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School ID Region

School Name

AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Alcomendras, Audy Murphy Alfaro M 4/4/05 14 Zamboanga del Sur

Calaque, Reynald Recorte M 7/20/04 14 Zamboanga Sibugay


AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Felicio, Jesreal Omay M 12/28/04 14 Zamboanga del Sur

Maito, Nashrodin Neri M 9/7/05 13 Zamboanga del Sur

Marcampo, Edrian Delos Reyes M 1/14/05 14 Zamboanga del Sur

Marcampo, Radzmer Abdulhakim M 1/4/05 14 Zamboanga del Sur

Otanio, Richo Bansale M 10/27/04 14 Zamboanga del Sur

Rama, Nycko Xien Ciano M 8/9/04 14 Zamboanga del Sur

Ruste, Haynes Rovann M 11/3/04 14 Zamboanga del Sur


AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Sabandal, Suhail Guiapal M 3/4/04 15 Zamboanga del Sur

Sahac, Muntasir Amar M 5/10/05 14 Zamboanga del Sur

Sikal, Alnajhib Abdul M 10/30/01 17 Zamboanga Sibugay

Tan, John Rey Saladaga M 1/4/05 14 Zamboanga del Sur

Tano, Francis M

Tubos, Elejohn Reforma M 3/19/03 16 Zamboanga del Sur

Zulieta, Narohdeen M
AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Abas, Norsima Maito F 2/19/03 16 Zamboanga del Sur

Abdulhakim, Athena Kay ? F

Abdurajack, Darwisa ? F

Abubakar, Adawia ? F 2/28/05 15 Zamboanga del Sur

Akmad, Joria Arasad F 12/20/04 14 Zamboanga del Sur

Alibasa, Dayana Edith Caiba F 3/8/03 16 Zamboanga del Sur


AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Amilasan, Sitti Laica Amman F 8/18/02 16 Zamboanga del Sur

Caiba, Andria Ditomopa F 00/10/00 Zamboanga del Sur

Denopol, Reca Mae ? F 7/14/04 14 Zamboanga del Sur

Lagayan, Jhazmine ? F 4/6/04 15 Zamboanga del Sur

Llanes, Sarah Joy Payero F 12/17/03 15 Zamboanga del Sur

Mama, Nas-Rhea Amelusin F 8/22/05 14 Zamboanga del Sur

Marcampo, May Yen Neri F 2/3/05 14 Zamboanga del Sur


AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Marcampo, Shaira Narbonita F 3/23/04 15 Zamboanga del Sur

Mawalao, Zaema Nok F 5/5/05 14 Zamboanga del Sur

Mahamod, Nor-ain Mohammad F 2/10/05 14 Zamboanga del Sur

Nastah, Halima Arquiza F 10/3/04 14 Zamboanga del Sur

Pobresa, Marifel

Romualdez, Juhaina ? F 12/25/04 14 Zamboanga del Sur

Ruiz, Michelle Angela Alfaro F 3/1/04 15 Zamboanga del Sur


AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Sabtorani, Loyna Maito F 3/20/04 15 Zamboanga del Sur

Sahirani, Hanan F 6/10/04 15 Zamboanga del Sur

Subbo, Karma Galabon F 6/9/04 15 Zamboanga del Sur

Tahari, Dina Salawaddin F 3/31/04 15 Zamboanga del Sur

Tiamson, Helden Babe Nacion F 5/22/05 14 Zamboanga del Sur


AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

List and code of Indicator


ndicator Code
Required Information Indicator
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity DateCCT Recipient

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity DateBalik-Aral
Dropped DRP Reason and Effectivity Date Learner With Dissab
AGE as of 1st
Friday of June
BIRTH
BIRTH
NAME Sex DATE
LRN PLACE
(Last Name, First Name, Middle Name) (M/F) (mm/
dd/yy) (nos. of years as (Province)
per last
birthday)

Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated


School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

Division District

School Year Grade Level

ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Seventh-day Purok Orchids


Visayan Poblacion Margosatubig Zamboanga del Sur Alex
Adventist
Roman
Visayan Poblacion Margosatubig Zamboanga del Sur Reynante
Catholic
ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Church of
Visayan Poblacion Margosatubig Zamboanga del Sur Danny
Christ

Islam Poblacion Margosatubig Zamboanga del Sur Nasser

Samal Bangingi Islam Poblacion Margosatubig Zamboanga del Sur Esa

Samal Bangingi Islam Poblacion Margosatubig Zamboanga del Sur Habier

Roman
Visayan Purok Dahlia Poblacion Margosatubig Zamboanga del Sur Roborto
Catholic

Visayan Born Again Poblacion Margosatubig Zamboanga del Sur Antonio

Subanen IP Danganan Lapuyan Zamboanga del Sur


ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Maguindanao Islam Purok Water Lily Poblacion Margosatubig Zamboanga del Sur Abdulnasse

Samalutangan Islam Poblacion Margosatubig Zamboanga del Sur

Tausog Islam Purok Water Lily Poblacion Margosatubig Zamboanga del Sur Metraser

Roman
Visayan Purok Talong Tulapok Margosatubig Zamboanga del Sur Romeo
Catholic

Roman
Visayan ? Danganan Lapuyan Zamboanga del Sur Elejor
Catholic
ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Samalutangan Islam Poblacion Margosatubig Zamboanga del Sur Kadil

Maguindanao Islam Ameril

Samal ? Islam Poblacion Margosatubig Zamboanga del Sur Mohamadin

Maguindanao Islam Purok Cadena De Amor Poblacion Margosatubig Zamboanga del Sur Hiroddin
ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Samal ? Islam Poblacion Margosatubig Zamboanga del Sur Abdull

Maguindanao Islam ? Lenok Madalum Lapuyan Zamboanga del Sur Alex

Roman
Visayan Poblacion Margosatubig Zamboanga del Sur ?
Catholic

Tausog Islam Purok Water Lily Poblacion Margosatubig Zamboanga del Sur Arosal

Roman
Visayan Poblacion Margosatubig Zamboanga del Sur Rodel
Catholic

Maguindanao Islam ? Bensar

? Islam Poblacion Margosatubig Zamboanga del Sur Romeo


ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Samal Bangingi Islam Poblacion Margosatubig Zamboanga del Sur Alih

Maguindanao Islam Poblacion Margosatubig Zamboanga del Sur Noron

Tausog Islam Poblacion Margosatubig Zamboanga del Sur Yusop

Tausog Islam Poblacion Margosatubig Zamboanga del Sur Jacaria

Samalutangan Islam Poblacion Margosatubig Zamboanga del Sur Lito

Seventh-day Purok Orchids


Visayan Poblacion Margosatubig Zamboanga del Sur Michael
Adventist
ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Maguindanao Islam Poblacion Margosatubig Zamboanga del Sur Loy

Tausog Islam Purok Cadena de Amor Poblacion Margosatubig Zamboanga del Sur Kennedy

Tausog Islam Poblacion Margosatubig Zamboanga del Sur Kamma

Samalutangan Islam Poblacion Margosatubig Zamboanga del Sur Aldi

Roman
Visayan Purok Donñ a Aurora Poblacion Margosatubig Zamboanga del Sur Marden Jr.
Catholic
ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)

Indicators under REMARK column


or Code
Required Information BoSY

cipient CCT CCT Control/reference number & Effectivity Date MALE

ral B/A Name of school last attended & Year FEMALE

r With Dissabi LWD Specify


TOTAL
ADDRESS NAME O
IP
MOTHER (Specify
RELIGION
TONGUE Ethnic
Group) House # / Father (1st name on
Municipality/
Street/Sitio/ Barangay Province family name identic
City
Purok learner)
TOTAL
ated ACL Specify Level & Effectivity Data
Section

NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S


Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Alex Ailyn Alfaro

eynante Lolita Recorte


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Danny Fidela Omay

Nasser Benita Neri

Esa Jocelyn Delos Reyes

Habier Nacida Abdulhakim

oborto Perigrena Bansale

ntonio Shariza Ciano


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

dulnasse Fatima Guiapal

Aida Amar

etraser Julma Abdul

Romeo Alberta Saladaga

Elejor Anna Mae Reforma


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Kadil Mariama Maito

Ameril Jubaira ?

hamadin Hanina Arasad

iroddin Nuria Caiba


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Abdull Nanang Amman

Alex

? ?

Arosal ?

Rodel Robleny Payero

Bensar Esnaira Amelusin

Romeo Elena Neri


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Alih Juvelyn Narbonita

Noron Norcida Nok

Yusop Norha Mohammad

acaria Abadihya Arquiza

Lito ?

Michael Analyn Alfaro


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Loy Aisa Maito

ennedy Norhaya Macabada

amma Jumdia Galabon

Aldi Sittihana Salawaddin

arden Jr. Helen Nacion


NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Prepared by: Certified Correct:


EoSY

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
st name only if /Guardian)
Relationshi (Please refer to the
me identical to Mother (Maiden) Name p legend on last page)
arner)

Date:___________________________________ Date:____________________________
School Form 2 (SF2) Daily Attendance Report for learner
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Month Reporting

Name of School Grade Level Section


DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)

MALE | TOTAL Per Day


DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)

FEMALE | DAILY TOTAL


Combined TOTAL PER DAY
L E G E N D:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. blank- Present; (x)- Absent; Tardy (half
2. Dates shall be written in the preceding columns beside Learner's Name. shaded= Upper for Late Comer, Lower for
3. To compute the following: Cutting Classes)
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problem

b. Individual-Related Factors
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of b.1. Illness
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
b.2. Overage
5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.4. Drug Abuse
b.5. Poor academic performance
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)

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 & clan
feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others
ction
Total for the
Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)
Total for the
Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)
Total for the
Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)

Month:
Summary for the
No. of Days of Month
Classes:
M F TOTAL

Enrollment as of (1st Friday of June)


Late Enrollment (beyond cut-off)

Registered Learner as of end of the month

Percentage of Enrollment as of end of the


month

Average Daily Attendance

Percentage of Attendance for the month

Number of students with 5 consecutive days of


absences:

Drop out
Total for the
Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)
Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)


School Form 3 (SF3) Books Issued and Returned
(This replace Form 1 & Inventory of Text Book)

School ID School Year


School Name Grade Level Section
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title
LEARNER'S NAME
NO. (Last Name, First Date Date Date Date Date Date
Name, Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title
LEARNER'S NAME
NO. (Last Name, First Date Date Date Date Date Date
Name, Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES


Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title
LEARNER'S NAME
NO. (Last Name, First Date Date Date Date Date Date
Name, Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title
LEARNER'S NAME
NO. (Last Name, First Date Date Date Date Date Date
Name, Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

0 TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES


GUIDELINES: In case of losses/unreturned, please provide information with the following
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/D
2. The Date of Issuance and the Date of Return shall be reflected. NEG=Negligence
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learne
reflected. parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly note
for submission to School Property Custodian (for code TDO), PTL=Paid by the Le
NEG). References: DO#23, s.2001; DO#25 s.2003; DO#14, s.2012.
rned

ect Area & Subject Area & Subject Area &


Title Title Title
REMARK/ACTION TAKEN
Date Date Date (Please refer to the code on
last page)
Returned Issued Returned Issued Returned
ect Area & Subject Area & Subject Area &
Title Title Title
REMARK/ACTION TAKEN
Date Date Date (Please refer to the code on
last page)
Returned Issued Returned Issued Returned
ect Area & Subject Area & Subject Area &
Title Title Title
REMARK/ACTION TAKEN
Date Date Date (Please refer to the code on
last page)
Returned Issued Returned Issued Returned
ect Area & Subject Area & Subject Area &
Title Title Title
REMARK/ACTION TAKEN
Date Date Date (Please refer to the code on
last page)
Returned Issued Returned Issued Returned

the following code: Prepared By:


Transferred/Dropout,

r from Learner duly signed by


port duly noted by School Head (Signature over printed name)
Paid by the Learner (for code
.

School Form 3: Page 2 of ________


School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T

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

Prepared
GUIDELINES:
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only
accomplish the summary column per grade/year level.
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

(A+B) (A+B)
(A) Cumulative
(B) For the Cumulative as as of Previous (B) For the Cumulative as
Month of End of the Month of End of the
Month
Month Month

M F T M F T M F T M F T M F T
repared and Submitted by:

(Signature of School Head over Printed Name)


School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)

Region Division District

School ID School Year Curriculum

School Name Grade Level

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE ACTION RBEC in High School. Elementary grades level
(Numerical Value in TAKEN: implementing RBEC need not to fill up this c
LEARNER'S NAME
LRN 3 decimal places for PROMOTED,
(Last Name, First Name, Middle Name) honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE ACTION RBEC in High School. Elementary grades level
(Numerical Value in TAKEN: implementing RBEC need not to fill up this c
LEARNER'S NAME
LRN 3 decimal places for PROMOTED,
(Last Name, First Name, Middle Name) honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY

TOTAL MALE
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE ACTION RBEC in High School. Elementary grades level
(Numerical Value in TAKEN: implementing RBEC need not to fill up this c
LEARNER'S NAME
LRN 3 decimal places for PROMOTED,
(Last Name, First Name, Middle Name) honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE ACTION RBEC in High School. Elementary grades level
(Numerical Value in TAKEN: implementing RBEC need not to fill up this c
LEARNER'S NAME
LRN 3 decimal places for PROMOTED,
(Last Name, First Name, Middle Name) honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY

TOTAL FEMALE

COMBINED
Proficiency

Section

o 12 Curriculum and remaining


mentary grades level that still
d not to fill up this column)

as of End of the current SY

SUMMARY TABLE

MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED
o 12 Curriculum and remaining
mentary grades level that still
d not to fill up this column)

as of End of the current SY

LEVEL OF PROFICIENCY

MALE FEMALE TOTAL

BEGINNNING
(B: 74%
and below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and
above)
o 12 Curriculum and remaining
mentary grades level that still
d not to fill up this column)

as of End of the current SY

Prepared by:

Class Adviser
(Name and Signature)

Certified Correct and Submitted:

School Head
(Name and Signature)

GUIDELINES:

1. For All Grades Level


o 12 Curriculum and remaining
mentary grades level that still
d not to fill up this column)

as of End of the current SY

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 and the level of proficiency
according to the individual general average
4. Must be tallied with the total enrollment
report as of End of School Year GESP /GSSP
(BEIS)

School Form 5: Page 2 of ________


School Form 6 (SF6) Summarized Report on Promotion and Level of Proficienc
(This cancel 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 /
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

Nos. of BEGINNNING
(B: 74% and below)

Nos. of DEVELOPING
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of ADVANCED
(A: 90% and above)
TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:

School Head Division Planning Officer/ Schools Division Super


Education Program Supervisor

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 ea
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.
iciency

School Year

ADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL


on Superintendent

esult in each data field.


School Form 7 (SF7) School Personnel Assignment List and Basic Profi
(This replace 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 Schoo
(A) Nationally-Funded Teaching Related Items (B) Nationally-Funded Non Teaching Items (C) Other Appointments and Funding S

Title of Plantilla Position Number of Title of Plantilla Position Number of Nature of Appointment and Designation Fund S
(as appeared in the appointment document) Incumbent (as appeared in the appointment document) Incumbent (Contractual, Substitute, Volunteer & others) (SEF, PTA, N

EDUCATIONAL QUALIFICATION * Daily Program (time d


Subject Taught
Employee No.

Name of School (include Grade &


Personnel Position/ Nature of
Fund Designatio Section) & Other
Sex Appointme DAY
(Arrange by Position, Source Degree / Post Major/ Ancillary From To
n nt Minor (M/T/W
Descending) Graduate Specialization Assignment /TH/F) (00:00) (00:00)
(Please Specify)

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION * Daily Program (time d
Employee No. Subject Taught
Name of School (include Grade &
Position/ Nature of
Personnel Fund Designatio Section) & Other
Sex Appointme DAY
(Arrange by Position, Source Degree / Post Major/ Ancillary From To
n nt Minor (M/T/W
Descending) Graduate Specialization Assignment /TH/F) (00:00) (00:00)
(Please Specify)

Ave. Minutes per Day

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION * Daily Program (time d
Employee No. Subject Taught
Name of School (include Grade &
Position/ Nature of
Personnel Fund Designatio Section) & Other
Sex Appointme DAY
(Arrange by Position, Source Degree / Post Major/ Ancillary From To
n nt Minor (M/T/W
Descending) Graduate Specialization Assignment /TH/F) (00:00) (00:00)
(Please Specify)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION * Daily Program (time d
Employee No. Subject Taught
Name of School (include Grade &
Position/ Nature of
Personnel Fund Designatio Section) & Other
Sex Appointme DAY
(Arrange by Position, Source Degree / Post Major/ Ancillary From To
n nt Minor (M/T/W
Descending) Graduate Specialization Assignment /TH/F) (00:00) (00:00)
(Please Specify)

Ave. Minutes per Day


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 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 (Signature of Sch
the lowest. This form shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only.
rofile

chool Year
ding Sources

Fund Source Number of Incumbent


PTA, NGO's etc.) Non-
Teaching
Teaching

ime duration)
Remark/s
Actual (For Detailed Items,
Teaching/ Indicate name of
Service school/office, For IP's
Render -Ethnicity)
(Mins/Day)
ime duration)
Remark/s
Actual (For Detailed Items,
Teaching/ Indicate name of
Service school/office, For IP's
Render -Ethnicity)
(Mins/Day)
ime duration)
Remark/s
Actual (For Detailed Items,
Teaching/ Indicate name of
Service school/office, For IP's
Render -Ethnicity)
(Mins/Day)
ime duration)
Remark/s
Actual (For Detailed Items,
Teaching/ Indicate name of
Service school/office, For IP's
Render -Ethnicity)
(Mins/Day)

of School Head over Printed Name)

School Form 7: Page 2 of ________

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