School Form 1 (SF 1) School Register

(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

School ID School Name

Region

Division School Year

District Grade Level
ADDRESS RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province Father (1st name only if family name identical to learner) Mother (Maiden) Name Relationshi p NAME OF PARENTS

Section
GUARDIAN (If not Parent) Contact Number (Parent /Guardian)

LRN

NAME (Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/ dd/yy)

AGE as of 1st Friday of June (nos. of years as per last birthday)

BIRTH PLACE (Province)

MOTHER TONGUE

IP (Specify Ethnic Group)

of years as per last birthday) BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) ADDRESS RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province NAME OF PARENTS GUARDIAN (If not Parent) Contact Number (Parent /Guardian) Father (1st name only if family name identical to learner) Mother (Maiden) Name Relationshi p List and code of Indicators under REMARK column Indicator Transferred Out Transferred IN Dropped Late Enrollment Code T/O T/I DRP LE Required Information 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) Indicator CCT Recipient Code CCT Required Information CCT Control/reference number & Effectivity Date Name of school last attended & Year Specify Specify Level & Effectivity Data MALE FEMALE TOTAL BoSY EoSY Prepared by: Certified Correct: Balik-Aral B/A Learner With DissabilityLWD Accelarated ACL (Signature of Adviser over Printed Name) (Signature of School Head over Printed Name) Date:___________________________________ Date:__________________________________________________ . First Name.LRN NAME (Last Name. Middle Name) Sex (M/F) BIRTH DATE (mm/ dd/yy) AGE as of 1st Friday of June (nos.

REMARK/S (Please refer to the legend on last page) .

REMARK/S (Please refer to the legend on last page) Certified Correct: (Signature of School Head over Printed Name) Date:__________________________________________________ .

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Middle Name) School Year Month Reporting Grade Level DATE (1st row for date. First Name.Absenteeism and Dropout Profile) School ID Name of School LEARNER'S NAME (Last Name. If TRANSFERRED IN/OUT.F) Section REMARK/S (If DROPPED OUT. Form 2 & STS Form 4 . state reason.TH.W. write the name ABSENT TARDY of School. please refer to legend number 2.School Form 2 (SF2) Daily Attendance Report for learner (This cancel Form 1.) Total for the Month MALE | TOTAL Per Day . 2nd row for Day: M.T.

Child labor. Lower for Cutting Classes) Month: No. Overage b. If TRANSFERRED IN/OUT. of Days of Classes: Summary for the Month M F TOTAL Enrollment as of (1st Friday of June) Late Enrollment (beyond cut-off) Registered Learner as of end of the month Percentage of Enrollment 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 Transferred in I certify that this is a true and correct report.Present. Illness b. Tribal wars & clan feuds) d. Hunger/Malnutrition c.3.2. Middle Name) REMARK/S (If DROPPED OUT.3. please refer to legend number 2.4. Parents' attitude toward schooling a. Others (Signature of Teacher over Printed Name) Attested by: (Signature of School Head over Printed Name) .F) LEARNER'S NAME (Last Name. REASONS/CAUSES OF DROP-OUTS a. Early marriage/pregnancy a. Every End of the month. (x).1. Lack of interest/Distractions b. Teacher Factor c. Geographic/Environmental d. 3. Dates shall be written in the preceding columns beside Learner's Name.5.3. The attendance shall be accomplished daily.3. Financial-Related e.4.2. 2.6.2. 5. Percentage of Enrolment = b. Refer to the codes for checking learners' attendance.1. Average Daily Attendance = c. To compute the following: a. Distance between home and school d. 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 2. First Name. write the name ABSENT TARDY of School. Drug Abuse b. Poor academic performance b. School-Related Factors c. Had to take care of siblings a. Armed conflict (incl. Individual-Related Factors 4. 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 School Form 2: Page 2 of ________ b.DATE (1st row for date. Physical condition of classroom c. Once signed by the principal. Death b. Domestic-Related Factors a.7. Calamities/Disasters e.W.TH.) Total for the Month FEMALE | DAILY TOTAL Combined TOTAL PER DAY L E G E N D: GUIDELINES: 1.1. Percentage of Attendance for the month = 1. this form should be returned to the adviser. CODES FOR CHECKING ATTENDANCE blank.T.1.1. 2nd row for Day: M. work f. state reason. Peer influence d. the teacher/adviser submit this form to the office of the principal for recording of summary table into the Form 3.2. Family problem b.Absent. Tardy (half shaded= Upper for Late Comer.

School Form 3 (SF3) Books Issued and Returned (This replace Form 1 & Inventory of Text Book) School ID School Name NO. First Name. Middle Name) Subject Area & Title Date Issued Returned School Year Grade Level Subject Area & Title Date Issued Returned Section Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned REMARK/ACTION TAKEN (Please refer to the code on last page) TOTAL FOR MALE | TOTAL COPIES . LEARNER'S NAME (Last Name.

In case of losses/unreturned. The Date of Issuance and the Date of Return shall be reflected. In Column Remark/Action Taken.2012. 3.2001. TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO). TDO: Transferred/Dropout. codes are: FM=Force Majeure. please provide information with the following code: A. In Column Date Returned. NEG=Negligence B. Title of Books Issued to each learner must be recorded by the class adviser. References: DO#23. DO#25 s. s.2003. codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM). 2.NO. LEARNER'S NAME (Last Name. Middle Name) Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned Subject Area & Title Date Issued Returned REMARK/ACTION TAKEN (Please refer to the code on last page) 0 TOTAL FOR FEMALE | TOTAL COPIES TOTAL LEARNERS | TOTAL COPIES GUIDELINES: 1. DO#14. First Name. PTL=Paid by the Learner (for code NEG). s. Prepared By: (Signature over printed name) School Form 3: Page 2 of ________ . The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected.

School Form 4 (SF4) Monthly Learner's Movement and Attendance (This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile) School ID School Name Region Division District School Year Month Reporting TRANSFERRED OUT (A+B) (A) Cumulative Cumulative as as of Previous of End of the Month Month M F T M F T (B) For the Month M F T NAME OF ADVISER REGISTERED LEARNER (As GRADE/ YEAR SECTION of End of the Month) LEVEL M F T M ATTENDANCE Average Percentage DROPPED OUT (A) Cumulative as of Previous Month M F T (B) For the Month M F T TRANSFERRED IN (B) For the Month M F T (A+B) Cumulative as of End of the Month M F T (A+B) (A) Cumulative Cumulative as as of Previous of End of the Month Month M F T M F T 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 Prepared and Submitted by: GUIDELINES: .

Teachers who are handling advisory class shall be reported. October 31 & March 31 3.1. Furnish copy to Division Office: a week after June 30. they will only accomplish the summary column per grade/year level. Instead. Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month". (Signature of School Head over Printed Name) . Grade/Year Level & Section". 2. 4. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser.

000) D (77. John Mack Regañon 25. Acopiado.143) P (85.57) D (75.86) AP (80. Elementary grades level that still implementing RBEC need not to fill up this column) Completed as of end of current SY as of End of the current SY 125970110003 125970110007 125970110008 125970110100 125970110010 125970130035 125970110037 125970110039 125970110047 125970110049 124531120101 125970110054 125970110061 125970110062 125970110064 125970110065 125449100048 124389100044 125970110075 125970110081 125970110088 125970120178 125970110092 125970110093 125970110098 22 1. Nathaniel Casiong 20. John Harold Lansang 3. Ocupe. Dangin. Salonoy. Medado. Saint Francis Ensoy 2.71) P (86. 2 for non-honor & Descriptive Letter) ACTION TAKEN: PROMOTED.000) P (86.14) D (78. Joshua 10.57) D (79.71) D (76. Joros Padua 21. General. Shane Ronald Gadayan 6. Lance Catahan 9. Richie Garvy Mejasco 23.School Form 5 (SF 5) Report on Promotion & Level of Proficiency (This replace Forms 18-E1. Encabo.571) AP (82. Ronibie 4. Laranjo.71) D (79. Yano. Justin Olmoguez 16. Ampoloquio. Simacas. Lapar. Marion Dave Cabasag 7. Joemar Lapa 19. Anzelm Jhas Ocupe TOTAL MALE AP (80. Rommel Gampas 15. Rylan Gumapit 11.714) D (77. Agapay. Baes. IRREGULAR or RETAINED INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Paracuelles. Gerard Tayanes 14.14) AP (80.00) D (77. Esnane.14) AP (84. 18-E2. Vaness Magtuba 12. Ando. John Rix Paer 24.57) PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED ADVANCED (A: 90% and above) BEGINNNING (B: 74% and below) DEVELOPING (D: 75%-79%) APPROACHING PROFICIENCY (AP: 80%-84%) PROFICIENT (P: 85% -89%) IRREGULAR PROMOTED SUMMARY TABLE MALE FEMALE TOTAL 25 8 33 0 0 0 RETAINED 0 0 0 LEVEL OF PROFICIENCY MALE FEMALE TOTAL 0 0 0 14 2 16 7 5 12 4 1 5 0 0 0 . Gumela.43) D (79. Dagayloan.429) P (85. Grandeur Ace Maghinay 13.00) AP (80.000) D (78.43) D (77. Tuban. Winchester Anggoy 22. Middle Name) (Numerical Value in 3 decimal places for honor learner.43) AP (82. Minerales.57) D (76. Labadlabad. Eddrian Cyber Arian 18. 18A) Region School ID School Name IX 125970 Division Dipolog City District East School Year Turno Elementary School 2013-2014 Curriculum Grade Level II K-12 Section Maya GENERAL AVERAGE LRN LEARNER'S NAME (Last Name. First Name.86) D (78. Legados. Ronniel Elentorio 8. Timbolique. Julius Cañete 17.14) D (79. Clark Narrel 5. Alistado.

Tacliad. Dianne Saint Francis 1. Elementary grades level that still implementing RBEC need not to fill up this column) Completed as of end of current SY as of End of the current SY 125970110002 125617120334 125970110071 125970100076 125963120064 125970110083 125970110085 125970110091 1. Lyra Deloraso 8. Sabala. Final rating per subject area should be taken from the record of subject teacher. Miñao. 3.29) AP (82. First Name. IRREGULAR or RETAINED INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Must be tallied with the total enrollment report as of End of School Year GESP /GSSP (BEIS) 8 33 TOTAL FEMALE COMBINED School Form 5: Page 2 of ________ . Acopiado. Middle Name) (Numerical Value in 3 decimal places for honor learner. Michelle Fernandez 7. NAZARIO School Head (Name and Signature) GUIDELINES: 1. 2 for non-honor & Descriptive Letter) ACTION TAKEN: PROMOTED. Mabanta.857) PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED JOEMER TEÑEDO Prepared by: Class Adviser (Name and Signature) Certified Correct and Submitted: LISA I. On the summary table. Piñero. reflect the total number of learners promoted.857) D (79. retained and irregular and the level of proficiency according to the individual general average 4. Princess Donna 5.14) AP (86.86) AP (80. Acopiado. Ocupe. Emelia Sumalpong 3. Quincy Althea Ensoy 4.29) AP (80. To be prepared by the Adviser. Jeanne Cilo-cilo 6. EnsoyEnsoy 2.86) P (86. The class adviser should make the computation of General Average. For All Grades Level 2. Rio Tiwanac AP (81. Proceso.GENERAL AVERAGE LRN LEARNER'S NAME (Last Name.286) D (78.

of DEVELOPING (D: 75%-79%) Nos. of ADVANCED (A: 90% and above) TOTAL Prepared and Submitted by: Reviewed & Validated by: Noted by: School Head Division Planning Officer/ Education Program Supervisor Schools Division Superintendent GUIDELINES: 1. of PROFICIENT (P: 85% -89%) Nos. the School Head shall compute the Total for Grade Level in order to reflect the result in each data field. of APPROACHING PROFICIENCY (AP: 80%-84%) Nos.School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency (This cancel Form 20) School ID School Name GRADE 1 /GRADE 7 MALE FEMALE TOTAL Region Division District School Year GRADE 6 / GRADE 12 MALE FEMALE TOTAL MALE SUMMARY TABLE GRADE 2 / GRADE 8 MALE FEMALE TOTAL GRADE 3 / GRADE 9 MALE FEMALE TOTAL GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 MALE FEMALE TOTAL MALE FEMALE TOTAL TOTAL FEMALE TOTAL PROMOTED IRREGULAR RETAINED LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL Nos. After receiving and validating the Report for Promotion submitted by the class adviser. . 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. 2. 3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP. of BEGINNNING (B: 74% and below) Nos.

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Indicate name of school/office. Form 19-Assignment List. Substitute. Minutes per Day Ave.) Number of Incumbent NonTeaching Teaching (B) Nationally-Funded Non Teaching Items Title of Plantilla Position (as appeared in the appointment document) Employee No. PTA. Volunteer & others) School Year (C) Other Appointments and Funding Sources Fund Source (SEF. Descending) Sex Position/ Nature of Fund Designatio Appointme Degree / Post Source n nt Graduate Major/ Specialization Minor Subject Taught (include Grade & Section) & Other Ancillary Assignment (Please Specify) * Daily Program (time duration) DAY (M/T/ From To W/TH/ (00:00) (00:00) F) Actual Teaching/ Service Render (Mins/Day) Remark/s (For Detailed Items. Minutes per Day . Minutes per Day Ave.School Form 7 (SF7) School Personnel Assignment List and Basic Profile (This replace Form 12-Monthly Status Report for Teachers. EDUCATIONAL QUALIFICATION Name of School Personnel (Arrange by Position. For IP's Ethnicity ) Ave. Form 29-Teacher Program and Form 31-Summary Information of Teachers) School ID School Name (A) Nationally-Funded Teaching Related Items Title of Plantilla Position (as appeared in the appointment document) Number of Incumbent Region Division District Number of Incumbent Nature of Appointment and Designation (Contractual. NGO's etc.

Minutes per Day Ave. All school personnel. 4. This form shall be accomplished at the beginning of the school year by the school head. This form shall also serve as inventory list of school personnel. Minutes per Day Ave. updated Form 19 must submit to the Division Office . For IP's Ethnicity ) Ave. Minutes per Day Submitted by: (Signature of School Head over Printed Name) School Form 7: Page 2 of ________ . Minutes per Day Ave. regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. Reflect all assignment per personnel such as ancillary/administrative duties. 3. Indicate name of school/office. EDUCATIONAL QUALIFICATION Name of School Personnel (Arrange by Position. Minutes per Day GUIDELINES: 1. Ave. Descending) Sex Position/ Nature of Fund Designatio Appointme Degree / Post Source n nt Graduate Major/ Specialization Minor Subject Taught (include Grade & Section) & Other Ancillary Assignment (Please Specify) * Daily Program (time duration) DAY (M/T/ From To W/TH/ (00:00) (00:00) F) Actual Teaching/ Service Render (Mins/Day) Remark/s (For Detailed Items. Subject Taught/Ancillary Assignment. 2. * Daily Program Column is for teaching personnel only.Employee No. In case of movement of teachers and other personnel during SY.