Shs Forms Grade 11 Loyalty-1

79
School Form 1 School Register for Senior High School (SF1-SHS)

School Name School ID District Division Region
Semester School Year Grade Level Track and Strand
Section Course (For TVL Only)
COMPLETE ADDRESS PARENTS GUARDIAN

(if learner is not Living with Parent) REMARKS
Sex (M/F)
NAME Contact Number
BIRTHDATE AGE Religious Mother's Maiden Name Name
LRN (Last Name, First Name, Name of Parent/ (Please refer to the legend)
Extension, Middle Name)
(mm/dd/yyyy) Affiliation House No./ Street/ Municipality/ Father's Name (Last Name, First Name, (Last Name, First Name,
Sitio/ Purok Barangay Province (Last Name, First Name, Name Relationship Guardian
City Extension, Middle Name) Name Extension, Middle Name Extension, Middle
Name) Name)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
SFRT 2017
79

(if learner is not Living with Parent) REMARKS
Sex (M/F)
NAME Contact Number
BIRTHDATE AGE Religious Mother's Maiden Name Name
LRN (Last Name, First Name, Name of Parent/ (Please refer to the legend)
Extension, Middle Name)
(mm/dd/yyyy) Affiliation House No./ Street/ Municipality/ Father's Name (Last Name, First Name, (Last Name, First Name,
Sitio/ Purok Barangay Province (Last Name, First Name, Name Relationship Guardian
City Extension, Middle Name) Name Extension, Middle Name Extension, Middle
Name) Name)
34
35
36
37
38
39
40
<=== TOTAL MALE

1
2
3
<=== TOTAL FEMALE

<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Beginning of the Prepared By:
Indicator Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date MALE
Balik Aral B/A Name of school last attended
Transferred In & Year
T/I
Name of School, Date of 1st Learner With LWE
Specify Exceptionality of the Signature of Adviser over Printed Name
Attendance and Date of Last Exceptionality Learner FEMALE
Specify Level & Effectivity
Attendance if Transferred Out Accelerated ACL Date
Beginning of the Semester Date: End of the Semester Date:
TOTAL
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name VILLANUEVA GABAO INSTITUTE INC. School ID 403905 District BACON Division CITY SCHOOLS
Semester FIRST School Year 2019-2020 Grade Level XI Track and Strand
Section LOYALTY Course/s (only for TVL) AUTOMOTIVE SERVICING ( NC I ) Month of

DATE
NAME Total for the Month
No. (Last Name, First Name, Name Extension, Middle
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
1 ABANTO, RICHARD DIO
2 ALCARIO, ARLAN MILLANO
3 BRADECINA, MARK JAYLOU
4 BUHATIN, ORLANDO BAJAR
5 CAÑETA, MICHAEL LOTINO
6 CORRAL, SHERWIN DOLOSA
7 DAYSON, IVAN DIONEDA
8 DECHAVEZ, SAMUEL JR. DELADIA
9 DEL ROSARIO, JOHN WILSON BRIONES
10 DERLA, JAYFERD DELADIA
11 DEYTO, MICHAEL ANSUS
12 DIN, DIETHER CATORSE
13 DIONGLAY, GERWIN JUDE TAMANI
14 DOCTOR, EARAN DIONEDA
15 DOLAR, JOSHUA CARL LEONCITO
16 DOLLENTE, C-JAY DARIA
17 DOLLENTE, PAULO FUNTANARES
18 DOMDOM, JOHN JAYRON BALDASANO
19 DONES, JERICHO DENIEGA
20 DUAZO, ARNIE de la CRUZ
21 EMPLEO, CHRISTIAN DESPABILADERAS
22 ESCARCHA, CURJAY ERANDIO
23 ESPINOLA, ELDER ATIZADO
24 ESTINOPO, JOSHUA DERI
25 ESTRABELA, RODAN DOMANAIS
26 GODOY, CHRISTOPHER DOLLENTE
27 HENIO, ROMEL NAMBATAC
28 JACOBO, KIANNE QUIZON
29 LIPATA, RENDRICK KARL DIAZ
30 MANANSALA, EMER ATISADO
31 MIFA, REYMARK FLESTADO
32 PAREJA, RAMONCITO LATOSA
33 PERILLO, ERNAN DIVINA
34 PONTERO, JOHN MICHAEL SALDO
35 PONTERO, JOHN PAUL SALDO
36 TAGAPAN, JHON JOSHUA DETERALA
37 TORRES, JOHN MICHAEL DURO
38 VALLA, EDISON DEUNA
<=== MALE | TOTAL Per Day ===>
1 DOLAR, JOAN DISCARGA
2 ENCINARES, ANGELYN DICHOSO
<=== FEMALE | TOTAL Per Day ===>
Combined TOTAL Per Day
No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for
JUNE
2. To compute the following: Late Comer, Lower for Cutting Classes)
HS)
SCHOOLS Region V
TECHNICAL VOCATIONAL LIVELIHOOD TRACK

JUNE
REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).

Summary
M F TOTAL
DATE
1. The attendance shall be accomplished
Name) daily. Refer to the codes for (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for
M checking
T Wlearners'
TH attendance
F S M T W TH F S M T W TH F S M T Late W Comer,
TH LowerF forS Cutting
M Classes)
T W TH F S ABSENT TARDY
2. To compute the following:
* Enrolment (as of 1st Friday of the semester)
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off)
a. Percentage of Enrolment = x 100 (NLS)

Registered Learners as of end of the month Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year

a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings Average Daily Attendance
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month
a.4. Family problems
Number of students absent for 5 consecutive days
Average daily attendance
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form 4. Once b.1. Illness
No Longer in School (NLS)
signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days b.4. Drug Abuse
b.5. Poor Academic Performance
Transferred Out
and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In
Shifting Out
c. School-Related Factors Shifting In

c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Ad
e. Financial-Related
e.1. Child labor, work Attested By:
f. Others (Specify) Signature of School H

a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
REMARKS
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
ol (NLS)
port is true and correct:
Signature of Class Adviser over Printed Name
Signature of School Head over Printed Name


DATE
No. (Last Name, First Name, Name Extension, Middle 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31
1 ABANTO, RICHARD DIO xx 1 A xx 2 0
2 ALCARIO, ARLAN MILLANO S C 0
3 BRADECINA, MARK JAYLOU T Q 0
4 BUHATIN, ORLANDO BAJAR U 0
5 CAÑETA, MICHAEL LOTINO P. A 0
6 CORRAL, SHERWIN DOLOSA T. I 0
7 DAYSON, IVAN DIONEDA A. x x xx N 2 0
8 DECHAVEZ, SAMUEL JR. DELADIA T 0
9 DEL ROSARIO, JOHN WILSON BRIONES C A 0
10 DERLA, JAYFERD DELADIA O N 0
11 DEYTO, MICHAEL ANSUS xx xx N C xx 3 0
12 DIN, DIETHER CATORSE F E 0
13 DIONGLAY, GERWIN JUDE TAMANI E xx xx 2 0
14 DOCTOR, EARAN DIONEDA R P 0
15 DOLAR, JOSHUA CARL LEONCITO E A 0
16 DOLLENTE, C-JAY DARIA N R 0
17 DOLLENTE, PAULO FUNTANARES C xx T 2 0
18 DOMDOM, JOHN JAYRON BALDASANO xx E Y 1 0
19 DONES, JERICHO DENIEGA 0
20 DUAZO, ARNIE de la CRUZ 2 0
21 EMPLEO, CHRISTIAN DESPABILADERAS 0 xx xx xx 3 0
22 ESCARCHA, CURJAY ERANDIO 1 xx 1 0
23 ESPINOLA, ELDER ATIZADO 9 0
24 ESTINOPO, JOSHUA DERI 0
25 ESTRABELA, RODAN DOMANAIS 0
26 GODOY, CHRISTOPHER DOLLENTE 0
27 HENIO, ROMEL NAMBATAC 0
28 JACOBO, KIANNE QUIZON 0
29 LIPATA, RENDRICK KARL DIAZ 0
30 MANANSALA, EMER ATISADO 0
31 MIFA, REYMARK FLESTADO xx xx 2 0
32 PAREJA, RAMONCITO LATOSA xx xx 2 0
33 PERILLO, ERNAN DIVINA 0
34 PONTERO, JOHN MICHAEL SALDO xx xx xx 3 0
35 PONTERO, JOHN PAUL SALDO 0
36 TAGAPAN, JHON JOSHUA DETERALA 0
37 TORRES, JOHN MICHAEL DURO xx 1 0
38 VALLA, EDISON DEUNA 0
<=== MALE | TOTAL Per Day ===> 38 36 36 36 36 38 38 35 35 37 38 38 36 37 38 38 38 37 36 38 36 38 38 38 38 38 38 38
<=== FEMALE | TOTAL Per Day ===> 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
Combined TOTAL Per Day 40 38 38 38 38 40 40 37 37 39 40 40 38 39 40 40 40 39 38 40 38 40 40 40 40 40 40 40

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for JULY 24
HS)
SCHOOLS Region V

JULY
REMARKS

Summary
24 M F TOTAL
DATE
No. (Last Name, First Name, Name Extension, Middle 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31
M checking
T Wlearners'
TH attendance
M Classes)


Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence
d.1. Distance between home and school SAMMY
LESLIE ANN A
a. Death
REMARKS
the semester) 38 2 40
h (beyond cut-off)
0 0 0
38 2 40
of the month
100% 100% 100%

end of the month
e month
5 consecutive days
ol (NLS)
SAMMY L. ELLI
LESLIE ANN A. VILLANUEVA


DATE

AUGUST
HS)
SCHOOLS Region V

AUGUST
REMARKS

Summary
M F TOTAL
DATE
M checking
T Wlearners'
TH attendance
M Classes)


Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
ol (NLS)


DATE

SEPTEMBER
HS)
SCHOOLS Region V

SEPTEMBER
REMARKS

Summary
M F TOTAL
DATE
M checking
T Wlearners'
TH attendance
M Classes)


Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
ol (NLS)


DATE

OCTOBER
HS)
SCHOOLS Region V

OCTOBER
REMARKS

Summary
M F TOTAL
DATE
M checking
T Wlearners'
TH attendance
M Classes)


Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
ol (NLS)

Semester SECOND School Year 2019-2020 Grade Level XI Track and Strand

DATE

NOVEMBER


HS)
SCHOOLS Region V

NOVEMBER
REMARKS

Summary
M F TOTAL
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
DATE
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
ol (NLS)


DATE

DECEMBER


HS)
SCHOOLS Region V

DECEMBER
REMARKS

Summary
M F TOTAL
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
DATE
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
ol (NLS)


DATE

JANUARY


HS)
SCHOOLS Region V

JANUARY
REMARKS

Summary
M F TOTAL
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
DATE
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
ol (NLS)


DATE

FEBRUARY


HS)
SCHOOLS Region V

FEBRUARY
REMARKS

Summary
M F TOTAL
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
DATE
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
ol (NLS)


DATE

MARCH


HS)
SCHOOLS Region V

MARCH
REMARKS

Summary
M F TOTAL
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
DATE
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
ol (NLS)


DATE

APRIL


HS)
SCHOOLS Region V

APRIL
REMARKS

Summary
M F TOTAL
the semester)
h (beyond cut-off)
of the month
end of the month
e month
5 consecutive days
DATE
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
REMARKS
ol (NLS)

School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
School Name School ID District Division
Section Course/s (only for TVL)
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
11
12
13
14
SHS)
Region
/ ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code
4. The Total Number of Copies of Books Returned shall be reflected in the form. TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
Signature of Class A
/ ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
ature of Class Adviser over Printed Name

School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SH
School Name
VILLANUEVA GABAO INSTITUTE INC. District BACON Division CITY SCHOOLS Regio
School ID 403905 Semester FIRST School Year 2019-2020
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED O
REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A)
(As of End Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
Number as of Number as
(B) Total f
of the Month) Average Month the Month the Month the Month the Month
of Previous End of the of Previous of End of the of Previous End of the of Previous
Month Month Month Month Month Month 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 M F T M
TOTAL FOR GRADE 11
TOTAL FOR GRADE 12

GRAND TOTAL
Prepared and Submitted By:

SF4-SHS)
Region V
For the Month of JUNE - OCTOBER
SHIFTED OUT SHIFTED IN
(A+B) (A) (A+B)

Cumulative Cumulative Cumulative
(B) Total for (B) Total for
Number as of Number as Number as of
the Month the Month
End of the of Previous End of the
Month Month Month
F T M F T M F T M F T M F T
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
School Name VILLANUEVA GABAO INSTITUTE INC. School ID 403905 District BACON Division CITY SCHOOLS Region V
Semester FIRST School Year 2019-2020 Grade Level IX

Section LOYALTY
Track and Strand TECHNICAL VOCATIONAL LIVELIHOOD TRACK Course/s (only for TVL) AUTOMOTIVE SERVICING ( NC I )
BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)
MALE
1 114546060003 ABANTO, RICHARD DIO SUMMARY TABLE 1ST SEM
2 114562080002 ALCARIO, ARLAN MILLANO COMPLETE STATUS MALE FEMALE TOTAL

3 114554080018 BRADECINA, MARK JAYLOU COMPLETE COMPLETE
4 113434080003 BUHATIN, ORLANDO BAJAR COMPLETE INCOMPLETE
5 108592080015 CAÑETA, MICHAEL LOTINO COMPLETE TOTAL
6 114546080007 CORRAL, SHERWIN DOLOSA COMPLETE

7 114546050010 DAYSON, IVAN DIONEDA COMPLETE SUMMARY TABLE 2ND SEM
8 114544080005 DECHAVEZ, SAMUEL JR. DELADIA COMPLETE STATUS MALE FEMALE TOTAL
9 114542080017 DEL ROSARIO, JOHN WILSON BRIONES COMPLETE COMPLETE
10 114544080010 DERLA, JAYFERD DELADIA COMPLETE INCOMPLETE
11 114542060016 DEYTO, MICHAEL ANSUS INCOMPLETE TOTAL
12 114546080014 DIN, DIETHER CATORSE COMPLETE

13 302279160018 DIONGLAY, GERWIN JUDE TAMANI COMPLETE SUMMARY TABLE (End of the School Year Only)
14 114546080023 DOCTOR, EARAN DIONEDA COMPLETE STATUS MALE FEMALE TOTAL

15 114562080028 DOLAR, JOSHUA CARL LEONCITO COMPLETE REGULAR
16 114562080029 DOLLENTE, C-JAY DARIA IRREGULAR
17 114539080006 DOLLENTE, PAULO FUNTANARES COMPLETE TOTAL

18 114558100032 DOMDOM, JOHN JAYRON BALDASANO INCOMPLETE
19 114562080034 DONES, JERICHO DENIEGA COMPLETE
20 114546080028 DUAZO, ARNIE de la CRUZ COMPLETE
21 114542080045 EMPLEO, CHRISTIAN DESPABILADERAS INCOMPLETE
22 114546080033 ESCARCHA, CURJAY ERANDIO COMPLETE
23 114542070040 ESPINOLA, ELDER ATIZADO COMPLETE
24 114539080023 ESTINOPO, JOSHUA DERI COMPLETE
25 114546080037 ESTRABELA, RODAN DOMANAIS COMPLETE
26 114539080026 GODOY, CHRISTOPHER DOLLENTE COMPLETE
27 114546080041 HENIO, ROMEL NAMBATAC COMPLETE
28 403890150009 JACOBO, KIANNE QUIZON COMPLETE
29 114520070140 LIPATA, RENDRICK KARL DIAZ COMPLETE
30 114562080052 MANANSALA, EMER ATISADO COMPLETE
31 114559080045 MIFA, REYMARK FLESTADO
32 114546080048 PAREJA, RAMONCITO LATOSA INCOMPLETE
33 114535080018 PERILLO, ERNAN DIVINA INCOMPLETE
34 114539070031 PONTERO, JOHN MICHAEL SALDO INCOMPLETE
35 114539070032 PONTERO, JOHN PAUL SALDO
36 114562080060 TAGAPAN, JHON JOSHUA DETERALA COMPLETE
37 114559070069 TORRES, JOHN MICHAEL DURO COMPLETE
38 114562080061 VALLA, EDISON DEUNA COMPLETE
FEMALE
1 114562060025 DOLAR, JOAN DISCARGA COMPLETE
2 114534080058 ENCINARES, ANGELYN DICHOSO COMPLETE
3
4
5
Prepared By:
6
7
8 SAMMY L. ELLI
9
10
11
12
Certified Correct By:
13
14
15 LESLIE ANN A. VILLANUEVA, OIC PRINCIPAL
16
17
18
Reviewed By:
19
20
21
Signature of Division Representative over Printed Name
22
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These data elements
shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-S
School Name VILLANUEVA GABAO INSTITUTE INC. School ID 403905 District BACON
Semester SECOND School Year 2019-2020 Grade Level IX
Track and Strand TECHNICAL VOCATIONAL LIVELIHOOD TRACK Course/s (only for TVL)

MALE
1 114546060003 ABANTO, RICHARD DIO
2 114562080002 ALCARIO, ARLAN MILLANO
3 114554080018 BRADECINA, MARK JAYLOU
4 113434080003 BUHATIN, ORLANDO BAJAR
5 108592080015 CAÑETA, MICHAEL LOTINO
6 114546080007 CORRAL, SHERWIN DOLOSA
7 114546050010 DAYSON, IVAN DIONEDA
8 114544080005 DECHAVEZ, SAMUEL JR. DELADIA
9 114542080017 DEL ROSARIO, JOHN WILSON BRIONES
10 114544080010 DERLA, JAYFERD DELADIA
11 114542060016 DEYTO, MICHAEL ANSUS
12 114546080014 DIN, DIETHER CATORSE
13 302279160018 DIONGLAY, GERWIN JUDE TAMANI
14 114546080023 DOCTOR, EARAN DIONEDA
15 114562080028 DOLAR, JOSHUA CARL LEONCITO
16 114562080029 DOLLENTE, C-JAY DARIA
17 114539080006 DOLLENTE, PAULO FUNTANARES
18 114558100032 DOMDOM, JOHN JAYRON BALDASANO
19 114562080034 DONES, JERICHO DENIEGA
20 114546080028 DUAZO, ARNIE de la CRUZ
21 114542080045 EMPLEO, CHRISTIAN DESPABILADERAS
22 114546080033 ESCARCHA, CURJAY ERANDIO
23 114542070040 ESPINOLA, ELDER ATIZADO
24 114539080023 ESTINOPO, JOSHUA DERI
25 114546080037 ESTRABELA, RODAN DOMANAIS
26 114539080026 GODOY, CHRISTOPHER DOLLENTE
27 114546080041 HENIO, ROMEL NAMBATAC
28 403890150009 JACOBO, KIANNE QUIZON
29 114520070140 LIPATA, RENDRICK KARL DIAZ
30 114562080052 MANANSALA, EMER ATISADO
32 114546080048 PAREJA, RAMONCITO LATOSA
33 114535080018 PERILLO, ERNAN DIVINA
34 114539070031 PONTERO, JOHN MICHAEL SALDO
36 114562080060 TAGAPAN, JHON JOSHUA DETERALA
37 114559070069 TORRES, JOHN MICHAEL DURO
38 114562080061 VALLA, EDISON DEUNA
FEMALE
1 114562060025 DOLAR, JOAN DISCARGA
2 114534080058 ENCINARES, ANGELYN DICHOSO
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semeste
shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
ol (SF5A-SHS)
N Division CITY SCHOOLS Region V
LOYALTY
Section
AUTOMOTIVE SERVICING ( NC I )
SUMMARY TABLE 1ST SEM
STATUS MALE FEMALE TOTAL

COMPLETE
INCOMPLETE
TOTAL
SUMMARY TABLE 2ND SEM
COMPLETE
INCOMPLETE
TOTAL
SUMMARY TABLE (End of the School Year Only)
REGULAR
IRREGULAR
TOTAL
Prepared By:
SAMMY L. ELLI
Certified Correct By:
LESLIE ANN A. VILLANUEVA, OIC PRINCIPAL

Reviewed By:
Signature of Division Representative over Printed Name
he 1st Semester. These data elements

School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
Semester FIRST School Year 2019-2020 Section LOYALTY
Completed SHS in
2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)
MALE
1 114546060003 ABANTO, RICHARD DIO SUMMARY TABLE A
2 114562080002 ALCARIO, ARLAN MILLANO STATUS MALE
Learners who
4 113434080003 BUHATIN, ORLANDO BAJAR completed SHS
5 108592080015 CAÑETA, MICHAEL LOTINO Program within 2
SYs or 4 semesters
7 114546050010 DAYSON, IVAN DIONEDA Learners who
8 114544080005 DECHAVEZ, SAMUEL JR. DELADIA completed SHS
Program in more
9 114542080017 DEL ROSARIO, JOHN WILSON BRIONES than 2 SYs or 4
10 114544080010 DERLA, JAYFERD DELADIA semesters
11 114542060016 DEYTO, MICHAEL ANSUS TOTAL

15 114562080028 DOLAR, JOSHUA CARL LEONCITO SUMMARY TABLE B
16 114562080029 DOLLENTE, C-JAY DARIA STATUS MALE
17 114539080006 DOLLENTE, PAULO FUNTANARES NC III
18 114558100032 DOMDOM, JOHN JAYRON BALDASANO NC II
19 114562080034 DONES, JERICHO DENIEGA NC I
20 114546080028 DUAZO, ARNIE de la CRUZ TOTAL
21 114542080045 EMPLEO, CHRISTIAN DESPABILADERAS Note: NCs are recorded here for documentation but is not a req
graduation.
Region V
ABLE A
FEMALE TOTAL
ABLE B
FEMALE TOTAL
n but is not a requirement for

Completed SHS in
2 SYs? (Y/N)
National
No. LRN

26 114539080026 GODOY, CHRISTOPHER DOLLENTE GUIDELINES:
1. This form should be accomplished by the Class Adviser at En
2. It should be compiled and checked by the School Head an
29 114520070140 LIPATA, RENDRICK KARL DIAZ Division Office before graduation.
FEMALE
1 114562060025 DOLAR, JOAN DISCARGA Reviewed By:
SAMMY L. ELLI
Signature of Class Adviser over Printed Nam
Certified Correct & Submitted By:
LESLIE ANN A. VILLANUEVA, OIC PRIN

Signature of School Head over Printed Nam
ass Adviser at End of School Year.
e School Head and passed to the
ELLI
over Printed Name
VA, OIC PRINCIPAL

over Printed Name
Completed SHS in
2 SYs? (Y/N)
National
No. LRN
Reviewed By:
Signature of Division Representative over Printed

over Printed Name
ative over Printed Name

School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
Semester SECOND School Year 2019-2020 Section LOYALTY
Completed SHS in
2 SYs? (Y/N)
National
No. LRN
MALE
1 114546060003 ABANTO, RICHARD DIO SUMMARY TABLE A
2 114562080002 ALCARIO, ARLAN MILLANO STATUS MALE
Learners who
4 113434080003 BUHATIN, ORLANDO BAJAR completed SHS
5 108592080015 CAÑETA, MICHAEL LOTINO Program within 2
SYs or 4 semesters
7 114546050010 DAYSON, IVAN DIONEDA Learners who
8 114544080005 DECHAVEZ, SAMUEL JR. DELADIA completed SHS
Program in more
9 114542080017 DEL ROSARIO, JOHN WILSON BRIONES than 2 SYs or 4
10 114544080010 DERLA, JAYFERD DELADIA semesters
11 114542060016 DEYTO, MICHAEL ANSUS TOTAL

15 114562080028 DOLAR, JOSHUA CARL LEONCITO SUMMARY TABLE B
16 114562080029 DOLLENTE, C-JAY DARIA STATUS MALE
17 114539080006 DOLLENTE, PAULO FUNTANARES NC III
18 114558100032 DOMDOM, JOHN JAYRON BALDASANO NC II
19 114562080034 DONES, JERICHO DENIEGA NC I
20 114546080028 DUAZO, ARNIE de la CRUZ TOTAL
21 114542080045 EMPLEO, CHRISTIAN DESPABILADERAS Note: NCs are recorded here for documentation but is not a req
graduation.
Region V
ABLE A
FEMALE TOTAL
ABLE B
FEMALE TOTAL
n but is not a requirement for

Completed SHS in
2 SYs? (Y/N)
National
No. LRN

26 114539080026 GODOY, CHRISTOPHER DOLLENTE GUIDELINES:
1. This form should be accomplished by the Class Adviser at En
2. It should be compiled and checked by the School Head an
29 114520070140 LIPATA, RENDRICK KARL DIAZ Division Office before graduation.
FEMALE
1 114562060025 DOLAR, JOAN DISCARGA Reviewed By:
SAMMY L. ELLI
Signature of Class Adviser over Printed Nam
Certified Correct & Submitted By:
LESLIE ANN A. VILLANUEVA, OIC PRIN

ass Adviser at End of School Year.
e School Head and passed to the
ELLI
over Printed Name
VA, OIC PRINCIPAL

over Printed Name
Completed SHS in
2 SYs? (Y/N)
National
No. LRN
Reviewed By:
Signature of Division Representative over Printed

over Printed Name
ative over Printed Name

School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)
Semester FIRST School Year 2019-2020
END OF SCHOOL YEAR

END OF SEMESTER STATUS
(Fill up only at the end of the second se
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE
GRADE 11 - LOYALTY
TRACK/STRAND/COURSE - TECHNICAL VOCATIONAL LIVELIHOOD TRACK - AUTOMOTIVE SERVICING ( NC I )
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Divisio
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school t
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
6-SHS)
HOOLS Region V
OOL YEAR
the second semester.)
ULAR TOTAL
TOTAL MALE FEMALE TOTAL
ature of Division Superintendent over Printed Name
e and school total.

School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
School Name School ID District Division
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding S
Appointment:
Title of Designation
Title of Plantilla Position Title of Plantilla Position (Contractual,
Number of Number of (as it appears in the contract/document:
(as it appears in the appointment (as it appears in the appointment Substitute,
Incumbent Incumbent Teacher, Clerk, Security Guard, Driver etc.)
document/PSIPOP) document/PSIPOP) Volunteer, Others
specify)
EDUCATIONAL QUALIFICATION Daily Program (time

Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From
Number - Position, Descending) (Regular/ Minor Assignments sections (M/T/W/T
T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00)
H/F)
Part Time) Training Attended
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Da
First Semester:
Second Semester:
Advisory:
Ave. Minutes per Da
First Semester:
Second Semester:
Advisory:
Ave. Minutes per Da
First Semester:
Second Semester:
Advisory:
Ave. Minutes per Da
First Semester:
EDUCATIONAL QUALIFICATION Daily Program (time
Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From
Number - Position, Descending) (Regular/ Minor Assignments sections (M/T/W/T
T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00)
H/F)
Part Time) Training Attended
Second Semester:
Advisory:
Ave. Minutes per Da
First Semester:
Second Semester:
Advisory:
Ave. Minutes per Da
GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movement of teachers and other
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lowest. Sig
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only. Updated as of:
SHS)
Region
nd Funding Sources
Number of Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-Teaching
Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
Total Actual *For additional loads from
To Teaching JHS- please indicate the number
(00:00) Minutes per of teaching minutes per week)
Week
e. Minutes per Day
e. Minutes per Day
e. Minutes per Day
e. Minutes per Day

Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
Total Actual *For additional loads from
To Teaching JHS- please indicate the number
(00:00) Minutes per of teaching minutes per week)
Week
e. Minutes per Day
e. Minutes per Day
ated as of:
School Form 7, Page ___ of ________

SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)
School Name District Division Region
School ID Grade Section Track/Strand (SHS) School Year
Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
MALE
FEMALE
SFRT 2017
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
SFRT 2017
SFRT 2017
School Form 1 School Register for Senior High School (SF1-SHS)
School Name School ID District Division Region
Section Course (For TVL Only)

(if learner is not Living with Parent)
REMARKS
Contact (Please refer to the
Sex (M/F)
Father's legend)
NAME BIRTHDATE Religious Name Mother's Maiden Name Name Number of
LRN AGE
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/
Sitio/ Purok Barangay Municipality/ City Province (Last Name, First (Last Name, First Name, Name (Last Name, First Name, Name Extension, Relationship Parent/
Name, Name
Extension, Middle
Extension, Middle Name) Middle Name) Guardian
Name)
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
<=== TOTAL MALE

1
<=== TOTAL FEMALE

<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
End of the Prepared By:
Indicator Code Required Information Indicator Code Required Information REGISTERED Beginning of the Semester
Semester
Transferred Out T/O CCT Recipient CCT CCT Control/reference number & Effectivity Date Name of school MALE
last attended & Year
Transferred In Signature of Adviser over Printed Name
Name of School, Date of 1st Attendance and Date Balik Aral B/A Specify Exceptionality of the Learner
Specify Level & Effectivity Date FEMALE
T/I of Last Attendance if Transferred Out
Learner With Exceptionality LWE Beginning of the Semester Date: End of the Semester Date:
TOTAL
Accelerated

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79

School Form 1 School Register for Senior High School (SF1-SHS)

COMPLETE ADDRESS PARENTS GUARDIAN

COMPLETE ADDRESS PARENTS GUARDIAN

<=== TOTAL MALE

<=== TOTAL FEMALE

Section LOYALTY Course/s (only for TVL) AUTOMOTIVE SERVICING ( NC I ) Month of

1 ABANTO, RICHARD DIO

2 ALCARIO, ARLAN MILLANO

3 BRADECINA, MARK JAYLOU

4 BUHATIN, ORLANDO BAJAR

5 CAÑETA, MICHAEL LOTINO

6 CORRAL, SHERWIN DOLOSA

7 DAYSON, IVAN DIONEDA

8 DECHAVEZ, SAMUEL JR. DELADIA

9 DEL ROSARIO, JOHN WILSON BRIONES

10 DERLA, JAYFERD DELADIA

11 DEYTO, MICHAEL ANSUS

12 DIN, DIETHER CATORSE

13 DIONGLAY, GERWIN JUDE TAMANI

14 DOCTOR, EARAN DIONEDA

15 DOLAR, JOSHUA CARL LEONCITO

16 DOLLENTE, C-JAY DARIA

17 DOLLENTE, PAULO FUNTANARES

18 DOMDOM, JOHN JAYRON BALDASANO

19 DONES, JERICHO DENIEGA

20 DUAZO, ARNIE de la CRUZ

21 EMPLEO, CHRISTIAN DESPABILADERAS

22 ESCARCHA, CURJAY ERANDIO

23 ESPINOLA, ELDER ATIZADO

24 ESTINOPO, JOSHUA DERI

25 ESTRABELA, RODAN DOMANAIS

26 GODOY, CHRISTOPHER DOLLENTE

27 HENIO, ROMEL NAMBATAC

28 JACOBO, KIANNE QUIZON

29 LIPATA, RENDRICK KARL DIAZ

30 MANANSALA, EMER ATISADO

31 MIFA, REYMARK FLESTADO

32 PAREJA, RAMONCITO LATOSA

33 PERILLO, ERNAN DIVINA

34 PONTERO, JOHN MICHAEL SALDO

35 PONTERO, JOHN PAUL SALDO

36 TAGAPAN, JHON JOSHUA DETERALA

37 TORRES, JOHN MICHAEL DURO

38 VALLA, EDISON DEUNA

<=== MALE | TOTAL Per Day ===>

1 DOLAR, JOAN DISCARGA

2 ENCINARES, ANGELYN DICHOSO

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

No. of Days of Classes:

TECHNICAL VOCATIONAL LIVELIHOOD TRACK

No. of Days of Classes:

a. Percentage of Enrolment = x 100 (NLS)

Enrolment as of 1st Friday of the school year

c. School-Related Factors Shifting In

f. Others (Specify) Signature of School H

end of the month

port is true and correct:

Signature of Class Adviser over Printed Name

Signature of School Head over Printed Name

Section LOYALTY Course/s (only for TVL) AUTOMOTIVE SERVICING ( NC I ) Month of

1 ABANTO, RICHARD DIO xx 1 A xx 2 0

2 ALCARIO, ARLAN MILLANO S C 0