Republic of the Philippines

Department of Education
Region XII
Division of Sarangani
Maasim 1 District
Maasim Sarangani Province

School: ________________________________________
Grade Enrolment Enrolment Ethnic Affiliation No. of Balik- ADM ALS Learners’ MPS per subject taught (First & Second Grading Period)
Level As of
As of June Ethnic Affiliation October
Dropout Aeral Reading Eng Math Scie MTB Fil Ar Overall
2019 2019 Status Pan
M F T IP Muslim Bisaya M F T IP Muslim Bisaya M F T M F T M F T M F T M F T
K
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Subtotal

Grade 7
Grade 8
Grade 9
Grade 10
Subtotal

Grade 11
Grade 12
Subtotal

Grand Total

Prepared by: Noted:

__________________________ ______________________________
Name & Signature/Position Name & Signature/ Position

Note: Subjects in elementary and secondary per grade level vary. Senior High School subjects vary due to different tracks offered.
 Republic of the Philippines
Department of Education
Region XII
Division of Sarangani
Maasim 1 District
Maasim Sarangani Province
School: ____________________________________________

Name of Teachers Position IPCR No. of COT InSeT Attended Training Needs LMs Research Agreement Remarks
As of June 2019 Status Rating conducted Based on Developed Conducted w/ the
(e.g. MT 1, date)
(T 1, date, Reg)
COT/IPCR School
Heads

Additional Teacher as of

Prepared by: Noted:

__________________________ ______________________________
Name & Signature/Position Name & Signature/ Position
 Republic of the Philippines
Department of Education
Region XII
Division of Sarangani
Maasim 1 District
Maasim Sarangani Province
School: ____________________________________________
(For School Heads ) Note: Curriculum Heads may fill in except col 5,6,7,8,9, & 11 )
Title of SLAC conducted Date No. of Narrative No. of Date Bottlenecks/ SBM Research MPRE Narrative OPCR Rating
Recipients Report SMEPA Accomplishments SIP Level of Conducted Action Report on w/ Attached
Conducted Practice Plan the conduct MOVs/
of MPRE portfolio

Prepared by: Noted:

__________________________ ______________________________
Name & Signature/Position Name & Signature/ Position