Professional Documents
Culture Documents
School Name
LRN
119899
Region
VIII
Divisi
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
8/6/03
11.00
Cebuano
9/14/03
11.00
Cebuano
11/22/02
11.50
Cebuano
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
4/18/03
11.00
Cebuano
3/8/03
11.50
Cebuano
11/23/03
10.50
Cebuano
11/28/03
10.50
Cebuano
10/12/03
10.50
Cebuano
4/8/03
11.00
Cebuano
9/16/03
11.00
Cebuano
10
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
11
12/8/03
10.50
Cebuano
12
10/26/03
10.50
Cebuano
13
6/8/04
10.00
Cebuano
14
4/24/03
11.00
Cebuano
15
11/24/03
10.50
Cebuano
16
7/21/03
11.00
Cebuano
17
12/12/03
10.50
Cebuano
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
3/9/04
10.50
Cebuano
18
119899090008
19
5/20/03
11.00
Cebuano
20
11/18/03
10.50
Cebuano
21
5/16/03
11.00
Cebuano
22
4/12/04
10.00
Cebuano
23
3/27/04
10.50
Cebuano
24
9/7/03
11.00
Cebuano
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
25
2/28/03
11.50
Cebuano
26
4/9/04
10.00
Cebuano
27
10/7/02
11.50
Cebuano
28
12/3/03
10.50
Tagalog
29
5/24/04
10.00
Cebuano
30
9/9/03
11.00
Cebuano
31
9/4/03
11.00
Cebuano
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
32
8/18/03
11.00
Cebuano
33
8/21/03
11.00
Cebuano
34
6/24/03
11.00
Cebuano
35
10/10/03
10.50
Cebuano
36
2/10/04
10.50
Cebuano
37
4/3/04
10.00
Cebuano
38
5/29/04
10.00
Cebuano
NAME
(Last Name, First Name, Middle Name)
LRN
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
MOTHER
TONGUE
39
11/9/03
10.50
Cebuano
40
8/25/04
10.00
Cebuano
Code
Required Information
Transferred Out
T/O Name of Public (P) Private (PR) School & Effectivity Date
Transferred IN
T/I Name of Public (P) Private (PR) School & Effectivity Date
Dropped
Late Enrollment
Division
IP
(Ethnic
Group)
District
2014 - 2015
Grade Level
ADDRESS
RELIGION
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First Name, Middle N
RC
Banilad Proper
Banilad
Cebu City
Cebu
RC
IC Compound
Baniald
Cebu City
Cebu
RC
Baca
Baniald
Cebu City
Cebu
IP
(Ethnic
Group)
ADDRESS
RELIGION
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First Name, Middle N
RC
Jasmin
Banilad
Cebu City
Cebu
RC
Univille
Kasambagan
Cebu City
Cebu
RC
Baca
Apas
Cebu City
Cebu
RC
Bas
Banilad
Cebu City
Cebu
RC
Lower Panabang
Apas
Cebu City
Cebu
RC
Banilad Proper
Banilad
Cebu City
Cebu
RC
Banilad Proper
Baniald
Cebu City
Cebu
IP
(Ethnic
Group)
ADDRESS
RELIGION
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First Name, Middle N
RC
IC Compound
Banilad
Cebu City
Cebu
RC
Mohon II
Banilad
Cebu City
Cebu
RC
IC Compound
Banilad
Cebu City
Cebu
RC
Banilad Proper
Banilad
Cebu City
Cebu
Tao, Stephen Po
RC
Jasmin
Banilad
Cebu City
Cebu
Banilad Proper
Banilad
Cebu City
Cebu
Opone Compound
Banilad
Cebu City
Cebu
Jehova's
Witness
RC
IP
(Ethnic
Group)
ADDRESS
RELIGION
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First Name, Middle N
RC
Banilad Proper
Banilad
Cebu City
Cebu
RC
Bas
Banilad
Cebu City
Cebu
RC
Cubacub
Mandaue
City
Cebu
RC
Banilad
Mandaue
City
Cebu
RC
Banilad
Cebu City
Cebu
RC
Banilad Proper
Banilad
Cebu City
Cebu
RC
Univille
Kasambagan
Cebu City
Cebu
IP
(Ethnic
Group)
ADDRESS
RELIGION
Barangay
Municipality/
City
Province
Father's Name
(Last Name, First Name, Middle N
RC
Banilad Proper
Banilad
Cebu City
Cebu
RC
P. Remedio St.
Banilad
Mandaue
City
Cebu
RC
Jasmin
Banilad
Mandaue
City
Cebu
RC
Banilad Proper
Banilad
Cebu City
Cebu
Gabunada, Richel E
RC
Banilad
Cebu City
Cebu
Go, Ike
Valiente
RC
Univille
Kasambagan
Cebu City
Cebu
RC
Banilad
Cebu City
Cebu
IP
(Ethnic
Group)
ADDRESS
RELIGION
RC
Municipality/
City
Province
Father's Name
(Last Name, First Name, Middle N
Apas
Cebu City
Cebu
Barangay
RC
Univille
Banilad
Cebu City
Cebu
RC
Banilad
Mandaue
City
Cebu
RC
Nasipit
Talamban
Cebu City
Cebu
RC
Banilad
Banilad
Mandaue
City
Cebu
RC
Baca
Apas
Cebu City
Cebu
RC
Tonggo
Baniald
Cebu City
Cebu
IP
(Ethnic
Group)
ADDRESS
RELIGION
Barangay
Province
Father's Name
(Last Name, First Name, Middle N
RC
Banilad
Banilad
Cebu City
Cebu
RC
Nasipit
Talamban
Cebu City
Cebu
B/A
LWD Specify
ACL
Municipality/
City
REGISTERED
BoSY
MALE
16
FEMALE
24
TOTAL
40
NORTH DISTRICT VI
5
Section
PARENTS
r's Name
ame, First Name, Middle Name)
MANLOSA
GUARDIAN (If not Parent)
Name
Relationship
Contact Number of
Parent or Guardian
a, Reynaldo Pacanza
09233963186
09999028141
o, Guillermo Jr.
niza
346-08-03
PARENTS
r's Name
ame, First Name, Middle Name)
Relationship
Contact Number of
Parent or Guardian
09226144698
Lumbab, Amorlina
Fornelias
231-1481
418-17-56
Gicale, Chona
Letecia Gicale
Barimbao
Aunt
09213622252
a, Raymund Alquisola
09229342861
09198934734
09239536305
PARENTS
r's Name
ame, First Name, Middle Name)
Relationship
Contact Number of
Parent or Guardian
09236839474
09331303186
09324509248
09079129942
09327136529
09324437995
e, Wilmark Pia
, Jiffy Lumen
Stephen Po
PARENTS
r's Name
ame, First Name, Middle Name)
Relationship
Contact Number of
Parent or Guardian
o, Jeffrey Mioza
Descartin, Genalyn
Urbano
09239611224
09229960817
o, Elizier Bacalso
09323991792
260-7283
Marilyn Virtucio
Auditor
0923562427
239-1525
PARENTS
r's Name
ame, First Name, Middle Name)
Relationship
Contact Number of
Parent or Guardian
09109244444
09335091445
09327182594
nada, Richel E
09173086025
Emma Uy Opone
Aunt
238-9080
n, Rey Pendang
266-2126
413-4712
PARENTS
r's Name
ame, First Name, Middle Name)
Relationship
Contact Number of
Parent or Guardian
346-9116
416-3345
09166973365
n, Pastor Cutas
Avancera, Cristie
Cardente
09332497799
r, Arny Villacorta
, Andy Coronado
09433630562
520-9072
PARENTS
r's Name
ame, First Name, Middle Name)
, Joemar Dumanil
EoSY
Name
Ma. Gleceria
Formentera Miraflor
Prepared by:
Relationship
Contact Number of
Parent or Guardian
2685250
09321439815
Certified Correct:
MARJORIE C. MANLOSA
(Signature of Adviser over Printed Name)
LILY ANN S. GO
REMARKS
(Please refer to the legend on last
page)
REMARKS
(Please refer to the legend on last
page)
REMARKS
(Please refer to the legend on last
page)
REMARKS
(Please refer to the legend on last
page)
REMARKS
(Please refer to the legend on last
page)
REMARKS
(Please refer to the legend on last
page)
REMARKS
(Please refer to the legend on last
page)
Certified Correct:
LILY ANN S. GO
(Signature of School Head over Printed Name)
School ID
119899
Name of School
Aasco
Apa-ap
Baoy
Cedeo
Cobarde
Codera
Gojo
Labasano
Larazaga
Matig-a
Muaa
Prejan
Sosas
,Joshua E.
,Godwin Clyde C.
,John Dale
,Gerard P.
,Klitz Arvie P.
,Blaine Jude C.
,Lourence Khim C.
,John Eryl M.
,Nio Mowenn A.
,John Michael B.
,Adrian A.
,Laurence Anthony A.
,Ernest Greg Excalibur V.
MALE | TOTAL Per Day
1 Agui
2015 - 2016
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
13
School Year
,Jamiera Denise T.
10
11
12
15
TH
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Aquino
Arenas
Bancale
Doylabo
Enovero
Fabel
Fontanar
Igot
Javier
Mag-usara
Miah
Muaa
Ranili
Sanchez
Seroy
Sevilla
Siacor
Tan
Templano
,Natalie Sci F.
,Honeylie C.
,Ma. Charmaine G.
,Leizhel Ace T.
,Jhoanna Mae P.
,Czarelle Mae L.
,Sheena Mae B.
,Jhoanna Jhade
,Princess Nia Lyn C.
,Sheena A.
,Annah H.
,Hannah Mae S.
,Kheancy D.
,Sophia Bianca G.
,Fiona Bianca J.
,Martha Nicola Beatrice B.
,Irish Gee Y.
,Cryssandra Dorothy G.
,Loraine B.
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
10
11
12
15
TH
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
12
15
TH
TH
x 100
x 100
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 School Form 4. Once signed by the principal,
this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of dropping
out.
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
2016
JUNE
Grade Level
Section
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
MANLOSA
Total for the Month: REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
ABSENT TARDY
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
Total for the Month: REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
ABSENT TARDY
Month:
JUNE
No. of Days of
Classes:
Summary
M
TOTAL
16
17
x 100
x 100
of dropping
18
19
22
23
24
25
26
29
30
TH
F
M
T
W
TH
F
M
T
W
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer,
Lower for Cutting Classes)
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
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)
TH
Total for the Month: REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
ABSENT TARDY
* Enrolment as of (1st Friday of June)
Attested by:
LILY ANN S. GO
(Signature of School Head over Printed Name)
119899
School ID
School Name
ENGLISH EXPRESSWAYS
LANGUAGE
LEARNER'S NAME
NO.
ENGLISH EXPRESSWAYS
SCIENCE FOR DAILY USE
READING
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
Aasco
,Joshua E.
6/3/2015
6/3/2015
6/3/2015
Apa-ap
,Godwin Clyde C.
6/3/2015
6/3/2015
6/3/2015
Baoy
,John Dale
6/3/2015
6/3/2015
6/3/2015
Cedeo
,Gerard P.
6/3/2015
6/3/2015
6/3/2015
Cobarde
,Klitz Arvie P.
6/3/2015
6/3/2015
6/3/2015
Codera
,Blaine Jude C.
6/3/2015
6/3/2015
6/3/2015
Gojo
,Lourence Khim C.
6/3/2015
6/3/2015
6/3/2015
Labasano
,John Eryl M.
6/3/2015
6/3/2015
6/3/2015
Larazaga
,Nio Mowenn A.
6/3/2015
6/3/2015
6/3/2015
10 Matig-a
11 Muaa
,John Michael B.
6/3/2015
6/3/2015
6/3/2015
,Adrian A.
6/3/2015
6/3/2015
6/3/2015
12 Prejan
,Laurence Anthony A.
6/3/2015
6/3/2015
6/3/2015
ENGLISH EXPRESSWAYS
LANGUAGE
LEARNER'S NAME
NO.
Date
Issued
13 Sosas
ENGLISH EXPRESSWAYS
SCIENCE FOR DAILY USE
READING
Date
Returned
Issued
Date
Returned
Issued
6/3/2015
6/3/2015
6/3/2015
13
13
13
Agui
,Jamiera Denise T.
6/3/2015
6/3/2015
6/3/2015
Aquino
,Natalie Sci F.
6/3/2015
6/3/2015
6/3/2015
Arenas
,Honeylie C.
6/3/2015
6/3/2015
6/3/2015
Bancale
,Ma. Charmaine G.
6/3/2015
6/3/2015
6/3/2015
Doylabo
,Leizhel Ace T.
6/3/2015
6/3/2015
6/3/2015
Enovero
,Jhoanna Mae P.
6/3/2015
6/3/2015
6/3/2015
Fabel
,Czarelle Mae L.
6/3/2015
6/3/2015
6/3/2015
Fontanar
,Sheena Mae B.
6/3/2015
6/3/2015
6/3/2015
Igot
,Jhoanna Jhade
6/3/2015
6/3/2015
6/3/2015
10 Javier
11 Mag-usara
6/3/2015
6/3/2015
6/3/2015
,Sheena A.
6/3/2015
6/3/2015
6/3/2015
12 Miah
13 Muaa
,Annah H.
6/3/2015
6/3/2015
6/3/2015
,Hannah Mae S.
6/3/2015
6/3/2015
6/3/2015
14 Ranili
15 Sanchez
,Kheancy D.
6/3/2015
6/3/2015
6/3/2015
,Sophia Bianca G.
6/3/2015
6/3/2015
6/3/2015
16 Seroy
,Fiona Bianca J.
6/3/2015
6/3/2015
6/3/2015
NO.
ENGLISH EXPRESSWAYS
LANGUAGE
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ENGLISH EXPRESSWAYS
SCIENCE FOR DAILY USE
READING
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
17 Sevilla
18 Siacor
6/3/2015
6/3/2015
6/3/2015
,Irish Gee Y.
6/3/2015
6/3/2015
6/3/2015
19 Tan
20 Templano
,Cryssandra Dorothy G.
6/3/2015
6/3/2015
6/3/2015
,Loraine B.
6/3/2015
6/3/2015
6/3/2015
20
20
20
33
33
33
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.
In case of lost/unreturned
2015 - 2016
School Year
Grade Level
Section
READING MARVELS
HIYAS SA WIKA
HIYAS SA PAGBASA
KASAYSAYANG PILIPINO
Date
Date
Date
Date
Date
Returned
Issued
Returned
MANLOSA
Issued
Returned
Issued
Returned
Issued
Returned
Issued
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
Returned
READING MARVELS
HIYAS SA WIKA
HIYAS SA PAGBASA
KASAYSAYANG PILIPINO
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
13
13
13
13
13
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
6/3/2015
Returned
READING MARVELS
HIYAS SA WIKA
HIYAS SA PAGBASA
KASAYSAYANG PILIPINO
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
6/3/2015
6/3/2015
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In case of lost/unreturned books, please provide information with the following code:
Returned
Prepared by:
MARJORIE C. MANLOSA
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
prepared letter/report duly noted by School Head for 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#14, 2.2012.
REMARKS/ACTION TAKEN
(Please refer to the
legend on last page)
REMARKS/ACTION TAKEN
(Please refer to the
legend on last page)
REMARKS/ACTION TAKEN
(Please refer to the
legend on last page)
MARJORIE C. MANLOSA
(Signature over printed name)
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 OUT
(A) Cumulative as of
Previous 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 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
District
School Year
ED OUT
e Month
T
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
M
TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
M
(A+B) Cumulative as
of End of the Month
M
Region
119899
School ID
201
School Year
BANILAD ELEMENTARY SCHOOL
School Name
LRN
CEB
Division
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
119899090025
Ardina
, Cidricc
Sipalay
119899090041
Beceril
, Christian
Loma
119899090044
Blanco
, Jeg Luis
Siacor
119899090079
Cobarde
, Fred Justine
Toledo
119899090100
Edilo
, Jordan Joseph
Lumbab
119899090102
Eltagonde
, James Robert
Latasa
119899090128
Gicale
, Audrey John
119899090150
Latasa
, John Lester
Torren
119899090163
Lomot
, Kient Jorge
Vellena
119899090166
Mabitad
, Chris Klyn
Diapana
LRN
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
119899090211
Pastiteo
, Christian Jerson
Tacurda
119899090261
Subrio
119899090262
Suela
, Vince Clark
Rublico
119899090269
Tao
, Scott Mark
Ferolin
119899090271
Templado
, Lorence
Butal
119899090285
Zamora
, EJ
Aligato
John Wynne
16
TOTAL MALE
119899090001
Abad
, Glizzle
119899090008
Alburo
Descartin
119899090013
Alvarez
, Hannah Bridgette
Ramirez
119899090036
Auditor
, Kiandra Amadella
Enriquez
119899090042
Bermejo
, Erica Hannah
Remedio
119899090054
Boter
, Airene
Rollan
119899090080
Cobarde
, Trixcy Shien
Maglasang
119899090083
Comaling
, Shanthal
Almario
119899090095
Dimaano
Gumban
119899090104
Escobal
, Stephanie
Shaira
Generalao
LRN
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
119899090108
Fontanar
119899090121
Gabunada
, Aliyah Ysabel
Andes
119899090130
Go
, Irelle Auriana
Opone
119899090158
Libron
, Mary Claire
Mier
119899120260
Manapsal
, Venalyn
Salvame
119899090187
Monte
Arcilla
119899090198
Noynay
, Girlie
Lagrada
119899090218
Pingol
, Joan
Senecio
119899090225
Prejan
, Gwenyth Antonette
Avancea
119899090234
Remedio
, Kayephel Fayve
Amion
119899090254
Siacor
, Althessa Claire
Yunting
119899090260
Soria
, Stephanie Mae
Genes
119899090278
Varquez
, Danielle
Formentera
119899090279
Velos
, Krestine
Mulat
24
40
Laica Marie
TOTAL FEMALE
COMBINED
Bongo
CEBU CITY
2014 - 2015
District
RBEC
Curriculum
Grade Level
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
NORTH DISTRICT 6
FIVE
MANLOSA
Section
INCOMPLETE SUBJECT/S
(This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
grades level that are still implementing RBEC need not to fill up these columns)
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
16
24
40
IRREGULAR
RETAINED
PROMOTED
PROMOTED
LEVEL OF PROFICIENCY
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
grades level that are still implementing RBEC need not to fill up these columns)
From previous school years completed as
of end of current School Year
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
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)
PROMOTED
PROMOTED
PROMOTED
PREPARED BY:
PROMOTED
MARJORIE C. MANLOSA
PROMOTED
Class Adviser
PROMOTED
TOTAL
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
PROMOTED
INCOMPLETE SUBJECT/S
(This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
grades level that are still implementing RBEC need not to fill up these columns)
PROMOTED
LILY ANN S. GO
PROMOTED
Principal III
PROMOTED
REVIEWED BY:
PROMOTED
CELESTINA S. GOHETIA
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating
per subject area should be taken from the
record of subject teachers. The class adviser
should compute for the General Average.
3. On the summary table, reflect the total
number of learners promoted, retained and
*irregular (*for grade 7 onwards only) and the
level of proficiency according to the
individual General Average.
4. Must tally with the total enrollment report
as of End of School Year GESP /GSSP (EBEIS)
5. Protocols of validation & submission is
under the discretion of the Schools Division
Superintendent
School Form 5: Page 2 of 2
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.
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 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
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
School ID
Region
Division
School Name
District
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
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
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
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.
Assignment List,
Teachers)
School Year
(C ) Other Appointments and Funding Sources
esignation
Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO's etc.)
specify)
Number of Incumbent
Teaching
NonTeaching
DAY
(M/T/W/TH/
F)
From
(00:00)
DAY
(M/T/W/TH/
F)
From
(00:00)
DAY
(M/T/W/TH/
F)
From
(00:00)
School ID
119899
Name of School
Ardina
Beceril
Blanco
Cobarde
Edilo
Eltagonde
Gicale
Latasa
Lomot
Mabitad
Pastiteo
Subrio
2014 - 20
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
School Year
,Cidricc Sipalay
,Christian Loma
,Jeg Luiz Siacor
,Fred Justine Toledo
,Jordan Joseph Lumbab
,James Robert Latasa
,Audrey John
,John Lester Torren
,Kient Jorge Vellena
,Chris Klyn Diapana
,Christian Jerson Tacurda
, John Wynne
10
11
12
TH
13
14
15
16
Suela
Tao
Templado
Zamora
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Abad
Alburo
Alvarez
Auditor
Bermejo
Boter
Cobarde
Comaling
Dimaano
Escobal
Fontanar
Gabunada
Go
Libron
Manapsal
Monte
Noynay
Pingol
Prejan
,Glizzle
,Kayesha Jane Nicole Descartin
,Hannah Bridgette Ramirez
,Kiandra Amadella Enriquez
,Erica Hannah Remedio
,Airene Rollan
,Trixcy Shien Maglasang
,Shanthal Almario
,Shaira Gumban
,Stephanie Generalao
,Laica Marie Bongo
,Aliyah Ysabel Andes
,Irelle Auriana Opone
,Mary Claire Mier
,Venalyn Salvame
,Denise Krystal Kayane Arcilla
,Girlie Lagrada
,Joan Senecio
,Gwenyth Antonette Avancea
14
16
16
16
16
16
16
16
20
21
22
23
24
Remedio
Siacor
Varquez
Soria
Velos
23
24
24
24
24
24
23
23
37
40
40
40
40
40
39
39
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
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 summary table into School Form 4. Once signed by the princip
this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
out.
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
places Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2014 - 2015
NOVEMBER
Grade Level
13
14
17
18
19
20
21
24
25
26
27
28
TH
TH
TH
Section
TH
MANLOSA
1
2
16
16
15
16
16
16
15
15
16
16
16
16
315
1
24
22
22
24
24
24
24
23
24
24
24
24
472
40
38
37
40
40
40
39
38
40
40
40
40
787
d of the month
he school year
nce
porting month
ance
d of the month
x 100
x 100
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer,
Lower for Cutting Classes)
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
Month:
No. of Days of
Classes:
NOV.
Transferred out
Transferred in
MARJORIE C. MANLOS
Attested by:
LILY ANN S. GO
NLOSA
20
Summary
M
TOTAL
16
24
40
nth
cut-off)
nd of the month
16
24
40
100
100
100
15.75
23.60
39.35
98.44%
98.33%
98.38%
iday of June)
ndance
5 consecutive days:
ut
ut
MARJORIE C. MANLOSA
LILY ANN S. GO