Professional Documents
Culture Documents
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 403897 School Year 2020-2021 FIRST Report for the Month of
SEMESTER
LEARNER'S NAME
(Last Name, First Name, 24 25 26 27 28 31
Middle Name) M T W TH F M
1 ACOSTA, MAUREL S.
2 ALEGATO, ALJAY C.
3 BELGICA, DAN PAUL A. H
4 BIGTASIN, PAUL GENN P.
5 CHAN, CHRISTIAN T. O
6 MAGHANOY, JERICHO D.
7 SAMADALAN, DIDIN L
8 SASAM, MARC JHERIEL J.
9 TACUYAN, ALBERTO III C. I
10 TORRION, GABRIEL C.
10
10
10
10
10
MALE | TOTAL Per Day
1 ALIM, ALTHEA H
2 AM-IS, KRISTINE HEART
3 ANGGOL, ANGEL MAE S. O
4 BAGUIO, KIMBERLY
5 BALUNTO, MANILYN L
6 BAUTISTA, SWEET ANGEL
7 BERONDO, HONEY GRACE I
8 BIGBIG, THERESA
9 BRACAMONTE, RICH D
10 BUTALID, JOREZYL
11 CENIZA, MARJORIE A
12 CHAVEZ, REHANA
13 COMBINIDO, FAITH DEÑEZA C. Y
14 CULANAG, JAYZIL
15 CUYUCA, DIANE V.
16 DALID, HADIA B.
17 DALIGDIG, JONAH MAE H
18 DELGADO, DANICA MAY A.
19 DOLENDO, MARIE OVALINE B. O
20 DOLENDRES, JACQUILLANE C.
21 DUMIP-IG, BABY JEAN M. L
22 ELTAGONDE, SHAINA P.
23 FLORES, NICOLE U. I
24 GABALEZ,RAZEL
25 GAYAN,NAZRA D
26 GEPILANO, VICEL JOY
27 GILBUENA, DAISY ALFIEGEN A
28 GONZALES, RONAMAIE B.
29 HANGINON, GENEVIVE P. Y
30 INCENSARIO, MIRAFLOR L.
31 JACOBO, MONICA B.
32 KULAYAN, FERLYN H.
33 LABANANCIA, LOREBETH S.
34 LEMENTE, JEAN ROSE D.
35 LIQUIT, ALMIRA B.
36 LOPEZ, EDELVAIZ H.
37 LUGANA, RIUSSANA
38 LUMANDA, JAINAB T.
39 MACABENTA, PRINCESS M.
40 MALAYO, MICHELLE A.
41 FEMALE | TOTAL Per Day
50 40
50 40
50 40
50 40
50 40
42 Combined TOTAL PER DAY
43
44 GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE
45 1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper
46 2. Dates shall be written in the columns after Learner's Name. for Late Commer, Lower for Cutting Classes)
AUGUST
12 Section SOCRATES
50
200
250
0.0%
0.0%
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Printed Name)
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 403897 School Year 2020-2021 FIRST Report for the Month of SEPTEMBER
SEMESTER
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
MALE | TOTAL Per Day 220
1 ALIM, ALTHEA
2 AM-IS, KRISTINE HEART
3 ANGGOL, ANGEL MAE S.
4 BAGUIO, KIMBERLY
5 BALUNTO, MANILYN
6 BAUTISTA, SWEET ANGEL
7 BERONDO, HONEY GRACE
8 BIGBIG, THERESA
9 BRACAMONTE, RICH
10 BUTALID, JOREZYL
11 CENIZA, MARJORIE
12 CHAVEZ, REHANA
13 COMBINIDO, FAITH DEÑEZA C.
14 CULANAG, JAYZIL
15 CUYUCA, DIANE V.
16 DALID, HADIA B.
17 DALIGDIG, JONAH MAE
18 DELGADO, DANICA MAY A.
19 DOLENDO, MARIE OVALINE B.
20 DOLENDRES, JACQUILLANE C.
21 DUMIP-IG, BABY JEAN M.
22 ELTAGONDE, SHAINA P.
23 FLORES, NICOLE U.
24 GABALEZ,RAZEL
25 GAYAN,NAZRA
26 GEPILANO, VICEL JOY
27 GILBUENA, DAISY ALFIEGEN
28 GONZALES, RONAMAIE B.
29 HANGINON, GENEVIVE P.
30 INCENSARIO, MIRAFLOR L.
31 JACOBO, MONICA B.
32 KULAYAN, FERLYN H.
33 LABANANCIA, LOREBETH S.
34 LEMENTE, JEAN ROSE D.
35 LIQUIT, ALMIRA B.
36 LOPEZ, EDELVAIZ H.
37 LUGANA, RIUSSANA
38 LUMANDA, JAINAB T.
39 MACABENTA, PRINCESS M.
40 MALAYO, MICHELLE A.
FEMALE | TOTAL Per Day 880
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.5. Poor academic performance
Number of students absent for 5 consecutive days:
days and/or those at risk of dropping out. b.6. Lack of interest/Distractions
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.7. Hunger/Malnutrition
Drop out
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 ROSE MARIE A. BESONIA
School Form 2 : Page 3 of 3 e.1. Child labor, work (Signature of Teacher over Prin
f. Others (Specify)
Date Printed: October 02, 2020 Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Print
rners
SOCRATES
0.0%
0.0%
0%
Number of students absent for 5 consecutive days:
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
School ID 403897 School Year 2020-2021 FIRST Report for the Month of OCTOBER
SEMESTER
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
MALE | TOTAL Per Day 220
1 ALIM, ALTHEA
2 AM-IS, KRISTINE HEART
3 ANGGOL, ANGEL MAE S.
4 BAGUIO, KIMBERLY
5 BALUNTO, MANILYN
6 BAUTISTA, SWEET ANGEL
7 BERONDO, HONEY GRACE
8 BIGBIG, THERESA
9 BRACAMONTE, RICH
10 BUTALID, JOREZYL
11 CENIZA, MARJORIE
12 CHAVEZ, REHANA
13 COMBINIDO, FAITH DEÑEZA C.
14 CULANAG, JAYZIL
15 CUYUCA, DIANE V.
16 DALID, HADIA B.
17 DALIGDIG, JONAH MAE
18 DELGADO, DANICA MAY A.
19 DOLENDO, MARIE OVALINE B.
20 DOLENDRES, JACQUILLANE C.
21 DUMIP-IG, BABY JEAN M.
22 ELTAGONDE, SHAINA P.
23 FLORES, NICOLE U.
24 GABALEZ,RAZEL
25 GAYAN,NAZRA
26 GEPILANO, VICEL JOY
27 GILBUENA, DAISY ALFIEGEN
28 GONZALES, RONAMAIE B.
29 HANGINON, GENEVIVE P.
30 INCENSARIO, MIRAFLOR L.
31 JACOBO, MONICA B.
32 KULAYAN, FERLYN H.
33 LABANANCIA, LOREBETH S.
34 LEMENTE, JEAN ROSE D.
35 LIQUIT, ALMIRA B.
36 LOPEZ, EDELVAIZ H.
37 LUGANA, RIUSSANA
38 LUMANDA, JAINAB T.
39 MACABENTA, PRINCESS M.
40 MALAYO, MICHELLE A.
FEMALE | TOTAL Per Day 880
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.5. Poor academic performance
Number of students absent for 5 consecutive days:
days and/or those at risk of dropping out. b.6. Lack of interest/Distractions
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.7. Hunger/Malnutrition
Drop out
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 ROSE MARIE A. BESONIA
School Form 2 : Page 3 of 3 e.1. Child labor, work (Signature of Teacher over Prin
f. Others (Specify)
Date Printed: November 02, 2020 Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Print
rners
SOCRATES
0.0%
0.0%
0%
Number of students absent for 5 consecutive days:
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
School ID 403897 School Year 2020-2021 FIRST Report for the Month of NOVEMBER
SEMESTER
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
MALE | TOTAL Per Day 210
1 ALIM, ALTHEA
2 AM-IS, KRISTINE HEART
3 ANGGOL, ANGEL MAE S.
4 BAGUIO, KIMBERLY
5 BALUNTO, MANILYN
6 BAUTISTA, SWEET ANGEL
7 BERONDO, HONEY GRACE
8 BIGBIG, THERESA
9 BRACAMONTE, RICH
10 BUTALID, JOREZYL
11 CENIZA, MARJORIE
12 CHAVEZ, REHANA
13 COMBINIDO, FAITH DEÑEZA C.
14 CULANAG, JAYZIL
15 CUYUCA, DIANE V.
16 DALID, HADIA B.
17 DALIGDIG, JONAH MAE
18 DELGADO, DANICA MAY A.
19 DOLENDO, MARIE OVALINE B.
20 DOLENDRES, JACQUILLANE C.
21 DUMIP-IG, BABY JEAN M.
22 ELTAGONDE, SHAINA P.
23 FLORES, NICOLE U.
24 GABALEZ,RAZEL
25 GAYAN,NAZRA
26 GEPILANO, VICEL JOY
27 GILBUENA, DAISY ALFIEGEN
28 GONZALES, RONAMAIE B.
29 HANGINON, GENEVIVE P.
30 INCENSARIO, MIRAFLOR L.
31 JACOBO, MONICA B.
32 KULAYAN, FERLYN H.
33 LABANANCIA, LOREBETH S.
34 LEMENTE, JEAN ROSE D.
35 LIQUIT, ALMIRA B.
36 LOPEZ, EDELVAIZ H.
37 LUGANA, RIUSSANA
38 LUMANDA, JAINAB T.
39 MACABENTA, PRINCESS M.
40 MALAYO, MICHELLE A.
FEMALE | TOTAL Per Day 840
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.5. Poor academic performance
Number of students absent for 5 consecutive days:
days and/or those at risk of dropping out. b.6. Lack of interest/Distractions
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.7. Hunger/Malnutrition
Drop out
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 ROSE MARIE A. BESONIA
School Form 2 : Page 3 of 3 e.1. Child labor, work (Signature of Teacher over Prin
f. Others (Specify)
Date Printed: December 02, 2020 Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Print
rners
SOCRATES
0.0%
0.0%
0%
Number of students absent for 5 consecutive days:
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
School ID 403897 School Year 2020-2021 FIRST Report for the Month of DECEMBER
SEMESTER
10
10
10
10
10
10
10
10
10
10
10
10
10
MALE | TOTAL Per Day 210
1 ALIM, ALTHEA
2 AM-IS, KRISTINE HEART
3 ANGGOL, ANGEL MAE S.
4 BAGUIO, KIMBERLY
5 BALUNTO, MANILYN
6 BAUTISTA, SWEET ANGEL
7 BERONDO, HONEY GRACE
8 BIGBIG, THERESA
9 BRACAMONTE, RICH
10 BUTALID, JOREZYL
11 CENIZA, MARJORIE
12 CHAVEZ, REHANA
13 COMBINIDO, FAITH DEÑEZA C.
14 CULANAG, JAYZIL
15 CUYUCA, DIANE V.
16 DALID, HADIA B.
17 DALIGDIG, JONAH MAE
18 DELGADO, DANICA MAY A.
19 DOLENDO, MARIE OVALINE B.
20 DOLENDRES, JACQUILLANE C.
21 DUMIP-IG, BABY JEAN M.
22 ELTAGONDE, SHAINA P.
23 FLORES, NICOLE U.
24 GABALEZ,RAZEL
25 GAYAN,NAZRA
26 GEPILANO, VICEL JOY
27 GILBUENA, DAISY ALFIEGEN
28 GONZALES, RONAMAIE B.
29 HANGINON, GENEVIVE P.
30 INCENSARIO, MIRAFLOR L.
31 JACOBO, MONICA B.
32 KULAYAN, FERLYN H.
33 LABANANCIA, LOREBETH S.
34 LEMENTE, JEAN ROSE D.
35 LIQUIT, ALMIRA B.
36 LOPEZ, EDELVAIZ H.
37 LUGANA, RIUSSANA
38 LUMANDA, JAINAB T.
39 MACABENTA, PRINCESS M.
40 MALAYO, MICHELLE A.
FEMALE | TOTAL Per Day 560
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.5. Poor academic performance
Number of students absent for 5 consecutive days:
days and/or those at risk of dropping out. b.6. Lack of interest/Distractions
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.7. Hunger/Malnutrition
Drop out
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 ROSE MARIE A. BESONIA
School Form 2 : Page 3 of 3 e.1. Child labor, work (Signature of Teacher over Prin
f. Others (Specify)
Date Printed: December 21, 2020 Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Print
rners
SOCRATES
0.0%
0.0%
0%
Number of students absent for 5 consecutive days:
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
School ID 403897 School Year 2020-2021 FIRST Report for the Month of JANUARY
SEMESTER
10
10
10
10
10
10
10
10
10
10
10
10
MALE | TOTAL Per Day 210
1 ALIM, ALTHEA
2 AM-IS, KRISTINE HEART
3 ANGGOL, ANGEL MAE S.
4 BAGUIO, KIMBERLY
5 BALUNTO, MANILYN
6 BAUTISTA, SWEET ANGEL
7 BERONDO, HONEY GRACE
8 BIGBIG, THERESA
9 BRACAMONTE, RICH
10 BUTALID, JOREZYL
11 CENIZA, MARJORIE
12 CHAVEZ, REHANA
13 COMBINIDO, FAITH DEÑEZA C.
14 CULANAG, JAYZIL
15 CUYUCA, DIANE V.
16 DALID, HADIA B.
17 DALIGDIG, JONAH MAE
18 DELGADO, DANICA MAY A.
19 DOLENDO, MARIE OVALINE B.
20 DOLENDRES, JACQUILLANE C.
21 DUMIP-IG, BABY JEAN M.
22 ELTAGONDE, SHAINA P.
23 FLORES, NICOLE U.
24 GABALEZ,RAZEL
25 GAYAN,NAZRA
26 GEPILANO, VICEL JOY
27 GILBUENA, DAISY ALFIEGEN
28 GONZALES, RONAMAIE B.
29 HANGINON, GENEVIVE P.
30 INCENSARIO, MIRAFLOR L.
31 JACOBO, MONICA B.
32 KULAYAN, FERLYN H.
33 LABANANCIA, LOREBETH S.
34 LEMENTE, JEAN ROSE D.
35 LIQUIT, ALMIRA B.
36 LOPEZ, EDELVAIZ H.
37 LUGANA, RIUSSANA
38 LUMANDA, JAINAB T.
39 MACABENTA, PRINCESS M.
40 MALAYO, MICHELLE A.
FEMALE | TOTAL Per Day 520
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
50 40
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.5. Poor academic performance
Number of students absent for 5 consecutive days:
days and/or those at risk of dropping out. b.6. Lack of interest/Distractions
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.7. Hunger/Malnutrition
Drop out
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 ROSE MARIE A. BESONIA
School Form 2 : Page 3 of 3 e.1. Child labor, work (Signature of Teacher over Prin
f. Others (Specify)
Date Printed: JANUARY 2020 Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Print
rners
SOCRATES
0.0%
0.0%
0%
Number of students absent for 5 consecutive days:
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
LEARNER'S NAME
(Last Name, First Name, 2 3 4 5 6 7 9 10 11 12 13 14
Middle Name) M T W TH F S M T W TH F S
1 #REF! X X X X
2 #REF! X X X X X X
3 #REF! X X X X X X
4 #REF! X X X X X
5 #REF! X X X X X X X X X X
6 #REF! X X X X X X
7 #REF! X X X X X X
8 #REF! X X X X X X X
9 #REF! X X X X X X X X X
10 #REF! X X X X X X X X
11 #REF! X X X X X X
12 #REF! X X X X X X X X X
13 #REF! X X X X X X X X
14 #REF! X X X X X X
15 #REF! X X X X X X
16 #REF! X X X X X X
17 #REF! X X X X X X
18 #REF! X X X X X X X
19 #REF! X X X X X X X X X
20 #REF! X X X X X X X X
21 #REF! X X X X X X
22 #REF! X X X X X X X X X
23 #REF! X X X X X X X X
24 #REF! X X X X X X
25 #REF! X X X X X X
26 #REF! X X X X X X
27 #REF! X X X X X X
28 #REF! X X X X X X X
29 #REF! X X X X X X X X X
30 #REF! X X X X X X X X
31 #REF! X X X X X X
32 #REF! X X X X X X X X X
33 #REF! X X X X X X X X
34 #REF! X X X X X X
35 #REF! X X X X X X
36 #REF! X X X X X X X
37 #REF! X X X X X X X X X
38 #REF! X X X X X X X X
39 #REF! X X X X X X
40 #REF! X X X X X X
41 #REF! X X X X X X X
42 #REF! X X X X X X X X X
43 #REF! X X X X X X X X
44 #REF! X X X X X X
45 #REF! X X X X X X X X X
46 #REF! X X X X X X X X
47 #REF! X X X X X X
48 #REF! X X X X X X
49 #REF! X X X X X X
50 #REF! X X X X X X
51 #REF! X X X X X X X
52 #REF! X X X X X X X X X
53 #REF! X X X X X X X X
54 #REF! X X X X X X
55 #REF! X X X X X X X X X
56 #REF! X X X X X X X X
57 #REF! X X X X X X
58 #REF! X X X X X X
MALE | TOTAL Per Day
20
19
19
58
29
25
21
14
26
9
38 2
35 2
37 2
51 2
52 2
45 2
51 2
52 2
56 2
55 2
57 2
Combined TOTAL PER DAY
2. Dates shall be written in the columns after Learner's Name. 2. REASONS/CAUSES FOR DROPPING OUT
3. To compute the following: a. Domestic-Related Factors
Registered Learners as of end of the month a.1. Had to take care of siblings
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.2. Early marriage/pregnancy
Total Daily Attendance a.3. Parents' attitude toward schooling
b. Average Daily Attendance =
Number of School Days in reporting month a.4. Family problems
c. Percentage of Attendance for the month = Average daily attendance b. Individual-Related Factors
x 100
Registered Learners as of end of the month 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 School Form 4. b.3. Death
Once signed by the principal, this form should be returned to the adviser.
b.4. Drug Abuse
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.5. Poor academic performance
days and/or those at risk of dropping out. b.6. Lack of interest/Distractions
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.7. Hunger/Malnutrition
* Beginning of School Year cut-off report is every 1st Friday of the School Year c. School-Related Factors
c.1. Teacher Factor
MARCH
11 Section WEGENER
4
6
6
5
10
6
6
7
9
8
6
9
8
6
6
6
6
7
9
8
6
9
8
6
6
6
6
7
9
8
6
9
8
6
6
7
9
8
6
6
7
9
8
6
9
8
6
6
6
6
7
9
8
6
9
8
6
6
248
0
0
24
571
Drop out 0 0 0
Transferred out 0 0 0
Transferred in 0 0 0
bal wars & clanfeuds) I certify that this is a true and correct report.
MELANIE R. PIGAR
(Signature of Teacher over Printed Name)
Attested by:
LUCILO B. GADIAN JR.
(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
LEARNER'S NAME
NO. (Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
#REF!
1
ALEGATO, ALJAY C.
2
BELGICA, DAN PAUL A.
3
BIGTASIN, PAUL GENN P.
4
CHAN, CHRISTIAN T.
5
MAGHANOY, JERICHO D.
6
SAMADALAN, DIDIN
7
SASAM, MARC JHERIEL J.
8
#REF!
9
TOTAL FOR MALE | TOTAL COPIES
#REF!
1
#REF!
2
#REF!
3
#REF!
4
#REF!
5
#REF!
6
#REF!
7
#REF!
8
#REF!
9
#REF!
10
#REF!
11
#REF!
12
#REF!
13
#REF!
14
#REF!
15
#REF!
16
#REF!
17
#REF!
18
#REF!
19
#REF!
20
#REF!
21
#REF!
22
#REF!
23
TOTAL FOR FEMALE | TOTAL COPIES
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (f
3. The Total Number of Copies issued at BoSY shall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custo
(for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. 2.2012.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
ect Area & Title Subject Area & Title
REMARKS/ACTION TAKEN
(Please refer to the
Date Date legend on last page)
Returned Issued Returned
Prepared By:
ce
nt/guardian (for
operty Custodian (Signature over printed name)
3, DO#14,
Date BoSY:____________ Date EoSY: ___________
M F T M F T M F T M F T M F T M F T M F T M F
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: Prepared and Submitted by:
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
T M F T M F T M F T M F T
Submitted by:
INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum
(Numerical Value in 2 ACTION TAKEN: RBEC in High School. Elementary grades leve
LEARNER'S NAME (Last decimal places and 3 PROMOTED, implementing RBEC need not to fill up these
LRN
Name, First Name, Middle Name) decimal places for IRREGULAR or
honor learners, and RETAINED From previous school years
Descriptive Letter) completed as of end of current
School Year
District
Curriculum K TO 12
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)
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED 60 2 62
IRREGULAR 0 0 0
RETAINED 0 0 0
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74% and below) 0 0 0
DEVELOPING
(D: 75%- 38 0 38
79%)
APPROACHING
PROFICIENCY
(AP: 80%-
21 0 21
84%)
PROFICIENT
(P: 85% 1 1 2
-89%)
ADVANCED
(A: 0 1 1
90% and above)
PREPARED BY:
MELANIE R. PIGAR
Class Adviser
School Head
REVIEWED BY:
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.
4. Must tally with the total enrollment report as of End of School Year
GESP /GSSP (EBEIS)
INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and r
(Numerical Value in 2 ACTION TAKEN: School. Elementary grades level that are still imp
LEARNER'S NAME decimal places and 3 PROMOTED, not to fill up these columns
LRN
(Last Name, First Name, Middle Name) decimal places for IRREGULAR or
honor learners, and RETAINED From previous school years
Descriptive Letter) completed as of end of current
School Year
TOTAL MALE
TOTAL FEMALE
COMBINED
rt on Promotion & Level of Proficiency
18-E1, 18-E2, 18A and List of Graduates)
District
Curriculum K TO 12
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)
SUMMARY TABLE
PROMOTED 0 0 0
IRREGULAR 0 0 0
RETAINED 0 0 0
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74% and below) 0 0 0
DEVELOPING (D:
75%-79%) 0 0 0
APPROACHING
PROFICIENCY 0 0 0
(AP: 80%-84%)
PROFICIENT (P:
85% -89%) 0 0 0
ADVANCED (A:
90% and above)
0 0 0
PREPARED BY:
MARICEL E. AGRAVANTE
Class Adviser
School Head
Division Representative
GUIDELINES:
GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL 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)
TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISIO
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.
School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other App
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, Clerk,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) 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.
ment List and Basic Profile
Form 19-Assignment List,
mation of Teachers)
School Year
Number of
e of Designation Appointment:
Incumbent
(as it appears in (Contractual, Fund Source
contract/document: Teacher, Clerk, Substitute, (SEF, PTA,
curity Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching
Submitted by:
nnel during the school year, an
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
MALE
1 #REF! ABELLAR, AVENIDO JR. ORNOPIA 10 - 16 - '02 16 54 61
2 #REF! ACURAM, ELPEDJUN LARIBA 06 - 29 - '02 18 47 63
3 #REF! AGRAMON, NIEL KEN DELFIN 09 - 24 - '99 16 54 65
4 #REF! ALFORQUE, RONIE ROSEL 11 - 19 -'99 19 51 62
5 #REF! ALIM, JHAN PAUL MASALON 10- 31 - '98 21 57 67
6 #REF! ALISBO, JOHN IVAN BAYSA 11 - 29 - '02 16 69 63
7 #REF! ANDER, LEE JULLIANE CAPISTRANO 07 -08 -'02 17 49 64
8 #REF! ARELLANO, ALEX M. 09 - 17 - '00 19 60 64
9 ARNAIZ, JOHN JAY Z. 03 - 14 - '00 19 49 64
10 #REF! BALITOS, JOHN WIL DUAYAN 03 - 10 -'02 17 70 66
11 #REF! BANCUYO, AVEAL JHUN GANAGANAG 05 - 22- '02 17 50 65
12 #REF! BALLER, JOMARIE C. 07 - 31 - '97 22 70 66
13 #REF! BARCELONA, CARL RAFAEL A. 05 - 31 - '02 17 70 66
14 #REF! BARICUATRO, RAUL JOY SUICO 08 - 30 - '02 17 57 67
15 #REF! BATON, PATRICK MILES 08 - 22 - '02 17 70 66
16 #REF! BELLON, JOEBERT T 02 - 27 - '99 20 54 62
17 #REF! BONGOLO, WIL JR. ESTANERO 06 - 30 - '02 17 53 62
18 #REF! BUCOG, ORLANDO II ODTOJAN 07 - 03 - '02 17 98 68
19 #REF! BUKA, GABRIEL PARILLA 07 - 03 -'02 17 53 62
20 #REF! CABLOS, JUNREY SAMONG 09 - 02 - '01 18 70 66
21 #REF! CALANZA, JUN REY 11 - 15 - '02 17 52 63
22 #REF! CAMPOMANES, MARK KEVIN CURPUZ 10 - 08 - '02 17 52 63
23 #REF! COLLARIN, JOHN RAZL 08 - 05 - '01 18 52 63
24 #REF! CONDE, MARK PAUL MAYORMITA 03 - 02 - '03 16 47 63
25 #REF! DAYANDAYAN, ROBERT JOHN GERALE 12 - 17 - '02 16 50 60
26 #REF! DIODOS, LESTER TAPANG 07 - 09 - '02 17 44 63
27 #REF! EBRAHIM, SAMSUDIN KALIMPO 11 - 28 - '02 17 95 62
28 #REF! ESPINOSA, SAMSOM III MIRA 11 - 22 - '01 17 81 67
29 #REF! ESQUIERDO, RONEL JR. BAUTISTA 07 - 02 - '02 17 57 65
30 #REF! FIGURA, JAMESTONE SILARAS 8 - 20 - '01 18 55 64
31 #REF! GALLARDO, RACEL JAY ACLON 04- 21 - '03 16 45 61
32 #REF! JACOBE, LEANDRO G., 04 - 04 -'99 20 70 66
33 #REF! KHAN, AMIR ROMINES 04 - 16 - '03 16 53 65
34 #REF! LASTA, GERALD CATUBIG 02 - 17 - '02 17 75 68
35 #REF! MALASA, VEBS DEQUILLO 01 - 20 - '02 17 54 63
36 #REF! MATO, BENZAR SAMAD 07 - 15 - '01 18 53 65
37 #REF! MAULAS, LUIS GOSTABO DAPITO 12 - 16 - '02 16 53 61
38 #REF! MISTOLA, JOHN LOYD ORDONA 04 - 15 - '03 17 53 65
39 #REF! MODAYNO, MECKKAELLE T. 07 -21 -'02 16 45 61
40 #REF! MOLINA, JOSHUA 05 - 27 -'02 17 53 65
41 #REF! NAPOLES, JOSHUA ALBURO 11 - 16 - '02 17 53 65
42 #REF! OMPAD, JULIUS MONDIDO 11 - 28 - '02 17 54 62
43 #REF! OSTRIA, FRANCIS IAN CANAWAY 11 - 17 - '03 16 67 66
44 #REF! PABELLON, CLARK TEMBLOR 12 - 29 - '02 17 53 65
45 #REF! PADILLA, JAMES RAVEN PILAS 09 - 21 - '02 17 52 63
46 #REF! PAHAMTANG, MELVIN RANES 05 - 29 - '03 16 50 64
47 #REF! RUTOR, JAPHET OCARIZA 02 - 09 - '01 18 65 64
48 #REF! SARCO, RONEL CABELIS 04 - 06 - '02 17 53 61
49 #REF! SAPA, RONEL C. 10 - 25 - '02 16 53 63
50 #REF! SARMIENTO, JOSE ROLLY JR. 01 - 13 - '99 20 47 61
51 #REF! SILAYA, JOHN PAUL P. 08 - 13 - '02 16 52 63
52 #REF! SULAIMAN, MIHDAD 04 - 05 -'00 19 52 63
53 #REF! TANDUYAN, ARNOLD JR. CAYLAN 02 - 22 - '03 16 50 60
54 #REF! TANGUAN, RHODMARK 08 -24 - '00 19 47 61
55 #REF! TAPAY, JUNIE CAGAPE 06- 23 - '02 17 47 63
56 #REF! TELESFORO, ELMER TANGGA-AN 01 - 23 - '00 19 56 65
57 #REF! TIZON, JUSTINE LOUIE MARA 08 - 15 - '01 18 58 68
58 #REF! TOMENIO, ROMEL JAY PACETE 11 - 13 -'02 17 47 61
59 #REF! ZAGALES, PRINCE BENEDICT DELA CRUZ 10 - 15 - '02 17 70 66
FEMALE
1 #REF! BAYSA, RHEALYN MAE FAMOLARCARO 11 - 09 - '01 17 46 54
2 #REF! SISTOSO, BETHYE MAE GEMPESAO 08 - 09 - '01 18 49 62
SUMMARY TABLE
Nutritional Status
Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL
Stunted
MALE 0 6 47 4 2 59
FEMALE 0 0 2 0 0 2
TOTAL 0 6 49 4 2 61
Nutritional Status
Height² Height for Age
BMI Remarks
(cm²) BMI Category (HFA)
(kg/cm²)
99 NORMAL
104 WASTED
110 WASTED
113 WASTED
126 NORMAL
152 OVERWEIGHT
108 NORMAL
132 NORMAL
108 NORMAL
154 NORMAL
110 WASTED
154 NORMAL
154 NORMAL
126 NORMAL
154 NORMAL
119 NORMAL
117 NORMAL
216 0BESE
119 NORMAL
154 NORMAL
115 NORMAL
115 NORMAL
115 NORMAL
104 WASTED
110 NORMAL
97 WASTED
216 OBESE
179 OVERWEIGHT
126 NORMAL
121 NORMAL
99 NORMAL
154 NORMAL
117 NORMAL
165 OVERWEIGHT
119 NORMAL
117 NORMAL
117 NORMAL
117 NORMAL
99 NORMAL
117 NORMAL
117 NORMAL
119 NORMAL
148 NORMAL
117 NORMAL
115 NORMAL
110 NORMAL
143 NORMAL
117 OVERWEIGHT
117 NORMAL
104 NORMAL
115 NORMAL
115 NORMAL
110 NORMAL
104 NORMAL
104 NORMAL
123 NORMAL
128 NORMAL
104 NORMAL
154 NORMAL
101 NORMAL
108 NORMAL
MMARY TABLE
Height for Age (HFA)
Summary Table
Stunted Normal Tall Total
Reviewed By:
SFRT 2017
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