School Form 2 (SF2) Daily Attendance Report of Learners

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 404780 School Year 2017- 2018 Report for the Month of

Name of School Christ The King College Grade Level VIII Section St. Maximilian Kolbe

(1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME 20
REMARK/S (If DROPPED OUT, state reason, please
refer to legend number 2.
(Last Name, First If TRANSFERRED IN/OUT, write the name of
Name, Middle Name)

TH

TH

TH

TH

TH
W

W
M

M
ABSENT TARDY School.)

F
1 ADIZAS, JOSEFF VITOR M.
2 AGUILAR, FRANCO DIMITRIX B.
3 ACLADO, RALPH JOSHUA C.
4 ARIEGA, JARED B.
5 CABER, ANGELO JAMES D. B.
6 CHAN, KENT D. D.
7 DEJAYCO, MATT JOHNSON B.
8 HEMPLO, ART LYNDONE A. N.
9 LAYAM, CRIS JASDEY C A.
10 LENTEJAS, LIAM ANDREI D.

11 LOZANO, JOVAN A.

12 METANTE, JUN MARK H.

13 OITE, LOURENZE ROI A.

14 ROJAS, JOHN SEDRICK H.

15 SUMBISE, ANDREI VINCE D.

16 UY, JIM LEMUEL L.

MALE | TOTAL Per Day

17 ABAJENCIA, ANDREA S.
18 ANGALA, JERLENE MAY B.
19 BANEZ, MELROSE V.
20 BULASA, PRINCESS IRENE D.

21 CABAHUG, CATHERINE PATRICE D.

22 CASIANO, PRAISE RENCY L.

23 CUIZON, MICHAELLA GELLINE C.

 (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME 20
REMARK/S (If DROPPED OUT, state reason, please
refer to legend number 2.
(Last Name, First If TRANSFERRED IN/OUT, write the name of
Name, Middle Name)

TH

TH

TH

TH

TH
W

W
ABSENT TARDY

M
School.)

F
24 FRANCISCO, JHYRAHMYL JADE I.
25 LOPEZ, PAMELA M.
26 LUCABAN, SYLVERIE GEORGIA C. C.
27 MABUTE, CHRISTINE ANNE M. M.
28 OLIVA, JULIANA MARIE M.
29 RAMA, ATHENA JOVELLE M.
30 ROJAS, MICHAELLA C.
31 SALVACRUZ, DAWN JEIAN G.
32 YGRUBAY, MEDALYN ROSE C.

FEMALE | TOTAL Per Day 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16

Combined TOTAL PER DAY

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary for the Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Percentage of Enrolment = x 100 0 0 0
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors 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 b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. Percentage of Attendance for the month
b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 b.3. Death Number of students with 5 consecutive days of
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
Drop out 0 0 0
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred in 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school
 (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME 20
REMARK/S (If DROPPED OUT, state reason, please
refer to legend number 2.
(Last Name, First If TRANSFERRED IN/OUT, write the name of
Name, Middle Name)
TH

TH

TH

TH

TH
W

W
M

M
ABSENT TARDY School.)
T

F
RHEA P. PICA
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID School Year 2018-2019

School Name Christ the King College Grade Level 7 Section St. Hyacinth of Mariscotti
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 REMARK/ACTION TAKEN

NO. (Last Name, First Name, Middle Name) (Please refer to the
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
Adizas, Joseff M.
#NAME?
 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 REMARK/ACTION TAKEN

NO. (Last Name, First Name, Middle Name) (Please refer to the
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:
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.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
In case of losses/unreturned, please provide information with the following code: Prepared By:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian
(for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, Date BoSY:____________ Date EoSY: ___________
2.2012.
 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 REMARK/ACTION TAKEN

NO. (Last Name, First Name, Middle Name) (Please refer to the
Date Date DateRemark/Action Taken,
B. In Column Date Date Letter from LearnerDate
codes are: LLTR=Secured Date (for
duly signed by parent/guardian Date legend on last page)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian
Issued Returned Issued Returned (forIssued Returned
code TDO), PTL=Paid Issued Returned
by the Learner (for codeIssued Returned DO#23,
NEG). References: Issueds.2001,
Returned IssuedDO#14,
DO#25, s.2003, Returned Issued Returned
2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District

School ID

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative (A+B) Cumulative (A+B)
Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
LEVEL Month) 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
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

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 forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head over Printed Name)
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region 8 Division Calbayog City District 2

School ID School Year Curriculum

School Name Grade Level 7 Section St. Hyacinth of Mariscotti

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for honor
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
*IRREGULAR or
RETAINED
Descriptive Letter) Completed as of end of current
as of End of the current SY
SY

Adizas, Joseff M. 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)
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for honor
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
*IRREGULAR or
RETAINED
Descriptive Letter) Completed as of end of current
as of End of the current SY
SY
ADVANCED (A:
90% and above)
TOTAL MALE

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

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
teacher. The class adviser should make the
computation of 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 tallied with the total enrollment report as of End

of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain

under the discretion of the Schools Division
Superintendent
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN decimal places for honor
(Last Name, First Name, Middle Name) learner, 2 for non-honor &
*IRREGULAR or
RETAINED
Descriptive Letter) Completed as of end of current
as of End of the current SY
SY 5. Protocols of validation & submission will remain
under the discretion of the Schools Division
TOTAL FEMALE Superintendent

COMBINED School Form 5: Page 2 of ________

 School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

School ID Region 8 Division Calbayog City District 2

School Name Christ the King College School Year 2018-2019 Grade Level 7 Section St. Hyacinth of Mariscotti

AGE as of
1st Friday of ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent /Guardian)
(nos. of Group) House # / Father (1st name only if
Mother (Maiden: 1st Name, Middle (Please refer to the legend
years as per Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
& Last Name) on last page)
last birthday) Purok learner)

Adizas, Joseff M. M 10-23-05 13 None Roman Catholic Purok-9 Brgy. Carayman Father
Samar
Agular, Franco Dimitrix B. M Calb. City Purok-10 San- Policarpo Calb. City Samar Maribeth Balane Aguilar Mother
Waray-waray none
Cano, Benedict A. M 2/9/05 13 Calb. City Roman Catholic Brgy. Bagacay Calb. City Samar Gregorio Father
Waray-waray None
Ciego, Gabriel Nikolas B. M 6/30/06 12 Calb. City Roman Catholic Purok 1 Brgy. Rawis Calb. City Samar Nino Camarines Ciego Father
Waray-waray None
Delector, Asher Rex R. M 6/29/05 13 Calb. City Roman Catholic Brgy. Diaz Gandara Samar Rex Delector Ruby Romo Father
Waray-Waray None
Durmiendo, John Kenneth M. M 12/22/06 14 Calb. City Waray- Waray None Roman Catholic Purok 3 Brgy.Dagum Calb. City Samar John Jao Durmiendo Father

Lazana, Ized Raymund C. M 9/23/05 13 Calb. City Waray-waray None Roman Catholic Brgy. Calb. City Samar Evan Bayog Lazana Father
Tinambacan
Martinez, Franz Derrick P. M 11/10/19 Calb. City Waray-waray None Roman Catholic Brgy. Sta.Margarita Samar Francisco Father
Magsohong
Monsanto, Robert Andre B. M Calb. City Waray-waray None Roman Catholic Navarro St. Calb. City Samar Sinjoriano Father

Necio, Franz Benedict S. M 3/3/06 13 Waray-waray None Roman Catholic Navarro St. Calb. City Samar Bernie Father

Obong, Tonni Brien Arley A. M 12/23/06 12 Waray-waray None Roman Catholic Purok 5 Brgy. Rawis Calb. City Samar Onar Martin Father

Uy, Rodmar Nino O. M. 3/1/06 Waray-waray None Roman Catholic Brgy. Rawis Calb. City Samar Rudolfo Cabilil Father

Villar, Denver P. M. 5/21/06 12 Waray-waray None Roman Catholic Pido St. Calb. City Samar Paulo Roberto Father

Yangzon, Felix G. M Waray-waray None Roman Catholic Brgy.Bunlod Sta.Margarita Samar Norman Father

GIRLS

Aloro, Cue Sche Y. F 5/10/05 12 Waray-Waray None Roman Catholic Brgy. Monbon Sta. Margarita Samar Edgar Father

Andales, Michaela Eunice L. F 8/12/05 13 Waray-Waray None Roman Catholic Brgy. Carmen Calb. City Samar Melvin Father

Binalla, Jeah May B. F 5/16/05 13 Waray-Waray None Roman Catholic Brgy.TinambacaCalb. City Samar Joel Father

Cano, Shannen Faith R. F 6/8/05 13 Waray-Waray None Roman Catholic Rama Ext. Calb. City Samar Glen Father

Daguman, Khaye Fatima F 6/30/06 12 Waray-Waray None Roman Catholic Burgos St. Calb. City Samar Reynaldo Father

Danduan, Eloisa Fay P. F 1/12/05 13 Waray-Waray None Roman Catholic Brgy.Oquendo Calb. City Samar Bernardo Father

Gaddi, Rafealiz C. F 12/20/05 13 Waray-Waray None Roman Catholic Brgy. Bagacay Calb. City Samar Rafael Father
 AGE as of
1st Friday of ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent /Guardian)
(nos. of Group) House # / Father (1st name only if
Mother (Maiden: 1st Name, Middle (Please refer to the legend
years as per Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
& Last Name) on last page)
last birthday) Purok learner)

Gonzales, Carla Nicole F 2/5/06 12 Waray-Waray None Roman Catholic Brgy.Oquendo Calb. City Samar Lanie Jaropojop Mother

Reyes, Princess Beniese S. F 2/3/06 13 Waray-Waray None Roman Catholic Brgy. Tinam Calb. City Samar Roel Father

Sales, Mary Roceline P. F 11/11/06 12 Waray-Waray None Roman Catholic Brgy.Rawis Calb. City Samar Rommel Father

Salomon, Yehuda Aniefiel D. F 7/5/06 12 Waray-Waray None Roman Catholic Brgy.Aguit Calb. City Samar Jocelyn Pagjunasan Mother

Tarrayo, Consuelo Isabel R. F 6/17/06 13 Waray-Waray None Roman Catholic Rama Ext. Calb. City Samar Isagani Father

Torculas, Deah Nicole L. F 6/22/06 12 Waray-Waray None Roman Catholic Brgy. Begaho Samar Deciree Laure Mother

List and code of Indicators under REMARK column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity DatCCT Recipient 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 DatBalik-Aral B/A Name of school last attended & Year FEMALE
 AGE as of
1st Friday of ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent /Guardian)
(nos. of Group) House # / Father (1st name only if
Mother (Maiden: 1st Name, Middle (Please refer to the legend
years as per Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
& Last Name) on last page)
last birthday) Purok learner)

Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify
TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced 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

Nos. of BEGINNNING
(B: 74% and below)

Nos. of DEVELOPING
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of 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 Total for Grade Level in order to reflect the result in each data field.
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 will remain under the discretion of the Schools Division Superintendent
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced 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
Title of Designation Appointment: Number of
Title of Plantilla Position Title of Plantilla Position (Designation as (Contractual, Fund Source Incumbent
Number of Number of
(as appeared in the appointment (as appeared in the appointment appeared in the contract/document: Substitute, (SEF, PTA,
Incumbent Incumbent Non-
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, Driver Volunteer, others NGO's etc.) Teaching
etc.) specify) Teaching

EDUCATIONAL QUALIFICATION * Daily Program (time duration)

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

Ave. Minutes per Day

Ave. Minutes per Day

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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

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 SY, updated Form 19 must
submit 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. This form shall (Signature of School Head over Printed Name)
also serve as inventory list of school personnel.
 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Remark/s (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Position/ Appointment/ Grade & Section), Total Actual Detailed Items,
(Arrange by Sex Fund Source Indicate name of
Identification
Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To
Teaching
Number Position, Descending) Minor Minutes school/office, For IP's
-T.I.N.) Status Graduate Specialization Ancillary Assignment (M/T/W/T (00:00) (00:00)
H/F) Assignment -Ethnicity)
per Week

3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: ___________________________
4. * Daily Program Column is for teaching personnel only.
School Form 7, Page 2 of ________