School Forms-SF1-2-3-4-5-2018-19

School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 307112 Region VIII Division ZAMBALES District SUBIC
School Name NAGYANTOK HIGH SCHOOL School Year 2019-2020 Grade Level 7 Section LOVE
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of
NAME Sex BIRTH DATE MOTHER IP Contact Number of
LRN 1st Friday RELIGION House #/ Street/ Mother's Maiden Name (Last
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Father's Name (Last Name, Parent or Guardian (Please refer to the
June Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name Relation-ship
First Name, Middle Name) legend on last page)
Purok Name)
CABANTOC, JOMAR BASAS M CATHOLIC MATANGIB CAWAG SUBIC ZAMBALES ALMOETE, ROGELIO EUFEMIA 9506108435
1
107015-1200-67 ALMOETE, ALEXANDER CALONGE 09/28/2007
M SUBIC ZAMBALES
2
107015-1200-70 BAIS, FRANZEN NAPARATE 03/30/2007
M
BAKIDAN, MAC KEVIN
M CATHOLIC NAGTULONG CAWAG SUBIC ZAMBALES N/A
3
124141-1100-40 12/14/2005
M INC NAGYANTOK CAWAG SUBIC ZAMBALES CONTINEDO, DAVID
4
107015-120-90 CONTINEDO, DAVID LOIUS PATOC 6/5/2005
M CATHOLIC MATANGIB CAWAG SUBIC ZAMBALES
5
10715-1201-32 DELA CRUZ, ROBERTO JR. RUBIO 11/19/2005
M SUBIC ZAMBALES
6
107015-1200-05 FUENTES, ROMEL VALIENTE 07/27/2007
M SUBIC ZAMBALES
7
107015-1200-76 GAYLAN, NOEL JHUN VILLACERAN 9/12/2006
M SUBIC ZAMBALES
8
136162-1200-05 GUINNAP, TRI-JAY OBAL 06/18/2007
M SUBIC ZAMBALES
9
107015-1100-35 JOHNSON, ERIC TABURADA 11/17/2005
M SUBIC ZAMBALES
10
104704-1200-28 LAYNES, ROWEL MELLOGA 1/12/2006
M 08/16/2006 SUBIC ZAMBALES
11
10715-1100-37 LAYOLA, ALFRED BALASABAS
12
107015-1200-11 MAMARIL, DARREN SERRANO
13
10715-1200-45 NEIBERT, FRANKIE JR. MONTALLANA
M SUBIC ZAMBALES
14
107015-1100-26 NIEGAS, JANERICK
16
107015-1000-81 PAULINO, JULIUS JR. CALOS
17
10715-1300-38 PEREZ, EVANS ROBLEI ROCKINGHAM
18
107147-1204-00 ROSALES, FRANCIS AREGOR
19
107015-1300-40 RONGCALES, MARK JHON DALIMPAPAS
20
107015-1200-84 SAN RAMON, ANTHONY BERTIZ
21
117821-1200-18 SANCHEZ, ANGIELO VILLANUEVA
22
107015-1100-65 TISOY, JHON DEXTER BALASABAS
23
160516-1100-31 VILLANUEVA, CENDRIAN JAY BALDIA
F 03/14/0000 SUBIC ZAMBALES
24
107015-1201-10 ATIM, RECHEL GAYLAN
GUARDIAN
(If not Parent)
AGE as of
Purok Name)

25
107015-1200-21 ABOLI, SHANE APOSE
26
107015-1200-23 BACSAL, KRISTLE JANE LAYLAY
27
107015-1200-24 BUNAGAN, KAYE CEE FAITH BANATAO
28
1070071-130-37 BALDIA, ANGIELYN ROXAS
F
CAÑETE, CATHLEEN JECA D.
29
127949-1304-28 CAPE, PRINCESS JOY SALA-AN
30
160516-1300-19 DIAZ, ALIAH JANELLE ILIW-ILIW
31
110445-1200-06 FADERA, DHARELYN GARCIA
32
107015-200-93 LATOY, JONNABEL PELAGIO
F
MATIAS, JANAIZA T.
33
107015-1200-55 LAYOLA, RIALYN BALASABAS
34
107015-1200-56 MENDIGORIN, SABRINA VILLANUEVA
35
107015-1300-66 OCAMPO, AIO VITANCUR
36
107015-1200-97 PANGANIBAN, ZANDREI MAE BAUTISTA
37
107015-1300-95 REPUNTE, SUNSHINE BALASABAS
F
SALIBIO, JP GRACE
38
107015-1200-33 VASQUEZ, JONALYN DELMONTE
39
101789-1200-51 VILLAFLORES, ANISA ASHLEY DELA ROSA
40
107015-1200-63 VIOLA, JASMIN DELA PEÑA
GUARDIAN
(If not Parent)
AGE as of
Purok Name)
List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE
Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 307112 School Year 2018-2019 Report for the Month of MARCH
Name of School NAGYANTOK HIGH SCHOOL Grade Level 10 Section Perseverance

LEARNER'S NAME (1st row for date) Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer
1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 to legend number 2.
(Last Name, First Name, Middle If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
Name)
1 BAIS,JAMES ABNER, VALENTIN
2 BAJALA,CARL JOSHUA, RONQUILLO
3 CABOQUIN,JAISREL, ERAS
4 CASTINLAG,JEFFREY, LUBINO
5 ESTRELLA,ARVIN JHUN, AGUSTIN
6 GAYLAN,LESTHER, IGOT
7 LINGAD, DAVEN
8 MANATAD,JHAN PAUL, BALASABAS
9 ORIIEL, MICHAEL JOHN, CHAVEZ
10 PAÑARES,GERALD, ORO
11 RALIA, JOSEPH
12 RIOFLORIDO,MARCELO, JR PASTRANA
13 TAAC-TAAC,ANGELO, ROAYA
1 APILADO,ABISH, LAYLAY
2 AQUE,NOEMI, RALIA
3 BAIS,ROSE JANE, NAPARATE
4 BALDIA,MARILYN, ASIS
5 BUNAGAN,RUFFA-MAE, BUMACAS
6 ERAS,SHIELA MAE, INOC

7 GAYLAN,JEANEMAE, BALASABAS
8 GAYLAN,MERYLL, IGNACIO
9 LOVITOS,JEMERLYN, -
1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 to legend number 2.
Name)
10 MASDO,LARA, LICO
11 MUNDIA,CATHERINE, OLARTE
12 ORETO,HEART, CALLEDO
13 PAGLINAWAN,LYKA, LAVADIA
14 QUI-QUI,MICHELLE JOY, LUBAY
15 REPUNTE,JASMINE JOY, BALASABAS
16 SAMENIAN,BEA BIANCA, -
17 SANCHEZ,TRICIA MAE, CARIÑO

18 VALDEZ,IRA DALE, BUNAGAN
19 VILLAFLORES,MADELYN, DELA ROSA
FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average Daily Attendance
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary b.2. Overage
table into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.4. Drug Abuse
absent for 5 consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days:
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 to legend number 2.
Name)
e. Financial-Related PERCY BRENDA Q. MODELO
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ LINO F. MERCADO
(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
School ID 307112 School Year 2019-2020
School Name NAGYANTOK HIGH SCHOOL Grade Level 7 Section LOVE

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First Name, Middle (Please refer to the
Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First Name, Middle (Please refer to the
Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR MALE | TOTAL COPIES
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:
1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
DO#14, 2.2012.
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID 307112 Region III Division ZAMBALES District SUBIC
School Name NAGYANTOK HIGH SCHOOL School Year 2019-2020 Report for the Month of JUNE
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
LEVEL the Month) the Month of Previous Month
Month
of Previous Month
Month
of Previous Month
End of the Month
M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
7 LOVE PERCY BRENDA Q. MODELO 24 20 44 21 18 38 87.5 90 87.2 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
ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES: Prepared and Submitted by:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
(Signature of School Head over Printed Name)
Page _____ of _____ pages
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
Region Division District
School ID School Year Curriculum
School Name Grade Level Section
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing
(Numerical Value in
LEARNER'S NAME PROMOTED, RBEC need not to fill up these columns)
LRN 2 decimal places and
(Last Name, First Name, Middle Name) IRREGULAR or
3 decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74% and
below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP:
80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
GENERAL
AVERAGE
(Numerical Value in
honor learners, and
School Year ADVANCED
(A: 90% and
TOTAL MALE above)
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:
Division Representative
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per

subject area should be taken from the record of subject
teachers. The class adviser should compute for the
General Average.
3. On the summary table, reflect the total number of

learners promoted, retained and *irregular (*for grade 7
onwards only) and the level of proficiency according to
the individual General Average.
4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)
5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent
GENERAL
AVERAGE
(Numerical Value in
honor learners, and
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE
COMBINED School Form 5: Page ____ of ________

School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)
School ID Region Division
School Name District School Year
GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and above)
TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per grade level is reflected in the End of School Year Report of GESP/GSSP.
4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID Region Division

School Name District School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Number of
Title of Designation Appointment:
Incumbent
Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching
EDUCATIONAL QUALIFICATION Daily Program (time duration)

Employee Remarks (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section), Total Actual
Detailed Items,
(Arrange by Sex Indicate name of
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To Teaching
Number Position, Descending) Minor school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (M/T/W/ (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Week
Ave. Minutes per Day

Detailed Items,
Identification
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
Week
GUIDELINES: Submitted by:

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an
updated Form 19 must be submitted to the Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
Detailed Items,
Identification
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
Week
4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________
Compatibility Report for SF LOVE.xls
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format available.
Version
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School Form 1 (SF 1) School Register

School ID 307112 Region VIII Division ZAMBALES District SUBIC

F 11/3/2007 SUBIC ZAMBALES

List and Code of Indicators under REMARKS column

Dropped DRP Reason and Effectivity Date LWD Specify

Name of School NAGYANTOK HIGH SCHOOL Grade Level 10 Section Perseverance

2 BAJALA,CARL JOSHUA, RONQUILLO

5 ESTRELLA,ARVIN JHUN, AGUSTIN

9 ORIIEL, MICHAEL JOHN, CHAVEZ

3 BAIS,ROSE JANE, NAPARATE

6 ERAS,SHIELA MAE, INOC

14 QUI-QUI,MICHELLE JOY, LUBAY

15 REPUNTE,JASMINE JOY, BALASABAS

17 SANCHEZ,TRICIA MAE, CARIÑO

19 VILLAFLORES,MADELYN, DELA ROSA

FEMALE | TOTAL Per Day

School ID 307112 School Year 2019-2020

School Name NAGYANTOK HIGH SCHOOL Grade Level 7 Section LOVE

LEARNER'S NAME REMARKS/ACTION TAKEN

LEARNER'S NAME REMARKS/ACTION TAKEN

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

School ID 307112 Region III Division ZAMBALES District SUBIC

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

STATUS MALE FEMALE TOTAL

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)

(Name and Signature)

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per

3. On the summary table, reflect the total number of

4. Must tally with the total enrollment report as of End

5. Protocols of validation & submission is under the

COMBINED School Form 5: Page ____ of ________

School ID Region Division

School Name District School Year

School ID Region Division

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

If the workbook is saved in an earlier file format or opened in an earlier

Minor loss of fidelity # of occurrences

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COMBINED School Form 5: Page of ____