Mlesf Summary Matrix Form Elementary v3.1

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Summary Matrix MLESF Summary Matrix MLSEF

General Instructions/Manual Sample MLESF Data Proc
Sections and Class Advisers
Kinder - Section 1 …...............................
Kinder - Section 2 …...............................
Kinder - Section 3 …...............................
Kinder - Section 4 …...............................
Grade 1 - Section 1 …...............................
Grade 1 - Section 2 …...............................
Grade 1 - Section 3 …...............................
Grade 1 - Section 4 …...............................
Grade 2 - Section 1 …...............................
Grade 2 - Section 2 …...............................
Grade 2 - Section 3 …...............................
Grade 2 - Section 4 …...............................
Grade 3 - Section 1 …...............................
Grade 3 - Section 2 …...............................
Grade 3 - Section 3 …...............................
Grade 3 - Section 4 …...............................
Grade 4 - Section 1 …...............................
Grade 4 - Section 2 …...............................
Grade 4 - Section 3 …...............................
Grade 4 - Section 4 …...............................
Grade 5 - Section 1 …...............................
Grade 5 - Section 2 …...............................
Grade 5 - Section 3 …...............................
Grade 5 - Section 4 …...............................
Grade 6 - Section 1 …...............................
Grade 6 - Section 2 …...............................
Grade 6 - Section 3 …...............................
Grade 6 - Section 4 …...............................
NonGraded …...............................
Navigation
ummary Matrix MLSEF (SEFP)
ample MLESF Data Processing
Kinder Section 1 MLESF Summary

Grade 1 Section 1 MLESF Summary
NonGraded MLESF Summary
Sample MLESF Data
Processing
MLESF Summary Matrix
1
1
Cabled/Non-Cabled TV=Television
Basic/Smartphone = Cellular Phone
Desktop/Laptop = Desktop/Laptop
Non-
cable TV
SAMPLE OF MLESF RESULT TABULATIO

FOR CLASS ADVISER
Kinder Learner 1 Kinder Learner 2
Kinder Learner 3 Kinder Learner 4

Kinder Learner 4
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF

ata Return to File Directory
Choose Dialect Filipino

Mga Tagubilin:
1. Isang (1) tugon lamang ang kinakailangan, pum
2. Ang kabuuang bilang ng bawat kolum ay kinak
3. Ang kabuuang bilang ng bawat kolum sa bawa
*Para sa inaasahang Gurong Tagapagpayo

1. Suriing mabuti ang kawastuhan/pagkakumpleto
2. Para sa mga katanungang maaring magkaroon
3. Ipasa sa Grade Level Enrollment Chair (GLEC)
Para sa Grade Level Enrollment Chair (kung m

1. Suriing mabuti ang lahat ng Summary Matrix na
2. Ihanda ang Summary Matrix na may kabuuang
3. Ipasa ang Nagawang Summary Matrix (Grade
Para sa School Enrollment Focal Person (SEF

1. Suriing mabuti ang lahat ng Summary Matrix ng
2. Ihanda ang Summary Matrix na may kabuuang
3. Ipasa ang Nagawang Summary Matrix (School
Para sa LIS System Administrator

1. Suriin ang natanggap na School Level Summa
2. Mag login sa LIS at piliin ang kalupi ng QC na m
3. Itala ang kabuuang bilang ng bawat talaan katu
Para sa mga Malalaking Paaralang may HIGIT

1. Bago gamitin ang Automated MLESF Summary
automated MLESF Summary Consolidator para s
kung saan ang inaaasahang Gurong Tagapagpay
2. Ang natapos na Summary Matrix MLESF tabsh
Consolidator para sa Malalaking Paaralan Excel F
C2. Parent/Gurdian Highest Educational Attainment (select on

HEA (Highest Educational Attainment )- Choos
Sample:
Father - Elementary Level
Mother - High School Graduate
Guardian - Elementary Graduate
D1. How many of your household members (including the enr
Only 1 2 3
Grade Level Household Household Household
Member Members Members
Kinder 1
Sample
From MLESF, the respondent selected Kinder, Grade
Kinder
Grade 3
Grade 7
Total 3
From 1-7 (columns) Select Column 3
D3. What devices are available at home that the learner can us
Cabled/Non-Cabled TV = Television
Basic/Smartphone - Cellular Phone
Desktop and/or Laptop = Desktop/Laptop
For Tablet: Select "Tablet" if this is the only available gadge

together with other devices, for the purposes of tagging de
considered/categorized under "Cellular Phone". But pleas
individual data in LIS BOSY Learner Profile, actual responce
TABULATION
ER
Learner 2
Learner 4
Learner 4
MENTS OF MLESF
13
13
ng ang kinakailangan, pumili lamang ng isang (1) nararapat na tugon kung may iba't ibang pagkasasamang naaangk
ng bawat kolum ay kinakailangang pantay sa kabuuang bilang ng tumugon sa bawat baitang.
ng bawat kolum sa bawat baitang ay hindi maaring humigit sa bilang na 5000.
Gurong Tagapagpayo
awastuhan/pagkakumpleto ng lahat ng MLSEF.
gang maaring magkaroon ng iba't ibang tugon, pilliin ang pinaka-naaangkop na pagkasasamang naitala sa form na i
Enrollment Chair (GLEC) kung mayroon man o sa School Enrollment Focal Person (SEFP).
nrollment Chair (kung mayroon)

hat ng Summary Matrix na ipinasa ng mga gurong tagapagpayo, busisiin ang kawastuhan/pagkakumpleto ng mga ito
Matrix na may kabuuang tala ng bawat uri/katanungan sa lahat ng pangkat ng baitang.
Summary Matrix (Grade Level) sa School Enrollment Focal Person (SEFP)
ment Focal Person (SEFP)

hat ng Summary Matrix ng bawat baitang na ipinasa ng mga GLEC, busisiin ang kawastuhan/pagkakumpleto ng mga
Matrix na may kabuuang tala ng bawat uri/katanungan sa lahat ng pangkat ng baitang.
Summary Matrix (School Level) sa punongguro upang masuri at maapruba at ipasa ito sa LIS System Administrator
dministrator
na School Level Summary Matrix at tiyakin ang kawastuhan ng bilang ng pagpapatala mula sa kabuuang bilang ng
liin ang kalupi ng QC na makikita sa Dashboard.
lang ng bawat talaan katulad ng nasa Summary Matrix. Maaring gamitin ang itinalagang mga palahudyatan bilang sa
g Paaralang may HIGIT PA SA APAT (4) NA PANGKAT sa bawat baitang

omated MLESF Summary Consolidator para sa Malalaking Paaralan Excel File, ang Grade Level Enrollment Chair a
mary Consolidator para sa Maliliit na Paaralan. Ang Grade Level Enrollment chair ay papalitan lamang ang mga tabs
hang Gurong Tagapagpayo ay maglalagay ng kaniyang mga nakuhang datos.
mary Matrix MLESF tabsheet ay maari nang ibigay sa School Enrollment Focal Person upang maitala niya sa Autom
alalaking Paaralan Excel File.
onal Attainment (select only parent/guardian per learner having the highest educational attainment)
cational Attainment )- Choose only the Highest Educational Attainment of Mother from MLESF and tag to the MLESF Summary
embers (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in a Household)
Total (Must
be equalled
4 5 6 7 vis-à-vis
Household Household Household Household Enrollment
Members Members Members Members per
Class/Grad
e Level)
dent selected Kinder, Grade 3 and Grade 7
t Column 3
me that the learner can use for learning?

Cabled/Non-Cabled TV=Television
Basic/Smartphone = Cellular Phone
Desktop/Laptop Desktop/Laptop = Desktop/Laptop
this is the only available gadget/device available. If the tablet is available

for the purposes of tagging devices during Quickcount, tablet may be
er "Cellular Phone". But please be reminded that upon encoding MLESF
earner Profile, actual responces shall be posted.
pagkasasamang naaangkop.
mang naitala sa form na ito.
pagkakumpleto ng mga ito.
an/pagkakumpleto ng mga ito.
LIS System Administrator.
a sa kabuuang bilang ng tumugon.
ga palahudyatan bilang sanggunian.
e Level Enrollment Chair ay gagamitin ang

itan lamang ang mga tabsheets sa mga pangalan ng bawat pangkat.
ng maitala niya sa Automated MLESF Summary
ag to the MLESF Summary

a Household)
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
Kinder 0 0 0
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
Non-Graded 0 0 0
Total 0 0 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
HEA1 HEA2 HEA3 HEA4

Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0 0 0
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
Non-Graded 0 0 0
Total 0 0 0
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D2. Who among the household members can provide instructional support to the child’s distan
Parent/
Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of
family
HM1 HM2 HM3 HM4

Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone Cellphone,
Grade Level Only Cellphone & Radio Radio &
Desktop/laptop
DA1 DA2 DA3 DA4

Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D4. Is there an internet signal in your area?
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0 0 0
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
Non-Graded 0 0 0
Total 0 0 0
D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop
computer shop
& other places
IC1 IC2 IC3 IC4

Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D6. What distance learning modality/ies do you prefer for your child?
online learning,
online
online learning & online learning, television, radio
learning
Grade Level television television & radio & modular
only
learning
DLM1 DLM2 DLM3 DLM4
Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of
available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient
available
gadgets/ equipment insufficient load/ data load/ data
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable allowance,
data allowance mobile/ internet unstable
only
connection mobile/ internet
connection &
existing health
condition/s
CH1 CH2 CH3 CH4

Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0 0 0
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
Non-Graded 0 0 0
Total 0 0 0
E.2 If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Helping in
Existing Illness or
Infected of transportation from household
Grade Level health related concens
Corona home to school and chores
Virus vice versa
MC1 MC2 MC3 MC4
Kinder 0 0 0 0
1 0 0 0 0
2 0 0 0 0
3 0 0 0 0
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
Choose Dialect English

Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
*For Prospective Adviser

1. Review all MLESF for Accuracy/completeness
2. For question with posisble multiple answers, select applicable combination as listed/gro
3. Submit to Grade Level Enrollment Chair (GLEC) if any or to School Enrollment Focal P
For Grade Level Enrollment Chair (if any)

1. Review all Summary Matrix submitted by advisers, check for accuracy/completeness
2. Prepare a Summary Matrix with totality for all items/questions of all sections
3. Submit the Accomplished Summary Matrix (Grade level) to School Enrollment Focal Pe
For School Enrollment Focal Person (SEFP)

1. Review all Grade Level Summary Matrix submitted by GLEC, check for accuracy/comp
2. Prepare a Summary Matrix with totality for all items/questions of all Grade Levels
3. Submit the Accomplished Summary Matrix (School level) to School Head for review and
For LIS System Administrator

1. Review the School Level Summary Matrix validate the correctness of enrollment count
2. Login to LIS and click the QC Folder available in the Dashboard
3. Input total count for each table as appeared in the Summary Matrix. May use the assig
Return to Summary Matrix MLESF
ENTS OF MLESF (SEFP FILE)
Grade and School level)
SCHOOL ID DISTRICT/CLUSTER
Prospective Adviser/GLEC/SEFP
For LIS Admin Use Only
Posted by: (LIS System Admin)
/guardian per learner having the highest educational attainment)
After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
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
studying in School Year 2021-2022? (No.of Learner/s in a Household)
Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)
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
ort to the child’s distance learning?
Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

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
Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop
DA5 DA6 DA7 DA8

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
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
IC5 IC6 IC7 IC8

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
Television, radio &

Television Only Television & radio Radio only
modular learning
DLM5 DLM6 DLM7 DLM8

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
s through distance education?

lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
CH5 CH6 CH7 CH8

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
w your child/children to participate?
e specific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
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
bination if more than 1 condition is appropriate.

ts per grade level (validation apply).
combination as listed/grouped in this form

chool Enrollment Focal Person (SEFP).
ccuracy/completeness
of all sections
hool Enrollment Focal Person (SEFP)
check for accuracy/completeness

of all Grade Levels
chool Head for review and approval and then to LIS System Administrator
tness of enrollment count vis-a-vis the number of respondents
Matrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
HM9 HM10 HM11 HM12

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
Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop
DA9 DA10 DA11 DA12

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
No internet Total (Must be
Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)
IC9 IC10
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
Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)
DLM9 DLM10 DLM11 DLM12

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
insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning
CH9 CH10 CH11 CH12

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
Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning
HM13 HM14 HM15 HM16

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
None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
0
0
0
0
0
0
0
0
allowance, unstable
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

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
Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
0
0
0
0
0
0
0
0
unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20 CH21

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
existing health
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

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
difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)
CH27 CH28 CH29 CH30 CH31 CH32

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
only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)
CH33
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
NAME OF SCHOOL
Last updated (date): For LIS Adm
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
Kinder 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Only 1
Member
Kinder
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

Kinder
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

Kinder
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Mobile data,
Mobile data,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
IC1 IC2 IC3 IC4

Kinder
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
Kinder
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
E2. If the answer is no , please select only 1 major consideration or state specific reason
Getting available Existing Illness or Helping in
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
Kinder

Instruction:



NTS OF MLESF (Class Adviser Report)
ade and School level)
ardian per learner having the highest educational attainment)
After High School

HEA5 HEA6 HEA7
0
dying in School Year 2021-2022? (No.of Learner/s in a Household)

Members Members
Class/Grade Level)
to the child’s distance learning?

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

hrough distance education?
lack of available
community/neighbor)
CH5 CH6 CH7 CH8
our child/children to participate?
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0
tion if more than 1 condition is appropriate.

er grade level (validation apply).
mbination as listed/grouped in this form
ol Enrollment Focal Person (SEFP).
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
ss of enrollment count vis-a-vis the number of respondents
x. May use the assigned code as appopriate for easy reference.

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
(i.e., house chores)
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
existing health condition/s, difficulty in
condition/s, independent learning,
difficulty in independent
difficulty in conflict with other
independent difficulty in learning &
independent activities (i.e., house
learning, conflict independent conflict with
learning & chores), high electrical
with other activities learning only other activities
conflict with other consumption &
(i.e., house chores) (i.e., house
activities (i.e., distractions (i.e., social
& high electrical chores)
house chores) media, noise from
consumption
community/neighbor)

difficulty in
independent
conflict with other
difficulty in learning, conflict
activities (i.e.,
conflict with house chores), high
learning, (i.e., house conflict with
other activities high electrical electrica
conflict with chores), high other
(i.e., house consumption & l
other activities electrical activities
chores), & high distractions (i.e., consum
(i.e., house consumption & (i.e., house
electrical social media, ption
chores) & high distractions (i.e., chores) only
consumption noise from only
electrical social media, noise
community/neighb
consumption from
or)
community/neighb
or)

high electrical
consumption & only distractions
distractions (i.e., social Total (Must be
(i.e., social media, noise equalled vis-à-
media, noise from vis Enrollment
from community/neig per Class/Grade
community/neig hbor) only Level)
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
Kinder 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Only 1
Member
Kinder
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

Kinder
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

Kinder
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

Kinder
DLM1 DLM2 DLM3 DLM4
Kinder
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Virus vice versa
MC1 MC2 MC3 MC4
Kinder

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
Kinder 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Only 1
Member
Kinder
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

Kinder
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

Kinder
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

Kinder
DLM1 DLM2 DLM3 DLM4
Kinder
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Virus vice versa
MC1 MC2 MC3 MC4
Kinder

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
Kinder 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Only 1
Member
Kinder
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

Kinder
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

Kinder
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

Kinder
DLM1 DLM2 DLM3 DLM4
Kinder
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

Kinder

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Kinder 0
Virus vice versa
MC1 MC2 MC3 MC4
Kinder

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
1 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

1
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

1
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

1
DLM1 DLM2 DLM3 DLM4
1
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Virus vice versa
MC1 MC2 MC3 MC4
1

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
1 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

1
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

1
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

1
DLM1 DLM2 DLM3 DLM4
1
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Virus vice versa
MC1 MC2 MC3 MC4
1

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
1 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

1
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

1
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

1
DLM1 DLM2 DLM3 DLM4
1
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Virus vice versa
MC1 MC2 MC3 MC4
1

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
1 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

1
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

1
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

1
DLM1 DLM2 DLM3 DLM4
1
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

1

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
1 0
Virus vice versa
MC1 MC2 MC3 MC4
1

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
2 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

2
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

2
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

2
DLM1 DLM2 DLM3 DLM4
2
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Virus vice versa
MC1 MC2 MC3 MC4
2

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
2 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

2
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

2
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

2
DLM1 DLM2 DLM3 DLM4
2
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Virus vice versa
MC1 MC2 MC3 MC4
2

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
2 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

2
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

2
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

2
DLM1 DLM2 DLM3 DLM4
2
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Virus vice versa
MC1 MC2 MC3 MC4
2

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
2 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

2
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

2
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

2
DLM1 DLM2 DLM3 DLM4
2
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

2

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
2 0
Virus vice versa
MC1 MC2 MC3 MC4
2

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
3 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

3
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

3
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

3
DLM1 DLM2 DLM3 DLM4
3
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Virus vice versa
MC1 MC2 MC3 MC4
3

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
3 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

3
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

3
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

3
DLM1 DLM2 DLM3 DLM4
3
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Virus vice versa
MC1 MC2 MC3 MC4
3

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
3 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

3
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

3
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

3
DLM1 DLM2 DLM3 DLM4
3
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Virus vice versa
MC1 MC2 MC3 MC4
3

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
3 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

3
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

3
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

3
DLM1 DLM2 DLM3 DLM4
3
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

3

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
3 0
Virus vice versa
MC1 MC2 MC3 MC4
3

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
4 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

4
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

4
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

4
DLM1 DLM2 DLM3 DLM4
4
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Virus vice versa
MC1 MC2 MC3 MC4
4

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
4 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

4
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

4
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

4
DLM1 DLM2 DLM3 DLM4
4
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Virus vice versa
MC1 MC2 MC3 MC4
4

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
4 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

4
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

4
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

4
DLM1 DLM2 DLM3 DLM4
4
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Virus vice versa
MC1 MC2 MC3 MC4
4

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
4 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

4
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

4
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

4
DLM1 DLM2 DLM3 DLM4
4
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

4

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
4 0
Virus vice versa
MC1 MC2 MC3 MC4
4

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
unstable mobile/ condition/s, difficulty in
existing health
internet connection, independent learning, existing
condition/s,
existing health conflict with other health
difficulty in
condition/s & difficulty activities (i.e., house condition/s
independent
in independent chores), high electrical only
learning & conflict
learning consumption &
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

6

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
6 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

6
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

6
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
6 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

6
DLM1 DLM2 DLM3 DLM4
6
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

6

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
6 0
Virus vice versa
MC1 MC2 MC3 MC4
6

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
5 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Only 1
Member
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

5
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

5
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

5
DLM1 DLM2 DLM3 DLM4
5
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

5

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
5 0
Virus vice versa
MC1 MC2 MC3 MC4
5

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
unstable mobile/
unstable mobile/
existing health
existing health
condition/s,
difficulty in
independent
learning & conflict
media, noise from
community/neighbor)
CH17 CH18 CH19 CH20

existing health
existing health
consumption
community/neighbor)

difficulty in
independent
conflict with other
activities (i.e.,
community/neighb
consumption from
or)
community/neighb
or)

high electrical
hbor)
CH32 CH33
0
NAME OF SCHOOL
B9. Gender
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
Non-Graded 0
No Formal Schooling
Graduate
HEA1 HEA2 HEA3 HEA4

Non-Graded

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Non-Graded 0
Only 1
Member
Non-Graded
Parent/ Guardian,
Only Parent
members of family
HM1 HM2 HM3 HM4

Non-Graded
Television,
Cellphone, Radio
& Desktop/laptop
DA1 DA2 DA3 DA4

Non-Graded
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Non-Graded 0
Mobile data,
Mobile data,
broadband &
computer shop
other places
IC1 IC2 IC3 IC4

Non-Graded
DLM1 DLM2 DLM3 DLM4
Non-Graded
lack of available
gadgets/
lack of available
lack of equipment ,
connection
& existing health
condition/s
CH1 CH2 CH3 CH4

Non-Graded

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Non-Graded 0
Virus vice versa
MC1 MC2 MC3 MC4
Non-Graded

Instruction:



After High School

HEA5 HEA6 HEA7
0

Members Members
Class/Grade Level)

Parent/ Guardian,
members of & Others
family & Others
HM5 HM6 HM7 HM8
Cellphone, Radio &

Desktop/laptop
DA5 DA6 DA7 DA8
broadband,
Computer shop and
other places
other places
IC5 IC6 IC7 IC8
Television, radio &

modular learning
DLM5 DLM6 DLM7 DLM8

lack of available
community/neighbor)
CH5 CH6 CH7 CH8
pecific reason
helping in family
working
Class/Grade Level)
MC5 MC6 MC7
0

racy/completeness
ll sections
ll Grade Levels

DIVISION REGION
Only family only
family Others
HM9 HM10 HM11 HM12

Tablet
DA9 DA10 DA11 DA12

Enrollment per
Class/Grade Level)
IC9 IC10
0

Blended

insufficient load/
data allowance &
unstable mobile/
internet connection
CH9 CH10 CH11 CH12

HM13 HM14 HM15 HM16

Class/Grade Level)
DA13
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0

allowance, unstable
mobile/ internet
allowance, unstable
mobile/ internet
health condition/s,
difficulty in
chores)
media, noise from
community/neighbor)
CH13 CH14 CH15 CH16

Total (Must be
equalled vis-
à-vis
Enrollment per
Class/Grade
Level)
0
unstable mobile/
media, noise from
community/neighbor)

existing health
conflict with other
consumption &
media, noise from
community/neighbor)

difficulty in
independent
conflict with other
learning, conflict
chores), high other
social media, noise
from
or)
community/neighb
or)

only distractions
from vis Enrollment
hbor) only Level)
CH33
0

Mlesf Summary Matrix Form Elementary v3.1

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Mlesf Summary Matrix Form Elementary v3.1

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Summary Matrix MLESF Summary Matrix MLSEF

Kinder Section 1 MLESF Summary

MLESF Summary Matrix

SAMPLE OF MLESF RESULT TABULATIO

Kinder Learner 3 Kinder Learner 4

SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF

Choose Dialect Filipino

*Para sa inaasahang Gurong Tagapagpayo

Para sa Grade Level Enrollment Chair (kung m

Para sa School Enrollment Focal Person (SEF

Para sa LIS System Administrator

Para sa mga Malalaking Paaralang may HIGIT

C2. Parent/Gurdian Highest Educational Attainment (select on

For Tablet: Select "Tablet" if this is the only available gadge

nrollment Chair (kung mayroon)

ment Focal Person (SEFP)

g Paaralang may HIGIT PA SA APAT (4) NA PANGKAT sa bawat baitang

dent selected Kinder, Grade 3 and Grade 7

me that the learner can use for learning?

this is the only available gadget/device available. If the tablet is available

mang naitala sa form na ito.

pagkakumpleto ng mga ito.

an/pagkakumpleto ng mga ito.

LIS System Administrator.

a sa kabuuang bilang ng tumugon.

ga palahudyatan bilang sanggunian.

e Level Enrollment Chair ay gagamitin ang

ng maitala niya sa Automated MLESF Summary

ag to the MLESF Summary

HEA1 HEA2 HEA3 HEA4

C10. 4Ps Beneficiary/ies

HM1 HM2 HM3 HM4

DA1 DA2 DA3 DA4

D4. Is there an internet signal in your area?

D5. How do you connect to the internet?

IC1 IC2 IC3 IC4

CH1 CH2 CH3 CH4

E. LIMITED FACE TO FACE

Choose Dialect English

*For Prospective Adviser

For Grade Level Enrollment Chair (if any)

For School Enrollment Focal Person (SEFP)

For LIS System Administrator

/guardian per learner having the highest educational attainment)

After High School

Total (Must be equalled

ort to the child’s distance learning?

HM5 HM6 HM7 HM8

Cellphone, Radio &

DA5 DA6 DA7 DA8

IC5 IC6 IC7 IC8

Television, radio &

DLM5 DLM6 DLM7 DLM8

s through distance education?

CH5 CH6 CH7 CH8

w your child/children to participate?

bination if more than 1 condition is appropriate.

combination as listed/grouped in this form

check for accuracy/completeness

tness of enrollment count vis-a-vis the number of respondents

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

DA9 DA10 DA11 DA12