School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)

School Name St. Jude College 5000071416 Dasmarinas Division Cavite Region IV-A
Track and
Semester 1ST SEMESTER 2018-2019 Grade Level Grade 12 Housekeeping
Strand
Section HK-TPS

COMPLETE ADDRESS PARENTS GUARDIAN

REMARKS
Sex (M/F)

A (if learner is not Living with Parent) Contact Number of

NAME BIRTHDATE Mother's Maiden Name
LRN (Last Name, First Name, Name G Parent/ (Please refer to the legend)
B4
(mm/dd/yyyy) House No./ Father's Name Name (Last Name, First
1. Extension, Middle Name) E
Street/ Sitio/ Barangay Province (Last Name, First Name, Name, Name Relationship Guardian
L44
Villa PurokPh
(Last Name, First Name, Name
Extension, Middle Name) Extension, Middle
2.
307 Buhay Efren Name Extension, Middle
Algordo, John II
Hermo Mary Name)Ann Name)
3.
107
811 M 7/17/2000 ### na Cavite Guardiano N/A N/A 997-7259706 F
Biol, John Angkay
Christian Peter Garnet
sa Molino Gemma
B11B12 Tubig
4. Angkay
118
130 Cabangbang,
883 M 11/20/2000### Cavite Pedro Biol
Algordo N/A N/A 915-8166505
Perez B75
B1
L30L1 Molino
St. IV Caferino Federica
Perez
5.
307
786
016 Ralph
060 Lyndon M 7/20/2000 ###
L12 Ph Citiho Cavite N/A N/A 905-8507946
Cabil, John Paul L13
Ph
Mary 3 IV Cabangbang Marivi
Lanoy
6.
107
815
060
031 Lanoy M 1/24/1999 ###
II Golden
mes Cavite Narciso Cabil N/A N/A 998-2971365
Calunsag,
Dalisay Raffy Mabuh
Camia
Home Jose Zacaria
Dalisay 921-3867265
7.
107
912
140
005 Camet, Jimuel M 10/20/1998###B3 Citiho
Salawa
Subd. Cavite N/A N/A
Carpina B10
ay
st.
s Subd mes Calunsag Calunsag
8.
107
883
060
110 Dichoso, M 2/22/2000 ###
L23 g Cavite Ariel Ganaga Liz Maturan N/A N/A 926-5125392
Maturan Dominic B15
L3
Home Ivory Domingo Hazel
9.
164
924
060
135 Diego, M 11/10/1999###Ph1A Ph
Subd. II Cavite N/A N/A 949-7332955
Andrei Daniel
LozadaJeric Beliaz
L3
Salitra
s Crest Dichoso Marcelina
Dichoso
10.
107
002
050
042 Estacio, John M 10/16/2000###B5 Mamb Cavite Kidro Diego N/A N/A 921-7195658
Talain ona
Garani
n III Albert Allen Talain
11.
302
972
060
114 Garcera, M L35
8/19/2000 ### og I Cavite Gina Nunez N/A N/A 908-9543820
Kristoffer Mark
Nunez Arago
um St. Salitra Mamuel
Estacio
12.
107
225
060
087 Gutierrez, Prince M 11/2/1998 ###
Molino San Cavite Merly Diago N/A N/A 928-7905570
Fulgar B200
B439
n n III Rodolfo
Garcera
13.
107
922
110
118 Ilas, M 10/13/2000###Home Manue Cavite Juvy Aguilar N/A N/A 935-6219367
Macos Andrei Khean
Aguilar L14
L11 Mabuh Gutierrez
14.
301
974
060
300 M s II lI Cavite N/A N/A
15. Inocentes
Madera, Michael Ph2 ay Mario Myrna
107
171
060
344 M 3/31/1998 ### Cavite N/A N/A 909-3216070
107 Molina,
John John
Almohea B2 L3 Palipar
Mabuh Nara
Homes Ederic
Madera Leolyn
Madera
16.
923
110
360 M #1
5/7/2001 ### Cavite N/A N/A 997-7383401
886 Patrick
Reamico, Christian
Gammaru Citiho
ay St.
an
2000 III Molina Amadoline
Gammaru
17.
107
060
931 M 11/27/2000###Balaya
Villa Cavite Leo Reamico N/A N/A 927-7189389
112 Segador,
Canete Bejie mes
City Molino Benris Rosalinda
Canete
107
888
442 Tolentino, Raymon M n
7/11/2000 ###
Espera Pasong Cavite N/A N/A 930-3075921
114 Wenceslao Subd. II
IV Guillermo
Segador Rosel
Wencislao
1.
976
121 M Tolenti
1/28/2000 ###
nza Buaya Cavite N/A N/A 946-7332093
1
2. Pederiso Tolentino Pederiso
303
17 <=== TOTAL MALE
060
024 no Ph
I II
Acuyado, Exykiel B33 Clarissa T.
3.
107
345
036 Almeda, F 105
4/21/2001 ###
Comp Golden Cavite Eric Acuyado N/A N/A 946-2097821
Trisha
Clarice Masalig L32 Divino Masalig
4.
107
878
130 Balondo, Angelica F B143
9/25/2000 ###
Molino
ound City Mabuh Cavite Nilda Almeda N/A N/A 910-4029425
Mae Gulde Rafael
Almeda Analyn
107
912
060
0 F L9
IB52PhL6 ay
2/6/2001 ### Cavite N/A N/A 956-5504953
Benemerito,
Joyce Palipar Rogelio
Sirafico Balondo
923
060
012 Roselyn Negro F 7/13/2001 ###1 Homes Cavite Rosie Negro N/A N/A 927-6927851
107 an III Banemerito
060
082 Bohol, Jackie Mabuh San
B31 Emma
922 F 9/9/1999 ###ay city Isidro Cavite Noel Bohol N/A N/A 907-0604454
103 Calipay
6. L10 ang Calipay
060 B3 Labrad
164 Pag-
Brionnes, L13 Samuel
010 F 1/5/2001 ### asa Cavite Liezel Gabriel N/A N/A 912-0088637
7. Yessamin Gabriel Legard Brionnes
060 Woodsi
Mabuh
107 a
B1St.
026 Cua, Christhel B55 toayII
8.
923 F 2/14/2001 ###L147 Cavite Rodrigo Cua Dona Valena N/A N/A 916-7285504
Valena B12
L10 Homes
9.
111
060 Diala, Shiela Mae Ph 2 SMC
L6
ph1 2000
108
329
189 Gabayno, F 10/4/2000 ### Barang Cavite Romao Diala Melicar Gan N/A N/A 910-3139590
Gan Annabel Michig
Zone II Minerv Buenaventur Alma
603
060 F 1/25/1998 ###B6 St. L7 aay Cavite N/A N/A 920-1131854
10. Margate an
Palipar St. a Gabayno Margate
060
045 Grapef
107 South
an II
004 Gabuya, Pamela ruit St. Salitra Michele
924 F 5/6/2001 ###II
B7 Cavite Efien Gabuya N/A N/A 946-9499697
11. Malinao Summ n III Malinao
060 L48
109 erwind San
144 Husin, Safah B7
Amari Rosalina
12.
466 F 1/22/1998 ###Ph II Miguel Cavite Salam Husin N/A N/A 929-8744809
Gabriel L48
s Gabriel
104
060 B7 SanII
Husin, Sitti Amari
Home Rosalina
561
276
13. F 2/1/2000 ###L10 Miguel Cavite Salam Husin N/A N/A 929-8744809
Marwah Gabriel s Gabriel
120
14.
136 Inapan, Kyle 303
Summ Pasong II
Citiho
Home
P2A Rowena
033 Dafodelle
15.
305
913 F 1/10/2000 ###Bagay
erpoin mes
Buaya Cavite John Inapan N/A N/A 906-0131627
Labrador, s
Avenu Greens Alexander Redelyn
Labargan
16.
164
404
060 Labargan F 2/14/2001 ###St.
tB25 Subd.II Cavite N/A N/A 905-8611333
Lalicon, Eunice
Alexandra Yuson e Boroug Judy Antonio
Lbrador Yuson
17.
107
003
130
051 Lanuza, Shelyssa F 4/19/2001 ### Villa
Reside Molino Cavite Fema Romero N/A N/A 9219636781
Romero B2
B141
L14
B23L6 h Licolin Cheryl
18.
108
911
060
085 Layson, F 12/1/2000 ### B34
Verde
nce Pasong
IV Cavite N/A N/A 927-4066871
Shine Shaine
Espeleta L18
L26
Redhe Subd. Lanuza
19.
107
099
060
122 Liad, Kyle F 9/12/1999 ### B9
L24
subd. Ph Buaya Cavite Efren Layson Julieta Yrigan N/A N/A 999-3142856
Ann Yrigan St.
Ph1
art St. Palipar
Saban Jocelyn
20.
106
923
060
079 Macalimpas, F 9/9/2000 ### L14
IV
P II II Cavite Gerry Liad N/A N/A 908-4720799
Sabandal Micha
Mabuh Molino angIII Danilo Sabandal
21.
107
179
060
023 Malicdem, F 2/16/2000 ### #37
Summ Cavite Lumen Miclat N/A N/A 999-6799025
Danica Miclat Mary aySL Salitra
el II Roberto
Macalimpas Ma. Emilia
22.
107
921
120
367 Marquez, Ruth F 1/15/2000 ### Bausti
er Cavite N/A N/A 975-4435940
Anna Manuel BF
City San
Salawa
n III Raul
Malicdem Manuel
23.
107
912
060
248 Martinez, F 11/2/2000 ### sta
Meado Cavite Rubine Guaza N/A N/A 929-1065901
24. AngeliqueAngel
Guaza B31
Topma
B9
Isidro
g Orlando
Marquez Camela
107
922
060
292 Milan, Christal Joy F 4/3/2001 ### B81
Comp
ws Cavite N/A N/A 907-3928900
Pangilinan L10
n Ph Malaga Palipar
Labrad Bonifacio
Martinez Pangilinan
25.
107
907
060
386 Nayve, F 10/29/2000### L41
L1
ound
Subd. an Cavite Marilyn Papa N/A N/A 949-7653279
Papa Julianne or III Vicente
Milan
107
902
060
463 Pabalan, Paola
26. F 4/14/2001 ### Green
1 San
sasng Cavite Edith Tugade N/A N/A 916-3483166
Tugade Eladio
Nayve Annaliza
917
060
155 Batrina
107 F 6/302001 ### B90 L2 Juan
Park II-D
San Cavite Ronald N/A N/A 999-5958829
B8 Pabalan Sr. Batrina
063
267 Pama, Xyla Hugo
27.
921 F 2/27/2001 ### Villa
B4 L10 Dionas City Cavite Alfonso Rowena Hugo N/A N/A 907-5539888
L36
563
107
060 Penano, Shannen io Pama
28. B12
San Salawa Rosana
912
353
29. F 4/16/2000 ### Cavite Ric Penano N/A N/A 929-8151489
107 Kaye Francisco L3
Marino Pasong g Malusay
060 Samarro, Ronelle Oscar Viviana de
107
873
30 F 2/24/2000 ### B33
Vsilejo
Classi Buaya Cavite Roselyn N/A N/A 936-4929708
473 Xavier,
De Asis Mae St. Joseph
Samarro Asis
922
061
301 Dianne Pederiso F 12/20/2000### Excess
place
c
154 II
Palipar Cavite Eleanor N/A N/A 9482250049
31. Vale, Maria B4 Peter Xavier Ma. Lourdes
060
90
182 F 7/18/2000 ### lot
ph
Chopl III an III Cavite Jerry Vale Pederiso N/A N/A 948-6690362
107
771 Angelika Gonzales L13 Gonzales
130 Yuvencio, ot Sampa
Site Jerico Rosalinda
913 F 6/8/2001 ### Klings Cavite N/A N/A 921-9637781
234 Jackielyn Quezon loc I Yuvienco Quezon
06031 <=== TOTAL FEMALE herd
11048 <=== COMBINED Village

Legend: List and Code of Indicators under REMARKS column

Indica Co Beginning of the Prepared By:

Required Information Indicator Required Information End of the Semester
tor de Semester
Transfe T/ CCT Recipient CCT Control/reference
rred O number & Effectivity Date
Out Name of school last
Balik Aral
attended & Year
Transfe
rred In T/I
Name of School, Date of 1st Attendance Learner With Specify Exceptionality of the Signature of Adviser over Printed Name
and Date of Last Attendance if Transferred Exceptionality Learner
Specify Level & Effectivity
Out Accelerated Date
Beginning of the Semester End of the Semester Date:
Date:

SFRT 2017
 School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)

School Name St. Jude College School ID 5000071416 District Dasmarinas Region IV-A
Division Cavite

Semester 1st Semester School Year 2018-2019 Grade Level Track and Strand Housekeeping

Section HK-TPS Course/s (only for TVL) Month of June

DATE
Total for the Month
NAME 18 19 21 22 23 25 26 27 28 29 REMARKS
No. 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT,
(Last Name, First Name, Name Extension, Middle Name) write the name of Track/Strand/Program).
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

1 Algordo, John Christian A. X 1

2 Biol, John Peter P. X X 2
3 Cabangbang, Ralph Lyndon L. 0
4 Cabil, John Paul D. 0
5 Calunsag, Raffy C. 0
6 Camet, Jimuel M. 0
7 Dichoso, Dominic Andrei L X 1
8 Diego, Daniel Jeric T. 0
9 Estacio, John Kristoffer N. 0
10 Garcera, Mark F. 0
11 Gutierrez, Prince Marcos A. 0
12 Ilas, Andrei Khean I. X 1
13 Madera, Michael John A. X X 2
14 Molina, John Patrick G. 0
15 Reamico, Christian C. X 1
16 Segador, Bejie W. 0
17 Tolentino, Raymon P. X 1
17 16 16 10 17 16 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17
17 <=== MALE | TOTAL Per Day ===> 9 0

1 Acuyado, Exykiel Clarisse M. X 1

2 Almeda, Trisha Mae G. 0
3 Balondo, Angelica Joyce 0
4 Benemerito, Roselyn N 0
5 Bohol, Jackie C. 0
6 Brionnes, Yessamin G. X 1
7 Cua, Christhel V. 0
8 Diala, Shiela Mae G. 0

SFRT 2017
 DATE
Total for the Month
NAME 18 19 21 22 23 25 26 27 28 29 REMARKS
No. 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT,
(Last Name, First Name, Name Extension, Middle Name) write the name of Track/Strand/Program).
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

9 Gabayno, Annabel M. X X 2
10 Gabuya, Pamela M 0
11 Husin, Safah G. X 1
12 Husin, Sitti Marwah G. 0
13 Inapan, Kyle Dafodelle 0
14 Labrador, Alexandra Y. 0
15 Lalicon, Eunice R. 0
16 Lanuza, Shelyssa Shine E. 0
17 Layson, Shaine Ann Y. 0
18 Liad, Kyle S. 0
19 Macalimpas, Danica M. 0
20 Malicdem, Mary Anna M. X 1
21 Marquez, Ruth Angelique G. 0
22 Martinez, Angel P. 0
23 Milan, Christal Joy P. 0
24 Nayve, Julianne T. 0
25 Pabalan, Paola B. 0
26 Pama, Xyla H. 0
27 Penano, Shannen Kaye F. 0
28 Samarro, Ronelle D. 0
29 Xavier, Mae Dianne P. 0
30 Yuvienco, Jaqueline Q. 0
30 <=== FEMALE | TOTAL Per Day ===> 30 28 27 29 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 6 0
47 44 43 39 47 46 47 47 47 47 47 47 47 47 47 47 47 47 47 47 47 47 47 47 47
47 Combined TOTAL Per Day
1. CODES FOR CHECKING No. of Days of Classes:
GUIDELINES: Month: Summary
ATTENDANCE
(blank) - Present; (x) - Absent; Tardy (half shaded = Upper for Late
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance Comer, Lower for Cutting Classes)
2. To compute the following:
M F TOTAL

SFRT 2017
 (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for Late
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance DATE Comer, Lower for Cutting Classes)
2. To compute the following: 18 19 21 22 23 25 26 27 28 29 Total for the Month
No. NAME REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT,
(Last Name, First Name, Name Extension, Middle Name) write the name of Track/Strand/Program).
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

* Enrolment (as of 1st Friday of the semester)

2. REASONS/CAUSES FOR NO LONGER IN SCHOOL (NLS)

a. Percentage of Enrolment = x 100 Late Enrolment during the month (beyond cut-off)

Registered Learners as of end of the month

a. Domestic-Related Factors Percentage of Enrolment as of end of the month

a.1. Had to take care of siblings Average Daily Attendance
a.2. Early marriage/pregnancy
b. Average Daily Attendance = a.3. Parents' attitude toward schooling Percentage of Attendance for the month
a.4. Family problems

Number of students absent for 5 consecutive days

c. Percentage of Attendance for the month = x 100

b. Individual-Related Factors
b.1. Illness
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording b.2. Overage
No Longer in School (NLS)
of summary table into School Form 4. Once signed by the School Head, this form should be returned to b.4. Drug Abuse
b.5. Poor Academic Performance
Transferred Out
the Class Adviser. b.6. Lack of Interest/Distractions
Transferred In
b.7. Hunger/Malnutrition
4. The Class 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. Shifting Out
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period.
Shifting In
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence

I certify that this report is true and correct:

d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:

Signature of School Head over Printed Name

f. Others (Specify)
a. Death

b. Transferred to School Abroad

c. Transferred to International School

d. Transferred to ALS

SFRT 2017
 School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

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
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
 SF3-SHS)
Division Region

d Strand

Book / ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
 Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>

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 shall be reflected in the form.
4. The Total Number of Copies of Books Returned shall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, please provide information with the following code:
Prepared By:
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), 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 No.23, s.2001, DO No.25, s.2003, DO No.14,
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned

ignature of Class Adviser over Printed Name

 School Form 4 Monthly Learners' Movement and Attendanc

School Name District Division

School ID Semester School Ye

ATTENDANCE DROPPED OUT TRANSFERRED OUT

REGISTERED
LEARNERS (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as
of the Month) Average Month the Month the Month
of Previous End of the of Previous of End of
Month Month Month the Month

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

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12

GRAND TOTAL
Prepared and Submitted By:

Signature of Sc
 ance for Senior High School (SF4-SHS)

Region

hool Year

TRANSFERRED IN SHIFTED OUT SHIFTED IN

(A) (A+B) (A) (A+B) (A) (A+B)

Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(B) Total for (B) Total for (B) Total for
Number as Number as of Number as Number as of Number as Number as
the Month the Month the Month
of Previous End of the of Previous End of the of Previous of End of the
Month Month Month Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T
re of School Head over Printed Name
 School Form 5A End of Semester and School Year Status of Learne

School Name St.Jude College Dasmariñas Cavite School ID

Semester 2nd

Track and Strand TVL - INFORMATION & COMMUNICATION TECHNOLOGY

BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

MALE
1 402063150132 Abaño, John Edmar B. N/A
2 107922070088 Ballon, Vohx Archie M. Personal D., Reading & Writing
3 107922070095 Bañares, John Richardson C. Komunikasyon, Personal D.
4 107886050063 Berbes Jr., Dennis Ray B. N/A
R&W, CONTEMP, S&P, MIL, PR1,
5 301171150301 Biron, Patrick C.
FPL, CSS
6 40191650382 Bueno, Angelo Gabriel M. N/A
7 424114150194 Cadiz, Charlie C. N/A
8 107883070051 Cerin, Mark Christian M. N/A
9 Cruz, John Lery V. N/A
10 Cruz, Jhon Rexson C. N/A
11 DeQuiroz, Mark Angelo C. N/A
12 Delos Santos, Timothy Jords B. N/A
13 Duran, Anthony Jr. R. N/A
14 Estribor, Charnelle P. N/A
15 Gadores, Mark Angelo O. N/A
16 Go, Jochel Angelo O. N/A
17 Gutlay, Lawrence Dave V. N/A
18 JARDOLIM, RAYMART P. N/A
19 Manaois, Cyrhein C. N/A
20 Michael, Prince Cedric T. N/A
21 Montimor, James M. N/A
22 Perez, Anthony Paul V. N/A
23 Perez, Michael Kent P. N/A
24 Rocaberte, Julius G. N/A
 BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

25 Santos, John Gabriel B. N/A

26 Tejero, Aaron, Senobio N/A
27 Torres, Eon, Abustan N/A
28 Vasquez, Amel Manasseh M. N/A
29 Verdejo Jr., Nilo L. N/A
FEMALE
30 Andres, Mary Ann F. N/A
31 Casibua, Jemima Miles T. N/A
32 Cielo, Zhaira Jeane Bryne N/A
33 Fajardo, Julia Ann S. N/A
34 FLORIDA, DANIELLA T. N/A
35 Portillo, Angel J. N/A
36 Rio, Caselyn J. N/A
37 Salazar, Mary Ann G. N/A
38 Samson, Angelica Eve V. N/A
39 Sarmiento, Norvie P. N/A
40 Vadillo, Klarisse Maureen L. N/A

GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of
elements shall be filled up only after the 2nd semester or at the end of the School Year.

INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with
Note: Do not include learners who are No Longer in School (NLS)

End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
of Learners for Senior High School (SF5A-SHS)

District Division Region 4A

Grade Level 11 Section 1

Course/s (only for TVL) INFORMATION & COMMUNICATION TECHNOLOGY

END OF 1ST END OF 2ND

END OF SCHOOL
SEMESTER SEMESTER
YEAR STATUS
STATUS STATUS (Regular/ Irregular)
(Complete/ Incomplete) (Complete/ Incomplete)

COMPLETE COMPLETE REGULAR

INCOMPLETE INCOMPLETE IRREGULAR SUMMARY TABLE 1ST SEM

INCOMPLETE COMPLETE IRREGULAR STATUS MALE FEMALE TOTAL

COMPLETE COMPLETE REGULAR COMPLETE 27 11 38

INCOMPLETE 2 0 2
COMPLETE INCOMPLETE IRREGULAR
TOTAL 29 11 40
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR SUMMARY TABLE 2ND SEM

COMPLETE COMPLETE REGULAR STATUS MALE FEMALE TOTAL

COMPLETE COMPLETE REGULAR COMPLETE 26 10 36

COMPLETE COMPLETE REGULAR INCOMPLETE 2 0 2
COMPLETE COMPLETE REGULAR TOTAL 28 10 38
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR SUMMARY TABLE (End of the School Year Only)

COMPLETE COMPLETE REGULAR STATUS MALE FEMALE TOTAL

COMPLETE COMPLETE REGULAR REGULAR 25 10 35

COMPLETE COMPLETE REGULAR IRREGULAR 3 0 3
COMPLETE COMPLETE REGULAR TOTAL 28 10 38
COMPLETE N/A N/A
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
Prepared By:
COMPLETE COMPLETE REGULAR
 END OF 1ST END OF 2ND
END OF SCHOOL
SEMESTER SEMESTER
YEAR STATUS
STATUS STATUS (Regular/ Irregular)
(Complete/ Incomplete) (Complete/ Incomplete)

COMPLETE COMPLETE REGULAR Carl Michael A. Apiladas

Signature of Class Adviser over Printed Name
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
Certified Correct By:

COMPLETE COMPLETE REGULAR Mr. Kristoffer V. Viloria, LPT, MaEd,

Signature of School Head over Printed Name
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
Reviewed By:
COMPLETE N/A N/A
COMPLETE COMPLETE REGULAR
Signature of Division Representative over Printed Name
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR
COMPLETE COMPLETE REGULAR

able for End of School Year Status blank/unfilled at the end of the 1st Semester. These data

cts failed (with grade less than 75%)

 School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name School ID District Division Region
Semester School Year Section
Track and Strand Course/s (only for TVL)

Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)

MALE

SUMMARY TABLE A
STATUS MALE FEMALE TOTAL

Learners who
completed SHS
Program within 2
SYs or 4
semesters

Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters

TOTAL

SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL

Note: NCs are recorded here for documentation but is not a requirement for
graduation.
 Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
Note: NCs are recorded here for documentation but is not a requirement for
graduation.

GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.

FEMALE
Reviewed By:

Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

 Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
 School Form 6 Summarized Report of Learner Status as of End of Semester and Scho

School Name School ID District

Semester School Year

END OF SEMESTER STATUS

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL

Prepared and Submitted By: Reviewed & Validated By:

Signature of School Head over Printed Name Signature of Division Representative o
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall comput
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
and School Year for Senior High School (SF6-SHS)

Division Region

END OF SCHOOL YEAR

(Fill up only at the end of the second semester.)

REGULAR IRREGULAR TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

Noted By:
presentative over Printed Name Signature of Division Superintendent over Printed Name

shall compute the grade level total per track/strand/course and school total.
 School Form 7 School Personnel Basic Profile and Assign
School Name School ID District
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items

Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)

EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
 EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
 EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended

GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
Division Region

(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

of Designation
(Contractual, Fund Source
(as it appears in the contract/document:
Substitute, (SEF, PTA,
her, Clerk, Security Guard, Driver etc.)
Volunteer, Others NGO's etc.) Teaching Non-Teaching
specify)

Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
 Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
 Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

movement of teachers and other

k to the lowest. Signature of School Head over Printed Name

rted.
Updated as of:

School Form 7, Page ___ of ________

SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)

School Name District Division

School ID Grade Section Track/Strand (SHS)

Learner's Name Nutritional Sta

Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
MALE

SFRT 2017
 Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)

FEMALE

SFRT 2017
 Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)

SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL

Date of Assessment: Conducted/Assessed By: Certified Correct By:

SFRT 2017
gh School (SF8-SHS)

Region

School Year

ional Status
Height for
BMI Remarks
Age (HFA)
Category

SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category

SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category

Height for Age (HFA)

Summary Table
Tall Total

Reviewed By:

SFRT 2017

SFRT 2017