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Prototype of Interim School Forms For SY 2020 2021
Prototype of Interim School Forms For SY 2020 2021
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School Name Tibagan Elementary School School Year 2019 - 2020 Grade Level Grade 6 Section INTEGRITY
GUARDIAN
ADDRESS PARENTS
(if Not Parent)
AGE as MOTHER Contact
Sex (M/F)
IP
NAME BIRTH DATE TONGUE RELIGIO Number of
LRN
(Last Name, First Name, Middle Name) (mm/dd/yyyy) of Oct. (Grade 1 to (Ethnic
N Mother's Maiden Parent or
31 Group) House #/ Father's Name (Last
3 Only) Municipality/ Name (Last Name, Guardian
Street/ Sitio/ Barangay Province Name, First Name, Name Relationship
City First Name, Middle
Purok Middle Name)
Name)
<=== COMBINED
Generated thru L
RITY
REMARKS
Learning
Modality
(Please refer to the
legend on last page)
oSY Date:
School ID 104795 School Year 2020-2021 Report for the Month of Learner Attendance Conversion Tool LACT1
Name of School Tibagan Elementary School Grade Level Grade 6 Section INTEGRITY
(1st row for date)
NAME Total for the Month REMARKS (If NLPA, state reason, please refer to legend
No. (Last Name, First Name, Middle number 2. If TRANSFERRED IN/OUT, write the name of
Name) School.)
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 PRESENT
1 xxxxxxxxxxx
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month : No. of Days of Classes: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late M F TOTAL
2. Dates shall be written in the columns after Learner's Name. Commer, Lower for Cutting Classes)
3. To compute the following: * Enrolment as of (1st Friday of June) 15 14 29
2. REASONS/CAUSES FOR NLPA
Late enrolment during the month
Registered Learners as of end of the month a. Domestic-Related Factors
0 0 0
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
a.2. Early marriage/pregnancy
Total Daily Attendance a.3. Parents' attitude toward schooling Registered Learners as of
b. Average Daily Attendance = a.4. Family problems
Number of School Days in reporting month end of month
NLPA
c. School-Related Factors
*Beginning of School Year cut-off report is every 1st Friday of the School Year Transferred out
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence Transferred in
d. Geographic/Environmental
d.1. Distance between home and school
I certify that this is a true and correct report.
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work (Signature of Adviser over Printed Name)
f. Others (Specify)
Attested by:
School Name Tibagan Elementary School Grade Level Grade 6 Section INTEGRITY
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title/Module Title/Module Title/Module Title/Module Title/Module Title/Module Title/Module Title/Module Title/Module Title/Module
Reference/Code Reference/Code Reference/Code Reference/Code Reference/Code Reference/Code Reference/Code Reference/Code Reference/Code Reference/Code
NAME REMARKS/ACTION TAKEN
No. (Last Name, First Name, Middle (Please refer to the legend on last
page)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
10
11
12
13
14
15
16
17
17
2
3
10
11
12
13
14
15
16
17
18
19
1. Title of Books Issued to each learner must be recorded by the class adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
3. The Total Number of Copies issued at BoSY shall be reflected in the form. parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
5. All textbooks being used must be included. Additional copies of this form may be used if s.2001, DO#25, s.2003, DO#14, 2.2012.
needed.
School Name Tibagan Elementary School School Year 2019 - 2020 Report for the Month of
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
Kinder ALITAPTAP
Grade 1 MAAGAP
Grade 2 MATIYAGA
Grade 3 MATULUNGIN
Grade 4 CHARITY
Grade 5 FAITH
Grade 6 INTEGRITY
ELEMENTARY:
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL
QUARTER
Learning Areas Final
1 2 3 4 Grade Remarks
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
(EsP)
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
PE
Health
General Average
Q1 Q2 Q3 Q4
Learning Modality