School Form 1 (SF 1) School Register

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

School ID Region NCR Division QUEZON CITY District

School Name School Year Grade Level Section

AGE as of 1st
Friday of June ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
(no. of years as per last IP
BIRTH DATE birthday) BIRTH
NAME Sex MOTHER (Specify Contact Number
No. LRN (mm/ PLACE RELIGION
(Last Name, First Name, Middle Name) (M/F) dd/yy) (Province) TONGUE Ethnic (Parent /Guardian)
Group) House # / Father (1st name only if
Municipality/ Relations (Please refer to the legend on
6/5/2014 Street/Sitio/ Barangay Province family name identical to Mother (Maiden) Name
City hip last page)
Purok learner)

1 114

2 114

3 114

4 114

5 114

6 114

7 114

8 114

9 114

10 114

11 114

12 114

13 114

14 114

15 114

16 114

17 114

18 114

19 114

20 114

21 114

22 114

23 114

24 114

25 114
 School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

School ID Region NCR Division QUEZON CITY District

School Name School Year Grade Level Section

AGE as of 1st
Friday of June ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
(no. of years as per last IP
BIRTH DATE birthday) BIRTH
NAME Sex MOTHER (Specify Contact Number
No. LRN (mm/ PLACE RELIGION
(Last Name, First Name, Middle Name) (M/F) dd/yy) (Province) TONGUE Ethnic (Parent /Guardian)
Group) House # / Father (1st name only if
Municipality/ Relations (Please refer to the legend on
6/5/2014 Street/Sitio/ Barangay Province family name identical to Mother (Maiden) Name
City hip last page)
Purok learner)

26 114

27 114

28 114

29 114

30 114

31 114

32 114

33 114

34 114

35 114

36 114

37 114

38 114

39 114

40 114

41 114

42 114

43 114

44 114

45 114

46 114

47 114

48 114

49 114

50 114
 School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

School ID Region NCR Division QUEZON CITY District

School Name School Year Grade Level Section

AGE as of 1st
Friday of June ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
(no. of years as per last IP
BIRTH DATE birthday) BIRTH
NAME Sex MOTHER (Specify Contact Number
No. LRN (mm/ PLACE RELIGION
(Last Name, First Name, Middle Name) (M/F) dd/yy) (Province) TONGUE Ethnic (Parent /Guardian)
Group) House # / Father (1st name only if
Municipality/ Relations (Please refer to the legend on
6/5/2014 Street/Sitio/ Barangay Province family name identical to Mother (Maiden) Name
City hip last page)
Purok learner)

51 114

52 114

53 114

54 114

55 114

56 114

57 114

58 114

59 114

60 114

61 114

62 114

63 114

64 114

65 114

66 114

67 114

68 114

69 114

70 114
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List and code of Indicators under REMARK/S column Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information No. of Learners BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 0

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 0

Dropped Dr/O Reason and Effectivity Date Learner With Dissability LWD Specify Date: Date:
TOTAL 0 0
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
Region NCR Division QUEZON CITY

School ID School Year SY 2014-2015 Report for the Month of June 30, 2014

Name of School Grade Level Section

Total for the Month
(2nd row for date, 1st row for day-count) REMARKS*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
LEARNER'S NAME 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last Name, First 20 Learner Movement (put a { / } in
6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30
Name, Middle Name) the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
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 T/I T/O Dr/O
1 0 0
2 0 0

3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 0 0

20 0 0
21 0 0
22 0 0
23 0 0
24 0 0
25 0 0
 Total for the Month
(2nd row for date, 1st row for day-count) REMARKS*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
LEARNER'S NAME 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last Name, First 20 Learner Movement (put a { / } in
6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30
Name, Middle Name) the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
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 T/I T/O Dr/O
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
35 0 0

MALE | TOTAL Per Day 0 0 0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 0 0
20 0 0
21 0 0
22 0 0
23 0 0
24 0 0
25 0 0
 Total for the Month
(2nd row for date, 1st row for day-count) REMARKS*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
LEARNER'S NAME 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last Name, First 20 Learner Movement (put a { / } in
6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30
Name, Middle Name) the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
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 T/I T/O Dr/O
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
35 0 0

FEMALE | TOTAL Per Day 0 0 0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0
Combined TOTAL PER DAY 0 0 0
0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0
atl
GUIDELINES: 1.CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
Classes:
20
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. June 30, 2014 M F TOTAL
Using laptop or personal computer
2. Dates shall be written in the columns after Learner's Name.
* Enrolment as of (1st Friday of June) 0
3. To compute the following: (/) - Present; (a)- Absent; Tardy = (t)-[black]-Late-Comer, (t)-[red]-
Registered Learners as of end of the month Cutting Classes Late Enrollment during the month
a. Percentage of Enrolment = x 100 (beyond cut-off)
0
Enrolment as of 1st Friday of the school year 2. REASONS/CAUSES OF DROP OUT
Total Daily Attendance a. Domestic-Related Factors
b. Average Daily Attendance = Registered Learners as of end of the month 0
Number of School Days in reporting month a.1. Had to take care of siblings
Average daily attendance a.2. Early marriage/pregnancy
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month #DIV/0! #DIV/0! #DIV/0!
Registered Learners as of end of the month a.3. Parents' attitude toward schooling
a.4. Family problems
Average Daily Attendance 0 0 0
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. Individual-Related Factors
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.1. Illness
Percentage of Attendance for the month #DIV/0! #DIV/0! #DIV/0!
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.2. Overage
consecutive days and/or those at risk of dropping out. b.3. Death Number of students absent for 5 consecutive
0
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.4. Drug Abuse days:
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.5. Poor academic performance
Drop out (Dr/O) 0 0 0
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out (Tr/O) 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred in (Tr/I) 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence I certify that this is a true and correct report.
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (tribal wars & clan feuds) (Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2 : Page of pages f. Others (Specify)
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replace Form 1 & Inventory of Text Book)

Region NCR Division QUEZON CITY

School ID School Year

School Name Grade Level Section
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title Title Title

NO. LEARNER'S NAME (Last Name, REMARK/ACTION TAKEN

First Name, Middle Name) (Please refer to the code on last page)
Date Date Date Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
TOTAL FOR MALE | TOTAL COPIES 0
 School Form 3 (SF3) Books Issued and Returned
(This replace Form 1 & Inventory of Text Book)

Region NCR Division QUEZON CITY

School ID School Year

School Name Grade Level Section
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title Title Title

NO. LEARNER'S NAME (Last Name, REMARK/ACTION TAKEN

First Name, Middle Name) (Please refer to the code on last page)
Date Date Date Date Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
0 TOTAL FOR FEMALE | TOTAL COPIES 0
TOTAL LEARNERS | TOTAL COPIES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
atl
GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code (Signature over printed name)
TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001; DO#25 s.2003; DO#14, s.2012.

School Form 3 : Page of pages

 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District

School Name School Year Month Reporting
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
REGISTERED
GRADE/ LEARNER (As (A+B) (A+B) (A+B)
(A) Cumulative (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION of End of the Average Percentage as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as
LEVEL Month) Month Month of End of the Month Month of End of the Month Month of End of the
Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District

School Name School Year Month Reporting
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
REGISTERED
GRADE/ LEARNER (As (A+B) (A+B) (A+B)
(A) Cumulative (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION of End of the Average Percentage as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as
LEVEL Month) Month Month of End of the Month Month of End of the Month Month of End of the
Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District

School Name School Year Month Reporting
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
REGISTERED
GRADE/ LEARNER (As (A+B) (A+B) (A+B)
(A) Cumulative (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION of End of the Average Percentage as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as
LEVEL Month) Month Month of End of the Month Month of End of the Month Month of End of the
Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
51 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District

School Name School Year Month Reporting
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
REGISTERED
GRADE/ LEARNER (As (A+B) (A+B) (A+B)
(A) Cumulative (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION of End of the Average Percentage as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as
LEVEL Month) Month Month of End of the Month Month of End of the Month Month of End of the
Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ELEMENTARY/SECONDARY:
KINDER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 1/GRADE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 2/GRADE 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 3/GRADE 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 4/GRADE 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 5/GRADE 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 6/GRADE 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL FOR NON-GRADED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
atl
GUIDELINES: Prepared and Submitted by:
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported. (Signature of School Head over Printed Name)
4. Small school that has one section per grade/year level are 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.

School Form 4 : Page of pages

 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)

Region NCR Division QUEZON CITY District

School ID School Year Curriculum

School Name Grade Level Grade 8 Section

INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and remaining RBEC in High
(Numerical Value in 3 ACTION School. Elementary grades level that still implementing RBEC need not to
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN (Last Name, First Name, Middle Name) learner, 2 for non-honor PROMOTED,
& Descriptive Letter) IRREGULAR or
RETAINED
Completed as of end of current SY as of End of the current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR SUMMARY TABLE
2 (B) IRREGULAR MALE FEMALE TOTAL

3 (B) IRREGULAR
PROMOTED 0 0 0
4 (B) IRREGULAR
5 (B) IRREGULAR
IRREGULAR 35 35 70
6 (B) IRREGULAR
7 (B) IRREGULAR
RETAINED 0 0 0
8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR LEVEL OF PROFICIENCY
11 (B) IRREGULAR Adj. Rating MALE FEMALE TOTAL

12 (B) IRREGULAR BEGINNNING

(B: 74% and 35 35 70
13 (B) IRREGULAR below)

14 (B) IRREGULAR DEVELOPING (D:

75%-79%) 0 0 0
15 (B) IRREGULAR
16 (B) IRREGULAR APPROACHING
PROFICIENCY
(AP: 80%- 0 0 0
17 (B) IRREGULAR 84%)

18 (B) IRREGULAR PROFICIENT (P:

85% -89%) 0 0 0
19 (B) IRREGULAR
20 (B) IRREGULAR ADVANCED (A:
90% and above) 0 0 0
21 (B) IRREGULAR
22 (B) IRREGULAR
23 (B) IRREGULAR
24 (B) IRREGULAR
25 (B) IRREGULAR
26 (B) IRREGULAR
27 (B) IRREGULAR
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR
35 (B) IRREGULAR
TOTAL MALE

School Form 5: Page 13 of 21 pages

 INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and remaining RBEC in High
(Numerical Value in 3 ACTION School. Elementary grades level that still implementing RBEC need not to
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY as of End of the current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR
3 (B) IRREGULAR
4 (B) IRREGULAR
5 (B) IRREGULAR
6 (B) IRREGULAR
7 (B) IRREGULAR
8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR
11 (B) IRREGULAR Prepared by:
12 (B) IRREGULAR
13 (B) IRREGULAR
14 (B) IRREGULAR Class Adviser
15 (B) IRREGULAR (Name and Signature)

16 (B) IRREGULAR Certified Correct and Submitted:

17 (B) IRREGULAR
18 (B) IRREGULAR
19 (B) IRREGULAR School Head
20 (B) IRREGULAR (Signature over Printed Name )

21 (B) IRREGULAR
22 (B) IRREGULAR GUIDELINES:
23 (B) IRREGULAR 1. For All Grades Levels
24 (B) IRREGULAR
25 (B) IRREGULAR 2. To be prepared by the Adviser. Final rating
per subject area should be taken from the
26 (B) IRREGULAR record of subject teacher. The class adviser
should make the computation of General
27 (B) IRREGULAR
Average.
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR 3. On the summary table, reflect the total
number of learners promoted, retained and
31 (B) IRREGULAR irregular and the level of proficiency according
to the individual general average
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR 4. Must be tallied with the total enrollment
report as of End of School Year GESP /GSSP
35 (B) IRREGULAR (BEIS)
TOTAL FEMALE
0 COMBINED
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School Form 5: Page 14 of 21 pages

 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)

Region NCR Division QUEZON CITY District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and remaining RBEC in High
(Numerical Value in 3 ACTION School. Elementary grades level that still implementing RBEC need not to
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY as of End of the current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR
3 (B) IRREGULAR SUMMARY TABLE
4 (B) IRREGULAR MALE FEMALE TOTAL

5 (B) IRREGULAR
PROMOTED 0 0 0
6 (B) IRREGULAR
7 (B) IRREGULAR
IRREGULAR 35 35 70
8 (B) IRREGULAR
9 (B) IRREGULAR
RETAINED 0 0 0
10 (B) IRREGULAR
11 (B) IRREGULAR
12 (B) IRREGULAR LEVEL OF PROFICIENCY
13 (B) IRREGULAR Num. Rating MALE FEMALE TOTAL

14 (B) IRREGULAR
74% and below 35 35 70
15 (B) IRREGULAR
16 (B) IRREGULAR
75%-79% 0 0 0
17 (B) IRREGULAR
18 (B) IRREGULAR
80%-84% 0 0 0
19 (B) IRREGULAR
20 (B) IRREGULAR
85% -89% 0 0 0
21 (B) IRREGULAR
22 (B) IRREGULAR
90% and above 0 0 0
23 (B) IRREGULAR
24 (B) IRREGULAR
25 (B) IRREGULAR
26 (B) IRREGULAR
27 (B) IRREGULAR
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR
35 (B) IRREGULAR
TOTAL MALE

School Form 5: Page 15 of 21 pages

 INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and remaining RBEC in High
(Numerical Value in 3 ACTION School. Elementary grades level that still implementing RBEC need not to
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN (Last Name, First Name, Middle Name) learner, 2 for non-honor PROMOTED,
& Descriptive Letter) IRREGULAR or
RETAINED
Completed as of end of current SY as of End of the current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR Prepared by:
3 (B) IRREGULAR
4 (B) IRREGULAR
5 (B) IRREGULAR Class Adviser
6 (B) IRREGULAR (Name and Signature)

7 (B) IRREGULAR Certified Correct and Submitted:

8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR School Head
11 (B) IRREGULAR (Signature over Printed Name )

12 (B) IRREGULAR
13 (B) IRREGULAR
14 (B) IRREGULAR
15 (B) IRREGULAR GUIDELINES:
16 (B) IRREGULAR
17 (B) IRREGULAR 1. For All Grades Levels
18 (B) IRREGULAR
19 (B) IRREGULAR
2. To be prepared by the Adviser. Final rating
20 (B) IRREGULAR per subject area should be taken from the
record of subject teacher. The class adviser
21 (B) IRREGULAR should make the computation of General
Average.
22 (B) IRREGULAR
23 (B) IRREGULAR
24 (B) IRREGULAR 3. On the summary table, reflect the total
25 (B) IRREGULAR
number of learners promoted, retained and
irregular and the level of proficiency according
26 (B) IRREGULAR to the individual general average
27 (B) IRREGULAR
28 (B) IRREGULAR 4. Must be tallied with the total enrollment
report as of End of School Year GESP /GSSP
29 (B) IRREGULAR (BEIS)
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR
35 (B) IRREGULAR
TOTAL FEMALE

0 COMBINED

atl

School Form 5: Page 16 of 21 pages

 School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency
(This cancel Form 20)

School ID Region NCR Division QUEZON CITY

School Name District School Year

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
SUMMARY TABLE

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

PROMOTED 0 0 0 0 0 0 0 0 0

IRREGULAR 0 0 0 0 0 0 0 0 0

RETAINED 0 0 0 0 0 0 0 0 0

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

Nos. of BEGINNNING 0 0 0 0 0 0 0 0 0
(B: 74% and below)

Nos. of DEVELOPING 0 0 0 0 0 0 0 0 0
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY 0 0 0 0 0 0 0 0 0
(AP: 80%-84%)

Nos. of PROFICIENT 0 0 0 0 0 0 0 0 0
(P: 85% -89%)

Nos. of ADVANCED 0 0 0 0 0 0 0 0 0
(A: 90% and above)

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

atl
Prepared and Submitted by: Reviewed & Validated by: Noted by:

(Printed Name) ARACELI T. LIWANAGAN PONCIANO A. MENGUITO, CESO V

School Head: (Position Title) Supervising Education Program Specialist Schools Division Superintendent
(Signature over Printed Name and Position Title) Acting Division Planning Officer

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 advisers, 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.
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace 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 NCR Division QUEZON CITY

School Name District School Year
(A) Nationally-Funded Teaching Related Items (B) Nationally-Funded Non Teaching Items (C) Other Appointments and Funding Sources

Title of Plantilla Position Number of Incumbent

Number of Title of Plantilla Position Number of Nature of Appointment and Designation Fund Source
(as appeared in the appointment
Incumbent (as appeared in the appointment document) Incumbent (Contractual, Substitute, Volunteer & others) (SEF, PTA, NGO's etc.) Non-
document) Teaching
Teaching

atl
EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee No.

Subject Taught Remark/s

Name of School
Personnel Fund Position/ Nature of (include Grade & Actual (For Detailed Items,
Sex Section) & Other DAY Teaching/ Indicate name of
(Arrange by Position, Source Designation Appointment Degree / Post Major/ Ancillary Assignment (M/T/ From To Service school/office, For IP's
Descending) Graduate Specialization Minor W/TH/ (00:00) (00:00) Render
(Please Specify) -Ethnicity)
F)
(Mins/Day)
principal iv

permanent
national
234567

marcoporfirio
phd

manadakilasalahat Ave. Minutes per Day :

m

Math 1 m 8-12nn 1-5pm 480

Math 2 w 8-12nn 1-5pm 480
Math 3 f 8-11nn 2-5pm 360
Eng1 t 8-12nn 1-4pm 420
Eng2 th 8-12nn 1-4pm 420
Clinic f 11-12nn 1-2pm 120
permanent
general
12345

math

segundina
T-III

eng
bse

carboradoratindahan Ave. Minutes per Day : 380

f

Ave. Minutes per Day :

Ave. Minutes per Day :

 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee No.

Name of School Subject Taught Remark/s

(include Grade & Actual (For Detailed Items,
Personnel Fund Position/ Nature of DAY Teaching/
(Arrange by Position, Sex Source Designation Appointment Degree / Post Major/
Section) & Other
Ancillary Assignment (M/T/ From To Service
Indicate name of
school/office, For IP's
Descending) Graduate Specialization Minor W/TH/ (00:00) (00:00) Render
(Please Specify) -Ethnicity)
F)
(Mins/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 :

atl
Submitted by:
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 SY, updated Form 19 (Signature of School Head)
must submit to the Division Office . (Printed Name )
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 (Printed Position Title)
form shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only. School Form 7 : Page of pages
 School Form 2 (SF2) Daily Attendance Report for learner
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Month Reporting

Name of School Grade Level Section

DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
Month REMARK/S (If DROPPED OUT, state
LEARNER'S NAME reason, please refer to legend number 2.
(Last Name, First Name, Middle Name)
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)

MALE | TOTAL Per Day

 DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
LEARNER'S NAME Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
(Last Name, First Name, Middle Name)
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY
L E G E N D:
Summary for the
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. blank- Present; (x)- Absent; Tardy (half M F TOTAL
2. Dates shall be written in the preceding columns beside Learner's Name. shaded= Upper for Late Comer, Lower for
Cutting Classes) Enrollment as of (1st Friday of June)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment (beyond cut-off)
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings Registered Learner as of end of the month
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrollment as of end of the
c. Percentage of Attendance for the month = x 100 month
Registered Learner as of End of the month a.4. Family problem

b. Individual-Related Factors Average Daily Attendance

4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of b.1. Illness
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. Percentage of Attendance for the month
b.2. Overage
5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death Number of students with 5 consecutive days of
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.4. Drug Abuse absences:
b.5. Poor academic performance
Drop out
b.6. Lack of interest/Distractions
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.
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clan
feuds) (Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)