School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 313343 Region VIII Division LEYTE District PASTRANA

School Name MACALPI-AY NATIONAL HIGH SCHOOL School Year 2021-2022 Grade Level 8 Section MANGO/ORANGE
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Mother's Maiden Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Father's Name (Last Name, (Please refer to the
June Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name Relation-ship Guardian
First Name, Middle Name) legend on last page)
Purok Name)

### MARMITA, CLARA JANE DACLIZON F 7/27/08 12 WARAY ROMAN

CATHOLIC
ZONE 4 TINGIB PASTRANA LEYTE MARMITA, JUAN
BADILLA
DACLIZON, ALMA BASAS 9639120677

### CABANAS, LUCKY CYRUS MARMITA M 7/16/08 12 WARAY ROMAN

CATHOLIC
ZONE 4 TINGIB PASTRANA LEYTE CABANAS, TERRENCE
ANDREW CANETE
CABANAS, GRACE
MARMITA
MARMITA, GRANDMOTH
EFRENDA ER
9051034252

### SEQUITO, RUSTOM JAKE PONTILLAS M 5/30/08 12 WARAY ROMAN

CATHOLIC
ZONE 5 TINGIB PASTRANA LEYTE PONTILLAS, RONIE
CALDERON
SEQUITO, MARISSA
ILLARDE
SEQUITO, GRANDMOTH
ANGELES ER
9387302601

PORES
### CABIDOG, JOHN PAUL TULFO M 9/23/06 14 WARAY ROMAN
CATHOLIC
ZONE 2 TINGIB PASTRANA LEYTE CABIDOG, ARNIL
NAYAD
TULFO, MARY JEAN
PEDRIZA
9300204101

### PARADO, ALFRED ABAD M 4/18/08 12 WARAY ROMAN

CATHOLIC
ZONE 2 TINGIB PASTRANA LEYTE PARADO, JOEY
LIZARONDO
ABAD, IRENITA SANITA 9057635112

### PLATINO FRITZ AIZEN CARZON M 3/17/09 12 WARAY ROMAN

CATHOLIC
MALITBOGAY PASTRANA LEYTE PLATINO, ALVIN
CABIDOG
PLATINO, MICHELLE
CARZON
9319702931

### DOLORIAN, IRISH NICOLE AGAO F 1/15/08 13 WARAY ROMAN

CATHOLIC
HALABA PASTRANA LEYTE DOLORIAN, RONALDO
AMBA
DOLORIAN, ERWINA
AGAO

### ABELLON, CHARLES ROYERAS M 12/3/07 13 WARAY ROMAN

CATHOLIC
HALABA PASTRANA LEYTE ABELLON, CARLO
SUAN
ABELLON, SHARON
ROYERAS
9307152724

### LUCING, CYNTITCHIE MOJADO F 4/1/08 12 WARAY CATHOLIC MALITBOGAY PASTRANA LEYTE LUCING, TEDDY
COSTRUAS
MOJADO, CORAZON
MOYA

### GABRIEL, JHERSY BELL PARADO F 9/3/07 13 WARAY ROMAN

CATHOLIC
ZONE 2 TINGIB PASTRANA LEYTE GABRIEL, JUNWARD
DELA CRUZ
PARADO, ANNABELLE
GUASIL
GUASIL,
ENRIQUITA
9513585177

BIENES
121821140022 CARIAN, KHARL KHIAN G. M 8/10/07 14 WARAY ROMAN
CATHOLIC
MACALPI-AY PASTRANA LEYTE CARIAN, CLINT
ATENTA
CABIDOG, BEBY JANE
GABRIENTE
9284402201

121820130006 ANACIO, SUNDAY C. M 4/10/08 13 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE ANACIO, DENNIS
CAPACITE
CAPAMBI, CRISANTA
GALVEZ
9383832804

121821130040 SALCEDA, JOMEL C. M 10/26/06 14 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE SALCEDA, DIONESIO
MACEDA
CLARO, MALY
BURANDAY
9630501691

121820130016 OROLLO, EUGENE B. M 4/12/08 13 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE OROLLO, ARNEL
LISCABO
BRUN, NORA 9685632419

121820130010 CAONES, KEVIN FELIPH M 1/10/08 13 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE CONES, FELIPE
CAPAMBI
OROLLO, CRISPINA
GALVEZ
9393601817

404781150065 GALVEZ, BEVERLY F 8/24/08 13 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE UNKNOWN GALVEZ, LOVELY MAI
CABIDOG
9186286021

121821130038 OLLEN, LEONARD Y. M 27/12/06 14 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE OLLEN, MARVIN
SONGALIA
YAPOC, KATRINA
RAMULTE
9632434882

122344130031 BADION, LHIAN XHNEAL F 20/04/08 13 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE BADION, CARMELITO
SALANO
VELOSO, GRACE
DABOCOL
9451186784

121820130028 YAPOC, PHOEBE KATE P. F 27/02/08 13 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE YAPOC, WENEFREDO PRISNO, MA. CHRISTINA
TRUELEN QUINO
9389664505

121821130024 CAYAT, MARIAN M. F 14/05/08 13 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE CAYAT, SANTOS,
ALIPOSA JR.
MORADA, MARICRIS
BANGCATO
9305103311

136903121437 AMORES, KRISTINA G. F 10/12/06 13 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE AMORES, LIMUEL
MIRANTE
GEMINA, ROSALYN
ARPILLEDA
AMORES, GRANDFATH
ROMUALDO ER
9635841406

CAGANON
121760130029 MILITANTE, APRIL MAE E. F 10/4/08 13 WARAY ROMAN
CATHOLIC
LOURDES PASTRANA LEYTE MILITANTE, RUDY RICK
COSTIMIANO
EMFERMO, JUDITH
BAGUS
GAA,
ROLANDO
UNCLE 9706953450

121821130031 PELEGRINO, ANGELICA A. F 13/07/06 15 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE PELIGRINO, ARNOLD ANGCAHAS, MARY ANNE
DAUNO AMORES
9635841412

121820130027 DEPAUDHON, TRIXIE B. F 5/6/08 13 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE DEPAUDHON, JOEL BERTULFO, NA CANETE
CAHINDE
9094940344
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Mother's Maiden Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Father's Name (Last Name, (Please refer to the
June Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name Relation-ship Guardian
First Name, Middle Name) legend on last page)
Purok Name)

121821130010 LARIOMA, JAZPER KEITH DACUME M 10/7/08 12 WARAY ROMAN

CATHOLIC
MACALPI-AY PASTRANA LEYTE DACUME, ANGEI
BLANCO
LARIOMA, JELSON
MORADA

121810120001 CABERO, MARK DAGOY M 10/19/07 14 WARAY ROMAN

CATHOLIC
PUROK 1 BAHAY PASTRANA LEYTE CABERO, ERWIN
CATALON
DAGOY, JENNEFER
LABADA

121820130014 EMPILLO, ARJAY BERTULFO M 9/15/08 12 WARAY ROMAN

CATHOLIC
LOURDES PASTRANA LEYTE EMPILLO, TEOTIMO DE
PAZ
BERTULFO, ROWENA
LISCABO
9499415412

121821130004 MIRANTE, MARJON A. M 0/19/2006 15 WARAY ROMAN

CATHOLIC
PATONG PASTRANA LEYTE MIRANTE, RICARDO
RAEL
AGUIRRE, MARILYN
DUMASIG
9480801162

SABULAO, CLYDE ZYRUS M 1/1/08 13 WARAY ROMAN PATONG PASTRANA LEYTE SABULAO, FREDERICK
CATHOLIC COSTIMIANO
ALDONZA, RHEA MAE DAVOCOL F 4/22/07 14 WARAY ROMAN MACALPI-AY PASTRANA LEYTE ALDONZA, RONALD C. DAVOCOL, IRENE
CATHOLIC

121821140024 ESPINA, PRINCESS ASHLEY F 1/9/08 13 WARAY ROMAN

CATHOLIC
PATONG PASTRANA LEYTE CAMILLER, TYRONE
GENTINO
ESPINA, ANGELICA
TRIGUEROS
9974351275

121821130027 ESPINA, KHEY P. F WARAY ROMAN

CATHOLIC
PATONG PASTRANA LEYTE ESPINA, ROGELIO
CAHINDE
PASAGUE, MARY GRACE
CAMILLER

121822130004 DACUME, ALYSSA O. F 7/28/08 13 WARAY ROMAN

CATHOLIC
MALITBOGAY PASTRANA LEYTE DACUME, DANILO
IMPERIAL
OSISADOR, CONCHITA
ALDONZA
9515008254

121822114002 TERRADO, LESLIE ANN G. F 12/10/07 14 WARAY ROMAN

CATHOLIC
PATONG PASTRANA LEYTE TERRADO, RENIE
NICAL
TERRADO, MARIBEL
GARCE
9488847846

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
MALINAO, SHARMANE A.
(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 School Year Report for the Month of

Name of School Grade Level Section

(1st row for date) Total for the Month

LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) 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

MALE | TOTAL Per Day

 (1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) 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

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. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Classes: M F TOTAL
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 table into b.2. Overage
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 absent for 5 b.4. Drug Abuse
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
e. Financial-Related
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________
 (1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) 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
School Form 2 : Page ___ of ________
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section

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:
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.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, 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 Date BoSY:____________ Date EoSY: ___________
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 Region Division District

School Name School Year Report for the Month of

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

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)
 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 ADVANCED
(A: 90% and
TOTAL MALE above)

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
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
 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
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 (M/T/W/ school/office, For
T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Week

Ave. Minutes per Day

Ave. Minutes per Day

 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 (M/T/W/ school/office, For
T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
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 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.
4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________
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