Professional Documents
Culture Documents
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F
Section
LEARNER'S NAME
(Last Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F
b.1. Illness
4. Every end of the month, the class adviser will submit this form b.2. Overage
b.3. Death
5. The adviser will provide neccessary interventions including but
School Form 4. Once signed by the principal, this form should be
b.4. Drug Abuse
c. School-Related Factors
d. Geographic/Environmental
d.3. Calamities/Disasters
e. Financial-Related
Month:
KING ATTENDANCE No. of Days of Summary
ancy
Registered Learners as of end of the month
rd schooling
mance
Number of students absent for 5 consecutive days:
ctions
Drop out
ors
Transferred out
classroom
Transferred in
mental
me and school
ribal wars & clanfeuds) I certify that this is a true and correct report.
Attested by: