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School F

(This replaced Fo

School ID 418919 Region III Division

School NameImmaculate Conception School of Malolos - Senior High School

AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)

1 M 7/15/2001 16 Catholic

2 M 11/30/2001 16 Catholic

3 M 10/29/2001 16 Catholic

4 M 10/15/2002 15 Catholic
AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)

5 M 12/8/2001 16 Catholic

6 M 4/23/2002 16 Catholic

7 M 8/5/2001 16 Catholic

8 M 1/29/2001 17 Catholic

9 M 10/9/2001 16 Catholic

10 M 12/18/2001 16 Catholic

11 M 4/1/2002 16 Catholic

12 M 8/30/2001 16 Catholic
AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)

13 M 12/17/2001 16 Catholic

14 M 3/15/2002 16 Catholic

15 M 2/23/2002 16 Catholic

16 M 8/31/2001 16 Catholic

17 M 9/21/2001 16 Catholic

18 M 3/21/2002 16 Catholic

19 M 9/22/2001 16 Catholic

20 M 12/6/2001 16 Catholic
AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)

21 M 5/1/2001 17 Catholic

22 M 12/10/2001 16 Catholic

23 M 12/16/2001 16 Catholic

24 F 11/29/2000 17 Catholic

25 F 8/22/2001 16 Catholic

26 F 7/27/2001 16 Catholic

27 F 9/19/2001 16 Catholic

28 F 1/17/2002 16 Catholic
AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)

29 F 3/19/2002 16 Catholic

30 F 1/5/2002 16 Catholic

31 F 12/22/2001 16 Catholic

32 F 5/24/2002 16 Catholic

33 F 2/5/2002 16 Catholic

34 F 11/23/2001 16 Catholic

35 F 6/7/2001 16 Catholic
AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)
AGE as of
1st Friday of
BIRTH June
Sex IP
NAME DATE MOTHER
LRN (M/F (Specify RELIGION
(Last Name, First Name, Middle Name) (mm/ TONGUE
) (nos. of Ethnic Group)
dd/yy)
years as per
last birthday)

List and Code of Indicators under REMARKS column


Indicator Code Required Information Indicator Code Required Information
CCT Control/reference number &
Transferred Out T/O Name of Public (P) Private (PR) School & E
C CT Recipi CCT
Date
Transferred IN T/I Name of Public (P) Private (PR) School & E
B alik-Aral B/A Name of school last attended &
Dropped DRP Reason and Effectivity Date Learner Wit LWD Specify
Late Enrollment LE Reason (Enrollment beyond 1st Friday of JuAccelarate ACL Specify Level & Effectivity Data
School Form 1 (SF 1) School Register
his replaced Form 1, Master List & STS Form 2-Family Background and Profile)

Malolos District

School Year 2018 - 2019 Grade Level 11

ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)
ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)
ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)
ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)
ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)
ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)
ADDRESS NAME OF PARENTS

House # / Father's Name (Last Mother's Maiden Name (Last


Street/Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name, First Name, Middle
Purok Name) Name)

n
Prepared by:
REGISTERED BoSY EoSY

e number & Effectivity MALE 23


KARRISH C. SOLIMAN
(Signature of Adviser over Printed Name)
ttended & Year FEMALE 12

TOTAL 35
ivity Data BoSY Date: EoSYDate:
11 SectionST. ALBERT THE GREAT

GUARDIAN (If not Parent) REMARK/S


Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

Certified Correct:

C. SOLIMAN DR. ELISA P. BALLESTEROS


er over Printed Name) (Signature of School Head over Printed Name)

EoSYDate: BoSY Date: EoSYDate:


School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 418919 School Year 2018 - 2019 Report for the Month of APRIL

Name of SchoolIMMACULATE CONCEPTION SCHOOL OF MALOLOS - SENIOR HIGH SCHOOL Grade Level 11 Section ST. A
LEARNER'S NAME (1st row for date) Total for the Mont
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT
1 ANACTA, Elijah Miguel Parbo
2 CANLAS, John Cyle Valentino
3 CONCEPCION, Fredrik Aldrei Calalang
4 DELA CRUZ, Wendell Ace
5 DELA ROSA, Adrian Lauwrence
6 ESTRELLA, John Reyniel Caparas
7 JUMAQUIO, Jay Ivan Agustin
8 LATOZA, Lance Benedict Dayrit
9 LAZARO, Luis Gabriel Avenida
10 MONDEJAR, Isabelo Miguel Geronimo
11 NICOLAS, Jack Vincent
12 PANLAQUI, Miguel Tyrone Tapang
13 PASCUAL, Glenn Cole Dmitri Guanlao
14 PASCUAL, Raphael Angelo Reyes
15 PAULINO, Paulo Rafael Mangahas
16 PUNZALAN, Alex Corvis Lingad
17 SALAZAR, Jose Miguel Sioson
LEARNER'S NAME (1st row for date) Total for the Mont
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT
18 SANTOS, Daryl Cacapit
19 SORIANO, Pocholo Nicole Arcega
20 TIMARIO, Tyron Josh Cao
21 UMALI, Josue Isaias Laderas
22 UMALI, Rinaldi Zachary Villanueva
23 YALUNG, Mharlon Jefferson Sta. Ana
MALE | TOTAL Per Day
1 CAMUA, Margarita Nadine Faustino
2 CRUZ, Anna Marielle Avendaño
3 FLORES, Patricia Faith Dela Serna
4 JUAN, Kristinne Angela Napiñas
5 LAS PIÑAS, Jerimae Hintay
6 MACAPUGAY, Ma. Isabela Josephine Garcia
7 REYES, Bea Angela Medina
8 SALONGA, Kristeen Aerielle
9 SINGSON, Precious Marie Mendoza
10 TOLENTINO, Fleur Edlynne Tanjuan
11 TORRES, Daniella Andrea Placido
12 VILLANUEVA, Ma. Althea Bernice Buluran

FEMALE | TOTAL Per Day


LEARNER'S NAME (1st row for date) Total for the Mont
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT
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= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during t
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (b
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learner
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of Enrolm
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table b.2. Overage
into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of At
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students a
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
D
c. School-Related Factors
c.1. Teacher Factor
Tran
c.2. Physical condition of classroom
c.3. Peer influence
Tra
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true an
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
School Form 2 : Page 2 of 2
ST. ALBERT THE GREAT

the Month
REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
the Month
REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY
the Month
REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TARDY

No. of Days of Summary


Classes: M F TOTAL

olment as of (1st Friday of June)


t during the month
(beyond cut-off)

ed Learners as of end of the month

of Enrolment as of end of the month

Average Daily Attendance

ntage of Attendance for the month

students absent for 5 consecutive days:

Drop out

Transferred out

Transferred in

s a true and correct report.

KARRISH C. SOLIMAN
(Signature of Teacher over Printed Name)

ELISA P. BALLESTEROS
(Signature of School Head over Printed Name)

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