SHS Forms

School Form 1 School Register for Senior High School (S
School Name College of Saint Amatiel Inc. School ID 406404 District Lone District
Semester 1st Semester School Year 2018-2019 Grade Level 11

Section St. Luke Course (For TVL Only) Home Economics
COMPLETE ADDRESS PARENTS
Sex (M/F)
NAME BIRTHDATE Religious
NO. LRN (Last Name, First Name, Name Extension,
(mm/dd/yyyy)
AGE Father's Name Mother's Maiden Na
Middle Name) Affiliation Municipality/
House No./ Street/ Sitio/ Purok Barangay Province (Last Name, First Name, Name (Last Name, First Name, N
City Extension, Middle Name) Extension, Middle Nam
10
11
12
13
14
15
SFRT 2017
hool (SF1-SHS)
Division Malabon City Region NCR
Track and Strand TVL / Home Economics
TS GUARDIAN
(if learner is not Living with Parent) Contact Number of REMARKS
Mother's Maiden Name Name Parent/ (Please refer to the legend)
Last Name, First Name, Name (Last Name, First Name, Name Relationship Guardian
Extension, Middle Name) Extension, Middle Name)
SFRT 2017
Sex (M/F)
(mm/dd/yyyy)
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
SFRT 2017
TS GUARDIAN
SFRT 2017
Sex (M/F)
(mm/dd/yyyy)
36
37
38
39
40
16 <=== TOTAL MALE

1 Alicaya, Erica F 10/9/2000 17 Catholic Bldg. 32 Unit20 Temp. Housing Tondo Manila Metro Manila Delmundo, Joel Alicaya, Rebecca
2 Balute, Maricar Z. F 2/27/1999 19 Catholic 44 Rosal St. Brgy.105 Tondo Manila Metro Manila Balute, Eduardo Balute, Mary Jan
3 Bildan, Lanny F 8/12/2001 16 Catholic Bldg28-102 Permanent Housing Tondo Manila Metro Manila Cendaña, Sonny D. Bildan, Shiella B
4 Cacnio, Lizel F. F 4/22/2002 16 Catholic 415 Bicol Area Tanza Navotas Metro Manila Cacnio, Herminio Jr. C. Cacnio, Cecille F
5 Calunsod, Jackylou F
6 Casa, Anierei F 12/19/2001 16 Catholic 70 Blk3 San Jose Navotas Metro Manila Casa, Renante M. Casa, Anieruth C
7 Esmero, Christine Joy Tubesa F 1/18/2001 17 Bornagain R10 Buklod Diwa St. NBBS Navotas Metro Manila Esmero, Edgar S. Esmero, Rosefe M
8 Joseph, Jacquelyn Bernardino F 2/8/2001 17 Catholic Quintos St. San Jose Navotas Metro Manila Joseph, Jeffrey Joseph, Josephin
9 Mondelo, Daien Gacos F 1/29/2001 17 Catholic Aroma Bldg.25 Temp Housing Tondo Manila Metro Manila Paino, Eddie Mondelo, Angel
10 Ramilla, Venus Fallorina F 002/28/2002 16 Bornagain 121 Gen. Santos St. Sangandaan Caloocan Metro Manila Ramilla, Roger C. Ramilla, Rosalie
11 Sumaoang, Monica Flores F 8/15/2001 16 Catholic Bldg4 Unit10 Temp Housing Tondo Manila Metro Manila Suamoang, Jackson F. Sumaoang, Daisy
12 Tenoria, Kimberly Berdaje F 1/21/2002 16 Catholic Blk6 Bagong Silang San Jose Navotas Metro Manila Tenoria, Eduardo Tenoria, Miraso
13 Villalon, Melinda F 7/13/2001 16 Catholic Hernandez St. Catmon Malabon Metro Manila na Villalon, Mary An
14
SFRT 2017
TS GUARDIAN
caya, Rebecca Alicaya, Rebecca 975936984

Mother
Balute, Mary Jane Balute, Mary Jane 9384378054
Mother
Bildan, Shiella B. Cendaña, Virginia D. Grandmother 9084549595
Cacnio, Cecille F. Cacnio, Cecille F. Mother 9219819969
Casa, Anieruth C. Casa, Anieruth C. Mother 9361767443
Esmero, Rosefe M. Esmero, Rosefe M. Mother 9300285507
Joseph, Josephine Villagracia, Lourdes Grandmother 9354073094
Mondelo, Angela Mondelo, Angela Mother 9206562833
Ramilla, Rosalie C. Ramilla, Roger C. Father 9974011657
Sumaoang, Daisy F. Sumaoang, Daisy F. Mother 9231036364
Tenoria, Mirasol Tenoria, Mirasol Mother 9125729216
Villalon, Mary Ann Villalon, Fedisminda Grandmother 9323076625
SFRT 2017
Sex (M/F)
(mm/dd/yyyy)
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
SFRT 2017
TS GUARDIAN
SFRT 2017
Sex (M/F)
(mm/dd/yyyy)
35
36
37
38
39
40
13 <=== TOTAL FEMALE

29 <=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Indi
Beginning of the
cato Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
r
Trans T/O CCT Recipient CCT CCT Control/reference number & Effectivity Date Name of school last
ferre attended & Year
d Out MALE 16
Balik Aral B/A Specify Exceptionality of the Learner
Specify Level & Effectivity Date
Trans T/I
ferre
Name of School, Date of 1st Learner With Exceptionality LWE 13
d In Attendance and Date of Last Accelerated FEMALE
Attendance if Transferred Out ACL
TOTAL 29
SFRT 2017
TS GUARDIAN
Prepared By:
Ms. Mary Rose S. Cruz

Signature of Adviser over Printed Name
Beginning of the Semester Date: June 18, 2018 End of the Semester Date:
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name College of Saint Amatiel Inc. School ID 406404 District Lone District Division Malabon City Region NCR
Semester 1st Semester School Year 2018-2019 Grade Level 11 Track and Strand TVL - Home Economics
Section St. Luke Course/s (only for TVL) HOME ECONOMICS Month of Jun-18
DATE
Total for the Month REMARKS
No. NAME 1. If No Longer in School (NLS), state reason, please refer to legend
(Last Name, First Name, Name Extension, Middle Name) number. 2. If TRANSFERRED IN/OUT, write the name of School. 3. If
M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY SHIFTING IN/OUT, write the name of Track/Strand/Program).
10
11
12
13
14
15
16
17
18
19
20
21
<=== MALE | TOTAL Per Day ===>
1
DATE
4
DATE
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
<=== FEMALE | TOTAL Per Day ===>
Combined TOTAL Per Day
No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper
M F TOTAL
2. To compute the following: for Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester)
DATE
2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
a. Percentage of Enrolment = x 100 SCHOOL (NLS)

Registered Learners as of end of the month Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year

a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings Average Daily Attendance
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month
a.4. Family problems
Number of students absent for 5 consecutive days
Average daily attendance
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form 4. Once signed by the b.1. Illness
No Longer in School (NLS)
School Head, this form should be returned to the Class Adviser. b.2. Overage
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 b.4. Drug Abuse
b.5. Poor Academic Performance
Transferred Out
risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In
Shifting Out
c. School-Related Factors Shifting In

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:
f. Others (Specify) Signature of School Head over Printed Name

a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
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: In case of lost/unreturned books, please provide information with the following code:
Prepared By:
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/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
4. The Total Number of Copies of Books Returned shall be reflected in the form. code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
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 Attendance for Senior High School (SF4-SHS)
School Name COLLEGE OF SAINT AMATIEL INC. District II Division MALABON CITY
Region NCR
School ID 406404 Semester 1st School Year 208-2019
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT SHIFTED IN
REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A)
(As of End Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
of the Month) Average Month the Month the Month the Month the Month the Month
of Previous End of the of Previous of End of of Previous End of the of Previous End of the of Previous
Month Month Month 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 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:
PEPITO B. TRUMATA
Signature of School Head over Printed Name
D IN
(A+B)
Cumulative
Number as
of End of the
Month
M F T
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
School NameCOLLEGE OF SAINT AMATIEL INC. School ID 406404 District II Division MALABON CITY
Semester 2ND
School Year 2017-2018 Grade Level 12 Section ST. PETER
Track and Strand Course/s (only for TVL)
BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)
MALE
SUMMARY TABLE 1ST SEM
STATUS MALE FEMALE

COMPLETE
INCOMPLETE
TOTAL
SUMMARY TABLE 2ND SEM
STATUS MALE FEMALE
COMPLETE
INCOMPLETE
TOTAL
SUMMARY TABLE (End of the School Year Only)
STATUS MALE FEMALE
REGULAR
IRREGULAR
TOTAL
FEMALE
Prepared By:
Signature of Class Adviser over Printed Name
Certified Correct By:
Signature of School Head over Printed Name
Reviewed By:
Signature of Division Representative over Printed Name
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 School Year Status blank/unfilled at the end of the 1st Semester. These
data 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 grade less than 75%)
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
Region NCR
T. PETER
TOTAL
TOTAL
ear Only)
TOTAL
Name
Name
inted Name
School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name College of Saint Amatiel Inc. School ID 406404 District Lone District Division Lone District Region NCR
Semester 2nd Semester School Year 2017-2018 Section
Track and Strand TVL / Home Economics Course/s (only for TVL) Home Economics
Completed SHS
in 2 SYs? (Y/N)
National
No. LRN Certification
LEARNER'S FULL NAME Level Attained
(Last Name, First Name, Name Extension, Middle Name) (only if applicable)
MALE
1 SUMMARY TABLE A
2 STATUS MALE FEMALE TOTAL
3 Learners who
4 completed SHS
Program within 2
5 SYs or 4
6 semesters
7 Learners who
8 completed SHS
Program in more
9 than 2 SYs or 4
10 semesters
11 TOTAL
12
13
14
15 SUMMARY TABLE B
16 STATUS MALE FEMALE TOTAL
17 NC III
18 NC II
19 NC I
20 TOTAL
21 Note: NCs are recorded here for documentation but is not a requirement for
graduation.
22
Completed SHS
in 2 SYs? (Y/N)
National
No. LRN Certification
LEARNER'S FULL NAME Level Attained
(Last Name, First Name, Name Extension, Middle Name) (only if applicable)
23
24
25
26 GUIDELINES:
27 1. This form should be accomplished by the Class Adviser at End of School
Year.
28 2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
29
FEMALE
1 Reviewed By:
2
3
4 Signature of Class Adviser over Printed Name
5
6
7
8 Certified Correct & Submitted By:
9
10
11 Signature of School Head over Printed Name
12
13
14 Reviewed By:
15
16
17 Signature of Division Representative over Printed Name
18
19
20
21
School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)
COLLEGE OF SAINT AMATIEL INC.

School Name School ID 406404 District DISTRICT II Division MALABON CITY Region NCR
Semester 2ND School Year 2017-2018
END OF SCHOOL YEAR

END OF SEMESTER STATUS
(Fill up only at the end of the second semester.)
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
GRADE 11
TRACK/STRAND/COURSE
BREAD & PASTRY PRODUCTION
FOOD & BEVERAGES SERVICS
FRONT OFFICE
BARTENDING
VGD/ANIMATION
COMPUTER HARDWARE SERVICING
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
BREAD & PASTRY PRODUCTION
FOOD & BEVERAGES SERVICS
FRONT OFFICE
BARTENDING
VGD/ANIMATION
COMPUTER HARDWARE SERVICING
Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Division Superintendent over Printed Name
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school total.
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.
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
Nature of
Employment
Major/
Nature of
Employment
Major/
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:
First Semester:
Remarks:
(Enumerate DAY
Minor (M/T/W/
TH/F)
Week
Second Semester:
Advisory:
First Semester:
Second Semester:
Advisory:
First Semester:
Second Semester:
Advisory:
First Semester:
Second Semester:
Advisory:
Remarks:
(Enumerate DAY
Minor (M/T/W/
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 Schoo
(For All Grade Levels)
School Name COLLEGE OF SAINT AMATIEL INC. District LONE DISTRICT Division MALABON CITY
School ID 406404 Grade 11 Section ST. LUKE Track/Strand (SHS) TVL
Learner's Name Nutritional Stat

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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
21
SFRT 2017
FEMALE
SUMMARY TABLE
Nutritional Status Heigh
Summary Table Su
SEX
SFRT 2017
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
h School (SF8-SHS)
ABON CITY Region NCR
TVL School Year 2018 - 2019
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
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Tall Total
Reviewed By:
SFRT 2017
SFRT 2017

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School Form 1 School Register for Senior High School (S

Semester 1st Semester School Year 2018-2019 Grade Level 11

COMPLETE ADDRESS PARENTS

Track and Strand TVL / Home Economics

16 <=== TOTAL MALE

caya, Rebecca Alicaya, Rebecca 975936984

Cacnio, Cecille F. Cacnio, Cecille F. Mother 9219819969

Casa, Anieruth C. Casa, Anieruth C. Mother 9361767443

Esmero, Rosefe M. Esmero, Rosefe M. Mother 9300285507

Joseph, Josephine Villagracia, Lourdes Grandmother 9354073094

Mondelo, Angela Mondelo, Angela Mother 9206562833

Ramilla, Rosalie C. Ramilla, Roger C. Father 9974011657

Sumaoang, Daisy F. Sumaoang, Daisy F. Mother 9231036364

Tenoria, Mirasol Tenoria, Mirasol Mother 9125729216

Villalon, Mary Ann Villalon, Fedisminda Grandmother 9323076625

13 <=== TOTAL FEMALE

Ms. Mary Rose S. Cruz

<=== MALE | TOTAL Per Day ===>

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

No. of Days of Classes:

a. Percentage of Enrolment = x 100 SCHOOL (NLS)

Enrolment as of 1st Friday of the school year

c. School-Related Factors Shifting In

f. Others (Specify) Signature of School Head over Printed Name

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle

ignature of Class Adviser over Printed Name

School ID 406404 Semester 1st School Year 208-2019

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT SHIFTED IN

TOTAL FOR GRADE 11

Prepared and Submitted By:

Track and Strand Course/s (only for TVL)

BACK SUBJECT/S END OF

STATUS MALE FEMALE

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE

Signature of Class Adviser over Printed Name

Certified Correct By:

Signature of School Head over Printed Name

Signature of Division Representative over Printed Name

End of Semester Status

End of School Year Status

COLLEGE OF SAINT AMATIEL INC.

END OF SCHOOL YEAR

(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

movement of teachers and other

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

School Form 7, Page ___ of ________

School ID 406404 Grade 11 Section ST. LUKE Track/Strand (SHS) TVL

Learner's Name Nutritional Stat

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

ABON CITY Region NCR

TVL School Year 2018 - 2019

Height for Age (HFA)

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School Form 7, Page _ of ______