School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 500680 Region VIII Division Bukidnon District Quezon

School Name SAN JOSE INTEGRATED SCHOOL School Year 2019-2020 Grade Level 7 Section CEDAR
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP
NAME Sex BIRTH DATE MOTHER Contact Number of
LRN 1st Friday (Ethnic RELIGION Father's Name (Last Name, Mother's Maiden Name (Please refer to
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE House #/ Street/ Sitio/ Municipality/ Relatio Parent or Guardian
June Group) Barangay Province First Name, Middle Name) (Last Name, First Name, Name the legend on
Purok City n-ship
Middle Name) last page)

126721110002 Abello Rey Jeson Lumintad M 2/3/2006 13 VISAYA ROMAN P-3 SAN JOSE QUEZON BUKIDNON ABELLO,BRIGOLE, LUMINTAD, GEMMALYN
1 CATHOLIC BENGIE
126721130127 Adem , Chad Ivan Jade Precillas M 1/11/2007 11 VISAYA BAPTIST CASINIO,P-11, SAN JOSE QUEZON BUKIDNON MONDENIDO, BERTING MONTIJO,LILIAN 9363027001
2
126721100025 Bolongon John Dave,Manaa-ay M 09/25/2004 14 VISAYA ROMAN P-9 SAN JOSE QUEZON BUKIDNON BOLONGON, MANAA- AY, VIVIAN, 9051710946
3 CATHOLIC POLICARPIO, Jr. DRAGNAY
126721070022 Capara, Jude, Calipes M 03/18/2002 17 VISAYA BAPTIST P-9 SAN JOSE QUEZON BUKIDNON CAPARA, MANAA-AY, CALIPES,JOY
4 RAMIL
126705160116 Concepcion, Roy Clent Dampasan M 9/6/2006 13 VISAYA BORN AGAIN P-9 SAN JOSE QUEZON BUKIDNON CONCEPCION, DAMPASAN, CHARLITA, 9551948574
5 ROBERT,CABRISANTE BENTILLO
Densing Aian Jay Preglo M VISAYA P-3 SAN JOSE QUEZON BUKIDNON DENSING, PREGLO, CECILL,UROT
6 JELMER,ARMENTON,
126721120029 Doña, Ely ramoso. Jr. M 05/ 24/2007 12 VISAYA ROMAN CAHAYAGAN, P-5 SAN JOSE QUEZON BUKIDNON DOÑA, ELY, RAMOSO, LONITA,
7 CATHOLIC MONTICALVO CARMONA
126707100061 Dragnay, Johmie O. M VISAYA SAN JOSE QUEZON BUKIDNON DRAGNAY
8
126721140088 Escribano Clint Rey A. M VISAYA SAN JOSE QUEZON BUKIDNON
9
126721120033 Esguerra Don Quinn Cahulogan M 12/28/2006 12 VISAYA P-1 SAN JOSE QUEZON BUKIDNON ESGUERRA FILIMON, CAHULOGAN,FILIPINAS
10
126721100064 Gargar, Reed Roder Ryan C. M VISAYA SAN JOSE QUEZON BUKIDNON
11
126721130187 Hopia, santiago T. Jr M VISAYA SAN JOSE QUEZON BUKIDNON
12
126721120056 Juario Dominador Felisida. Jr. M 10/15/2006 12 VISAYA ROMAN CAHAYAGAN, P-5 SAN JOSE QUEZON BUKIDNON JUARIO, DOMINADOR, FELISILDA, EVELYN,
13 CATHOLIC DIFARINE ILAGO
126721140169 Lape, Daryll G. M VISAYA SAN JOSE QUEZON BUKIDNON
14
126721120058 Maderal, Lance Jhoef J. M VISAYA SAN JOSE QUEZON BUKIDNON
15
126721130203 Monzolin Kenneth S. M VISAYA SAN JOSE QUEZON BUKIDNON
16
126721140249 Pontillas , Mark Reynan Z. M VISAYA SAN JOSE QUEZON BUKIDNON
17
126721110090 Preglo Razil Manaay M 07/27/2006 12 VISAYA P-3 SAN JOSE QUEZON BUKIDNON PREGLO, ROLAND, UROT MANAAY, CICIL,
18 DRAGNAY

FEMALE

126721120085 Abejero, Jusrine C. F VISAYA SAN JOSE QUEZON BUKIDNON

1
126721110003 Aguitong, Janelyn C. F 8/10/2006 12 VISAYA P-18 SAN JOSE QUEZON BUKIDNON AGUITONG, JUANITO ANNABELL
2
126288110001 Alsola, Erlinda F VISAYA SAN JOSE QUEZON BUKIDNON
3
126288100003 Alsola, Jenly, Cubayan F 06/20/2002 17 VISAYA FREEDOM FREEDOM CABANGLASA BUKIDNON
4 N
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP
NAME Sex BIRTH DATE MOTHER Contact Number of
LRN 1st Friday (Ethnic RELIGION Father's Name (Last Name, Mother's Maiden Name (Please refer to
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE House #/ Street/ Sitio/ Municipality/ Relatio Parent or Guardian
June Group) Barangay Province First Name, Middle Name) (Last Name, First Name, Name the legend on
Purok City n-ship
Middle Name) last page)

126727100019 Bariga , Jacquelyn Reponte F 3/6/2005 14 VISAYA ALLAIANCE P-10 SAN JOSE QUEZON BUKIDNON BARIGA, NICHOLAS, REPONTE, ELSA,
5 BAROOMA DEMECILLIO
126721120030 Castigador, Mara C. F VISAYA SAN JOSE QUEZON BUKIDNON
6
126721150166 Galupo , Genevive, Eslais F 06/23/2001 17 VISAYA SUN FLOWER, P15 SAN JOSE QUEZON BUKIDNON GALUPO, EDGAR, TUBO ESLAIS,ANA DIVINA,
7 FERRER
126653130031 Eslais, Jessel M. F VISAYA SAN JOSE QUEZON BUKIDNON
8
126721140152 Manaay, Rica Mae Delapeña F 06/28/2006 14 VISAYA RANCHO MONTALVAN SAN JOSE QUEZON BUKIDNON MANAAY, ROBERTO, DELAPEÑA, ROSA
9 DRAGNAY
126653110037 Maraño, Geraldine F 10/7/2004 14 VISAYA ROMAN SUN FLOWER, P15 SAN JOSE QUEZON BUKIDNON ESLAIS, FELIPE, SUASO MARAÑO, ROSIL BAO, ANTE
10 CATHOLIC ANGHELI
126721120093 Medado, Ira Natasha Monisit F 04/30/2007 12 VISAYA P-3 SAN JOSE QUEZON BUKIDNON MEDADO, GEMAR MONISIT, SHELLA NA,
11 ESLAIS
126723080034 Nemenzo, Marijoy F 11/11/00 18 VISAYA ROMAN SUN FLOWER, P15 SAN JOSE QUEZON BUKIDNON NEMENZO, RENE, LUMACANG, TEODOCIA,
12 CATHOLIC BARQUIO TULING
126706120167 Paquero, Blessy Gevero F 10/27/2007 11 VISAYA BAPTIST SUN FLOWER, P15 SAN JOSE QUEZON BUKIDNON PIQUERO, MARIO, GEVERO, JADE,
13 MARUHOM MARUHOM
126721120065 Tequillo, Crystel Rafaila F 12/16/2006 12 VISAYA P-2 SAN JOSE QUEZON BUKIDNON TEQUILLO, EDUARDO RAFAILA, CHARLITO
14
126723130057 Tanoco, Jelian, Saganay F 12/27/2006 12 VISAYA KRISTOHANON P-14 SAN MIGUEL SAN JOSE QUEZON BUKIDNON TANOCO, ROMEO, SAGANAY, ADELA,
15 ROCAMORA GENTAPA
405045150090 Tipano, Jewel Anne F 3/4/2007 12 VISAYA ROMAN P-2 SAN JOSE QUEZON BUKIDNON TIPANO, LESTER CERVANTES, IZA
16 CATHOLIC
Ybañez, Rosalinda Tubil F 4/2/04 15 VISAYA p-10 SAN JOSE QUEZON BUKIDNON YBANEZ, MAXIMO, TUBIL, MARY JOY
17 MINGUEZ

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE
MISS MELANIE B. KIATSON MR. DANTE B. ARDEMER
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP
NAME Sex BIRTH DATE MOTHER Contact Number of
LRN 1st Friday (Ethnic RELIGION Father's Name (Last Name, Mother's Maiden Name (Please refer to
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE House #/ Street/ Sitio/ Municipality/ Relatio Parent or Guardian
June Group) Barangay Province First Name, Middle Name) (Last Name, First Name, Name the legend on
Purok City n-ship
Middle Name) last page)

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
0
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 500680 School Year 2019-2020 JUNE

Name of School SAN JOSE INTEGRATED SCHOOL Grade Level 7 Section CEDAR

LEARNER'S NAME (1st row for date) Total for the

Month REMARKS (If DROPPED OUT, state reason, please refer to
(Last 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28
legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

1 Abello Rey Jeson L. 0 H H XX

2 0 O O
Adem , Chad Ivan Jade P.
3
0 L X X L X X
Bolongon John Dave
4
0 I I X X X X X X X X
Capara, Jude
5 0 D X X D
Concepcion, Roy Clent D.
6 0 A A
Densing, Aian Jay
7
0 Y Y
Doña, Ely G. Jr.
8 0 X X X X
Dragnay, Johmie O.
9
0
Escribano Clint Rey A.
10
0
Esguerra Don Quinn C.
11
0 X X X X
Gargar, Reed Roder Ryan C.
12
0 H H X X
Hopia, santiago T. Jr
13 0 O O
Juario Dominador F. Jr.
14 0 L X X L
Lape, Daryll G.
15 Maderal, Lance Jhoef J. 0 I I
16 0 D D
Monzolin Kenneth S.
17 0 A A
Pontillas , Mark Reynan Z.
18 0 Y X X Y
Preglo Razil M.

MALE | TOTAL Per Day 309

18

18

18

15

16

18

18

18

18

16

17

17

18

18

17

14

17

18
LEARNER'S NAME (1st row for date) Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer to
(Last 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28
legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

1 Abejero, Jusrine C. 0 H H

2 Aguitong, Janelyn C. 0 O O

3 Alsola, Erlinda 0 L L X X
4 Alsola, Jenly 0 I I X X
5 Bariga , Janelyn 0 D D
6 Castigador, Mara C. 0 A X X A

7 Eslais, Jessel M. 0 Y Y
8 Galopo, Genevive 0 X X
9 Manaay, Rica Mae D. 0 H H
10 Maraño, Geraldine 0 O O

11 Medado, Ira Natasha M. 0 L L

12 Nemenzo, Marijoy 0 I X X I
13 Paquero, Blessy G. 0 D D X X
14 Tequillo, Crystel R. 0 A A

15 Tipano, Jewel Anne 0 Y Y

16 Ybañez, Rosalinda 0
17 0
Tanoco, Jelian S. 0
18
29 0
TOTAL NUMBER OF FEMALES PER DAY 17 17 17 16 17 15 17 17 17 17 17 17 17 17 17 14 17 17 300

TOTAL 35 35 35 31 33 33 35 35 35 33 34 34 35 35 34 28 34 35 609
2.
GUIDELINES: REA
1. CODES FOR CHECKING ATTEND Month: Month: No. of Days of Summary
SON Classes:
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
S/CA
2. Dates shall be written in the columns after Learner's Name. USE for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June) 18 17 34
3. To compute the following: S
Registered Learners as of end of the month FOR
a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100 DRO 0 0 0
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
PPIN
Total Daily Attendance a.2. Early marriage/pregnancy
G
b. Average Daily Attendance = Registered Learners as of end of the month 18 17 35
Number of School Days in reporting month OUT
a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems 100 100 100%
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness 17.16 16.66 33.82
Average Daily Attendance
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary b.2. Overage
table into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 95.37 98.03 97%
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent b.4. Drug Abuse
for 5 consecutive days and/or those at risk of dropping out. b.5. Poor academic performance

0.0%
0.0%
Number of students absent for 5 consecutive days:

0%
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 0 0 0
d. Geographic/Environmental
d.1. Distance between home and school
I certify that this is a true and correct report.

Miss Melanie B. Kiatson

(Signature of Teacher over Printed Name)

Attested by:
School Form 2 : Page ___ of ________
LEARNER'S NAME (1st row for date) Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer to
(Last 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28
legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

School Form 2 : Page ___ of ________ Mr. Dante B. Ardemer

(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 500680 School Year 2019-2020

School Name San Jose Integrated School Grade Level 7 Section CEDAR
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

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 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 (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
DO#14, 2.2012.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
LEVEL the Month) the Month of Previous Month
Month
of Previous Month
Month
of Previous Month
End of 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 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
GUIDELINES: Prepared and Submitted by:
1. This form 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 the Division Office with a copy a week after June 30, October 30 & March 31
 (Signature of School Head over Printed Name)
Page _____ of _____ pages
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces 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 School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

Number of
Title of Designation Appointment:
Incumbent
Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

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 the school year, an
updated Form 19 must be submitted 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. (Signature of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________