You are on page 1of 37

School Form 1 (SF 1) School Register

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

School ID
School Name

Region VIIINCR

136558

Division

QUEZON CITY
School Year

EULOGIO RODRIGUEZ SR. ELEMENTARY SCHOOL

District
2015-2016

Grade Level

ADDRESS
LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH DATE AGE as of 1st


MOTHER TONGUE
(mm/dd/ yyyy) Friday June

IP
(Ethnic Group)

RELIGION

House #/ Street/ Sitio/


Purok

Barangay

IX
VI

Section
PARENTS

Municipality/ City

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

Avelino, Emmanuel Miaral

10/22/04

Tagalog

Roman Catholic 51 K-8th

West Kamias

Quezon City

Metro Manila

Avelino, Manuel Sr.

Miaral, Noryen

Boragay, John Lester Ansus

1/19/04

Tagalog

Roman Catholic 316 15th Ave.

Silangan

Quezon City

Metro Manila

Boragay, Orlando Jr.

Ansus, Rhea

5/19/03

Tagalog

Roman Catholic 139 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Carillo, Allan

Canada, Rosalinda

Chan, Darius Perez

9/7/04

Tagalog

Roman Catholic 292 15th Ave.

Silangan

Quezon City

Metro Manila

Chan, Leonardo

Perez, Joanne

Concon, Mark Lheir Bobier

5/10/03

Tagalog

Roman Catholic 139 E. Garcia St.

Silangan

Quezon City

Metro Manila

Datalio, Rodel M.

Tagalog

Roman Catholic

Quezon City

Metro Manila

Delos Santos, Clarence Sacramento

11/27/03

Tagalog

Roman Catholic 253 E. Garcia St.

Silangan

Quezon City

Metro Manila

Fainsan, Jan Rhick Morrie Pascual

10/19/02

Tagalog

Roman Catholic 284 15th Ave.

Silangan

Quezon City

Metro Manila

Fernando, Dominic Paul Beligerdo

11/4/02

Tagalog

Roman Catholic 105 Stanford St.

E. Rodriguez

Quezon City

Metro Manila

Fernando, Jerry

Beligardo, Marilyn

Manuel, Mark Terrence Fernandez

11/1/03

Tagalog

Roman Catholic 62 Oxford St.

E. Rodriguez

Quezon City

Metro Manila

Manuel, Charlton

Fernandez, Almira

Nahera, Vince Caesar

11/1/03

Tagalog

Roman Catholic 139 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

N/A

Nahera, Marina

Noriga, John Jhonax Tito Serban

1/5/04

Tagalog

Roman Catholic 55 Cambridge St.

E. Rodriguez

Quezon City

Metro Manila

Noriga, Tito Jr.

Serban, Grace

Palada, Rydien Dionio

10/13/03

Tagalog

BAC

116 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Palada, Romel

Dionio, Louella

Pansacola, Wilfredo Fort Lalas

11/21/04

Tagalog

SD Adventist

05 Notre Dame

Silangan

Quezon City

Metro Manila

Pansacola, Wilfredo Jr.

Lalas, Methuseia

Palomares, Rafael Belga

8/31/03

Tagalog

Roman Catholic 50 B Harvard St.

E. Rodriguez

Quezon City

Metro Manila

Palomares, Samuel

Belga, Lualhati

Polintan, Gaveyel Iverson Belardo

6/9/03

Tagalog

Roman Catholic 29 C K-8th

West Kamias

Quezon City

Metro Manila

Polintan, Rolando

Belardo, Charisma

Quimora, Maverick Jhumar Inton

1/11/03

Tagalog

Roman Catholic 376 15th Ave.

Silangan

Quezon City

Metro Manila

Quimora, Joel

Inton, Rosario

Sacristan, Moses

Tagalog

Roman Catholic

Quezon City

Metro Manila

Santos, Mark Joshua

6/21/04

Tagalog

Roman Catholic Cambridge St.

E. Rodriguez

Quezon City

Metro Manila

N/A

Santos, Winnie

Simangan, Haneslevi Castro

9/11/04

Tagalog

Roman Catholic 21 K-9th

West Kamias

Quezon City

Metro Manila

Talucod, Albert Nonog

11/5/03

Tagalog

Roman Catholic 68 Yale St.

E. Rodriguez

Quezon City

Metro Manila

Talucod, Norberto

Nonog, Wilferda

Tamayo, Roberto

11/7/03

Tagalog

Roman Catholic 155 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

N/A

Tamayo, Jennifer

Abuda, Nicole Cyrine Nonepara

11/13/03

Tagalog

Roman Catholic 138 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Abuda, Nolasco

Nonepara, Christine

Abulag, Pinky Francisco

7/17/02

Tagalog

BAC

3 KJ St.

East Kamias

Quezon City

Metro Manila

Abulag, Charles

Francisco,Emie

Agraba, Maxine

3/9/04

Tagalog

Jehova

46 K-9th

West Kamias

Quezon City

Metro Manila

N/A

Agraba, Noemi

Aloroy, Angeline May Buna

11/12/03

Tagalog

East Kamias

Quezon City

Metro Manila

Aloroy, Angelito

Buna, Josephine

Ampuan, Jamaira Bagul

11/8/02

Tagalog

Socorro

Quezon City

Metro Manila

Ampuan, Musa

Bagul, Bangoling

Carillo, Axel Carl Canada

Iglesia Ni Cristo 65 K-10th


Islam

Murphy

Concon, Liberty

Delos Santos, Elviro

Sacramento, Rosalinda
Fainsan, Marie Janice

ARCHIMEDES
GUARDIAN

(If
not Parent)

Name

Relation-ship

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

LRN

Transferred IN

IP
(Ethnic Group)

RELIGION

House #/ Street/ Sitio/


Purok

Barangay

Municipality/ City

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

6/8/01

Tagalog

Roman Catholic Qmart

E. Rodriguez

Quezon City

Metro Manila

Balgemino, Roger

Mirabete, Marilou

Calpe, Alina Monica

4/17/04

Tagalog

Roman Catholic 138 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

(Deceased)

Calpe, Renalyn

Camba, Lovely Joy Quiros

2/15/04

Tagalog

Roman Catholic Qmart

E. Rodriguez

Quezon City

Metro Manila

Camba, Michael

Quiros, Violeta

Cudalina, Rhaiza Mae Tanauan

11/6/03

Tagalog

Roman Catholic 131 E. Garcia St.

West Kamias

Quezon City

Metro Manila

Dela Cruz, Julieta Quilang

7/29/04

Tagalog

Roman Catholic 15th Avenue

San Roque

Quezon City

Metro Manila

Dela Cruz, Jimmy

Quilang, Diday

1/20/03

Tagalog

Roman Catholic 157 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Dela Vega, Albert

Pelayo, Joliza

Dolon, Angeline Palma

6/21/03

Tagalog

Iglesia Ni Cristo 51 K-8th

West Kamias

Quezon City

Metro Manila

Dolon, Arsenio

Palma, Wilma

Fereras, Jan Christine Binas

2/4/04

Tagalog

Roman Catholic 36 K-8th

West Kamias

Quezon City

Metro Manila

Fereras, Eddie

Binas, Edna

Garzon, Phoebe Nicole Macay

4/2/03

Tagalog

Roman Catholic 59 Albany St.

Silangan

Quezon City

Metro Manila

Guevarra, Collet Yambao

2/5/03

Tagalog

Roman Catholic

Quezon City

Metro Manila

Guevarra, Christian

Yambao, Maricel

Macato, Irish Bianca

4/17/04

Tagalog

Roman Catholic 3 KJ St.

East Kamias

Quezon City

Metro Manila

Delector, Glen

Macato, Mia

Marias, Stephanie Maye Verzola

10/22/03

Tagalog

E. Rodriguez

Quezon City

Metro Manila

Marinas, Elymar

Verzola, Sheryl

Miranda, Kate Montefalcon

1/7/04

Tagalog

Roman Catholic 155 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Miranda, Gabby

Montefalcon, Mae

Noay, Jhoana Marie Barsa

11/10/03

Tagalog

Roman Catholic 45 K-9th

West Kamias

Quezon City

Metro Manila

Noay, Antonio

Barsa, Faustina

Padriguez, Kristel Jane Badilla

11/12/03

Tagalog

Roman Catholic 138 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Padriguez, Rufo

Badilla, Victoria

Pelio, Abba Marie Mendoza

12/8/03

Tagalog

Roman Catholic 85 K-9th

East Kamias

Quezon City

Metro Manila

Pelino, Abraham

Mendoza, Ma. Fe

Rabe, Shaira Mae Siapco

8/4/03

Tagalog

Roman Catholic 43 Columbia St.

E. Rodriguez

Quezon City

Metro Manila

Rabe, Prospero

Siapco, Nenita

Trapero, Katherine Nicole M.

Tagalog

Roman Catholic 138 E. Garcia St.

E. Rodriguez

Quezon City

Metro Manila

Code

Transferred Out

BIRTH DATE AGE as of 1st


MOTHER TONGUE
(mm/dd/ yyyy) Friday June

Required Information

BAC

49 Yale St.

Code

Required Information

T/O

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

CCT

CCT Control/reference number & Effectivity Date

T/I

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

B/A

Name of school last attended & Year

Reason and Effectivity Date

LWD

Specify

Reason (Enrollment beyond 1st Friday of June)

ACL

Specify Level & Effectivity Data

DRP
LE

Name

Tanauan, Rachel

Macayan, Beverly

REGISTERED

BoSY

MALE

22

FEMALE

24

TOTAL

46

EoSY

(If
not Parent)

Balgemino, Ronna Mae

Dela Vega, Ann Jelyn Cloe Pelayo

Indicator

Sex
(M/F)

GUARDIAN

PARENTS

Prepared by:

AMADO M. CADIONG
(Signature of Adviser over Printed Name)

BoSY Date:6/02/2014 EoSYDate:

Relation-ship

ADDRESS
LRN

Dropped
Late Enrollment

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH DATE AGE as of 1st


MOTHER TONGUE
(mm/dd/ yyyy) Friday June

IP
(Ethnic Group)

RELIGION

House #/ Street/ Sitio/


Purok

Barangay

PARENTS

Municipality/ City

Province

Father's Name (Last Name, First


Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

CHIMEDES
REMARKS
Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

REMARKS
Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

Certified Correct:

GEOFFREY H. ECHANIS
(Signature of School Head over Printed Name)

BoSY Date:

EoSYDate:

REMARKS
Contact Number of
Parent or Guardian

(Please refer to the legend


on last page)

School Form 2 (SF2) Daily Attendance Report of Learners


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

School ID

136558

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

School Year

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

FEMALE | TOTAL Per Day


1
2
3
4
5
6
7
8

Report for the Month of

Eulogio Rodriguez Sr. Elementary School

JUNE

Grade Level

VI

Section

AMETHYS
Total for the Month

(1st row for date)


13
M

MALE TOTAL PER DAY

2016-2017

14
TU

15
W

16
TH

17
FR

20
M

21
TU

22
W

23
TH

24
FR

27
M

28
TU

29
W

30
TH

23
FR

26
M

27
TU

28
W

29
TH

30
FR

TU

TH

FR

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reaso


number 2.
If TRANSFERRED IN/OUT, write the

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

Total for the Month

(1st row for date)


13
M

14
TU

15
W

16
TH

17
FR

20
M

21
TU

22
W

23
TH

24
FR

27
M

28
TU

29
W

30
TH

23
FR

26
M

27
TU

28
W

29
TH

REMARKS (If DROPPED OUT, state reaso


number 2.
If TRANSFERRED IN/OUT, write the

30
FR

TU

TH

FR

ABSENT

TARDY

9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

5.
The
advis
FEMALE | TOTAL Per Day
er
Combined
TOTAL PER DAY
will
provi
GUIDELINES:
de
necc
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
essar
2. Dates shall be written in the columns after Learner's Name.
y3. To compute the following:
interv
Registered Learners as of end of the month
entio
a.
Enrolment as of 1st Friday of the school year
ns
Percentage of Enrolment =
Total Daily Attendance
inclu
b.
ding
Number of School Days in reporting month
Average
Daily
Attendance
=
but
Average daily attendance
notc.
Registered Learners as of end of the month
limite Percentage of Attendance for the month =
d to
4.
home
Ever
visita
y end
tion
of the
to
mont
learn
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
h, *the
er/s
class Beginning of School Year cut-off report is every
who
advis 1st Friday of the School Year
were
er
abse
will
nt for
subm
5
itcons
this
form
ecuti
to the
ve
office
days
of the
and/o
rprinci
pal
those
for
at
School Form 2 : Page2 of 2
recor
risk
ding
of
of
drop
sum
ping
mary
out.
table

1. CODES FOR CHECKING ATTENDANCE

Month:

No. of Days of Classes:

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

x 100

2. REASONS/CAUSES FOR DROPPING OUT


a. Domestic-Related Factors
a.1. Had to take care of siblings

* Enrolment as of (1st Friday of June)


Late Enrollment during the month
(beyond cut-off)

a.2. Early marriage/pregnancy

x 100

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

Registered Learners as of end of the month


Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students absent for 5 consecutive days:
Drop out
Transferred out
Transferred in

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)

I certify that this is a true and correct report.


Mrs. Apolla Zamora
(Signature of Teacher over Printed Name)
Attested by:
GEOFFREY H. ECHANIS
(Signature of School Head over Printed Name)

OUT, state reason, please refer to legend


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

OUT, state reason, please refer to legend


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

Summary
M

TOTAL

20

45

20

44

100%

20
100%

nted Name)

44

100%

School Form 3 (SF3) Books Issued and Returned


(This replaces Form 1 & Inventory of Textbooks)

School ID
School Name

NO.

School Year

136558

3 BAUTISTA, JERICK JOHN


4 BERMUDEZ, RESLIE
5 BRONDO, MARK JOHN
6 CAIMOR, VICTOR
7 CAJUDO, RENEIL
0

9 CASTRO, KURT ADRIAN


10 CASIL, ULDARICO
11 CINCO, JOHN CARL
12 DIMASANGKAY, PAHAD
13 EJADA, JB
14 LAMBOT, JOHN PATRICK
15 LLAGAS, JOHN PAUL
16 MAHINAY, DANIEL
17 MANGCUCANG, AARON
18 OBISPO, REINIER
19 OPAO, AARON CHRISTIAN
20 PALAMING, HYNES HENDRICK
21 PANISAN, RONNIE
22 RAMIREZ, JOREMY
23 RANIN, JAYSON
24 RAPADA, MIGUEL

Section

AQUINO

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date

Date

Date

Issued

2 ALMAREZ, MARK ARON

IV

Subject Area & Title


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

8 CANO, JOB ROBERT

Grade Level

EULOGIO RODRIGUEZ SR. ELEM. SCHOOL

1 ADAN, ROLAND

2015-2016

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & T

Date
Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & T

Date
Returned

Issued

25 SUAREZ, ANDREAN
26 VILLANUEVA, EZECHEUS NATHANIEL
0
0
FEMALE
1

ASUNCION, JOAN ERICKA

BICALDO, LOVELY MAY

CAPRICHO, ZAMEERA

CELEDIO, RIZALINA

COMEDIA, LOVELY JEAN

DAEP, ANGELICA

DE GUZMAN, SHAIRA

DE GUIA, FRANCHEZKA PAULA

ENANO, LEA MAE

10

ESPINOSA, CHRISTINE JEN

11

ESTEBAN, JANELLA

12

EVA, MAIZEL

13

GERBANO, SHULER HADAR

14

MANABAT, SARAH

15

OCAMPO, ARIAN MELROSE

16

PILOTOS, PIA

17

STA. IGLESIA, JESSABEL

18

SUAN, JANELLE

19

TERCIO, ROSE ANN

20

SUAN, JANELLE

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

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

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

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

3. The Total Number of Copies issued at BoSY 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.

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:

Date BoSY:_____

ect Area & Title


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

Date
Returned

ect Area & Title


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

Date
Returned

AMADO M. CADIONG
TEACHER I

BoSY:____________ Date EoSY: ___________

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

REGISTERED
LEARNERS
(As of End of the
Month)
M

ATTENDANCE

Daily Average
M

DROPPED OUT

Percentage for the


Month
M

Rep

(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

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

Prepared and Submitted by:

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

(Signature of S
Page _____ of _____ pages

Report for the Month of


TRANSFERRED IN
(A) Cumulative as of
Previous Month
M

(B) For the Month


M

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

ignature of School Head over Printed Name)

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
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 / GRADE 12

SUMMARY TABLE
MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY

BEGINNNING
74% and below)
DEVELOPING
75%-79%)

(B:
(D:

APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
85% -89%)

(P:

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.

SCHOOLS DIVISION SUPERINTENDENT

4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.

School Year

GRADE 12

NDENT

TOTAL

TOTAL

MALE

FEMALE

TOTAL

TOTAL

MALE

FEMALE

TOTAL

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 SF 7 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 ________

1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion w
2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.

3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Oth

4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or

5. In the future, the format of the modified forms may be adjusted to align with the most recent polic

port on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12

K to 12 program. Other grade/year level will keep that column blank.

SF 4 may be used or the current form 3)

he most recent policy of K to 12 program.

EC and K to 12

You might also like