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Republic of the Philippines Department of Education DepEd Complex, Meralco Avenue, Pasig City 1600 3.0 JAN 2014 DepEd, ORDER No. 4, s. 2014 ADOPTION OF THE MODIFIED SCHOOL FORMS (SFs) FOR PUBLIC ELEMENTARY AND SECONDARY SCHOOLS EFFECTIVE END OF SCHOOL YEAR 2013-2014 To: Undersecretaries Assistant Secretaries Bureau Directors Directors of Services, Centers and Heads of Units Regional Directors School Division /City Superintendents Heads, Public Elementary and Secondary Schools All Others Concerned 1, In line with the government's thrust to provide accessible, relevant and quality education to all Filipino children and youth, the Department of Education (DepEd) adopts and utilizes the modified school forms (SFs) effective End of School Year (EoSY) 2013-2014 in all public elementary and secondary schools. The modified SFs have undergone extensive review, validation and consultation with end-users at various levels of the agency. Consistency and alignment with the Department’s thrusts and directions particularly with the K to 12 Program have also been considered. The utilization of the modified forms will allow all public school teachers and school heads to focus on the core business of curriculum delivery. 2. The table below shows the code and name of the old forms to be replaced, and the seven modified SFs which will replace them: List of Forms to be Replaced and Modified School Forms (SFs) FORM TO BE REPLACED — ‘MODIFIED SCHOOL FORMS Cade Name of Fornis Code Name of Forms Form 1 | Shoat Register Master List of Learners 8F-1 | School Form 1: School Register SiS Form 2 | Famiy Background and Profile | _ a Form 1 ‘School Register = Daly Attendance z School Form 2: Daily Attendance (9 __ | Teacher's Monthly Report of Enroiment sF2 rt for Learner Form 2 ner’ Monthly Rep Report for L Tom | School Register - Book Tesued and Retumed |<, | School Form 3: Books Tesued Taventory af Textbooks ‘and Returned Principal's Report on Enrolment ‘School Form 4: Monthly Learners Ate ‘ ; = Absenteeism and Dropout Profile Movement and Attendance He eS aaa —e a ee Ee | ‘Forms 18-A | Report on Secondary Promotions Form 3 ‘School Form 6; Summarized Report Form 20 | Summarized Report on Promotions s-6 | School Form 6: Summarized Repor Form 12 | Monthly Status Report for Teachers Form 19” | Assignment List Form 29 | Teacher Program Form 31 | Summary Information of Teachers ‘School Form 7: School Personnel Assignment List and Basic Profile 3. Beginning EoSY 2013-2014, all public schools must use SF-5 and SF-6 replacing Forms 18 and 20, and the List of Graduates. 699-7208 (699-7229/622-1361 4M 626-0876/607-6209 wn. denes. gh 4. By SY 2014-2015, all public schools must use all seven modified school forms, replacing the 16 previous school forms as shown in the Table on page 1. Modification or adding new data elements without proper clearance is hereby discouraged. 5. The modified SFs with instructions on how to accomplish them, and the description of each data element per form are provided in Enclosure Nos. 1 and 2, respectively. It is very important to ensure that data to be reflected in the forms are consistent with the data encoded into the Enhanced Basic Education Information System (EBEIS), and into the Learner Information System (LIS). The cut-off period for recording the Beginning of School Year (BoSY) Reports in all the SFs will be every Friday of the first week of classes of each SY. School heads will be held accountable and liable for any deliberate wrongful entry on the forms. 6. The SFs 1-6 will be available for download in the LIS with pre-loaded basic information on learners based on the most recent records available. 7. As an interim strategy and until such time when the LIS and Human Resource Information System (HRIS) are fully operational, the SFs templates in MS Excel Spreadsheet format are available for download through the DepEd website: http: / /www.deped. gov. ph /index. php /resources/school-forms. Also available in the site is an instructional video on the use of the new school forms. 8. The Office of the Planning Service (OPS) will coordinate and monitor the utilization and implementation of the modified SFs and shall serve as helpdesk that will receive and respond to any inquiries and issues. Queries and implementation issues may be communicated to Mr. Jonathan F. Diche of the OPS through email address: jonathan.diche@deped.gov.ph or through telephone no.: (02) 635-3983 and telefax no.: (02) 633-7256. 9. Immediate dissemination of and strict compliance with this Order is directed. BR. ARMIN A. LUISTRO FSC Secretary Encls.: ‘As stated References: DepEd Order: Nos. 33, s. 2012; and 33, s. 2013 To be indicated in the Perpetual Index under the following subjects: CHANGE. DATA FORMS PUPILS REPORTS SCHOOLS STUDENTS TEACHERS SMA/CAR, DO Adoption of the Modified School Forms new 0718-July 29/ August 7/8/September 5/16, 2013/October 25, 2013, January 3/6, 2014 (Enclosure No. 1 to DepEd Order No. 4, s. 2014) Republika ng Pilipinas Republic of the Philippines a KAGAWARAN NG EDUKASYON =», -MQJED DEPARTMENT OF EDUCATION = MA, [oe DepEd Complex, Meralco Avenue, Pasig City, Philippines " LIST OF MODIFIED SCHOOL FORMS Form Form SFt School Register SF2 Daily Attendance Report of Learners SF3 Books Issued and Returned SF4 Monthly Learners’ Movernent and Attendance SF5 Report on Promotion & Level of Proficiency | sF6 ‘Summarized Report on Promotion and Level of Proficiency SFT ‘School Personnel Assignment List and Basic Profle | J ol Form (81) Seton Regie school] Rion i ven! _ Ostia School Name - | ‘School Year| Grade Level, | Seaton, | T T ocna38 co Teas | nat at | owt ad a sentra tmnt fh) Sage gh | mason lensed «Tay evstmpgene Mata ee = BE eee | em me fete NRT Lammy (gee — - - ah | 1 | | — - r _ - - F ~ - ~ r t po a 4 _ | an a fo T T T T 4 ' 1 i I H- — 7 | —_ J | - tt | | | | | t t I | t | t — | a | “ | ane etire nse ane nay | unc’ em conte T —_ T | - ! : +}. bo t t +] { + + 1 4 t t T ch t + T TT T T +—t 1 i t + | | 1 + + + i I i 1 1 | i { i | IL 4 + t i | t | t | | 1 ! | | | ieee eR omscona ‘Nar of Pub () Pvt PR) Schoo! & Ect Date if ont PaaS Ect Ose RATER RA = RP Raton aa tact CE eon Ete yon thy) seston soso School Form 2 (SF2) Daily Attendance Report of Learners (nieraplce Frm 1, Fam 28 STS For 4 bean nd opt Pte) Shoo! Year Report forthe Month of rade Level ‘Secon LEARNER'S NAME co ce] - ye TER ORPED Os aon Se T ot (Last Name, First Name, Middle Name) FST wml e{u[t[ mim] fale |wi mr] er) wm) 6] ©] 7 | wm] F [aosenr]ranov] *TRANOFERREDINOUT, with nae Schl) MALE TOTAL Paco LEARNER'S NAME Seen TARR pean OPPED OUT aoa pte oboe? (Last Name, First Name, Middle Name) TST > Tw [male {u[ rim [mi rf ei s|w im eta] r]@| me fe] 7] w|m| & [reser] oroy] ITRANGFERREDINOUT. wt tw nano ct Schoo!) $= _ FEMALE | TOTAL Per Day > ‘Combined TOTAL PER DAY I comeunes fe aie — a ‘Gaggia ry Fy Seo en School Form 2: Poge___of pa “ens, School Form 3 (SF3) Books Issued and Returned : B: % (Tis poe Form 1 & renter of Testo) g Schoo! School Year School rade Level Section SS EMARKSACTION TAKEN LEARNER'S NAME 0, (Peano pod ont (sth Fat hae Mi Nae) Ta Ta = Dae ae Oa ED Oa oo Ts [rad] nd [orn] ws [rea] tn [rere] tne [rei] ws [Raval ews [oom] tame [RA Se ToTAL FORE | TOTAL oR LEARNERS NAME (Lat ae, Ft Name, Mie Nar) TOTAL FoR FEMALE TOTAL CORES] [Tora LENROERS TOTAL COMES SODELNES [can oxTuratared Boca, pare provide Tomato wi the Towing ode ra {Tie of oc sum ach rar mt be acre ye das sc 2 Tha alt siane andthe De of Rt shal b rated ta om. ‘An cote Dal tuned ote ar Fs Majeure, TO, TratereaDrepout NEO-Nepgence 53 The Tet Nunba ef Capon ssa B05 sa beeen et Bn Gaon Renan Taka, cose ar: LLTR-Secrd Lat: tom Leary sone poriquarsan, SFT PATRSTER “Th Teta Numba of Cais of Books Rte tn 5b fet te fom. (frcodo FM), TLTRTachr ropa water red by Stool Hod stron Stel Prose 65 Alors bag uses mb Ana copes is am maybe usa rene ‘utero code TOO} PTL-Pacy he Ler (or cace NEG) Relrerces DOR 8.2001, DOGS. 8.203, Dela Bs ais easy Dom 22012 no nl, School Form 4 (SF4) Monthly Learner's Movement and Attendance g % (Th pn Fo 257 Form stain at Dp Pot 5 8 Ee School Region Division Dist "Roan # St nae Sete Ve Rapa fe Wot of warms none SRT Tara crue timers remune fa Le 7 ern | secnow | saneoraosen | ptt ony rp | ace |e ag | aoe LeveL, a More) Dasy Average |e Month ft Pravous Mc) "te Mont (8) For the Month | 1 Erdos Hor txt meee ey SE eee eee SHOES pared and Subiog By {Teta at be scores ery ofthe mere ig bw sirmay baxctS2 subbed e tacos opts psa he rth 2 Farin th Diso Mc wh cory a Wek ar re 0, cbr 34 Maron 31 Page__of _ pages (The epaces Forme 181, 162, 18A and Lit of Graduates) B 3 Region Division Diet eo "Rinne "School D} ‘School Yeu Curiulum % “8a, School Form 5 (SF 5) Report on Promotion & Level of Proficiency SN Schoo! Name Grade Level ‘Section INCOMPLETE SUBJECTS (This column is for K to 12 Curiculum and remaining RBE JACTION TAKEN:| "sch. meray rads lvl tht re planting ABE PROMOTED, need not to fil up these colurns) (Last Name, First Name, Middle Name) IRREGULAR or RETAINED. | Fompraou whol yeus congitd ecard of cure | As of end of cure Stet Your Sth Yeer PRowoTED recur ‘EGHAWNG (870d tw) Deve.orns © 670%) APRONS "PROFICENCY (AP B88) pRoricent em) VANE (30% nd TOTALMALE oe) GENERAL INCOMPLETE SUBLEGTIS AVERAGE (Tis cours K tw 12 Curcu ed rerng RBEC In Hgh Lame wo rea vain] TON TAKE] ste. metry gen te trong REEC uw deere paces ons , need nt up tse cures) (Last Name, First Name, Middle Name) IRREGULAR or RETAINED | From prevous school years compl ect ond tcaret | Ae ln of carat cha Yor Descriptive Letter) Me ealyeas PREPARED BY ‘lass Acer (Name ana Signature) (CERTIFIED CORRECT & SUBMITTED: ‘Shoal Hed (are and Signatur) REVIEWED By: (me ad Signature) Divison Represertatne (GUIDELINES: 1. For Al Graserear Levels 2 Tobe prepared ne Adie Fn ting per ‘ote inva Ganeal Average “4 Mutiny wth he alert repo of nd cf Stal Year GESP GSE? (EBEIS) 5 Protocol of valdaon& aubmissen is under he = _ TOTAL FEMALE

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