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School Form 1 (SF 1) School Register

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

School ID

305303

School Name

Region

NCR

Division

Manila

District

School Year

Raja Soliman Science and Technology High School

LRN

10

11

12

13

14

15

16

17

18

19

20

Sex
(M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st MOTHER TONGUE (Grade 1


IP
Friday June
to 3 Only)
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Section

Grade Level
ADDRESS

NAME
(Last Name, First Name, Middle Name)

Third

Barangay

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

ADDRESS
LRN

21

22

23

24

25

26

27

10

11

12

13

14

15

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st MOTHER TONGUE (Grade 1


IP
Friday June
to 3 Only)
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

ADDRESS
NAME
(Last Name, First Name, Middle Name)

LRN

Sex
(M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st MOTHER TONGUE (Grade 1


IP
Friday June
to 3 Only)
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

PARENTS

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

16

17

18

19

20

21

22

23

24

25

26

27

28

29

List and Code of Indicators under REMARKS column


Indicator

Code

Transferred Out

T/O

Transferred IN

T/I

Dropped

DRP

Late Enrollment

LE

Required Information

Indicator

Code

Required Information

REGISTERED

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

CCT Recipient

CCT

CCT Control/reference number & Effectivity Date

MALE

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

Balik-Aral

B/A

Name of school last attended & Year

FEMALE

Reason and Effectivity Date


Reason (Enrollment beyond 1st Friday of June)

Learner With
Dissability
Accelarated

LWD

Specify

ACL

Specify Level & Effectivity Data

BoSY

Prepared by:

EoSY

(Signature of Adviser over Printed Name)

TOTAL

BoSY Date:

EoSYDate:

rd

GUARDIAN

(If

REMARKS

not Parent)
Name

Relation-ship

Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

GUARDIAN

(If

REMARKS

not Parent)
Name

Relation-ship

Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

GUARDIAN

Name

REMARKS

Relation-ship

Contact Number of
Parent or Guardian

Prepared by:

ure of Adviser over Printed Name)

e:

(If
not Parent)

EoSYDate:

(Please refer to the legend


on last page)

Certified Correct:

(Signature of School Head over Printed Name)

BoSY Date:

EoSYDate:

School Form 2 (SF2) Daily Attendance Report of Learners


(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID

305303

Name of School

School Year

2014 - 2015

Report for the Month of

Raja Soliman Science and Technology High School

Grade Level

Section

(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)

Total for the Month

REMARKS (If DROPPED OUT, state reason, please refer to


If TRANSFERRED IN/OUT, write the name of Sc
M

TH

TH

TH

TH

TH

ABSENT

TARDY

(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)

REMARKS (If DROPPED OUT, state reason, please refer to


If TRANSFERRED IN/OUT, write the name of Sc
M

MALE | TOTAL Per Day

Total for the Month

TH

TH

TH

TH

TH

ABSENT

TARDY

(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)

Total for the Month

REMARKS (If DROPPED OUT, state reason, please refer to


If TRANSFERRED IN/OUT, write the name of Sc
M

TH

TH

TH

TH

TH

ABSENT

TARDY

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY


GUIDELINES:

1. CODES FOR CHECKING ATTENDANCE

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
3. To compute the following:
Percentage of Enrolment =

b.

Average Daily Attendance =

c.

Percentage of Attendance for the month =

No. of Days of Classes:

(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)

2. Dates shall be written in the columns after Learner's Name.

a.

Month:

* Enrolment as of (1st Friday of June)

2. REASONS/CAUSES FOR DROPPING OUT

Registered Learners as of end of the month


Enrolment as of 1st Friday of the school year

x 100

Total Daily Attendance


Average daily attendance

a.1. Had to take care of siblings

Late Enrollment during the month


(beyond cut-off)

a.2. Early marriage/pregnancy

Number of School Days in reporting month


Registered Learners as of end of the month

a. Domestic-Related Factors

Registered Learners as of end of the month

a.3. Parents' attitude toward schooling

x 100

a.4. Family problems


b. Individual-Related Factors

Percentage of Enrolment as of end of the month

b.1. Illness

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.

b.2. Overage

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.

b.4. Drug Abuse

ners 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

Average Daily Attendance

b.3. Death

b.5. Poor academic performance


b.6. Lack of interest/Distractions

Percentage of Attendance for the month


Number of students absent for 5 consecutive days:

b.7. Hunger/Malnutrition

Drop out

c. School-Related Factors
c.1. Teacher Factor

Transferred out

c.2. Physical condition of classroom


c.3. Peer influence

Transferred in

d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)

I certify that this is a true and correct report.

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work

(Signature of Teacher over Printed Name)

f. Others (Specify)
Attested by:

School Form 2 : Page ___ of ________

Dr. Imelda M. Mendez


Principal IV

(Signature of School Head over Printed Name)

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

No. of Days of Classes:

(1st Friday of June)

onth
d cut-off)

as of end of the month

t as of end of the month

ly Attendance

dance for the month

ent for 5 consecutive days:

p out

erred out

erred in

of Teacher over Printed Name)

Dr. Imelda M. Mendez


Principal IV

ignature of School Head over Printed Name)

Summary
M

TOTAL

31

26

57

School Form 3 (SF3) Books Issued and Returned


(This replaces Form 1 & Inventory of Textbooks)

School ID
School Name

NO.

305303

School Year
Raja Soliman Science and Technology High School

Section

Grade Level

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

NO.

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

Date
Returned

Issued

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES


TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:

In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.

A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

2. The Date of Issuance and the Date of Return shall be reflected in the form.

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.

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.

Prepared By:

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________

REMARKS/ACTION TAKEN
refer to the legend on last page)
Date
Returned

(Please

REMARKS/ACTION TAKEN
refer to the legend on last page)

(Please

Date
Returned

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________
School Form 3: Page ___ of ________

School Form 4 (SF4) Monthly Learner's Movement and Attendance


(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID

Region

Division

District

School Name

GRADE/
YEAR LEVEL

School Year

SECTION

NAME OF ADVISER

ATTENDANCE

REGISTERED
LEARNERS
(As of End of the
Month)
M

Daily Average
M

DROPPED OUT

Percentage for the Month


T

(A) Cumulative as of
Previous Month
M

(B) For the Month


M

TRANSFERRED OUT
(A+B) Cumulative as
of End of the Month
M

(A) Cumulative as of
Previous Month
M

(B) For the Month


M

(A+B) Cumulative as
of End of 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:

Prepared and Submitted by:

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

(Signatu
Page _____ of _____ pages

Learner's Movement and Attendance

S Form 4-Absenteeism and Dropout Profile)

Report for the Month of


TRANSFERRED OUT

TRANSFERRED IN
(A+B) Cumulative as
of End of the Month
T

(A) Cumulative as of
Previous Month
M

(B) For the Month


M

(Signature of School Head over Printed Name)

(A+B) Cumulative as
of End of the Month
M

School Form 5 (SF 5) Report on Promotion & Level of Proficiency


(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region

Division

School ID

District
School Year

Curriculum

School Name

LRN

Grade Level

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

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)
From previous school years completed as
of end of current School Year

As of end of current School Year

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL MALE

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/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

As of end of current School Year

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL FEMALE
COMBINED

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/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

As of end of current School Year

SUMMARY TABLE
STATUS

MALE

FEMALE

TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)


MALE

BEGINNNING
(B: 74% and below)

DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)

ADVANCED
(A: 90%
and above)

FEMALE

TOTAL

ADVANCED
(A: 90%
and above)

PREPARED BY:

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head
(Name and Signature)

REVIEWED BY:

(Name and Signature)


Division Representative

GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per subject area should
be taken from the record of subject 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

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 Proficiency
(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

GRADE 5 / GRADE 11

GRADE 6 / G

SUMMARY TABLE
MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

PROMOTED
IRREGULAR (Grade 7 onwards only)
RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)

BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and above)
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.

SCHOOLS DIVISION SUPERINTEN

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.

ool Form 6 (SF6)

Promotion and Level of Proficiency

This replaces Form 20)

otal.

School Year

GRADE 6 / GRADE 12

TOTAL

FEMALE

TOTAL

MALE

FEMALE

TOTAL

FEMALE

TOTAL

MALE

FEMALE

TOTAL

SCHOOLS DIVISION SUPERINTENDENT

School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(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

(C ) Other Appointments and Fundi


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 appears in the


contract/document: Teacher, Clerk, Security
Guard, Driver etc.)

Appointment:
(Contractual,
Substitute, Volunteer,
others specify)

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

Daily Program (t

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

DAY
(M/T/W/TH
/F)

From
(00:00)

Ave. Minutes p

Ave. Minutes p

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

Daily Program (t

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

DAY
(M/T/W/TH
/F)

From
(00:00)

Ave. Minutes p

Ave. Minutes p

Ave. Minutes p

Ave. Minutes p

Ave. Minutes p
GUIDELINES:

Submitted by:

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 submitted 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.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.

(Sig

EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)

4. Daily Program Column is for teaching personnel only.

Sex

Fund Source

Position/
Designation

Nature of
Appointment/
Employment
Status

Degree / Post
Graduate

Major/ Specialization

Daily Program (t

Minor

Subject Taught (include


Grade & Section), Advisory
Class & Other Ancillary
Assignments

DAY
(M/T/W/TH
/F)

From
(00:00)

Updated as of: _

School Year

nts and Funding Sources


Number of Incumbent
Fund Source
(SEF, PTA, NGO's etc.)

Teaching

NonTeaching

aily Program (time duration)

To (00:00)

Ave. Minutes per Day

Ave. Minutes per Day

Total Actual
Teaching
Minutes per
Week

Remarks (For Detailed


Items, Indicate name of
school/office, For IP's
-Ethnicity)

aily Program (time duration)

To (00:00)

Total Actual
Teaching
Minutes per
Week

Remarks (For Detailed


Items, Indicate name of
school/office, For IP's
-Ethnicity)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

ubmitted by:

(Signature of School Head over Printed Name)

aily Program (time duration)

To (00:00)

Total Actual
Teaching
Minutes per
Week

Remarks (For Detailed


Items, Indicate name of
school/office, For IP's
-Ethnicity)

pdated as of: ___________________________


School Form 7, Page ___ of ________