School -DORP Form 2 -SARDO Watch List (To be accomplished by Advisers every month.

) Republic of the Philippines Month of: ______________

Department of Education SY ___________
Note: To be submitted to the School Grade/Year Leader. Region VII DISTRICT: ________________
DIVISION OF CEBU CITY Name of School: MABOLO NATIONAL HSOF CEBU CITY
DIVISION SCHOOL: __________________
Grade / Year level: _______
Section: __________________
Please put 1 instead of a check mark to indicate classification or choice. If "others" please specify.
Attendance Academic Behavior Health & Nutrition Economic

Identified

Saved

Saved
SARDO
No. of days Reading Learning Difficulties

eating /baon
Toothache

Not
Stomachache
Headache

Comes w/o
Fever &

No School

w/o fare
Malnut

Others

Supplies

others
Comes
No. Name of Student (Ref. fo Form 1) (Ref. to PHIL-IRI / ORV) (Ref. to Form 137)

MisB
P NI

walking
Absent
Classe

Mapeh
Math
Cuttin
Late

TLE
Eng

Sci

AP

EP
NR F Ins Ind

Fil
g

s
M F M F M F

TOTAL

Please reflect the following symbols Legend: NR - Non-Reader P - Passive Others: Others:
after the name of the pupil F - Frustration NI - Not Interested
if Transferee - Asterisk * Ins - Instructional MisB - Misbehaving Submitted by:
if Repeater - plus sign + Ind - Independent Submitted by:______________
if Balikaral - X sign Name of Teacher
 Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F. Plantilla Position: ________
2. A student/pupil incurring 5 absences is a SARDO.
School-DORP Form 2A -CONSOLIDATED SARDO Watch List (Grade/Year level) Republic of the Philippines Month of: ______________
Department of Education SY ___________
Note: To be accomplished by the School Grade/Year Leader. Region VII DISTRICT: ________________
DIVISION OF CEBU CITY Name of School: MABOLO NATIONAL HSOF CEBU CITY
DIVISION SCHOOL: __________________
Grade / Year level: _______

Please put 1 instead of a check mark to indicate classification or choice. If "others" please specify.
Attendance Academic Behavior Health & Nutrition Economic

Identified

Saved

Saved
SARDO
No. of days Reading Learning Difficulties

eating /baon
Toothache

No School
Stomachache

Not
Headache

Comes w/o

Supplies
Fever &

w/o fare
Malnut

Others

Comes

others
No. SECTION (Ref. fo Form 1) (Ref. to PHIL-IRI / ORV) (Ref. to Form 137)

MisB
P NI

walking
Absent

Mapeh
Math
Late

TLE
Eng

Sci

AP

EP
NR F Ins Ind

Fil
M F M F M F

TOTAL

Legend: NR - Non-Reader P - Passive Others: Others:

F - Frustration NI - Not Interested
Ins - Instructional MisB - Misbehaving Submitted by:
Ind - Independent
Grade/Year leader
Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.
2. A student/pupil incurring 5 absences is a SARDO.
School -DORP Form 2B -CONSOLIDATED SARDO Watch List Republic of the Philippines Month of: ______________
Department of Education SY ___________
Note: To be accomplished by the School DORP Coordinator Region VII DISTRICT: ________________
DIVISION OF CEBU CITY Name of School: MABOLO NATIONAL HSOF CEBU CITY
DIVISION SCHOOL: __________________

Please put 1 instead of a check mark to indicate classification or choice. If "others" please specify.
Attendance Academic Behavior Health & Nutrition Economic

Identified

Saved

Saved
SARDO
No. of days Reading Learning Difficulties

eating /baon
Toothache

No School

Not
Stomachache
Headache

Comes w/o

Supplies
Fever &

w/o fare
Malnut

Others

others
Comes
No. GRADE / YEAR LEVEL (Ref. fo Form 1) (Ref. to PHIL-IRI / ORV) (Ref. to Form 137)

MisB
P NI

walking
Absent

Mapeh
Math
Late

TLE
Eng

Sci

AP

EP
NR F Ins Ind

Fil
M F M F M F

TOTAL

Legend: NR - Non-Reader P - Passive Others: Others:

F - Frustration NI - Not Interested
Ins - Instructional MisB - Misbehaving Submitted by:
Ind - Independent
DORP Coordinator
Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.
2. A student/pupil incurring 5 absences is a SARDO.
DORP Form 2C-CONSOLIDATED SARDO Watch List (District / Division level) Republic of the Philippines Month of: ______________
Department of Education SY ___________
Note: To be accomplished by the Division DORP Coordinator Region VII DISTRICT: ________________
DIVISION OF CEBU CITY Name of School: MABOLO NATIONAL HSOF CEBU CITY
DIVISION

Please put 1 instead of a check mark to indicate classification or choice. If "others" please specify.
Attendance Academic Behavior Health & Nutrition Economic

Identified

Saved

Saved
SARDO
No. of days Reading Learning Difficulties

eating /baon
Toothache

No School

Not
Stomachache
Headache

Comes w/o

Supplies
Fever &

w/o fare
Malnut

Others

others
Comes
No. SCHOOL (Ref. fo Form 1) (Ref. to PHIL-IRI / ORV) (Ref. to Form 137)

MisB
P NI

walking
Absent

Mapeh
Math
Late

TLE
Eng

Sci

AP

EP
NR F Ins Ind

Fil
M F M F M F
TOTAL

Legend: NR - Non-Reader P - Passive Others: Others:

F - Frustration NI - Not Interested
Ins - Instructional MisB - Misbehaving Submitted by:
Ind - Independent
DORP Coordinator
Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.
2. A student/pupil incurring 5 absences is a SARDO.
S-DORP Form 3 - IDENTIFIED SARDOs Republic of the Philippines MONTH OF:___________________________
(To be accomplished by Advisers) Department of Education SY _______________
Note: To be submitted to the grade/year leader for consolidation Region DISTRICT: ____________________________
third week of every month. The IDENTIFIED SARDO consolidated report DIVISION OF CEBU CITY
will be forwared to the District HS DORP Coordinator or Elementary Name of School:_______________________
District DORP Coordinator. Grade/Year Level: __________________
Section: ______________________________
Areas Please put a check mark on the space provided for each choice.
Achievemen
WHEREABOUTS

Means of Verification
IDENTIFIED t
Specific Problems/Causes Solutions and Interventions Done
SARDO Sex

Absences
Academic
Behavior
Periodic Grades Reasons why
Employ

Abuse

Graduated
H&N
Tardy
child was not
N

Promoted

AWARD
Still in

College
ed

Economic
saved inspite of

Sch.
EASE/MISOSA

NAT
RAT
DAT
o. Name of SII the

OHSP
interventions

OI
Pupil/Student 1 2 3 4 5 6 7 8 9 10 11 12

Abroad
Others
Math

MAP
TLE
Eng

Local
Sci
AP

EP
M F

Fil
(Male/ Female) 2 3 4 5 6 7 8 9 10 11 12
1 M F

1 C

2 C

3 C

4 C

TOTAL C

Instructions: Submitted by:

1. Please refer the FICS choices on problems aEconomic
 2. Please use other sheets whenever necessary. __________________________
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom. Name
S-DORP Form 3A - IDENTIFIED SARDOs Republic of the Philippines MONTH OF:___________________________
(To be accomplished by the grade/year leader) Department of Education SY _______________
Note: To be submitted to the S-DORP Coordinator for consolidation Region DISTRICT: ____________________________
third week of every month. The IDENTIFIED SARDO consolidated report DIVISION OF CEBU CITY
will be forwared to the District HS DORP Coordinator or Elementary Name of School:_______________________
District DORP Coordinator. Grade/Year Level: __________________

______________________________
Areas Please put a check mark on the space provided for each choice.
Achievemen
WHEREABOUTS

Means of Verification
IDENTIFIED t
Specific Problems/Causes Solutions and Interventions Done
SARDO
Sex

Absences
Academic
Behavior
Periodic Grades Reasons why

Still in
Employ

Sch.
Abuse

Graduated
H&N
Tardy

N child was not

Promoted

AWARD
College
ed

Economic
saved inspite of

EASE/MISOSA

NAT
RAT
DAT
o. SII the

OHSP
interventions

OI
Section 1 2 3 4 5 6 7 8 9 10 11 12

Abroad
Others
Math

MAP
TLE
Eng

Local
Sci
AP

EP
M F M F

Fil
2 3 4 5 6 7 8 9 10 11 12
1
F
I
1 C
S
F
F
I
2 C
S
F
F
I
3 C
S
F
F
I
4 C
S
F
F
I
5 C
S
F
F
I
6 C
S
F
F
I
TOTAL C
S
F

Instructions: Submitted by:

1. Please refer the FICS choices on problems aEconomic
2. Please use other sheets whenever necessary. __________________________
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom. Name
S-DORP Form 3B - IDENTIFIED SARDOs Republic of the Philippines MONTH OF:___________________________
(To be accomplished by the School DORP Coordinator ) Department of Education SY _______________
Note: The IDENTIFIED SARDO consolidated report Region DISTRICT: ____________________________
will be forwared to the District HS DORP Coordinator or Elementary DIVISION OF CEBU CITY
District DORP Coordinator. Name of School:_______________________
Areas Please put a check mark on the space provided for each choice.
Achievemen
IDENTIFIED WHEREABOUTS
Specific Problems/Causes Solutions and Interventions Done t

Absences
Academic
Sex
SARDO

Behavior
Reasons why

Verification
Periodic Grades

Still in
Employ

Means of
Sch.
Abuse

Graduated
H&N
Tardy child was not

Promoted
N

Economic

AWARD
College
SII saved inspite of ed

NAT
RAT
DAT
EASE/MISOSA
o.

OHSP
the

OI
Grade/Year level 1 2 3 4 5 6 7 8 9 10 11 12 interventions

Others
Math

MAP

Abroa
TLE
Eng

Local
Sci
AP

EP
M F M F

Fil
2 3 4 5 6 7 8 9 10 11 12

d
1

1 C

2 C

1 C

2 C

3 C

F
 I

4 C

I
TOTAL
C
S
F

Instructions: Submitted by:

1. Please refer the FICS choices on problems aEconomic
2. Please use other sheets whenever necessary. __________________________
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom. Name
DORP Form 3C - IDENTIFIED SARDOs Republic of the Philippines MONTH OF:___________________________
(To be accomplished by the School DORP Coordinator ) Department of Education SY _______________
Note: The IDENTIFIED SARDO consolidated report Region DISTRICT: ____________________________
will be forwared to the District HS DORP Coordinator or Elementary DIVISION OF CEBU CITY
District DORP Coordinator.
Areas Please put a check mark on the space provided for each choice.
Achievemen
WHEREABOUTS

Means of Verification
IDENTIFIED t
Specific Problems/Causes Solutions and Interventions Done
SARDO
Sex

Absences
Academic
Behavior

Periodic Grades Reasons why

Still in
Employ

Sch.
Abuse

Graduated
H&N
Tardy

child was not

Promoted
N

AWARD
College
Economic

ed

EASE/MISOSA
saved inspite of
SII

NAT
RAT
DAT
o.

OHSP
the

OI
School 1 2 3 4 5 6 7 8 9 10 11 12 interventions

Abroad
Others
Math

MAP
TLE
Eng

Local
Sci
AP

EP
M F M F

Fil
2 3 4 5 6 7 8 9 10 11 12
1

1 C

2 C

1 C

2
2 C

3 C

4 C

F
F
I
TOTAL C
S
F

Instructions: Submitted by:

1. Please refer the FICS choices on problems aEconomic
2. Please use other sheets whenever necessary. __________________________
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom. Name
DORP Form 4-Monthly Summary of SARDO MONTH OF: _________________
Note: A copy to be given to theDORP Coordinator/principal SY: _2012 - 2013
DISTRICT: _NORTH 6 _
Name of School: BANILAD ELEMENTARY SCHOOL
Risk Factor Interventions

SAVED

Recommendations
NOT SAVED
Gr./Yr. & Reasons
No Name of SARDO FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL why not
Section saved
########################### ########################### ########################### ##################
10 10 10 (Pls. Check)
########################### ########################### ########################### ###########################
10 10 10 10 11 ##################

,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
TOTAL (Not Saved)

TOTAL ( Saved)
Noted by :
Grade/Year Leader
________________
Principal
DORP Form 4A-Monthly Summary of SARDO MONTH OF:___________________________
Note: A copy to be given to the Principal/PSDS SY _____________
 DISTRICT: ____________________________
Name of School:_______________________
Grade/Year Level:
Risk Factor Interventions

SAVED

Recommendations
NOT SAVED
Gr./Yr. & Reasons
No Name of SARDO FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL why not
Section saved
###
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
### ###
###
###
###
###
###
###
###
### ###
(Pls. Check)
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
10
###
###
### ###
###
###
10
###
###
###
###
###
### ###
10
###
###
###
11
###
###
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 ,
TOTAL (Not Saved)

TOTAL ( Saved)

Noted by :
__________________________
Principal
MONTH OF:_AUGUST

DORP Form 4-Monthly Summary of SARDO SY: _2012 - 2013

Note: A copy to be given to the principal/PSDS/Div. Supervisor DISTRICT: _NORTH 6 _
Name of School:_ZAPATERA ELEMENTARY SCHOOL
Risk Factor Interventions

SAVED

Recommendations
NOT SAVED
Gr./Yr. & Reasons
No Name of SARDO FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL why not
Section saved
###
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
### ###
###
###
###
###
###
###
###
### ###
(Pls. Check)
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
10
###
###
### ###
###
###
10
###
###
###
###
###
### ###
10
###
###
11
###
###
###
1
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 ,

TOTAL (Not Saved) 0

TOTAL ( Saved) 0

Noted by :

JEANNE J. EGGER
Principal
MONTH OF:_AUGUST
DORP Form 4-Monthly Summary of SARDO SY: _2012 - 2013
Note: A copy to be given to the principal/PSDS/Div. Supervisor DISTRICT: _NORTH 6 _
Name of School:_ZAPATERA ELEMENTARY SCHOOL
Risk Factor Interventions

SAVED

Recommendations
NOT SAVED
Gr./Yr. & Reasons
No Name of SARDO FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL why not
Section saved
###
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
### ###
###
###
###
###
###
###
###
### ###
(Pls. Check)
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
10
###
###
### ###
###
###
10
###
###
###
###
###
### ###
10
###
###
11
###
###
###
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 ,

TOTAL (Not Saved) 0

TOTAL ( Saved) 0

Noted by :

JEANNE J. EGGER
Principal
MONTH OF:_AUGUST
DORP Form 4-Monthly Summary of SARDO SY: _2012 - 2013
Note: A copy to be given to the principal/PSDS/Div. Supervisor DISTRICT: _NORTH 6 _
Name of School:_ZAPATERA ELEMENTARY SCHOOL
Risk Factor Interventions

SAVED

Recommendations
NOT SAVED
Gr./Yr. & Reasons
No Name of SARDO FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL why not
Section saved
###
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
### ###
###
###
###
###
###
###
###
### ###
(Pls. Check)
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
10
###
###
### ###
###
###
10
###
###
###
###
###
### ###
10
###
11
###
###
###
###
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 ,

TOTAL (Not Saved) 0

TOTAL ( Saved) 0

Noted by :

JEANNE J. EGGER
Principal
MONTH OF:_AUGUST

DORP Form 4-Monthly Summary of SARDO SY: _2012 - 2013

Note: A copy to be given to the principal/PSDS/Div. Supervisor DISTRICT: _NORTH 6 _
Name of School:_ZAPATERA ELEMENTARY SCHOOL
Risk Factor Interventions

SAVED

Recommendations
NOT SAVED
Gr./Yr. & Reasons
No Name of SARDO FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL why not
Section saved
###
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
###
###
### ###
10
###
###
###
###
### ###
###
###
###
###
###
###
###
### ###
(Pls. Check)
###
###
###
###
###
###
###
### ###
10
###
###
###
###
###
10
###
###
### ###
###
10
###
###
###
###
###
###
### ###
10
###
###
###
11
###
###
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 ,

TOTAL (Not Saved) 0

TOTAL ( Saved) 0

Noted by :

JEANNE J. EGGER
Principal
SY 2012 - 2013
S - FORM 6A - MONTHLY SUMMARY REPORT ON DORP IMPLEMENTATION Month of: ______________
SY ___________
DISTRICT: ________________
SCHOOL: __________________

SAVED SARDO'S UNSAVED SARDO'S WHEREABOUT

REASONS
DROPOUT RISK FACTORS / KINDER GR 1 WHY S
GR2 GR 3 GR 4 GR 5 GR 6 KINDER GR 1 GR 2 GR 3 GR 4 GR 5 GR 6 INTERVENTIONS (PLS. CHECK)

Graduate
CHILD IS

Promote
Still in
GRAND TOTAL GRAND TOTAL Employed

College
CAUSES

Sch.
NOT
SAVED

Other
Abro
Local
d
d

ad
MF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF T

s
FAMILY/ DOMESTIC FAMILY/DOMESTIC M F
1. Had to take care of siblings 1. Counsel
2. Early marriage/pregnancy 2. Recommend students for employment either on
the households or establishments
3. Parents' attitude toward schooling
4. Family problems 3. Give seminars on effective parenting
5. Too many household task 4. Prioritize needs
6. Living with relatives 5. Enhance Communication with family members
7. Dysfunction family / broken family 6. Conduct home visitation/conference with parents

8. Single parent supporting the family 7. Introduce/implement and"Adopt-School-Program"

9. Ineffective parenting 8. Explain the disadvantagesof early marriage

10. Others 9. Conduct Homeroom and General PTA meetings.

1. Illness 1. monitoring and supervision

2. Overage 2. Refer students to take placement examinations

3. Death 3. Give special consideration

4. Drug abuse 4. Guidance and Counseling
5. Poor academic performance 5. Give alternative remediation
6. Lack of interest/distractions 6. Create conducive learning atmosphere
7. Hunger/malnutrition 7. Feeding program in school
8. Lack of self-confidence /sel-esteem 8. Close monitoring and supervision
9. Peer pressure 9. Regular Health Center visit
10.Others 10. Proper work orientation.
11. Others
SUB-TOTAL (PP 1)

REASO WHEREABOUT
SAVED SARDO'S UNSAVED SARDO'S NS S
DROPOUT RISK FACTORS / KINDER GR 1 GR2 GR 3 GR 4 GR 5 GR 6 KINDER GR 1 GR 2 GR 3 GR 4 GR 5 GR 6 INTERVENTIONS (PLS. CHECK) WHY

Graduate
Promote
Still in
GRAND TOTAL GRAND TOTAL Employed

College
CAUSES CHILD

Sch.
IS NOT

Other
Abro
Local
d
d

ad
MF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF T SAVED

s
 Graduate
Promote

College

Other
Abro
Local
d
d
MF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF TMF T

ad
s
COMMUNITY/GEOGRAPHICAL COMMUNITY/GEOGRAPHICAL M F
1. Distance between home and school 1. Report to military men
2. Armed conflict (incl. tribal wars & clan feuds) 2. Construct cottage near school
3. Calamities/Disasters 3. Coordinate with proper authorities
4. Presence of Gambling dens 4. Adopt-a-Child program
5. Presenceof recreational centers and internet cafes 5. Motivate and involve stakeholders
6. Uncooperative stakeholders 6. Coordinate with local officials
7. Presence of gangs and fraternity 7. Seek help from Local/Provincial Government
8. Others 8. Request from LGU/Benefactors
9. Coordinate with local officials
10. Others
SCHOOL SCHOOL
1. Teacher factor 1. Principal shall conduct regular class observation
2. Physical condition of classroom 2. Teachers attend seminar on Child Friendly School

3. Peer influence 4. Impose proper discipline

4. Others 5.Tap stakeholders to repair dilapidated classrooms

6. Adopt-a-school program
7. Monitor the medium of instruction
8. Enhance teaching strategies
9. Close monitoring/counseling
10. Send to seminars/workshops
11. Encouage students to join extra curricular activities

12. Others
FINANCIAL FINANCIAL
1. Child labor, work 1. Include student in the adopt-a-child program
2. Others 2. Sariling sikap program
3. Conference with employers,parents,
guardians on the schedule of the child.
4. Attend skills development trainings, & entrepreneurship

5. Distance learning
6. Others
SUB-TOTAL (PP 2)
SUB-TOTAL (PP 1)
GRAND TOTAL
NOTE: If there are 2 or more reasons why a student dropped out, select only one that is considered the main cause. Thus, a student must be counted only once. Causes of dropouts should not be limited to the reasons stated in Form 18-E.

* ME: MONTHLY ENROLMENT Prepared by: ______________________________

Note: For the school level, same form will be prepared to be submitted to the District Supervisor. GRADE / YEAR LEADER