DARWIN Form 2

(T
School ID 317312 Region XIII Division
School Name La Union National High School
AGE
as of
1st
Friday
BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)
of
MOTHER TONGUE
June
Sex (M/F)
NAME
LRN (Last Name, First Name, Middle (nos.
Name) of
years
as per
last
birthd
ay)
1 131576090002 Abella, Joseph Angelo Tajunio M 5/10/04 12 Bislig City Cebuano

2 117043090024 Apatan, Nick Andrei M 11/10/03 12 Negros Occidental Cebuano
AGE
as of
1st
Friday

of
MOTHER TONGUE
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
3 134113080043 Bayona, Rogem Ralph Valerio M 11/2/02 13 Cotabato City Cebuano

4 131576090024 Bitco, Rofell D M 11/2/02 13 Agusan del Norte Cebuano
5 131576090029 Cagampang, Janrey Pangadlin M 1/1/03 13 Agusan del Norte Cebuano
6 131576090033 Celitona, John Kokie Deligero M 10/9/02 13 Agusan del Norte Cebuano
7 131576090039 Cuestas, Jundel Magalona M 6/16/02 14 Agusan del Norte Cebuano
8 131576140248 Dadole, Jimmy M 4/22/03 13 Agusan del Norte Cebuano
9 131576090057 Escobido, Adrian Collamat M 3/25/01 15 Agusan del Norte Cebuano
10 131576090060 Evangelio, Petronilo III Siman M 1/31/03 13 Agusan del Norte Cebuano
AGE
as of
1st
Friday

of
MOTHER TONGUE
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
11 131576090065 Gabisan, Marvin M 4/9/04 12 Bulacan Cebuano

12 131576120138 Gabisan, Niño M 1/28/99 17 Agusan del Norte Cebuano
13 131576090072 Kimpan, Raul Jr. Bulak M 3/21/04 12 Agusan del Norte Cebuano
14 131576090085 Maceda, John Paul Ligao M 12/3/03 12 Agusan del Norte Cebuano
15 131576090101 Niñofranco, Joseph Jr. III G. M 12/2/02 13 Agusan del Norte Cebuano
16 131887090123 Oraño, Eugene Naïve M Agusan del Sur Cebuano
17 131576090114 Palos, Jovic Pada M 6/10/02 14 Agusan del Norte Cebuano
18 131576090128 Ranollo, Christian Agcol M 6/18/04 12 Agusan del Norte Cebuano
AGE
as of
1st
Friday

of
MOTHER TONGUE
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
19 131576090133 Sacol, Jayferd Acompañado M 6/2/02 14 Agusan del Norte Cebuano
20 131576140241 Torlao, Archie Polangco M 3/13/04 12 Agusan del Norte Cebuano

21 131576090152 Ventillo, Winlove Baguion M 2/20/04 12 Agusan del Norte Cebuano
FEMALE
1 131576090004 Alagos, April Mayumi Olalo F 6/19/04 12 Caloocan City Cebuano

2 131576090005 Alcoba, Charmine Yecyec F 4/10/03 13 Agusan del Note Cebuano
AGE
as of
1st
Friday

of
MOTHER TONGUE
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
3 131576090007 Ampong, Rosemarie Madlos F 10/3/03 12 Agusan del Note Cebuano

4 132083090008 Arellano, Michelle Joy Bonayog F 6/12/04 12 Misamis Oriental Cebuano
5 131576090015 Baga-an, Marychris Dumadapat F 11/28/03 12 Cavite Cebuano
6 131576090053 Balbada, Mary Nhel Monter F 5/31/03 13 Quezon City Cebuano
7 131576120134 Damian, Jomarizel Alanano F 12/30/02 13 Parañaque City Cebuano
8 131576090046 Dela Peña, Jenelyn Gomez F 9/1/04 11 Agusan del Note Cebuano
9 131575090034 Dolog, Reylyn A F 1/12/04 12 Agusan del Note Cebuano
10 LNG Lamadora, Frinces Carumba F 6/3/04 Agusan del Note Cebuano
AGE
as of
1st
Friday

of
MOTHER TONGUE
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
11 131820060020 Layma, Jenny L F 12/21/00 15 Agusan del Sur Cebuano

12 121408090069 Llano, Magnolia Palos F 11/10/03 12 Olongapo City Cebuano
13 132189090009 Migullas, Remalyn Lade F 10/2/02 13 Caloocan City Cebuano
14 131576090107 Olalo, Krista Joyce Balaba F 11/5/04 11 Agusan del Norte Cebuano
15 131576120131 Oyan, Princess K F 8/10/04 11 Agusan del Norte Cebuano
16 131526090315 Real, Aiko Dela Cruz F 4/28/04 12 Agusan del Norte Cebuano
17 131576090136 Sarnillo, Rhea Cuestas F 6/2/02 14 Agusan del Norte Cebuano
18 131576090144 Trisuelo, Jeanette Siman F 11/8/03 12 Agusan del Norte Cebuano
AGE
as of
1st
Friday

of
MOTHER TONGUE
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
19 131576090150 Veloso, Cindy Escobia F 5/1/03 13 Agusan del Norte Cebuano

131576090150
List and code of Indicators under REMARK column
Indicator Required Information Indicator
Transferred Out Name of Public (P) Private (PR) School & EffectivityCCT Recipient
Transferred IN Name of Public (P) Private (PR) School & EffectivityBalik-Aral

Dropped Reason and Effectivity Date Learner With Dissability
Late Enrollment Reason (Enrollment beyond 1st Friday of June) Accelarated
School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Division Cabadbaran City District South Cabadbara
School Year 2016 - 2017 Grade Level 7
ADDRESS NAME OF PARENTS

(Specify Ethnic Group)
RELIGION
House # / Street/Sitio/
IP
Father (1st
name only if
Purok
Mother (Maiden: 1st Name,

Barangay Municipality/ City Province family name
Middle & Last Name)
identical to
learner)
Visayan P-6A La Union Cabadbaran Agusan del Norte Jepte Arlene Tajunio
Visayan P-6 Soriano Cabadbaran Agusan del Norte Analiza Apatan
RELIGION
IP
Father (1st
name only if
Purok
Middle & Last Name)
identical to
learner)
Visayan P-3 La Union Cabadbaran Agusan del Norte Ronald Sr. Gemma Valerio
Visayan P-1 La Union Cabadbaran Agusan del Norte Roquenico Fe D
Visayan P-4 La Union Cabadbaran Agusan del Norte Harvey Rosalie Pangadlin
Visayan P-3 La Union Cabadbaran Agusan del Norte Marlon Marialyn Deligero
Visayan P-10 La Union Cabadbaran Agusan del Norte Adelino Remedios Magalona
Visayan P-5 La Union Cabadbaran Agusan del Norte Jessie Marilyn Dadole Siman
Visayan P-11 La Union Cabadbaran Agusan del Norte Ernesto Rubilyn Collamat
Visayan P-11 La Union Cabadbaran Agusan del Norte Petronilo Menda Siman
RELIGION
IP
Father (1st
name only if
Purok
Middle & Last Name)
identical to
learner)
Visayan P-8 La Union Cabadbaran Agusan del Norte Marly Gabisan

Visayan P-3 La Union Cabadbaran Agusan del Norte Divina Gabisan
Visayan P-8 La Union Cabadbaran Agusan del Norte Raul Sr. Donabel Bulak
Visayan P-5 La Union Cabadbaran Agusan del Norte Cepriano Rosalinda Ligao
Visayan P-6A La Union Cabadbaran Agusan del Norte Joseph Sr. Evangeline G
Visayan P-12 La Union Cabadbaran Agusan del Norte Mario Joy Naïve
Visayan P-7 La Union Cabadbaran Agusan del Norte Percival Cesara Pada
Visayan P-4 La Union Cabadbaran Agusan del Norte Ronnie Lernacel Agcol
RELIGION
IP
Father (1st
name only if
Purok
Middle & Last Name)
identical to
learner)
Visayan P-11 La Union Cabadbaran Agusan del Norte Janifer Monaliza Acompañado
Visayan P-1 La Union Cabadbaran Agusan del Norte Anecito Julieta Polangco
Visayan P-10 La Union Cabadbaran Agusan del Norte Reymar Marechel Baguion
Visayan P-7 La Union Cabadbaran Agusan del Norte Nickanor Vergincita Olalo
Visayan P-8 La Union Cabadbaran Agusan del Norte Charlie Cristina Yecyec
RELIGION
IP
Father (1st
name only if
Purok
Middle & Last Name)
identical to
learner)
Visayan P-3 La Union Cabadbaran Agusan del Norte Randy Christy Madlos
Visayan P-8 La Union Cabadbaran Agusan del Norte Miguel Sucita Bonayog
Visayan P-3 La Union Cabadbaran Agusan del Norte Rodrigo Ester Dumadapat
Visayan P-11 La Union Cabadbaran Agusan del Norte Renato Rosalina Monter
Visayan P-1 La Union Cabadbaran Agusan del Norte Omar Annaliza Alanano
Visayan P-6A La Union Cabadbaran Agusan del Norte Jose Alan Leonora Gomez
Visayan P-4 La Union Cabadbaran Agusan del Norte Reymar Evelyn A
Visayan P-4 Calibunan Cabadbaran Agusan del Norte Jerry Gloria Carumba
RELIGION
IP
Father (1st
name only if
Purok
Middle & Last Name)
identical to
learner)
Visayan P-7 La Union Cabadbaran Agusan del Norte Arnolfo Jemma L

Visayan P-7 La Union Cabadbaran Agusan del Norte Percival Cesara Palos
Visayan P-2 La Union Cabadbaran Agusan del Norte Rolando Hedelina Lade
Visayan P-8 La Union Cabadbaran Agusan del Norte Johnny Marlee Balaba
Visayan P-4 La Union Cabadbaran Agusan del Norte Rodel Rachel K
Visayan P-4 La Union Cabadbaran Agusan del Norte Rico Precilla Dela Cruz
Visayan P-8 La Union Cabadbaran Agusan del Norte Jocelyn Ventic
Visayan P-6A La Union Cabadbaran Agusan del Norte Alfredo Antonina D. Siman
RELIGION
IP
Father (1st
name only if
Purok
Middle & Last Name)
identical to
learner)
Visayan P-2 La Union Cabadbaran Agusan del Norte Rene Leonila Escobia
ARK column
Code Required Information BoSY EoSY
CCT CCT Control/reference number & Effectivity Date MALE 21

MICHELLE JANE M
B/A Name of school last attended & Year FEMALE 19
LWD Specify
TOTAL 40
ACL Specify Level & Effectivity Data
Cabadbaran
Section Banzon
ENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
Name Relationship the legend on
& Last Name)
last page)
ene Tajunio 9479882807

liza Apatan Romel Uncle 9098169994
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
& Last Name)
last page)
mma Valerio 9366635018

Fe D 9462349833
lie Pangadlin 9462279094
alyn Deligero
dios Magalona
Dadole Siman
lyn Collamat
nda Siman
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
& Last Name)
last page)
rly Gabisan Angelito 9109862159

na Gabisan 9102300140
nabel Bulak 9460114560

alinda Ligao 9102831081
angeline G
oy Naïve Gilbert Uncle 9085164774
Eulalia Pogoy
sara Pada Grandmother
nacel Agcol 9078249593
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
& Last Name)
last page)
a Acompañado Alexander Uncle 9100167855
ta Polangco
chel Baguion 9100890992
gincita Olalo
tina Yecyec 9100890998
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
& Last Name)
last page)
isty Madlos 9105215136

ta Bonayog
Dumadapat
alina Monter 9469290339
liza Alanano 9070193874
nora Gomez
Evelyn A 9488122322
ia Carumba 9126672328
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
& Last Name)
last page)
emma L
sara Palos
delina Lade
rlee Balaba 9127430394
Rachel K
lla Dela Cruz
elyn Ventic
ina D. Siman
Contact Number
(Parent /Guardian)
(Please refer to
aiden: 1st Name,
& Last Name)
last page)
nila Escobia
Prepared by: Certified Correct:
MICHELLE JANE M. CABAJES JUNNEL E. MAGAWAY

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
BoSY Date: EoSYDate: BoSY Date: EoSYDate:

S
(This
School Name Calamba National High School
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
1 131574120129 Alcover , Vince Judinar Llanto M 4/25/02 13 Agusan del Norte Cebuano
2 131536080026 Amosway , Junrey Boyo M 4/2/01 14 Davao City Cebuano
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
3 131574080007 Asual , Marjun Jamon M 6/21/02 12 Agusan del Norte Cebuano

4 131536080006 Bantilan , Mark Stephen - M 8/18/03 11 Agusan del Norte Cebuano
5 131574080010 Bello , Joecer Dagohoy M 2/10/02 13 Agusan del Norte Cebuano
6 131574080011 Berol , John Lloyd Coguit M 6/11/03 11 Agusan del Sur Cebuano
7 131524080008 Buca , Rene Boy Tiempo M 4/28/02 13 Agusan del Norte Cebuano
8 131572080011 Casiño , Geguel Fuentes M 5/24/00 15 Misamis Oriental Cebuano
9 131572080014 Comcom , Rodelex - M 12/27/01 13 Agusan del Norte Cebuano
10 131574080024 Edem , Gilbert Odtojan M 4/19/02 13 Agusan del Norte Cebuano
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
11 131524080015 Grometes , Reo Paña M 11/7/01 13 Agusan del Norte Cebuano

12 132340080020 Jubasan , Eric Jr. Obado M 12/26/01 13 Surigao del Norte Cebuano
13 131574120148 Lamdagan , Alrian Tabamo M 4/21/03 12 Agusan del Norte Cebuano

14 131572080020 Lauro , Vince Warren Oppus M 1/10/03 12 Calamba City, Manila Cebuano
15 131572080022 Madehanon , Ryan Dargantes M 11/11/02 12 Agusan del Norte Cebuano
16 131890060065 Madelo , Sherwin Mejares M 3/5/00 15 Butuan City Cebuano
17 131536080045 Pagaora , Nestor Jr. Tejero M 12/11/99 15 Surigao del Norte Cebuano
18 131524080023 Panisan , Christian Tuan M 4/5/03 12 Agusan del Norte Cebuano
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
19 131574120150 Punay , John Lloyd Mundia M 3/18/03 12 Agusan del Norte Cebuano
20 131574080057 Sagrado ,Louie Jay Punay M 1/1/03 12 Agusan del Norte Cebuano
21 131524080028 Tuan , Ralf Rabie Guy-ab M 10/16/02 12 Agusan del Norte Cebuano
22 131888080008 Mabandos, Carly Kent Cido M 6/29/01 13 Agusan del Sur Cebuano
23 131536080053 Tejero, Eugene Rey Tolibas M 5/26/03 12 Agusan del Norte Cebuano
24 131574080002 Acaso, RJay H M Agusan del Norte Cebuano
1 131574120138 Bagay , Trich Lluena Rose - F 3/27/02 13 Agusan del Norte Cebuano
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
2 131536140011 Beray , Marry Rose Van Timbal F 3/6/03 12 Agusan del Norte Cebuano
3 131536080013 Calzar , Novie Escabas F 11/18/01 13 Agusan del Norte Cebuano
4 131572080010 Capilitan , Cristina Nayve F 2/14/03 12 Agusan del Norte Cebuano
5 131536080014 Carina , Catherine Inocillos F 10/22/04 10 Agusan del Norte Cebuano
6 131536130058 Dagio , Crestelyn Colangan F 12/18/01 13 Agusan del Norte Cebuano
7 131536080022 Gulo , Roselyn Consolacion F 1/6/04 12 Agusan del Norte Cebuano
8 131572080023 Madihanon , Ronamae Cantila F 5/15/03 12 Agusan del Norte Cebuano
9 131572080030 Ortega , Jenny Babe Nayve F 4/5/03 12 Agusan del Norte Cebuano
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
10 131574080053 Portugal , Ariane Joy Calzar F 9/14/03 11 Agusan del Norte Cebuano
11 131574080055 Punay , Jolina Mae Banluta F 10/25/03 11 Agusan del Norte Cebuano
12 131572080031 Reydado , Cherry - F 2/1/03 12 Quezon City Cebuano
Sagrado, Melina Villariza F 2/9/01 12 Agusan del Norte Cebuano
13 131571080060 Salilin , Luscelly Tabamo F 11/14/02 12 Agusan del Norte Cebuano
14 136596080524 Sanico, Geraldine Daing F 11/1/02 12 Pasay City Tagalog
15 131574080061 Simbajon , Bernadette - F 10/20/02 12 Agusan del Norte Cebuano
16 131572080032 Sixto , Joan Casilao F 10/26/02 12 Agusan del Norte Cebuano
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
17 131573070028 Timon , Janice Villceran F 5/15/00 15 Agusan del Norte Cebuano

18 131536080058 Torres, Mary Joy Tejero F 9/22/02 12 Paranaque City Cebuano
19 131574080069 Villamor , Mary Joy Sereno F 12/21/05 12 Agusan del Norte Cebuano
Indicator Required Information Indicator
Transferred Out Name of Public (P) Private (PR) School & EffectivitCCT Recipient
Transferred IN Name of Public (P) Private (PR) School & EffectivitBalik-Aral

Dropped Reason and Effectivity Date Learner With Dissability
AGE
as of
1st

Friday
MOTHER TONGUE
of
June
Sex (M/F)
NAME
Name) of
years
as per
last
birthd
ay)
Late Enrollment Reason (Enrollment beyond 1st Friday of June) Accelarated

School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Division Cabadbaran City District South Cabadbar
School Year 2015 - 2016 Grade Level VII

RELIGION
IP
Father (1st
name only if
Purok
Mother (Maiden: 1st Name, Mid

Last Name)
identical to
learner)
Visaya R. Catholic Purok 2 Calamba Cabadbaran Agusan del Norte Eme Judith M. Llanto
Visaya R. Catholic Purok 5 Tagbongabong RTR Agusan del Norte Alberto Luzmenda Boyo
RELIGION
IP
Father (1st
name only if
Purok
Last Name)
identical to
learner)
Visaya R. Catholic Purok 4 Calamba Cabadbaran Agusan del Norte Lolong Alma Jamon
Visaya R. Catholic Purok 2 Tagbongabong RTR Agusan del Norte Dondon Persing Bantilan
Manobo R. Catholic Purok 3 Calamba Cabadbaran Agusan del Norte Jerry Biessie Dagohoy
Visaya IFI Purok 4 Calamba Cabadbaran Agusan del Norte Rolanda Ruth Tindugan Coguit
Visaya R. Catholic Purok 3 Mahaba Cabadbaran Agusan del Norte Belly Boy Irene Tiempo
Visaya R. Catholic Purok 8 A. Luna Cabadbaran Agusan del Norte Rico Gemma Fuentes
Visaya R. Catholic Purok 8 A. Luna Cabadbaran Agusan del Norte Marvin Marissa Comcom
Visaya IFI Purok 9 Calamba Cabadbaran Agusan del Norte Rosalito Jocelyn Odtojan
RELIGION
IP
Father (1st
name only if
Purok
Last Name)
identical to
learner)
Visaya Jehovah Purok 1 Mahaba Cabadbaran Agusan del Norte Clarito Deden Paña
Visaya R. Catholic Purok 8 Tagbongabong RTR Agusan del Norte Eric Sr. Analie Obado
Manobo SDA Purok 6 Calamba Cabadbaran Agusan del Norte Lorito Levi Tabamo
Visaya R. Catholic Purok 3 A. Luna Cabadbaran Agusan del Norte Renante Lorena Lauro
Visaya Zion Purok 2 A. Luna Cabadbaran Agusan del Norte Roel Nilda Dargantes
Visaya Pentecostal Purok 10 Calamba Cabadbaran Agusan del Norte Fortunato Meleciana Mejares
Mamanwa Pentecostal Purok 5 Tagbongabong RTR Agusan del Norte Nestor Sr. Nanette Pagaora
Visaya R. Catholic Purok 2 Mahaba Cabadbaran Agusan del Norte Ranyl Lourdes Dagohoy
RELIGION
IP
Father (1st
name only if
Purok
Last Name)
identical to
learner)
Visaya Pentecostal Purok 9 Calamba Cabadbaran Agusan del Norte Lolito Merian Mundia
Visaya Pentecostal Purok 7 Calamba Cabadbaran Agusan del Norte Loreto Jessie Punay
Visaya SNT Purok 4 Mahaba Cabadbaran Agusan del Norte Ruel Florena Guy-ab
Visaya Iglesia A. Luna Cabadbaran Agusan del Norte Candido Lucita Cido
Visaya Baptist Purok 5 Tagbongabong RTR Agusan del Norte Jovencio Renalda Tolibas
Visaya R. Catholic Purok 10 Calamba Cabadbaran Agusan del Norte
Visaya R. Catholic Purok 4 Calamba Cabadbaran Agusan del Norte Lemuel Jusana Bagay
RELIGION
IP
Father (1st
name only if
Purok
Last Name)
identical to
learner)
Visaya R. Catholic Purok 2 Tagbongabong RTR Agusan del Norte Randy Sr. Evangeline Timbal
Visaya R. Catholic Purok 7 Tagbongabong RTR Agusan del Norte Carlito Sr. Cerila Escabas
Visaya IFI Purok 2 A. Luna Cabadbaran Agusan del Norte Celestino Anelyn Nayve
Visaya Baptist Purok 5 Tagbongabong RTR Agusan del Norte Anthony Cristita Inocilios
Mamanwa R. Catholic Purok 1 Tagbongabong RTR Agusan del Norte Efipanio Emily Colangan
Visaya R. Catholic Purok 5 Tagbongabong RTR Agusan del Norte Absalon Emelia Consolacoin
Visaya R. Catholic Purok 2 A. Luna Cabadbaran Agusan del Norte Rudy Editha Cantila
Visaya IFI Purok 3 A. Luna Cabadbaran Agusan del Norte Jose Nida Nayve
RELIGION
IP
Father (1st
name only if
Purok
Last Name)
identical to
learner)
Manobo R. Catholic Purok 10 Calamba Cabadbaran Agusan del Norte Jouan Arlyn Calzar
Visaya IFI Purok 7 Calamba Cabadbaran Agusan del Norte Ricky Celeste Banluta
Visaya R. Catholic Purok 4 A. Luna Cabadbaran Agusan del Norte Joebert Marissa Reydado
Visaya R. Catholic Purok 7 Calamba Cabadbaran Agusan del Norte Luzmindo Elma A. Villariza
Visaya SDA Purok 10 Calamba Cabadbaran Agusan del Norte Salvador LuciaTabamo
Visaya R. Catholic Purok 7 Tagbongabong Cabadbaran Agusan del Norte Marlon Bituina Daing
Visaya R. Catholic Purok 7 Calamba Cabadbaran Agusan del Norte
Visaya Zion Purok 4 A. Luna Cabadbaran Agusan del Norte Jonathan Sr. Estrella Casilao
RELIGION
IP
Father (1st
name only if
Purok
Last Name)
identical to
learner)
Visaya R. Catholic Purok 5 Calamba Cabadbaran Agusan del Norte Erlina Villceran
Visaya R. Catholic Purok 5 Tagbongabong RTR Agusan del Norte Crispulo Jr.
Visaya IFI Purok 9 Calamba Magallanes Agusan del Norte Samson Myrna Sereno
MARK column
Code Required Information BoSY EoSY
CCT CCT Control/reference number & Effectivity Date MALE 24
B/A Name of school last attended & Year FEMALE 19
LWD Specify
TOTAL 43
RELIGION
IP
Father (1st
name only if
Purok

Last Name)
identical to
learner)
TOTAL 43
ACL Specify Level & Effectivity Data
h Cabadbaran
Section Sampaguita
ARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to
den: 1st Name, Middle &
Last Name)
last page)
dith M. Llanto
zmenda Boyo
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
Alma Jamon
rsing Bantilan
essie Dagohoy
h Tindugan Coguit
rene Tiempo
mma Fuentes
rissa Comcom
celyn Odtojan
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
Deden Paña
nalie Obado
Levi Tabamo
orena Lauro
da Dargantes
eciana Mejares
nette Pagaora
urdes Dagohoy
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
erian Mundia
essie Punay
orena Guy-ab
Lucita Cido
enalda Tolibas
usana Bagay
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
ngeline Timbal
erila Escabas
nelyn Nayve
istita Inocilios
mily Colangan
lia Consolacoin
ditha Cantila
Nida Nayve
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
Arlyn Calzar
eleste Banluta
rissa Reydado
ma A. Villariza
uciaTabamo
Bituina Daing
Ludiepina
strella Casilao
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
rlina Villceran
Myrna Sereno
Prepared by: Certified Correct:
ROY B. PILOTON ZANDRA D. CABRADILLA

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Contact Number
(Parent /Guardian)
(Please refer to
Last Name)
last page)
BoSY Date: EoSYDate: BoSY Date: EoSYDate:

School Form
(This replaced Form 1, M
School Name La Union National High School Sch

`
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(Last Name, First Name, Middle Name)
(nos. of
years as
per last
birthday)
1 131576100005 Alcoba, Charlie Yecyec M 10/30/04 12 Agusan del Norte Cebuano Visaya
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
2 131576090009 Arcayra, Jaypee Buyan M 3/12/03 12 Agusan del Norte Cebuana Visaya
3 131576100029 Busa, Romer Alaba M 7/11/04 13 Agusan del Norte Cebuano Visaya
4 1315761000 Camarin, Xander James Ninofranco M 5/5/04 12 Agusan del Norte Cebuano Visaya
5 131376090029 Cagampang Janrey P. M 1/1/03 15 Agusan del Norte Cebuano Visaya
6 131576100049 Cubillas, John Clyde Apale M 12/5/04 16 Agusan del Norte Cebuano Visaya
7 131576100051 Cusap, Ian John M 3/1/05 14 Agusan del Norte Cebuano Visaya
8 131576090042 Custan, Carl Jun M 08/28/04 13 Agusan del Norte Cebuano Visaya
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
9 132047100034 Daculo, Chris John Pormentera M 12/17/04 13 Agusan del Norte Cebuano Visaya
10 131576090047 Dela Torre, Angelo Jr. M 10/30/03 14 Agusan del Norte Cebuano Visaya
11 131576100065 Deloso, Romer Sanchez M 12/10/04 13 Agusan del Norte Cebuano Visaya
12 131576100069 Demoral, Christian Nicole M 09/22/04 12 Agusan del Norte Cebuano Visaya
13 131575100024 Dolog, Remar M 01/23/05 13 Agusan del Norte Cebuano Visaya

14 Fortuna, Jeffrey Payot M 09/28/03 13 Agusan del Norte Cebuano Visaya
15 131575100030 Gonzaga, Chris John Cabusao M 07/23/03 12 Agusan del Norte Cebuana Visaya
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
16 132027100177 Guilot, Mark Wesley Casimsiman M 10/7/05 12 Agusan del Norte Cebuana Visaya
17 119907100471 Gulle, John Key M 3/9/02 12 Agusan del Norte Cebuano Visaya
18 Jamboy, Rene Deloso M 10/4/05 13 Agusan del Norte Cebuano Manobo
19 131576100100 Lorca, Fred Laurence M 5/10/05 15 Agusan del Norte Cebuano Visaya
20 131576100119 Palawan, John Gleen M 08/13/03 12 Agusan del Norte Cebuano Visaya
21 131576100126 Penaflor, Jericho De Ocampo M 09/20/03 16 Agusan del Norte Cebuano Visaya
22 Raganas, Aljun M 1/3/05 13 Agusan del Norte Cebuano Visaya
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
23 131576100157 Sanrojo, Brian Harold Galvadores M 7/1/05 14 Agusan del Norte Cebuano Visaya
24 131576100165 Simbajon, Bobby Amoguez M 10/25/04 12 Surigao del Sur Cebuano Visaya
25 131576100180 Tao-on, John Paul Gulle M 01/28/05 12 Agusan del Norte Cebuano Visaya
26 131576100184 Tolibas, Ronian M 03/19/05 13 Agusan del Norte Cebuano Visaya
27 131576100189 Tuyor, Clark M 9/10/05 Agusan del Norte Visaya
28 131576100197 Ylaya, Andrei James M 08/24/05 Agusan del Norte Visaya
29 131576080028 Clemente, Johnny Jr. M 10/25/98 Agusan del Norte Visaya
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
30 131280100578 Senit, Jhan Riel M 06/25/05
FEMALE
1 Anduang, Sandara Beth F 12/12/04 13 Agusan del Norte Cebuano Manobo

2 Bantillan, Annikha F 8/9/05 13 Agusan del Norte Cebuano Visaya
3 Cayabyab, Jenny Irish F 01/20/05 12 Agusan del Norte Cebuano Manobo
4 131576100038 Casimsiman, Dannah Ceniza F 06/15/05 12 Agusan del Norte Cebuano Visaya
5 Cuyos, Michelle Ann F 4/10/04 13 Agusan del Norte Cebuano Manobo
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
6 Dela Torre, Gretchen F 1/7/03 12 Agusan del Norte Cebuano Visaya

7 Lauro, Pfincess Mae Jugarap F 10/7/04 12 Agusan del Norte Cebuano Manobo
8 131576100048 Morano, Rhea Mica F 03/23/02 14 Agusan del Norte Cebuano Manobo
9 131576100118 Palawan, Floramae F 1/12/04 14 Agusan del Norte Cebuano Visaya
10 131589100060 Paler, Shiendy Mier Macababat F 12/8/05 12 Bukidnon Cebuano Manobo
11 Prisco, Crysthel F 10/25/03 12 Agusan del Norte Cebuano Visaya
12 131576100147 Saballa, Jonalyn Jane Sarsalejo F 06/22/04 12 Pampanga Cebuano Visaya
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)
AGE as of
1st Friday


of June
MOTHER TONGUE
Sex (M/F)
NAME
LRN
IP
(nos. of
years as
per last
birthday)

Indicator Required Information Indicator Code
Transferred Out Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT
Transferred IN Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A
Dropped Reason and Effectivity Date Learner With Dissability LWD
Late Enrollment Reason (Enrollment beyond 1st Friday of June) Accelarated ACL
chool Form 1 (SF 1) School Register
eplaced Form 1, Master List & STS Form 2-Family Background and Profile)
Cabadbaran City District
School Year 2017-2018 Grade Level VII Section BANZON
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)

RELIGION
Father (1st
name only if
Purok

Barangay Municipality/ City Province family name Name
Middle & Last Name)
identical to
learner)
Catholic Purok 8 La Union Cabadbaran Agusan del Norte Charlie Sr. Christina Seman
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
Catholic Purok 1 La Union Cabadbaran Agusan del Norte Ronel Lourdes
Catholic Purok 5 La Union Cabadbaran Agusan del Norte Rolando Meriam

Catholic Purok 6-A La Union Cabadbaran Agusan del Norte John Violeta
Catholic Purok -3 La Union Cabadbaran Agusan del Norte Harvey Sr.
Free
Methodist Purok -3 La Union Cabadbaran Agusan del Norte Alfredo Gloria
Catholic Purok -2 La Union Cabadbaran Agusan del Norte Roldan Chonie

Catholic Purok -6B La Union Cabadbaran Agusan del Norte Arturo Heldi
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
PIC Purok -8 La Union Cabadbaran Agusan del Norte Danny Benje Pormentera
IFI Purok 7 La Union Cabadbaran Agusan del Norte Linda
INC Purok -9 La Union Cabadbaran Agusan del Norte Richard Grace
Catholic Purok- 5 La Union Cabadbaran Agusan del Norte Glen Melody
Catholic Purok -9 La Union Cabadbaran Agusan del Norte Reymar Evelyn

Catholic Purok 7 La Union Cabadbaran Agusan del Norte Gerald Estella
Catholic Purok -9 La Union Cabadbaran Agusan del Norte CIRILO Merlinda Dumandan
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
Jenelyn Lagumbay
Catholic Purok-7 Marcos Magallanes Agusan del Norte Mark Alfred Casimsiman
Catholic Purok -1 La Union Cabadbaran Agusan del Norte Genita
Catholic Purok- 4 La Union Cabadbaran Agusan del Norte Alex Nelia Deloso
Catholic Purok 3 La Union Cabadbaran Agusan del Norte Frederick Lorena Kimpan
Catholic Purok 5 La Union Cabadbaran Agusan del Norte Francisco Mary Jane
Catholic Purok 1 La Union Cabadbaran Agusan del Norte Danilo Evelyn
Purok 4 La Union Cabadbaran Agusan del Norte Alrichnel Jenalyn
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
Gemma Padilla
Catholic Purok 4 La Union Cabadbaran Agusan del Norte Renante Galvadores
Alma Amoguez
Catholic Purok 9 La Union Cabadbaran Agusan del Norte Carmelito
Catholic Purok -5 La Union Agusan del Norte Joseph Jean Gulle
Cabadbaran
Catholic Purok 2 La Union Cabadbaran Agusan del Norte Ruel Rowena dela cruz Taba
Catholic Purok 3 La Union Cabadbaran Agusan del Norte Rosito Liezel Saromenis Luague
Catholic Purok 4 La Union Cabadbaran Agusan del Norte Adrian Lorecel Kimpan Deligero
Catholic Purok 5 La Union Cabadbaran Agusan del Norte
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
Baptist
Catholic Purok 1 La Union Cabadbaran Agusan del Norte Ramil Prescila

Catholic Purok 1 La Union Cabadbaran Agusan del Norte Alzaldo Loreta
Catholic Purok 10 La Union Cabadbaran Agusan del Norte Alfredo Cherry
Catholic Purok 3 La Union Cabadbaran Agusan del Norte Jomar Jessa Gulle Ceniza
Catholic Purok 3 La Union Cabadbaran Agusan del Norte Rinhand Judith
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)

Catholic Purok -1 La Union Cabadbaran Agusan del Norte Ricky Erlinda Roluna Jugarap
Catholic Purok 8 La Union Cabadbaran Agusan del Norte Carmelita
Catholic Purok 5 La Union Cabadbaran Agusan del Norte Francisco Mary jane
SDA Purok 10 La Union Cabadbaran Agusan del Norte Mamerto Shirley Esaga Macababat
Catholic Purok 2 La Union Cabadbaran Agusan del Norte Roldan Joan Libompasil Sarsalejo
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
RELIGION
Father (1st
name only if
Purok

Middle & Last Name)
identical to
learner)
n
Prepared by:
Required Information BoSYEoSY
CCT Control/reference number & Effectivity Date MALE 30

MICHELLE JANE M. CABAJES
(Signature of Adviser over Printed Name)
Name of school last attended & Year FEMALE 12
Specify
TOTAL 42
Specify Level & Effectivity Data BoSY Date: EoSYDate:
BANZON
N (If not Parent) REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to
Relationship the legend on last
page)
9100884355
Contact Number
(Parent /Guardian)
(Please refer to
page)
Parents
Parents 9166911204
Parents
Parents
Parent
Parents
Parents
Contact Number
(Parent /Guardian)
(Please refer to
page)
Parent
Parents
Parents
Parent
Parents
Parent
Grandmother 9485122889
Contact Number
(Parent /Guardian)
(Please refer to
page)
Parents
Parent
Parents 9123194700
Parents
Parent
Parents 9308308447
Parents
Contact Number
(Parent /Guardian)
(Please refer to
page)
Parents
9102262301
Parents
Parents
915243134
Contact Number
(Parent /Guardian)
(Please refer to
page)
Parents
Parents 9502175776
Parents
Parents
Parents
Contact Number
(Parent /Guardian)
(Please refer to
page)
Parents
Aunt
Parents
Parents
Parents 9283507547
Parents
Parents 9307653464
Contact Number
(Parent /Guardian)
(Please refer to
page)
Contact Number
(Parent /Guardian)
(Please refer to
page)
Certified Correct:
FILMAR M.ANINO
(Signature of School Head over Printed Name)
w BoSY Date: EoSYDate:

School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 317312 School Year 2018-2019 Report for the Month of
Name of School LA UNION NATIONAL HIGH SCHOOL Grade Level 8 Section D

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
(Last Name, First Name, Middle
Th
Th
Th
Th
Th
ABSENT
W
M
M
T
F
T
Name)
1 ARCAYOS,MANNY
2 AWA,JHINDEL
3 BALINAS,MARVIN
4 CAGAMPANG,JANREY
5 CLEMENTE,JOHNNEY
6 CUYOS,FRANCES
7 DACULO,CHRIS JHON
8 DELOSO,ROMER
9 DEMORAL,CHRISTIAN
10 DULOG,REYMAR
11 ENGYO,JHON MARK
12 GAPAS,JULIUS
13 GONZAGA,CHRIA JHON
14 GUILOT,MARK
15 JOROS,CHRISTIAN
16 LUCHAVES,BRIAN
17 MOLINA,GELBERT
18 NUEZ,ERLFE
19 PANSA,EDMUNDO
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
Th
Th
Th
Th
Th
ABSENT
W
M
M
T
F
T
Name)
20 PEDRITA,ALFREDO
21 PLAZA,MARK
22 SACOL,JAYFERD
23 SIMAN,JERIC
24 SIMBAJON,JOEY
25 SIMBAJON,SMUEL
26 TAO-ON,JHON
27 TUYOR,CLARK
28 YBANEZ,NICKO NOEL
29
MALE | TOTAL Per Day
FEMALE
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
Th
Th
Th
Th
Th
ABSENT
W
M
M
T
F
T
Name)
1 ANDUANG,SANDARA
2 ASPE,DIANE
3 AWITIN,CRISJOY
4 CASIMSIMAN,DANNAH
5 CUYOS,MICHELLE ANN
6 DELATORRE,GRETCHEN
7 LAGUMBAY,MARY JOY
8 MONTECARLOS,SWEETZER
9 PANDE,ROSE ANN
10 PRISCO,CRYSTEL
11 SABALLA,JONALYN
12 SALVADOR,PENSHOPPE
13
14
15
16
17
18
19
20
21
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
blank- Present; (x)- Absent; Tardy (half shaded=
3. To compute the following: Upper for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the mon
a. Percentage of Enrolment = x 100
(beyond
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
Th
Th
Th
Th
Th
ABSENTduring the mon
W
M
M
T
F
Late Enrollment
T
a. Name)
Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems
b. Individual-Related Factors Average Dail
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. Percentage of Attend
b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive b.3. Death
Number of students with 5 co
days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions Drop
b.7. Hunger/Malnutrition Transfer
c. School-Related Factors
c.1. Teacher Factor Transfe
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and corr
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
School Form 2: Page 2 of ________ f. Others
DARWIN
TARDY
TARDY
TARDY
No. of Days of Summary for the Month

Classes: M F TOTAL
28 21 49
ment during the month

0 0 0
(beyond cut-off)
TARDY
0 0 0
egistered Learner as of end of the month 29 21 50

103% 102%
entage of Enrolment as of end of the month 100%
Average Daily Attendance 25.95 19.86 46
Percentage of Attendance for the month 90% 95% 92%
0.0%
0.0%
0%
of students with 5 consecutive days of absences:
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
his is a true and correct report.

(Signature of Teacher over Printed Name)
FILMAR M. ANINO
School Form 2 (SF2) Daily
(This replaced Form 1, Form 2 & S
School ID 317-312 School Year 2017-2018
Name of School LA UNION NATIONAL HIGH SCHOOL
LEARNER'S NAME (1st row for date, 2nd row

(Last 5 6 7 8 9 12 13 14 15 16 19 20
Name, First Name, Middle Name)
Th
Th
W
W
M
M
T
k F
T
1 Alcoba, Charlie Yecyec X
2 Arcayra, Jaypee Buyan

3 Busa, Romer Alaba
4 Camarin, Xander James Ninofranco
5 Cagampang Janrey
6 Cubillas, John Clyde Apale
7 Cusap, Ian John

8 Custan, Carl Jun
9 Daculo, Chris John Pormentera
10 Dela Torre, Angelo Jr.

11 Deloso, Romer Sanchez
12 Demoral, Christian Nicole

13 Dolog, Remar
14 Fortuna, Jeffrey Payot
15 Gonzaga, Chris John Cabusao

16 Guilot, Mark Wesley Casimsiman
17 Gulle, John Key

18 Jamboy, Rene Deloso
19 Lorca, Fred Laurence
20 Palawan, John Gleen
21 Penaflor, Jericho De Ocampo X
22 Raganas, Aljun
23 Sanrojo, Brian Harold Galvadores
24 Simbajon, Bobby Amoguez
(Last 5 6 7 8 9 12 13 14 15 16 19 20
Th
Th
W
W
M
M
T
T
25 Tao-on, John Paul Gulle X
26 Tolibas, Ronian
27 Tuyor, Clark X X
28 Ylaya, Andrei James

29 Clemente, Johnny Jr. X
30 Senit, Jhan Riel X
TOTAL
(Last 5 6 7 8 9 12 13 14 15 16 19 20
Th
Th
W
W
M
M
T
T
1 Anduang, Sandara Beth X
2 Bantillan, Annikha
3 Cayabyab, Jenny Irish
4 Casimsiman, Dannah Ceniza

5 Cuyos, Michelle Ann
6 Dela Torre, Gretchen

7 Lauro, Pfincess Mae Jugarap
8 Morano, Rhea Mica
9 Palawan, Floramae
10 Paler, Shiendy Mier Macababat
11 Prisco, Crysthel X
12 Saballa, Jonalyn Jane Sarsalejo
13 Montecarlos, Sweetzer Dean
FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
X
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
3. To compute the following:

Registered Learner as of End of the Month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of
absences or those with potentials of dropping out
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
(Last 5 6 7 8 9 12 13 14 15 16 19 20
Th
Th
W
W
M
M
T
T
School Form 2: Page 2 of ________
Daily Attendance Report of Learners
m 2 & STS Form 4 - Absenteeism and Dropout Profile)
Report for the Month of JUNE
Grade Level VII Section BANZON
2nd row for Day: M,T,W,TH,F) Total for the Month

REMARK/S (If DROPPED OUT
21 22 23 26 27 28 29 30 please refer to legend nu
If TRANSFERRED IN/OUT, wr
Th
Th
ABSENT TARDY
W
School.)
M
M
F
X X
l
X
X X
X
Th
Th
ABSENT TARDY
W
W
School.)
M
F
F
X X
Th
Th
ABSENT TARDY
W
W
School.)
M
F
F
X
1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of

Classes:
blank- Present; (x)- Absent; Tardy (half shaded= Upper
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Domestic-Related Factors (beyond cut-off)
a.1. Had to take care of siblings
Registered Learner as of end of the month
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month
a.4. Family problems
b. Individual-Related Factors Average Daily Attendance
b.1. Illness
Percentage of Attendance for the month
b.2. Overage
b.3. Death
Number of students with 5 consecutive days of absences:
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions Drop out
b.7. Hunger/Malnutrition
Transferred out
c. School-Related Factors
c.1. Teacher Factor Transferred in
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
Th
Th
ABSENT TARDY
W
W
School.)
M
F
F
d.1. Distance between home and school MICHELLE JANE M. CABAJES
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by: ZANDRA D. CABRADILLA
e.1. Child labor, work
f. Others (Signature of School Head over Printed Na
PED OUT, state reason,
egend number 2.
OUT, write the name of
ool.)
egend number 2.
ool.)
egend number 2.
ool.)
Summary for the

Month
M F TOTAL
28 12 40
2 1 3
30 13 43
100 100 100
100% 100 100
0 0 0
0 0 0
egend number 2.
ool.)
BAJES
rinted Name)
School Form 3 (SF3) Books Issued and Re
(This replaced Form 1 & Inventory of Text Book)
School ID 317312 School Year
School Name LA UNION NATIONAL HIGH SCHOOL Grade Level

Subject Area & Title Subject Area & Title
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued
1
2
3
4
5
6
7
8
9
10
11
12
13
14
LEARNER'S NAME
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
TOTAL FOR MALE | TOTAL COPIES

LEARNER'S NAME
NO.
Date Date Date Date
9
LEARNER'S NAME
10
11
12
13
14
15
16
17
18
19
20`
21
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide
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. A. In Column Date Returned, codes are: FM=Fo
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are:
(for code FM), TLTR=Teacher prepared letter/rep
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
Custodian (for code TDO), PTL=Paid by the Lea
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. DO#14, 2.2012.
d and Returned
ook)
Section
ct Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
REMARK/ACTION TAKEN
(Please refer to the
Date Date Date Date Date legend on last page)
Returned Issued Returned Issued Returned Issued Returned Issued Returned
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN

REMARK/ACTION TAKEN
, please provide information with the following code: Prepared By:
odes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

ken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (Signature over printed name)
repared letter/report duly noted by School Head for submission to School Property
Date BoSY:____________ Date EoSY: ___________
=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
School Form 3 (SF3) Books Issued and Returned
School ID 317312 School Year 2017-2018
School Name LA UNION NATIONAL HIGH SCHOOL Grade Level 7 Section BAN
Subject Area & Title : Subject Area & Title : Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Aral. Pan 8
LEARNER'S NAME
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
1 Alcoba, Charlie Yecyec

2 Arcayra, Jaypee Buyan
3 Busa, Romer
Camarin, Alaba
Xander James
4 Ninofranco
5 Cagampang Janrey
6 Cubillas, John Clyde Apale
7 Cusap, Ian John
8 Custan, Carl Jun
9 Daculo, Chris John Pormentera
10 Dela Torre, Angelo Jr.
11 Deloso, Romer Sanchez
12 Demoral, Christian Nicole
13 Dolog, Remar
14 Fortuna, Jeffrey Payot
Aral. Pan 8
LEARNER'S NAME
15 Gonzaga, Chris John Cabusao

16 Guilot, Mark Wesley Casimsiman
17 Gulle, John Key
18 Jamboy, Rene Deloso
19 Lorca, Fred Laurence
20 Palawan, John Gleen
21 Penaflor, Jericho De Ocampo
22 Raganas, Aljun
23 Sanrojo, Brian Harold Galvadores
24 Simbajon, Bobby Amoguez
25 Tao-on, John Paul Gulle
26 Tolibas, Ronian
27 Tuyor, Clark
28 Ylaya, Andrei James
29 Clemente, Johnny Jr.
30 Senit, Jhan Riel

Aral. Pan 8
LEARNER'S NAME
Aral.Pan-8
NO.
Date Date Date Date Date Date
1 Anduang, Sandara Beth

2 Bantillan, Annikha
3 Cayabyab, Jenny Irish
4 Casimsiman, Dannah Ceniza
5 Cuyos, Michelle Ann
6 Dela Torre, Gretchen
7 Lauro, Pfincess Mae Jugarap
8 Morano, Rhea Mica
9 Palawan, Floramae
10 Paler, Shiendy Mier Macababat
11 Prisco, Crysthel
12 Saballa, Jonalyn Jane Sarsalejo
13
Aral. Pan 8
LEARNER'S NAME
14
16
17
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide information with the following code:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, N
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly sign
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submissio
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23,
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. DO#14, 2.2012.
ned
BANZON
ct Area & Title Subject Area & Title Subject Area & Title
REMARK/ACTION TAKEN
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN

REMARK/ACTION TAKEN
ing code: Prepared By:
ed/Dropout, NEG=Negligence MICHELLE JANE M. CABAJES

rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property
Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
School Form 3 (SF3) Books Issued and Returned
School ID 317312
School Name LA UNION NATIONAL HIGH SCHOOL Watson

Subject Area & Title : Aral. Pan -8 Subject Area & Title : SS Subject Area & Title
uu
LEARNER'S NAME bb
DD
NO. (Last Name, First jj
aa
Name, Middle Name) Date Date ee Date
tt
cc
Issued Returned Issued Returned ee Issued Returned
Issued
Issued
tt
1 Abayon, Angelou 6/16/2016 AA
2 Arsenio, Carlo Jay 6/16/2016 3/20/2017
rr
ee
3 Ayento, Reynan aa
4 Basan, Mike Vincent &&

5 Canarejo, Angelou TT
6 Casinio, Bobby ii
tt
7 Dadole, Jemar ll
ee
8 Dagohoy, Jim Ryan
9 Dela Pena, Alfie
10 Escobia, Regie
11 Labrador, John Adrian
12 Lagunde, Ricardo, Jr.
13 Manalaysay, Hyx 6/16/2016 3/23/2017
14 Ninofranco, Nino 6/16/2016 3/20/2017
uu
LEARNER'S NAME bb
DD
aa
tt
cc
Issued
Issued
tt
15 Raganas, Alrichnel AA
16 Sugabo, John Mark rr
ee
17 Tapic, James Walter 6/16/2016 aa
18 Tumarlas, Aljun &&

19 Ricaforte, Ray Jay TT
20 Villanueva, Ed Arnel 6/16/2016 ii
tt
21 ll
ee
22
23
24
25
26
27
Subject Area & Title : Aral. Pan -8 Subject Area & Title : Aral. SS Subject Area & Title
Pan. 7 uu
bb
LEARNER'S NAME
jD
D j
Name, Middle Name) aeae
Date Date Date
tctc
tete
Issued Returned Issued Returned
Issued
IssuedIssued Returned
AA
rr
ee
uu
LEARNER'S NAME bb
DD
aa
tt
cc
Issued
Issued
tt
1 Anduang, Kris Bea AA

rr
2 Awa, Christine Mae 6/16/2016 ee
aa
3 Deligero, Joy
&&
4 Dicdican, Ma. Blight 6/16/2016 3/17/2017
TT
5 Diabordo, Michelle ii
tt
6 Gumela, Gemma 6/16/2016 3/17/2017 ll
ee
7 Kimpan, Dorie 6/16/2016 3/16/2017
8 Lampadio, Edna 6/16/2016 3/16/2017
9 Ortiz, Alaiza
10 Ricaplaza, Candies 6/16/2016 3/17/2017
11 Simpao, Diane
12 Somera, Jellie 6/16/2016
13 Wapili, Kissy 6/16/2016 3/16/2017

r
r
Subject Area & Title : Aral. Pan -8 Subject Area & Title : eSS Subject Area & Title
duu
LEARNER'S NAME /bb
D
D D
ara
tot
cc
Issued Returned Issued Returned
Issued
Issued epe Issued Returned
tt
o
uAA
trr
,ee
aa
N
E
&&
G
=TT
N
ii
ett
gll
lee
TOTAL LEARNERS | TOTAL COPIES i
GUIDELINES: IPrepared
g By:
e
1. Title of Books Issued to each learner must be recorded by the class adviser. n
c
2. The Date of Issuance and the Date of Return shall be reflected in the form. e
3. The Total Number of Copies issued at BoSY shall be reflected in the form. P (Signature over printed
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Date BoSY:____________ Date EoSY
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
REMARK/ACTION TAKEN
legend on last page)
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN
REMARK/ACTION TAKEN

Signature over printed name)
_________ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's Movement and Atte
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Region Division District

School ID
School Name School Year
ATTENDANCE DROPPED OUT TRAN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative
Percentage for (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average (B) For the Month as of End of the
the Month of Previous Month
Month
of Previous 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
GUIDELINES: Prepared
1. This forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is 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.
nd Attendance
Report for the Month of
TRANSFERRED OUT TRANSFERRED IN
(A+B) Cumulative (A+B)

(A) Cumulative as
(B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month
Month End of the Month
M F T M F T M F T M F T M F T
Prepared and Submitted by:

School Form 5 (SF 5) Report on Promotion & Level of Proficienc
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
Region Caraga Division Cabadbaran City District South Cabadbara
School ID 317312 School Year 2016--2017 Curriculum K-12
School Name LA UNION NATIONAL HIGH SCHOOL Grade Level GRADE 7
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curri
AVERAGE and remaining RBEC in High School. Elementary g
ACTION TAKEN:
(Numerical Value in 3 level that still implementing RBEC need not to fill u
LEARNER'S NAME PROMOTED,
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 3 for
*IRREGULAR or column)
RETAINED
non-honor & Completed as of end of
Descriptive Letter) as of End of the curre
current SY
131536070004 Bacayan , Christian Bantilan Promoted
131536070006 Bantilan , Reniel Pontejos Promoted
131574070011 Berse , Arlito Maco Promoted
131572070022 Caparas , Jelly Jr. - Promoted
131536120004 Capua , Ronald Joey M Promoted
304673130086 Castrodes , Erniel Dejolde Promoted
131572070006 Cuevas , Carl Patrick Dela Cruz Promoted

ACTION TAKEN:
RETAINED
current SY
131574070019 Dablo , JV Gabatan Promoted
131536070016 Daing , Dionesio Jr. Cadenas Promoted
131574070024 Denata , Al James Tumarlas Promoted
131572060008 Doldol , Jeaford C Promoted
131572070009 Edo , Dexter Alviola Promoted
132047070019 Escopete , Joecris A Promoted
131572070011 Jamito , Clint Jay - Promoted
128081070318 Lascuña , John Lyster A Promoted
131536070022 Lumictin , Bryan M Promoted
131572070013 Mahusay , Kirk Christian - Promoted
113715120198 Manlubatan , Roylando Jose M Promoted
131574070045 Olan-Olan , Wilson - Promoted
131574070005 Amper , Daisy Jean Cahepre
131536070005 Bantilan , Kate Orapa

ACTION TAKEN:
RETAINED
current SY
131574070018 Calzar , Rhea Mae Tumarlas
131574070022 Damalerio , Jevah Orapa
131574070023 Delabahan , Davy Chris Baintin
131536070019 Gumapac , Nikie Pagaura
131549070005 Jamon , Arrian Peligro
131529070063 Mabandos , Ronalyn Doldol
131574070050 Ortega , Deby Jane Rara
131574070052 Portugal , Jonnalyn Calzar
131574070055 Quillope , Kyarra Agasino
131574070057 Sahay , Chrisa Mae Abes
131536070033 Sososco , Mariel Dagio
13 TOTAL FEMALE
40 COMBINED
ficiency
h Cabadbaran
K-12
Section BANZON
to 12 Curriculum
ementary grades
not to fill up this
of the current SY
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED 18 22 40
*IRREGULAR 1 0 1
RETAINED 2 0 2
to 12 Curriculum
ementary grades
not to fill up this
of the current SY
RETAINED 2 0 2
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74% 2 0 2
and below)
DEVELOPING
6 2 8
(D: 75%-79%)
APPROACHING
PROFICIENCY
8 7 15
(AP: 80%-84%)
PROFICIENT
4 11 15
(P: 85% -89%)
PREPARED BY:
to 12 Curriculum
ementary grades
not to fill up this
of the current SY
ROY B. PILOTON
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
FILMAR M. ANINO
School Head
REVIEWED BY:
JOEL L. PELENIO

School Form 5 (SF 5) Report on Promotion & Level of Proficiency
Region Caraga Division Cabadbaran City District South Cabadbaran
School ID 317312 School Year 2016- 2017 Curriculum K-12
School Name Calamba National High School Grade Level GRADE 7 Section BANZON
(This column is for K to 12 Curriculum
ACTION TAKEN: and remaining RBEC in High School. Elementary grades
GENERAL AVERAGE
LEARNER'S NAME (Numerical Value in 3
decimal places for PROMOTED, level that still implementing RBEC need not to fill up this
LRN (Last Name, First Name, column)
honor learner, 3 for *IRREGULAR or
Middle Name) non-honor & RETAINED
Descriptive Letter) Completed as of end of
as of End of the current SY
current SY
131576090002 Abella, Joseph Angelo Tajunio 91 Promoted

134113080043 Bayona, Rogem Ralph 77 Promoted SUMMARY TABLE
131576090024 Bitco, Rofell 77 Promoted STATUS MALE FEMALE TOTAL
131576090033 Celitona, John Kokie 82 Promoted
PROMOTED 19 20 39
131576090139 Cuestas, Jundel 77 Promoted
131576090138 Dadole, Jimmy 77 Promoted
*IRREGULAR 0 0 0
131576090057 Escobido, Adrian Collamat 78 Promoted
131576090060 Evangelio, Petronilo III Siman 83 Promoted
RETAINED 1 0 1
131576090065 Gabisan, Marvin 88 Promoted
131576120138 Gabisan, Nino 81 Promoted
131576090072 Kimpan, Raul Jr. Bulak 86 Promoted LEVEL OF PROGRESS
131576090085 Maceda, John Paul Ligao 82 Promoted MALE FEMALE TOTAL
131576090101 Ninofranco, Joseph III Gellecania 80 Promoted Did Not Meet

Expectations 1 0 1
131887090123 Orano, Eugene Naive 78 Promoted (74% and below)
131576090114 Palos, Jovic 80 Promoted 3

Fairly Satisfactory
(75%-79%) 7
131576090128 Ranollo, Christan Agcul 82 Promoted
131576090133 Sacol, Jayferd Retained 5
Satisfactory
(80%-84%) 7
131576090143 Torlao, Archie 80 Promoted
131576090152 Ventillo, Winlove 79 Promoted 5
Very Satisfactory
(85% -89%) 2
Promoted
20 TOTAL MALE
131576090004 Alagos, April Mayumi Olalo 83 Promoted PREPARED BY:
131576090005 Alcoba, Charmine 87.625 Promoted MICHELLE JANE M. CABAJES

131576090007 Ampong, Rosemarie 93 Promoted Class Adviser
132083091008 Arellano, Michelle Joy 89.125 Promoted (Name and Signature)
131576090015 Bagaan, Marychris Dumadapat 90 Promoted

131576090018 Balbada, Mary Nhel Monter 89 Promoted CERTIFIED CORRECT & SUBMITTED:
131576120134 Damian, Jomarizel 84 Promoted

131576090046 Dela Pena, Jenelyn 87.625 Promoted JUNNEL E. MAGAWAY
131575090034 Dolog, Reylyn Asoy 83.375 Promoted PRINCIPAL II
118712120065 Iyog, Christine Marie 78.500 Promoted (Name and Signature)
131575090048 Lamadora, Frincess Carumba Promoted REVIEWED BY:
131820060020 Layma, Jenny 84.750 Promoted JESSIE C. TORREON

121408090069 Llano, Magnolia 87.000 Promoted (Name and Signature)
132189090009 Migullas, Remalyn Lade 88 Promoted Division Representative
131576090315 Olalo, Krista Joyce 87.250 Promoted GUIDELINES:
131576120131 Oyan, Princess 83.759 Promoted 1. For All Grade/Year Levels
131526090315 Real, Aiko 94 Promoted 2. To be prepared by the Adviser. Final rating per subject
area should be taken from the record of subject teacher.
131576090136 Sarnillo, Rhea 95.125 Promoted The class adviser should make the computation of General
Average.
131576090144 Trisuelo, Jeanette 80 Promoted
131576090150 Veloso, Cindy 79.875
4. Must tallied with the total enrollment report as of End of

School Year GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under
the discretion of the Schools Division Superintendent
20 TOTAL FEMALE
41 COMBINED School Form 5: Page 1 of 1
87.250
School Form 5 (SF 5) Report on Promotion & Level of Proficienc
Region Caraga Division Cabadbaran City District South Cabadbaran
School ID 304676 School Year 2013-2014 Curriculum K-12
School Name Calamba National High School Grade Level GRADE 7
GENERAL (This column is for K to 12 Curric
AVERAGE and remaining RBEC in High School. Elementary gr
ACTION TAKEN:
(Numerical Value in 3 level that still implementing RBEC need not to fill up
RETAINED
current SY
131574060001 Abo-abo , Joshua Tao-on 80.812 Promoted
131524060003 Agua , Ernesto Jr. Managa 87.843 Promoted
304676130032 Agunod , Froiland Villadores 78.250 Promoted
131524060005 Aragoncillo , Kent Abria 83.250 Promoted
131536060008 Butilla , Argie Cajorao 79.281 Promoted
131524060011 Calinawan , Anthony Maayo 81.156 Promoted
131524060015 Dagohoy , Angelo Coguit 81.968 Promoted

ACTION TAKEN:
RETAINED
current SY
131536060012 Dela Rosa , Jerriel Raut-raut 78.687 Promoted
131572060009 Estemera , Roan Salga 79.656 Promoted
304676130041 Estoria , Ricar Torregosa 77.250 IRREGULAR ENGLISH
131536060017 Golo , Angelito Consolacion 81.343 Promoted
304676120100 Lumakin , Joshua Dumpas 84.156 Promoted
304676130039 Pajaron , Rodel Dojeñas 73.500 RETAINED
131574060017 Pontejos , Von Jusper Orlanes 88.031 Promoted
131440060008 Prollo , Reggie 82.468 Promoted
131574060020 Racho , James Carlo Ata 88.843 Promoted
304676130038 Rivera , Clint Archer 73.343 RETAINED
131574120177 Sagrado , Raffy Rolida 79.187 Promoted
304676110098 Sumaylo , Darwin Fiel 80.812 Promoted
131574060023 Tagalog , Jayshin Rollan 90.968 Promoted
131574120178 Tuba , Sherwin Punay 86.656 Promoted

ACTION TAKEN:
RETAINED
current SY
21
131524060002 Acedilla , Kristine Joy Prollo 89.843 Promoted
304676130031 Albaren , Analuna Contiga 80.437 Promoted
131574120179 Alcordo , Judy Ann Exclamado 79.500 Promoted
131574120181 Bonggot , Shara Grace 80.750 Promoted
131524060014 Costan , Rea Joy Tiempo 79.125 Promoted
136753060444 Gomez , Elienne Manangan 91.562 Promoted
131524060019 Hambura , Rich Chelle Empron 85.000 Promoted
131524060026 Harinayan , Kimverly Guy-an 80.500 Promoted
131536050022 Jostol , Ricagen Ocaba 88.718 Promoted
131574060008 Labrador , Jay Ann 90.875 Promoted
131574120194 Lumag , Lovely Maestre 85.937 Promoted
131574120187 Opeña , Florence Prollo 89.781 Promoted

ACTION TAKEN:
RETAINED
current SY
127702060037 Ortiga , Donna May Lomag 83.781 Promoted
131524060036 Prollo , Maricel Hermosada 86.250 Promoted
131524060037 Prollo , Marefie Hermosada 87.531 Promoted
131574120191 Sendrejas , Gesille Mae 88.906 Promoted
131573120244 Tatad , Trisha 89.812 Promoted
131536060043 Tejero , Jessica Amora 84.937 Promoted
119223060058 Tejero , Regine Gitano 81.718 Promoted
304676130044 Tuan , Christine Joy 86.468 Promoted
131524060040 Tuan , Rafonchel Guy -ab 85.000 Promoted
131574120192 Yulin , Leny Besira 81.281 Promoted
22 TOTAL FEMALE
ACTION TAKEN:
RETAINED
current SY
43 COMBINED
ficiency
h Cabadbaran
K-12
Section DAFFODIL
to 12 Curriculum
ementary grades
not to fill up this
of the current SY
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED 18 22 40
*IRREGULAR 1 0 1
RETAINED 2 0 2
to 12 Curriculum
ementary grades
not to fill up this
of the current SY
RETAINED 2 0 2
NGLISH LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74% 2 0 2
and below)
DEVELOPING
6 2 8
(D: 75%-79%)
APPROACHING
PROFICIENCY
8 7 15
(AP: 80%-84%)
PROFICIENT
4 11 15
(P: 85% -89%)
ADVANCED
(A: 90% and 1 2 3
above)
to 12 Curriculum
ementary grades
not to fill up this
of the current SY ADVANCED

(A: 90% and 1 2 3
above)
PREPARED BY:
ANAMAE P. AGDA
Class Adviser
CERTIFIED CORRECT & SUBMITTED:
FILMAR M. ANINO
School Head
REVIEWED BY:
JOEL L. PELEGNIO
to 12 Curriculum
ementary grades
not to fill up this
of the current SY
Division Representative
GUIDELINES:
1. For All Grade/Year Levels
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 ( *for grade
7 onwards only) and the level of proficiency according
to the individual general average
4. Must tallied with the total enrollment report as of

End of School Year GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain

under the discretion of the Schools Division
Superintendent
to 12 Curriculum
ementary grades
not to fill up this
of the current SY

School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced 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 / GR
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCYMALE 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 REPRESENTATIVE SCHOOLS DIVISION SUPERI
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 each data field.
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
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
School Year
RADE 6 / GRADE 12 TOTAL
FEMALE TOTAL MALE FEMALE TOTAL
FEMALE TOTAL MALE FEMALE TOTAL

SION SUPERINTENDENT
eld.
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced 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 Scho
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sou
Title of Designation
(Designation Appointment:
Title of Plantilla Position Title of Plantilla Position (Contractual, Fund Source
Number of Number of as appeared in the
(as appeared in the appointment (as appeared in the appointment Substitute, (SE
Incumbent Incumbent contract/document: Teacher, Clerk, Volunteer, others
document/PSIPOP) document/PSIPOP) NGO's
Security Guard, Driver etc.) specify)
EDUCATIONAL QUALIFICATION * Daily Program (time durat

Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From To
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignment TH/F)
Ave. Minutes per Day

Nature of
(include Grade &
Assignment TH/F)

Nature of
(include Grade &
Assignment TH/F)
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 the lowest. This form (Signature of Sch
shall also serve as inventory list of school personnel.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: _______
4. * Daily Program Column is for teaching personnel only.
Scho
School Year
ing Sources
Number of
Source Incumbent
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching
me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week
me duration)
Remark/s (For
per Week
me duration)
Remark/s (For
per Week
e of School Head over Printed Name)
___________________________
School Form 7, Page 2 of ________

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(T

School ID 317312 Region XIII Division

School Name La Union National High School

BIRTH PLACE ( Province)

1 131576090002 Abella, Joseph Angelo Tajunio M 5/10/04 12 Bislig City Cebuano

BIRTH PLACE ( Province)

3 134113080043 Bayona, Rogem Ralph Valerio M 11/2/02 13 Cotabato City Cebuano

BIRTH PLACE ( Province)

11 131576090065 Gabisan, Marvin M 4/9/04 12 Bulacan Cebuano

BIRTH PLACE ( Province)

19 131576090133 Sacol, Jayferd Acompañado M 6/2/02 14 Agusan del Norte Cebuano

20 131576140241 Torlao, Archie Polangco M 3/13/04 12 Agusan del Norte Cebuano

1 131576090004 Alagos, April Mayumi Olalo F 6/19/04 12 Caloocan City Cebuano

BIRTH PLACE ( Province)

3 131576090007 Ampong, Rosemarie Madlos F 10/3/03 12 Agusan del Note Cebuano

BIRTH PLACE ( Province)

11 131820060020 Layma, Jenny L F 12/21/00 15 Agusan del Sur Cebuano

BIRTH PLACE ( Province)

19 131576090150 Veloso, Cindy Escobia F 5/1/03 13 Agusan del Norte Cebuano

Transferred IN Name of Public (P) Private (PR) School & EffectivityBalik-Aral

Division Cabadbaran City District South Cabadbara

School Year 2016 - 2017 Grade Level 7

ADDRESS NAME OF PARENTS

Mother (Maiden: 1st Name,

Visayan P-8 La Union Cabadbaran Agusan del Norte Marly Gabisan

Visayan P-7 La Union Cabadbaran Agusan del Norte Arnolfo Jemma L

CCT CCT Control/reference number & Effectivity Date MALE 21

B/A Name of school last attended & Year FEMALE 19

ENTS GUARDIAN (If not Parent) REMARK/S

ene Tajunio 9479882807

mma Valerio 9366635018

rly Gabisan Angelito 9109862159

nabel Bulak 9460114560

a Acompañado Alexander Uncle 9100167855

isty Madlos 9105215136

Prepared by: Certified Correct:

MICHELLE JANE M. CABAJES JUNNEL E. MAGAWAY

BoSY Date: EoSYDate: BoSY Date: EoSYDate:

School ID 304676 Region XIII Division

School Name Calamba National High School

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

3 131574080007 Asual , Marjun Jamon M 6/21/02 12 Agusan del Norte Cebuano

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

11 131524080015 Grometes , Reo Paña M 11/7/01 13 Agusan del Norte Cebuano

13 131574120148 Lamdagan , Alrian Tabamo M 4/21/03 12 Agusan del Norte Cebuano

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

24 131574080002 Acaso, RJay H M Agusan del Norte Cebuano

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

17 131573070028 Timon , Janice Villceran F 5/15/00 15 Agusan del Norte Cebuano

Transferred IN Name of Public (P) Private (PR) School & EffectivitBalik-Aral

BIRTH PLACE ( Province)

BIRTH DATE (mm/dd/yy)

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