School Form Deped

School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
127860
School Name
Region X
Division
Salay Central School
School Year
Misamis Oriental
2015-2016
Grade Level
IV
ADDRESS
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
LRN
BIRTH DATE
(mm/dd/yyyy)
AGE as of
1st Friday
June
MOTHER TOUNGE
IP
(Ethnic Group)
Abao , Glenn Jan S.

Adoremos , Joshua B.
Arazo , Ethan Kyle C.
Babaran , Arthur Jude D.
Bantasan , Angelo , Gabriel S.
Borja , James Anthony R.
Canda , James Anthony H.
Canonayon , Eron P.
Fuentes , Jerson D.
Galang , Jerald A.
Gandinao , John Jireh J.
Gervacio , Ryan Nino T.
Gervacio , Rylle Nikko T.
Jabagat , Gian Rey D.
Jabagat , Jay B.
1 of 2
PARENTS
RELIGION
House #/ Street/ Sitio/
Purok
Barangay
Municipality/ City
Province
Father's Name (Last Name,

First Name, Middle Name)
ADDRESS
NAME
Sex (M/F)
LRN
BIRTH DATE
(mm/dd/yyyy)
AGE as of
1st Friday
June
MOTHER TOUNGE
IP
(Ethnic Group)
Locloc , Andrei
Locloc , James J.
Olarita , John Cedrick E.
Pamero ,Marc M.
Placibe , Ian Jr.
Torawan ,Jade V.
Salvana , Ivan Trassey N.
Salvana , Jay-Arc U.
Salvana , Maue D.
Sugano , Jesson E.
Villamor , John Bruce C
2 of 2
PARENTS
RELIGION
Purok
Barangay
Municipality/ City
Province

ADDRESS
NAME
Sex (M/F)
LRN
BIRTH DATE
(mm/dd/yyyy)
AGE as of
1st Friday
June
MOTHER TOUNGE
IP
(Ethnic Group)
Yamo , Ram L.
3 of 2
PARENTS
RELIGION
Purok
Barangay
Municipality/ City
Province

ADDRESS
27
NAME
Sex (M/F)
LRN
BIRTH DATE
(mm/dd/yyyy)
AGE as of
1st Friday
June
MOTHER TOUNGE
IP
(Ethnic Group)
<=== TOTAL MALE

Agcopra , Clarissa P.
Baratiguin , Princess Mae P.
Bebillo , Mhey Ann J.
Belacho , Shanley Mae D.
Bonggo , Christine F.
Calalin , Gwyneth Faye
Claudel , Thea
Concepcion , Grace Z.
Dasdas , Desiree E.
4 of 2
PARENTS
RELIGION
Purok
Barangay
Municipality/ City
Province

District
Salay
Section
HUMBLE
GUARDIAN
(if Not Parent)
PARENTS
Mother's Maiden Name (Last Name, First Name, Middle Name)
Name
REMARKS
Relationship
Contact Number
of Parent or
Guardian
(Please refer to the legend
on last page)
5 of 2
GUARDIAN
(if Not Parent)
PARENTS
Name
REMARKS
Relationship
Contact Number
of Parent or
Guardian
on last page)
6 of 2
GUARDIAN
(if Not Parent)
PARENTS
Name
REMARKS
Relationship
Contact Number
of Parent or
Guardian
on last page)
7 of 2
GUARDIAN
(if Not Parent)
PARENTS
Name
REMARKS
Relationship
Contact Number
of Parent or
Guardian
on last page)
8 of 2
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID
127860
School Year
Name of School
Report for the Month of
SALAY CENTRAL SCHOOL
JUNE
Grade Level
IV
Section
(Last Name, First Name,
Amper, Josiah Jess Villon
Babia, Val Justine Dave Dator
Guinalang, Tedd Clarence
Jangao, Delfin Jr. Da-ao
Lingatong, Nelmark Cagape
Llido, Daniel Roy Tabac
Pacyao, Janbencent
Pahunang, Jhon Ken Sibunga
Pamisa, Frankie Rhey Cayetuna
TH
TH
6
M
10
TH
13
M
14
15
16
17
TH
INDUSTRIOUS
Total for the Month
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
Middle Name)
2016-2017
20
M
21
22
23
24
27
28
29
30
TH
TH
21
22
23
24
27
28
29
30
TH
TH
ABSENT
TARDY
REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
10 Sacay, Rolly Jr. Sugano

11
Valencia, Marc Carlo Laniton
MALE | TOTAL Per Day

Middle Name)
1
Aliocod, Betcy Aguinot
Bardaje, Jolina Mae
Cambarihan, Yesha Umbal
Castillo, Melody Buena
Daming, Benaiah Mofar
Delos Santos, Marah Balangiao
Estrada, Antonila Enopia
Estrada, Antonili Enopia
Galgo, Annesa Cristel Excelise
10 Galia, Althea Cassandra Gonzaga

11
Gonzales, Jenalyn
12 Guayan, Aika Hagunay

13 Jamito, Mary Claire Salamangca
14 Jamon, Mary Grace Bustamante
15 Labial, Lecil Jane Padua
16 Llido, Ivy Belacho
17 Llido, Zyreign Mae Tabac
18 Loyao, Maria Lou Zulita
19 Oyan, Janelle Balabag
20 Quidet, Maricris Zulita
21 Sabuero, Clydel Maestrado
Total for the Month
LEARNER'S NAME
6
M
10
TH
13
M
14
15
16
17
TH
20
M
ABSENT
TARDY
22 Salvaa, Jhohana Lindsey

23 Saraus, Jyrheca Dahilan
24 Umbal, Shine Heart
25 Valencia, Stephani Balangiao
26 Zulita, Lovely Jane Daming
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
GUIDELINES:
1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:
blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)
a.
Percentage of Enrolment =
b.
Average Daily Attendance =
c. Percentage of Attendance for the month =
20
20
Month:
0
0
JUNE
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. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
Late Enrollment during the month
a.1. Had to take care of siblings

a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of absences or those with potentials of dropping out
6. 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
WARNING: THERE ARE MALES/FEMALES DROP OUT OR TRANSFERRED OUT FROM THE CLASS PLEASE NOTIFY YOUR ACTION UNDER REMARKS.
(beyond cut-off)
Registered Learner as of end of the month

Percentage of Enrolment as of end of the month
a.4. Family problems
Average Daily Attendance
b. Individual-Related Factors
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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
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
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.
d.1. Distance between home and school
VERONICA P. FLORES
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related
School Form 2: Page 2 of 2
Summary for the Month
No. of Days of Classes:
* Enrolment as of (1st Friday of June)
e.1. Child labor, work

f. Others
Attested by:
JOVENCIO U. GORRES
(Signature of School Head over Printed Name)

School ID
127860
School Year
Name of School
2016-2017
OCTOBER
Grade Level
IV
Section

Middle Name)
1
Agcopra, Kent James Llagas
Gallana, Gregorio
Jangao, Jr. Delfin Da-ao
Pacyao, Janbencent
10
3
M
4
T
5
W
6
TH
7
F
10
M
11
T
12
W
13
TH
14
F
3
M
4
T
5
W
6
TH
7
F
10
M
11
T
12
W
13
TH
14
F
17
M
18
T
19
W
20
TH
21
F
INDUSTRIOUS
Total for the Month
LEARNER'S NAME
24
M
25
T
26
W
27
TH
28
F
31
M
TH
24
M
25
T
26
W
27
TH
28
F
31
M
TH
ABSENT
TARDY
11 Pamesa, Frankie Rhey Cayetuna

12
Sacay, Rolly Jr. Sugano
13


Middle Name)
1
Aliocod, Bettcy Aguiot
Bardaje, Jolina Mae Mole
6 De Los Santos, Marah Balangiao

7 Galgo, Annesa Cristel Excelise
8 Galia, Althea Cassandra Gonzaga
9
Total for the Month
LEARNER'S NAME
Gonzales, Jenalyn Saraos
17
M
18
T
19
W
20
TH
21
F
ABSENT
TARDY
Guayan, Aika Hagunay
10
11 Jamito, Mary Claire Salamangca

12 Jamon, Mary Grace Bustamante
13
Labial, Lecil Jane Padua
14
Llido, Ivy Belacho
15
Llido, Zyreign Mae Tabac
16
Loyao, Maria Lou Zulita
17
Oyan, Janelle Balabag
18
Quidet, Maricris Zulita
19
Sabuero, Clydel Maestrado
20
Salvaa, Jhohanna Lindsey
21
Saraus, Jyrheca Dahilan
22
Umbal, Shine Heart
23
Valencia, Stephani Balangiao
24
Zulita, Lovely Jane Daming

GUIDELINES:
Month:
OCTOBER

a.
b.

x 100

x 100

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse

Drop out

Transferred out
WARNING: THERE ARE MALES/FEMALES DROP OUT OR TRANSFERRED OUT FROM THE CLASS PLEASE NOTIFY YOUR ACTION UNDER REMARKS.
(beyond cut-off)
c.1. Teacher Factor
Transferred in

c.3. Peer influence
VERONICA P. FLORES
WARNING: EVIDENCE OF TRANSFERREES IN ARE DETECTED PLEASE NOTIFY YOUR ACTION UNDER REMARKS.
f. Others
Attested by:
JOVENCIO U. GORRES

School ID
127860
School Year
Name of School
Amper , Josiah Jess Villion
Babia ,Val Justine Dave Dator
Guinalang , Tedd Clarence
Jangao , Jr. Delfin Da-ao
Lingatong ,Nelmark Cagape
Llido , Daniel Roy Tabac
Pacyao , Janbencent G.
11
Pahunang , Jhon Ken Sibunga

Pamesa , Frankie Rhey
Cayetuna
Sacay , Rolly Jr. Sugano
12
Valencia , Marc Carlo Laniton
10
AUGUST
Grade Level
IV
Section
TH
TH
10
11
12
13
14
TH
11
12
13
14
TH
17
M
18
19
20
21
TH
24
25
26
27
28
TH

Middle Name)
1
De Los Santos, Marah Balangiao
10
17
25
26
27
28
TH
18
19
20
21
TH
31
T
TH
ABSENT
TARDY
TH
ABSENT
TARDY
Total for the Month
LEARNER'S NAME
INDUSTRIOUS
Total for the Month
LEARNER'S NAME
Middle Name)
2016-2017
24
31
#REF! #REF!
#REF!
#REF! Galgo, Annesa Cristel Excelise
#REF! Galia, Althea Cassandra Gonzaga
#REF! Gonzales, Jenalyn Saraos
#REF! Guayan, Aika Hagunay
#REF! Jamito, Mary Claire Salamangca
#REF! Jamon, Mary Grace Bustamante
#REF! Labial, Lecil Jane Padua
#REF! Llido, Ivy Belacho
#REF! Llido, Zyreign Mae Tabac
#REF! Loyao, Maria Lou Zulita
#REF! Oyan, Janelle Balabag
#REF! Quidet, Maricris Zulita
#REF! Sabuero, Clydel Maestrado
#REF! Zulita, Lovely Jane Daming
#REF! #REF!
#REF!

GUIDELINES:
a.
b.

M

Month:
x 100
-38
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#REF!
#REF!
38

b.1. Illness
b.2. Overage
b.3. Death

b.4. Drug Abuse

c.1. Teacher Factor
c.3. Peer influence
WARNING: PUPILS WHO ATTENDED A SINGLE SESSION WITHIN THE MONTH SHOULD NOT BE MARK TRANSFERRED OR DROPPED
Drop out
Transferred out
Transferred in
WARNING: EVIDENCE OF TRANSFERREES IN ARE DETECTED PLEASE NOTIFY YOUR ACTION UNDER REMARKS.
VERONICA P. FLORES
#REF!
Attested by:

f. Others
JOVENCIO U. GORRES

School ID
127860
School Year
Name of School
2016-2017
SEPTEMBER
Grade Level
IV
Section

Middle Name)
TH
10
11
TH
14
M
INDUSTRIOUS
Total for the Month
LEARNER'S NAME
15
16
17
18
21
TH
22
23
24
25
28
TH
29
30
TH
ABSENT
TARDY
10 Pamesa , Frankie Rhey Cayetuna

11
12 Valencia , Marc Carlo Laniton

#REF! #REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
TH
10
11
TH
22
23
24
25
TH
29
30
Total for the Month
LEARNER'S NAME
Middle Name)
1
#REF! #REF!
#REF!
#REF! Galgo, Annesa Cristel Excelise
7
M
14
M
(beyond cut-off)

x 100
F
0
15
16
17
18
TH
21
M
28
M
TH
ABSENT
TARDY
MIMBULI ELEMENTARY SCHOOL

CHECKLIST ON DAILY TOOTHBRUSHING
SY 2014-2015
School ID
127858
School Year
Name of School
LEARNER'S NAME
(Last Name, First
Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
Err:509
Err:509

Pamesa , Frankie Rhey Cayetuna
Err:509
Err:509
2014-2015

M
Grade Level

F
M
T
W
T
F
M
8
11
12
13
14
15
18
19
20
/
/
/
/
/
/
/
/
/
/
/
/
/
/
X
/
/
/
X
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
X
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509 Err:509
14
12
14
14
13
14
LEARNER'S NAME
(Last Name, First
Name, Middle Name)

1
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509

F
M
T
W
T
F
M
8
11
12
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
0
0
0
0
0
13
14
15
18
19
20
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
X
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
11
11
11
11
10
11
Prepared by:
KC JOY W. CACULBA
Flouride Patrol Leader
25
23
25
25
23
25

SY 2014-2015
School ID
127858
School Year
Name of School
LEARNER'S NAME
(Last Name, First
Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
Err:509
Err:509

Pamesa , Frankie Rhey Cayetuna
Err:509
Err:509
2014-2015
Grade Level
10
11

F
M
T
W
T
F
M
12
15
16
17
18
19
22
23
24
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509 Err:509
LEARNER'S NAME
(Last Name, First
Name, Middle Name)
1
2
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
10
11

F
M
T
W
T
F
M
12
15
16
17
18
19
22
23
24
Err:509 Err:509
Err:509 Err:509
0
0
0
0
0

Prepared by:

SY 2014-2015
School ID
127858
School Year
Name of School
LEARNER'S NAME
(Last Name, First
Name, Middle Name)
1
###
###
###
###
###
###
###
###
###
###
0
0
0
0

Galia, Althea Cassandra Gonzaga
2014-2015

M
Grade Level

F
M
T
W
T
F
M
10
13
14
15
16
17
20
21
22
###
###
###
###
###
###
Gonzales, Jenalyn Saraos

Jamito, Mary Claire Salamangca
Jamon, Mary Grace Bustamante
Llido, Ivy Belacho
###
LEARNER'S NAME
(Last Name, First
Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Umbal, Shine Heart

Umbal, Shine Heart
Umbal, Shine Heart
Umbal, Shine Heart
Umbal, Shine Heart

F
M
T
W
T
F
M
10
13
14
15
16
17
20
21
22
19
20
21
22
23
24

Umbal, Shine Heart

Prepared by:
rt for the Month of
AUGUST
Grade Level
Section
21
22
25
26
27
28
29
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
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/
/
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/
/
/
/
/
H
O
L
I
D
A
Y
I
N
T
R
A
M
S
HOPE
Total for the Month
Number of Days
ABSENT
REFUSED
ACTED
1
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
11
11
11
10
11
11
11
11
11
11
11
10
11
D
A
Y
A
M
S
14
14
14
14
14
151
21
22
25
26
27
28
29
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
X
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
11
10
11
11
H
O
L
I
D
A
Y
I
N
T
R
A
M
S
Total for the Month

Number of Days
ABSENT
REFUSED
ACTED
/
/
/
/
/
/
/
/
/
/
/
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
11
11
11
11
10
10
11
11
11
11
11
119
25
24
25
25
25
Noted:
RONIELYN A. TAGARDA
Teacher
270
rt for the Month of
SEPTEMBER
Grade Level
Section
25
26
29
30
KIND
Total for the Month
Number of Days
ABSENT
REFUSED
ACTED
25
26
29
30
Total for the Month

Number of Days
ABSENT
REFUSED
ACTED
Noted:
Teacher
rt for the Month of
OCTOBER
Grade Level
Section
23
24
27
28
29
30
31
HOPE
Total for the Month
Number of Days
ABSENT
REFUSED
ACTED
23
24
27
28
29
30
31
Total for the Month

Number of Days
ABSENT
REFUSED
ACTED
Noted:
Teacher
School ID
127860
School Name
NO.
LEARNER'S NAME
FILIPINO
ENGLISH
Date
Date
Issued
1
Gallana, Gregorio Tolentino
Jangao, Delfin Jr. Da-ao
Pacyao, Janbencent
10
11
Pamisa, Frankie Rhey Cayetuna
12
Sacay, Rolly Jr. Sugano
13

TOTAL FOR MALE | TOTAL COPIES
Aliocod, Betcy Aguinot
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
13
6/17/2016
13
6/17/2016
School Form 3 (SF3) Books Issued and Returned

(This replaced Form 1 & Inventory of Text Book)
School Year
2016-2017
Grade Level
Section
IV
NGLISH
MATH
SCIENCE
AP
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
13
13
6/17/2016
6/17/2016
13
6/17/2016
Returned
INDUSTRIOUS
ESP
EPP
Subject Area & Title
Date
Date
Date
Issued
Returned
Issued
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
13
6/17/2016
13
6/17/2016
13
6/17/2016
Returned
REMARK/ACTION TAKEN
(Please refer to
the legend on last page)
NO.
LEARNER'S NAME
FILIPINO
ENGLISH
Date
Date
Issued
2
Bardaje, Jolina Mae
Delos Santos, Marah Balangiao
Galia, Althea Cassandra Gonzaga
Gonzales, Jenalyn
10
11
Jamito, Mary Claire Salamangca
12
Jamon, Mary Grace Bustamante
13
14
Llido, Ivy Belacho
15
16
Loyao, Maria Lou Zulita
17
Oyan, Janelle Balabag
18
Quidet, Maricris Zulita
19
Sabuero, Clydel Maestrado
20
Salvaa, Jhohana Lindsey
21
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
NGLISH
MATH
SCIENCE
AP
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
Returned
ESP
EPP
Date
Date
Date
Issued
Returned
Issued
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
Returned
REMARK/ACTION TAKEN
(Please refer to
NO.
LEARNER'S NAME
FILIPINO
ENGLISH
Date
Date
Issued
22
Umbal, Shine Heart
23
Valencia,Stephanie Balangiao
24
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
TOTAL FOR FEMALE | TOTAL COPIES
24
24
TOTAL LEARNERS | TOTAL COPIES
37
37
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 copy/ies of this form may use if needed.
NGLISH
MATH
SCIENCE
AP
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
24
24
24
37
37
37
Returned
In case of losses/unreturned, 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), T
for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.200
ESP
EPP
Date
Date
Date
Issued
Returned
Issued
Returned
Issued
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
6/17/2016
24
24
24
37
37
37
n (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head
ces: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
Returned
Prepared By:
(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________
School Form 3: Page 2 of ______
REMARK/ACTION TAKEN
(Please refer to
over printed name)
EoSY: ___________
School Form 3: Page 2 of ________
School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absenteeis
Region
School ID
Division
Misamis Oriental
127860
School Name

ATTENDANCE
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Percentage for 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 forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the summary column per grad
rner's Movement and Attendance
4-Absenteeism and Dropout Profile)
District
s Oriental
Salay
School Year
2016-2017
OPPED OUT
For the Month

T
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
JUNE
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
umn per grade/year level.
Prepared and Submitted by:

0
School Form 5 (SF 5) Report on Promotion & Le
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate
Region
Division
School ID
School Year
School Name
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level
Completed as of end of
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
otion & Level of Proficiency
and List of Graduates)
District
Curriculum
Grade Level
Section
LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)
eted as of end of current SY
as of End of the current SY

SUMMARY TABLE
STATUS
MALE
FEMALE
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
LETE SUBJECT/S
column)

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
column)

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 teacher. The class adviser should
make the computation of 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
column)

4. Must tallied with the total enrollment report as of End of School Year
GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under the discretion
of the Schools Division Superintendent
School Form 5: Page 2 of ________
School Form 6 (SF6) Summarized Report on Promotion

and Level of Proficiency
(This replaced Form 20)
School ID
Region
127858
School Name
10
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
Division
MISAMIS OR
District
SALA
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
PROMOTED
18
12
17
12
11
23
13
10
23
IRREGULAR
RETAINED
TOTAL
MALE
TOTAL
MALE
FEMALE
TOTAL
MALE
TOTAL
MALE
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
MALE
(B:
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
90% and above)
(A:
FEMALE
FEMALE
10
10
FEMALE
Nos. of ADVANCED
90% and above)
TOTAL
Prepared and Submitted by:
(A:
18
12
17
JEFFREY M. ZAMBRANO
SCHOOL HEAD
Reviewed & Validated by:
NORBERTO E. ROSALAES
DIVISION REPRESENTATIVE
Noted by:
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
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 will remain under the discretion of the Schools Division Superintendent
CHERRY MAE L
n Promotion
MISAMIS ORIENTAL
SALAY
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
2013-2014
TOTAL
FEMALE
TOTAL
MALE
FEMALE
17
13
16
58
56
114
FEMALE
TOTAL
MALE
MALE
FEMALE
14
20
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
ld.
CHERRY MAE L. LIMBACO Ph.D.,CESO V

SCHOOLS DIVISION SUPERINTENDENT
21
14
35
School Form 7 (SF7) School Personnel Assignment List and Basic P

(This replaced 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
Title of Plantilla Position

(as
appeared in the appointment document/PSIPOP)
Number of Incumbent
(B) Nationally-Funded Non Teaching Items
Title of Plantilla Position

(as
appeared in the appointment document/PSIPOP)
Number of
Incumbent
Title of Designation
(Designation as ap
contract/document: Teacher, C
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 SY, updated Form 19 must submit 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. This form shall also serve as inventory list of
personnel.
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.
and Basic Profile
ent List,
s)
School Year
(C ) Other Appointments and Funding Sources
ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)
Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)
Number of Incumbent
Teaching
NonTeaching
* Daily Program (time duration)

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

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

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

Items, Indicate name of
Total Actual
To (00:00)
-Ethnicity)
Assignment per
Week

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

Items, Indicate name of
Total Actual
To (00:00)
-Ethnicity)
Assignment per
Week

Submitted by:
o the Division Office .

as inventory list of school

Updated as of: ___________________________
School Form 7, Page 2 of ________

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School Form 1 (SF 1) School Register

Salay Central School

Abao , Glenn Jan S.

Father's Name (Last Name,

Father's Name (Last Name,

Father's Name (Last Name,

<=== TOTAL MALE

Father's Name (Last Name,

Mother's Maiden Name (Last Name, First Name, Middle Name)

Mother's Maiden Name (Last Name, First Name, Middle Name)

Mother's Maiden Name (Last Name, First Name, Middle Name)

Mother's Maiden Name (Last Name, First Name, Middle Name)

School Form 2 (SF2) Daily Attendance Report of Learners

Report for the Month of

SALAY CENTRAL SCHOOL

(Last Name, First Name,

Amper, Josiah Jess Villon

Babia, Val Justine Dave Dator

Guinalang, Tedd Clarence

Jangao, Delfin Jr. Da-ao

Lingatong, Nelmark Cagape

Llido, Daniel Roy Tabac

Pahunang, Jhon Ken Sibunga

Pamisa, Frankie Rhey Cayetuna

(1st row for date, 2nd row for Day: M,T,W,TH,F)

10 Sacay, Rolly Jr. Sugano

Valencia, Marc Carlo Laniton

MALE | TOTAL Per Day

(Last Name, First Name,

Aliocod, Betcy Aguinot

Bardaje, Jolina Mae

Cambarihan, Yesha Umbal

Castillo, Melody Buena

Daming, Benaiah Mofar

Delos Santos, Marah Balangiao

Estrada, Antonila Enopia

Estrada, Antonili Enopia

Galgo, Annesa Cristel Excelise

10 Galia, Althea Cassandra Gonzaga

12 Guayan, Aika Hagunay

Total for the Month

(1st row for date, 2nd row for Day: M,T,W,TH,F)

22 Salvaa, Jhohana Lindsey

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

1. CODES FOR CHECKING ATTENDANCE

Average Daily Attendance =

c. Percentage of Attendance for the month =

Registered Learner as of End of the Month

Late Enrollment during the month

a.1. Had to take care of siblings

Registered Learner as of end of the month

a.4. Family problems

Average Daily Attendance

Percentage of Attendance for the month

d.1. Distance between home and school

d.2. Armed conflict (incl. Tribal wars & clanfeuds)

(Signature of Teacher over Printed Name)

School Form 2: Page 2 of 2

Summary for the Month

No. of Days of Classes:

* Enrolment as of (1st Friday of June)

e.1. Child labor, work