Relloso, Ma. Venereza Amar
Balcueva, Merly Cerizo
Solimus, Alma Acuzar
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS
ore
rion

Name, Middle Name)
Aban, Analyn Arcenal

Reyes, Connie Montezor
Camposano, Flory Espiloy
Cuasay, Marites Dumlao
Lagonilla, Leah Prieto
Borrinaga, Marina Martinez
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
Ibareta, Marivic Meran

Bernardino, Cherryl Despi
Alinton, Ma. Ana Hilario
Pestilos, Liza Lopez
Cruz
Alas, Roselyn Orosco
mogino
Portuguez, Salvacion Famaril
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
Cristobal, Rowena Cortejos
Cabigayan, Gina Dacot
era
Lorenzo, Zenaida Patricio
Arevalo, Venus Gasperillo

Saligao, Margie Mendoza
Melorin, Emma Mae Rivera
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
Silva, Lourdes Guijian
na
Sison, Sherry Ann Agunod
Marzan, Olivia Mosquillos

Bonina, Glory Jane Bornasal
Nuez, Lenie Cajayon
Lanceta, Michelle Yabut
GUARDIAN
(If not Parent)
Name
Relation-ship
GUARDIAN
PARENTS
(If not Parent)

Name, Middle Name)
Cleofe, Ma Lourdes Panesa
EoSY
Prepared by:
EULALIA P. OCAMPO
(Signature of Adviser over Printed Name)
Name
Relation-ship
GUARDIAN
PARENTS
(If not Parent)

Name, Middle Name)
BoSY Date: June 2, 2014
EoSYDate:
Name
Relation-ship
(If not Parent)

Name, Middle Name)
Name
Relation-ship
MARIKINA II
Three
Name, Middle Name)
GUARDIAN
PARENTS
Section
EINSTEIN
GUARDIAN
PARENTS
(If not Parent)

Mother's Maiden Name (Last Name, First Name, Middle Name)
Labiran, Annacel Capones
Name
Relation-ship
PARENTS

Name, Middle Name)
Rubio, Ailyn Encabo

Felipe, Irene Darlene Trofeo
Clares, Myla Yanga
Navarro, April Joy Fernando
Cayetano, Ma. Teresa Minola
Miranda, Jane Paula Sunggayan
Mercado, Belinda Ceniza
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
Eroles, Ronalie del Rosario

Hilario, Melanie Caro
Ondivilla, Lyra Gay Santos
Garduque, Ligaya Valdez
Anub, Ana Flor Budiongan
Sazon, Gina Ecalnir
Abundancia, Catalina Herrera
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
Lugnasin, Demebeth Palongpong

Omadto, Katherine Genato
Namocatcat, Mary Joy Tagud
Quioc, Majercia Angala
Torrecampo, Lalaine Valenzuela
Talucod, Alma Dulce Mabazza
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
Magno, Jovelyn C.
Millare, Jo-Ann O.
Ladreno, Charito T.
Verac, Jill R.
De Guzman, Rose Ann O.
Lopez, Ma. Cristine R.
Santos, Ruby F.
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
GUARDIAN
(If not Parent)
Name
Relation-ship
PARENTS

Name, Middle Name)
GUARDIAN
(If not Parent)
Name
Relation-ship
GUARDIAN
PARENTS
EoSY
(If not Parent)

Name, Middle Name)
Prepared by:
ROMINA C. VELASCO
(Signature of Adviser over Printed Name)
EoSYDate:
Name
Relation-ship
ROGEN
REMARKS
Contact Number of
Parent or Guardian
09354715294
09354715244
(Please refer to the

legend on last page)
REMARKS
Contact Number of
Parent or Guardian
09123767357
09187455400
09068147724
09982760634

REMARKS
Contact Number of
Parent or Guardian
09068335532
09497337255
09309328667
09997705856
09309311002
6462037

REMARKS
Contact Number of
Parent or Guardian
09216044368
09202398680
0999401578
09468775295
09284993709
09304864263

REMARKS
Contact Number of
Parent or Guardian
4705269
09261403520
09289571438
09331996180

REMARKS
Contact Number of
Parent or Guardian

REMARKS
Contact Number of
Parent or Guardian
0948662939
09995521547
09391887571
6795933
0910925704
09173629725

REMARKS
Contact Number of
Parent or Guardian
09216642690
09231293090
09397840851
09196648181
09297711499

REMARKS
Contact Number of
Parent or Guardian
09294082498
0909344279
2502250
09322017265
0948143015
09351162688

REMARKS
Contact Number of
Parent or Guardian
09237353611
0910996349
09084506150
09287639879
09195840394

REMARKS
Contact Number of
Parent or Guardian

09219572955
Certified Correct:
CAROLINA O. GUEVARA
(Signature of School Head over Printed Name)
REMARKS
Contact Number of
Parent or Guardian

EoSYDate:
REMARKS
Contact Number of
Parent or Guardian

NSTEIN
REMARKS
Contact Number of Parent or
Guardian
09205841672
(Please refer to the legend on

last page)
REMARKS
Contact Number of
Parent or Guardian
09305678700
09283982784
09165297951
09089830172
4770035
09488305456
5017084

REMARKS
Contact Number of
Parent or Guardian
09334855902
09124338452
09464429420
09186327509
0923418448
09237215751
09258780831

REMARKS
Contact Number of
Parent or Guardian
09175305584
09216962544
09279159196
09177533697
09204348125
09227781432

REMARKS
Contact Number of
Parent or Guardian

REMARKS
Contact Number of
Parent or Guardian
09105242216
09102083461
457-4170
09163770652
09072620550

REMARKS
Contact Number of
Parent or Guardian

REMARKS
Contact Number of
Parent or Guardian

REMARKS
Contact Number of
Parent or Guardian

Certified Correct:
CAROLINA O. GUEVARA
EoSYDate:
School ID
136685
Name of School
LEARNER'S NAME
1Addatu, Cedrick T.
2Balano, Charlez Angelo C.
3Barrera, Steve Craig B.
4Bartolome, Louie A.
5Briones, Evander G.
2
M
LEARNER'S NAME
6Canete, Carlo S.
7de Guzman, Nikko M.
8delos Santos Jr, Jimmy James Y.
9Desoloc, Rizel Ashley
10Dionisio, Alfredo III B.
11Eborde, Daniel
12Eniceo, Reyben A.
13Gamboa, Virgilio III R.
14Gaona, Edwin Carl A.
2
M
LEARNER'S NAME
15Lerbes, John Marcus R.

16Marticio, Mark John V.
17Miranda, Janmhel Shane
18Pabelle, Gian Carlo L.
19Padlan, Dan Carlo L.
20Pangilinan, Thomas Gabriel E.
21Pogenio, Ryn Q.
22Restar, Mark Angelo A.
23Taylan, Albert Dominic
2
M
LEARNER'S NAME
24
25
26
27
MALE | TOTAL Per Day
2
M
LEARNER'S NAME
1Abellon, Danica G.
2Aguire, Mae Angielle
3Ayuson, Samantha Kelly C.
4Beato, Angelica G.
5Berlon, Lea F.
6Bermundo, Merry Joy S.
7Borja, Angel Rose D.
8Deluvio, Rhona Jane C.
9Gebrallo, Jocelyn S.
10Juayno, Kelly Charies S.
2
M
LEARNER'S NAME
11Llavor, Jaerah B.
12Magayones, Dainna Rose R.
13Marabat, Sienne B.
14Mislang, Ericka Claire L.
15Najera, Melissa L.
16Olivar, Charina Marie L
17Raygon, Allyssa Joy D.
18Reluya, Irrah Lei C.
19Sison, Rien Gabrielle B.
20Sumaylo, Venice B.
2
M
LEARNER'S NAME
21Templo, Justin Claire S.

22Trofeo, Mary Angeli De Mesa.
23
24
25
26
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
M
LEARNER'S NAME
2
M
2. Dates shall be written in the columns after Learner's Name.

3. To compute the following:
a.Percentage of Enrolment =
b.
Average Daily
Attendance =
c.Percentage of Attendance for the month =
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summa
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who wer
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
*Beginning of School Year cut-off report is every 1st Friday of the School Year
LEARNER'S NAME
School Form 2 : Page 2 of 2
2
M
School Form 2 (SF2
(This repla
2014-2015
School Year
SSS VILLAGE ELEMENTARY SCHOOL

3
10
11
12
TH
TH
10
11
12
TH
TH
10
11
12
TH
TH
10
11
12
TH
TH
10
11
12
TH
TH
10
11
12
TH
TH
10
11
12
TH
TH
10
11
12
TH
TH
Registered Learners as of end of the month

Enrolment as of 1st Friday of the school year
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
summary table into School Form 4. Once signed by the principal, this form should be returned to the adviser.
ho were absent for 5 consecutive days and/or those at risk of dropping out.
10
11
12
TH
TH
orm 2 (SF2) Daily Attendance Report of Learners

(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2014-2015
(1st row for date)
13
16
17
18
19
20
23
24
TH
(1st row for date)

13
16
17
18
19
20
23
24
TH
(1st row for date)

13
16
17
18
19
20
23
24
TH
x
x
(1st row for date)

13
16
17
18
19
20
23
24
TH
(1st row for date)

13
16
17
18
19
20
23
24
TH
(1st row for date)

13
16
17
18
19
20
23
24
TH
(1st row for date)

13
16
17
18
19
20
23
24
TH
1. CODES FOR CHECKING ATTENDANCE
(blank) - Present; (x)- Absent; Tardy (half shaded= Up
dviser.
(1st row for date)

13
16
17
18
19
20
TH
x 100
x 100
23
24
M
T
(blank) - Present; (x)- Absent; Tardy (half shaded= Up
2. REASONS/CAUSES FOR DROPPING OUT

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
(1st row for date)

13
16
17
18
19
20
23
24
TH
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 (Specify)
JUNE
Report for the Month of
THREE
Grade Level
25
26
27
30
TH
Section
TH
25
26
27
30
TH
x
x
TH
25
26
27
30
TH
TH
25
26
27
30
TH
TH
25
26
27
30
TH
TH
25
26
27
30
TH
TH
25
26
27
30
TH
y (half shaded= Upper for Late Commer, Lower for Cutting Classes)
TH
Month:
25
26
27
30
TH
TH
F
* Enrolment as
Late Enrollment during the m

(bey
Registered Learner
Percentage of Enrolm
Average D
Percentage of Att
Number of students ab
Trans
Tran
25
26
27
30
TH
TH
F
I certify that this is a true and correct report.
Attested by:
NEWTON
Total for the Month
ABSENT
TARDY
REMARKS (If DROPPED OUT, state reason, please refer

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

ABSENT
TARDY

to legend number 2.
Total for the Month

ABSENT
TARDY

to legend number 2.
Total for the Month

ABSENT
TARDY

to legend number 2.
Total for the Month

ABSENT
TARDY

to legend number 2.
Total for the Month

ABSENT
TARDY

to legend number 2.
Total for the Month

ABSENT
TARDY

to legend number 2.
No. of Days of
Classes:
Summary
M
TOTAL
Total for the Month

ABSENT
TARDY

to legend number 2.
* Enrolment as of (1st Friday of June)
ment during the month

(beyond cut-off)
24
24
48
24
24
48
24
24
48
24
24
48
100%
100%
100%
centage of Enrolment as of end of the month

Average Daily Attendance
Percentage of Attendance for the month
2.0%
2%
mber of students absent for 5 consecutive days:

Drop out
Transferred out
Transferred in
Total for the Month

ABSENT
TARDY

to legend number 2.
and correct report.
Evangelina A. Sabuad
(Signature of Teacher over Printed Name)
CAROLINA O. GUEVARA
K TO 12 LEARNER'S MATERIAL
School ID
136685
SSS Village Elementary School
School Name
Subject Area & Title: (ESP)
Subject Area & Title:
Edukasyon sa Pagpapakatao
NO.
LEARNER'S NAME
Name, First Name, Middle Name)
(Last
Date
Issued
1Avila, Friezle John Ornido

2Bayker, Johnwhen Pacris
3Belarmino, Angel Von Ryan Flores
4Bongala, Christopher Blones
5Calleja, Angelo Bongcawel
6Calut, Gian Jandusay
7Coral, Dexter Ocampo
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
Date
Returned
Issued
NO.
LEARNER'S NAME
(Last
Date
Issued
8Cuevas, Benedict Andre Quijano

9Dalisay, Mark Lester Salinas
10De Leon, Vlaire Benedic Luis Cabucoa
11Delen, Clent Joshua Susa
12Fernando, Jan Lordwin Celada
13Flores, Jion Carmelo Taki Viloria
14Jaingue Jr. Sonny Pegon
15Lagsac, Ren Zedrick Nagor
16Majarreis, Adrian Carl Salvador
17Manalo, Migz Aldrich Ramos
18Marqueta, Francis Lopez
19Miranda, Angello Custodio
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
Date
Returned
Issued
NO.
LEARNER'S NAME
(Last
Date
Issued
20Mojar, Alexis Rheiy Malibiran

21Namoro, Kyle Archie De Vera
22Pattung, Francis Leigh Madriaga
23Pepito, James Richie Poimo
24Ramos, Adrian Paul Ajeno
25Sentoy, Alexis Daniel Tenito
26Tabares, Aishia Andrei Ocampo
27Vicente, Michel Andre Bon
TOTAL FOR MALE | TOTAL COPIES
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
27/27
Date
Returned
Issued
NO.
LEARNER'S NAME
(Last
Date
Issued
1Andeza, Blessed Jezzalyn Magno

2Bercida, Thresa Mae
3Bernardino, Stephanie Claire Ladreno
4Briones, Nathalie Kaye Verac
5Catingkoy, Shaeina de Guzman
6Cordero, Ysabel Clarisse Lopez
7de Castro, Nicka Joyce Santos
8del Mundo, Earl Liana Letrice Rubas
9Dizon, LeeAn Aleja Dueas
10Feliciano, Francesca Ysabel Eugenio
11Gabriel, Jyzel Mae Torres
12Garong, Jellian Ayesa Espeleta
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
Date
Returned
Issued
NO.
LEARNER'S NAME
(Last
Date
Issued
13Gutierrez, Catherine Nicole Delco

14Jabines, Patricia Nicole Payod
15Mallari, Csyreign Keith Dulo
16Motay, Cassie Jaycen Eulogio
17Ordoa, Princess Angel Esmundo
18Pacheco, Maidy Jane Macasillig
19Parasdas, Lhovy Ahnn Victoriano
20Pascual, Eliz Hyacinth Guevarra
21Santosidad, Nea Mendina
22Salinas, Jhennylyn Collet Guevarra
23Teves, Asleigh Salvador
24Tiron, Pearl Angel Benitez
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
6/23/2014
Date
Returned
Issued
NO.
LEARNER'S NAME
(Last
Date
Issued
25 Velez, Hope Chloe Riztdane Prell Jamandre

26Vicencio, Ma. Marion Perez
27Villaflor, Amarise Pasiliao
6/23/2014
6/23/2014
6/23/2014
TOTAL FOR FEMALE | TOTAL COPIES
27/27
TOTAL LEARNERS | TOTAL COPIES
54/54
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 copies of this form may be used if needed.
Date
Returned
Issued
School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)
2014-2015
School Year
Three
Grade Level
Title:
Date
Date
Date
te
Returned
Section
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
Title:
Date
Date
Date
te
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
Title:
Date
Date
Date
te
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
Title:
Date
Date
Date
te
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
Title:
Date
Date
Date
te
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
Title:
Date
Date
Date
te
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
In case of lost/unreturned books, please provide information with the following code:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepa
submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO
Newton
a & Title:
Subject Area & Title
Date
Returned
Issued
REMARKS/ACTION TAKEN
(Please
refer to the legend on last
page)
Date
Returned
Issued
Returned
a & Title:
Date
Returned
Issued
(Please
page)
Date
Returned
Issued
Returned
a & Title:
Date
Returned
Issued
(Please
page)
Date
Returned
Issued
Returned
a & Title:
Date
Returned
Issued
(Please
page)
Date
Returned
Issued
Returned
a & Title:
Date
Returned
Issued
(Please
page)
Date
Returned
Issued
Returned
a & Title:
Date
Returned
Issued
(Please
page)
Date
Returned
prepared letter/report duly noted by School Head for

3, DO#14, 2.2012.
Issued
Returned
Prepared By:
INES T. CATACUTAN
(Signature over printed name)
Date BoSY:June 2, 2014 Date EoSY: ___________
School Form 3: Page 2 of2
School Form 4 (SF4) Monthly Learner's M
(This replaces Form 3 & STS Form 4-Absenteeism
School ID
Region
Division
School Name
GRADE/
YEAR LEVEL
SECTION
NAME OF ADVISER
REGISTERED
LEARNERS
(As of End of the
Month)
M
ATTENDANCE
Daily Average
M
DROPPED OU
Percentage for the

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

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 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
rner's Movement and Attendance
-Absenteeism and Dropout Profile)
District
School Year
Report for the Month of
DROPPED OUT
B) For the Month

F
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
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Lev
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates
Region
Division
School ID
School Year
School Name
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT
column is for K to 12 Curricu
level that are still im
From previous school years

of end of current Sch
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

ion & Level of Proficiency
List of Graduates)
District
Curriculum
Grade Level
Section
LETE SUBJECT/S
(This
r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)
ous school years completed as

nd of current School Year
As of end of current School Year

SUMMARY TABLE
STATUS
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
LETE SUBJECT/S
(This


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
(This


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.
LETE SUBJECT/S
(This

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
School Form 5: Page ____ of ________
School Form 6 (SF6)
Summarized Report on Promotion and Level of Prof

(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
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
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%
-89%)
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 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.
f Proficiency
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
SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and

(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

Title of Designation
Title of Plantilla Position

(as it
Number of Incumbent
appears in the appointment document/PSIPOP)
Title of Plantilla Position

(as it
appears in the appointment document/PSIPOP)
Number of
Incumbent
(as it ap
contract/document: Teach
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 the school year, an updated Form 19 must be subm
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.
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.
t List and Basic Profile
Assignment List,
Teachers)
School Year
(C ) Other Appointments and Funding Sources
esignation
(as it appears in the

ct/document: Teacher, Clerk, Security
uard, Driver etc.)
Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO's etc.)
specify)
Number of Incumbent
Teaching
NonTeaching
Daily Program (time duration)

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

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

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

Total Actual
-Ethnicity)
per Week

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

Total Actual
-Ethnicity)
per Week

Submitted by:
rm 19 must be submitted to the Division

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

School Form 1 (SF 1) School Register: School ID School Name

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School Form 1 (SF 1) School Register: School ID School Name

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School ID

Adorna, Jose Angelo Carajay

Angeles, Kyle Gabriel de Guzman

Atacador, Jho Nicko Alapad

Bongon, Emmanuel John Paghubasan

Corocoto, Jobert Adorayan

de Guzman, Sean Duka

dela Cruz, John Clarence Gonzaga

dela Paz, Prince Just-Once Jarder

Dolencio, Christian dela Cruz

Escape, Jaime Stephen

Estor, Andrei Emmanuel Oliverio

Evangelista, Aivan Cantor

Gentugao, Robert Dell San Lorenzo

Jardeleza, Adrian Josel Espinida

Labiran, Sebastian Panganiban

Lito, Angel Bien

Lopez, Vinzcent Kyle Rosal

Magat, Ken Aldrich Taboral

Mendoza, John Christian

Pepito, Aljohn Lloyd Corre

Porio, Joey Povie Arizala

Rellosa, Brian Clark Amar

Rey, Danmark Balcueva

Urbano, David Louis Solimus

Aban, Mhel Ann Dinagit

Abellar, Cyren Ann Reyes

Almencion, Jellian Mae Camposan

Andal, Denyse Cuasay

Bermudez, Mickaella Laonilla

Borrinaga, Mayra Kaori Martinez

Botor, Maricar Ibareta

Cadag, April Fiona Bernardino

Carullo, Izza Thea Alinton

Dimyao, Leslie Joy Pestilos

Embana, Gemma Rose Alas

Esperon, Maria Glaiza Portuguez

Labios, Chyna Eriana Cristobal

Mabag, Regine Cabigayan

Manuel, Jewell Kirsten Lorenzo

Mejia, Arianne Raiven Arevalo

Nangyo, Marjorie Michaella Saligao

Nayve, Norjini Melorin

Silva, Joy Guella

Sison, Princess Ann Agunod

Solas, Veronica Mae Marzan

Taboso, Aira Andrea Bonina

Tagle, Judy Ann Nuez

Tolentino, Mykha Jazmine Lanceta

Tuberon, Dianne Cleofe

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

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

Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of June)

Angawa, Christian Labiran

Atacador, Leonid King Rubio

Bacer, Alfred Mitchel Felipe

Bendiola, Gian Emmanuel Clares

Buraga, Pierre Benedict Navarro

Calanoga, III Virgilio Cayetano

Corrachea, Marc Niel Howell Miranda

Fortes, Mark Lorenz Mercado

Garcia, Arron Eroles