School ID

School Name

NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)
 List and Code of Indicators under REMARKS
Indicator Code Required Information
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date
Dropped DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Region VIII Division

School Year

ADDRESS
AGE as of
BIRTH DATE MOTHER IP
1st Friday RELIGION House #/ Street/
(mm/dd/ yyyy) TONGUE (Ethnic Group)
June Sitio/ Barangay
Purok
cators under REMARKS column
Code Required Information
chool & Effectivity Date CCT CCT Control/reference number & Effectivity Date

chool & Effectivity Date B/A Name of school last attended & Year
LWD Specify
iday of June) ACL Specify Level & Effectivity Data
ol Register
Background and Profile)

District

Grade Level Section

GUARDIAN
ADDRESS PARENTS
(If not Parent)

Mother's Maiden Name (Last

Father's Name (Last Name,
Municipality/ City Province Name, First Name, Middle Name
First Name, Middle Name)
Name)
 Prepared by:
REGISTERED BoSY EoSY

fectivity Date MALE

(Signature of Adviser over Printed Name)

FEMALE

TOTAL
BoSY Date: EoSYDate:
IAN
REMARKS
(If not Parent)
Contact Number of
Parent or
Guardian (Please refer to the
Relation-ship
legend on last page)
Certified Correct:

(Signature of School Head over Printed Name)

BoSY Date: EoSYDate:

 School Form 2 (SF2) Daily Attendance Re
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and

School ID School Year Report for the

Name of School

LEARNER'S NAME (1st row for date)

(Last Name, First
Name, Middle Name) M T W TH F M T W TH F M T W TH F
MALE | TOTAL Per Day
 FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING AT
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent;
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lowe
3. To compute the following: 2. REASONS/CAUSES FOR DR
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward sch
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
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 b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
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 performanc
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
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classro
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home an
d.2. Armed conflict (incl. Tribal w
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)

School Form 2 : Page ___ of ________

y Attendance Report of Learners
TS Form 4 - Absenteeism and Dropout Profile)

Report for the Month of

Grade Level Section

date) Total for the Month

REMARKS (If DROPPED OUT, state reason, please refer
to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F ABSENT TARDY
1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
Classes: M F TOTAL
(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 FOR DROPPING OUT
a. Domestic-Related Factors Late Enrollment during the month
a.1. Had to take care of siblings (beyond cut-off)
a.2. Early marriage/pregnancy
Registered Learners as of end of the month
a.3. Parents' attitude toward schooling
a.4. Family problems
Percentage of Enrolment as of end of the month
b. Individual-Related Factors

Average Daily Attendance

 Average Daily Attendance
b.2. Overage

Percentage of Attendance for the month

b.4. Drug Abuse
b.5. Poor academic performance
Number of students absent for 5 consecutive days:
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Drop out
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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 and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:

(Signature of School Head over Printed Name)

 School Form 3 (SF3) Books Issued and Ret
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level

Subject Area & Title Subject Area & Title 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 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 fo
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Tran
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter f
code FM), TLTR=Teacher prepared letter/report duly noted by School H
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). R
DO#14, 2.2012.
ks Issued and Returned
nventory of Textbooks)

Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned
ease provide information with the following code: Prepared By:

s are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
d letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
id by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,

School Form 3: Page ___ of ________

 School Form 4 (SF4) Monthly Learner's Movement
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Pro

School ID Region Division

School Name

ATTENDANCE DROPPED OUT

REGISTERED
GRADE/ LEARNERS
YEAR SECTION NAME OF ADVISER (As of End of the Daily Average Percentage for (A) Cumulative as (B) For the Month
LEVEL Month) the Month of Previous Month

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:
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

Page _____ of _____ pages

ner's Movement and Attendance
bsenteeism and Dropout Profile)

District

School Year Report for the Month of

PPED OUT TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B) Cumulative (A+B)

(A) Cumulative as (A) Cumulative as
as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month of Previous Month
Month 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
 Prepared and Submitted by:
h.

(Signature of School Head over Printed Name)

 School Form 5 (SF 5) Report on Promotion & Level of Pr
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division

School ID School Year

School Name

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curricu
AVERAGE
ACTION TAKEN: High School. Elementary grades level that
(Numerical Value in 2
LEARNER'S NAME PROMOTED, need not to fill up these
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current
School Year
TOTAL MALE
TOTAL FEMALE
COMBINED
Promotion & Level of Proficiency
E2, 18A and List of Graduates)

District

Curriculum

Grade Level Section

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that are still implementing RBEC
need not to fill up these columns)

From previous school years

completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED
 LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING (D:
75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED (A:
90% and above)

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

 School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

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
teachers. The class adviser should compute for the
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 tally with the total enrollment report as of End of

School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent
School Form 5: Page ____ of ________
 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces 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 1
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT
(P: 85% -89%)
PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
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 is under the discretion of the Schools Division Superintendent.
el of Proficiency

School Year

GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

 SCHOOLS DIVISION SUPERINTENDENT

ool total.
 School Form 7 (SF7) School Personnel Assignment List and Basic Pr
(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

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appoint

Title of Designation
Title of Plantilla Position Title of Plantilla Position (as it appears in
Number of Number of
(as it appears in the appointment (as it appears in the appointment the contract/document: Teacher,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.)

EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor
-T.I.N.) Status Graduate Specialization
GUIDELINES:
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.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. Daily Program Column is for teaching personnel only.
nment List and Basic Profile
, Form 19-Assignment List,
ormation of Teachers)

School Year

(C ) Other Appointments and Funding Sources

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

Daily Program (time duration)

Remarks (For
Subject Taught (include
Detailed Items,
Grade & Section), Total Actual Indicate name of
Advisory Class & Other DAY From To Teaching school/office, For IP's
Ancillary Assignments (M/T/W/ (00:00) (00:00) Minutes per
TH/F) -Ethnicity)
Week
Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 Ave. Minutes per Day

Ave. Minutes per Day

Submitted by:
onnel during the school year, an

nk down to the lowest. (Signature of School Head over Printed Name)

Updated as of: ___________________________

School Form 7, Page ___ of ________
 School Form 2 (SF2) Daily Attendance Report of Teachers
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 342345 School Year 2018-2019 Report for the Month of JULY

Name of School PAGSANJAN STAND ALONE SENIOR HIGH SCHOOL Grade Level Section

JULY Total for the Month

LEARNER'S NAME REMARKS (If DROPPED OUT, state reason,
please refer to legend number 2.
(Last Name, First 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 31
If TRANSFERRED IN/OUT, write the name of
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 TARDY School.)
1 Alcantara, Wilson D.
2 Bataluña, Maricar S.
3 Cabantog, May L.
4 Dapitan, Annalyn O.
5 De Vera, Joselito B.
6 Dionisio, Helenita G.
7 Garcia, Rhydel L.
8 Samarista, Racquel G.
9 Taiño, Redarlo C.
10 Torralba, Matthew A.
 Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(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 of (1st Friday of June)
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 the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month
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 Enrolment as of end of the month
 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
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 table into b.2. Overage
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
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 absent for 5 consecutive days:
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
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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 and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________
(Signature of School Head over Printed Name)