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Section

AGE as of 1st
Friday of June
REMARK/S
(nos. of years as
per last birthday)
House # / Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
(Please refer to the legend
on last page)
School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
LRN Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School ID
Region Division District
School Year
RELIGION
ADDRESS NAME OF PARENTS
Grade Level
Father (1st name only if family name
identical to learner)
Mother (Maiden: 1st Name, Middle & Last Name)
GUARDIAN (If not Parent)
Contact Number (Parent
/Guardian)

AGE as of 1st
Friday of June
REMARK/S
(nos. of years as
per last birthday)
House # / Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
(Please refer to the legend
on last page)
LRN Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS NAME OF PARENTS
Father (1st name only if family name
identical to learner)
Mother (Maiden: 1st Name, Middle & Last Name)
GUARDIAN (If not Parent)
Contact Number (Parent
/Guardian)
Indicator Code Required Information Indicator Code Required Information BoSY EoSY
List and code of Indicators under REMARK column
Prepared by: Certified Correct:
AGE as of 1st
Friday of June
REMARK/S
(nos. of years as
per last birthday)
House # / Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
(Please refer to the legend
on last page)
LRN Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS NAME OF PARENTS
Father (1st name only if family name
identical to learner)
Mother (Maiden: 1st Name, Middle & Last Name)
GUARDIAN (If not Parent)
Contact Number (Parent
/Guardian)
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT MALE
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE
Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date:
TOTAL
CCT Control/reference number & Effectivity
Date
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
School ID School Year
Name of School
MALE | TOTAL Per Day
Total for the
Month
School Form 2 (SF2) Daily Attendance Report of Learners
(1st row for date, 2nd row for Day: M,T,W,TH,F)
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Section Grade Level
Report for the Month of
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)

Total for the
Month
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
M F TOTAL
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
Number of students with 5 consecutive days of
absences:
Percentage of Attendance for the month
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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
Combined TOTAL PER DAY
Percentage of Enrolment as of end of the month
Average Daily Attendance
Late Enrollment during the month
(beyond cut-off) Enrolment as of 1st Friday of June
Average Daily Attendance =
Percentage of Enrolment =
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:
Average daily attendance
Percentage of Attendance for the month =
a.
b.
c.
Total Daily Attendance
Number of School Days in reporting month
Registered Learner as of End of the month
Registered Learner as of End of the Month
x 100
x 100
Registered Learner as of end of the month
blank- Present; (x)- Absent; Tardy (half shaded= Upper
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
Summary for the
Month
No. of Days of
Classes:
FEMALE | TOTAL Per Day
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
b.3. Death Number of students with 5 consecutive days of
absences:
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
Drop out
Transferred out
Number of students with 5 consecutive days of
absences:
Transferred in
Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
Total for the
Month
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
d.1. Distance between home and school
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
f. Others (Signature of School Head over Printed Name) School Form 2: Page 2 of ________
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
School ID School Year
School Name
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
Date Date Date Date
Subject Area & Title
Grade Level
(This replaced Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Date
Section
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page) Date

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
Date Date Date Date
Subject Area & Title
Date
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page) Date
TOTAL FOR MALE | TOTAL COPIES
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
Date BoSY:____________ Date EoSY: ___________
(Signature over printed name)
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.
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
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,
2.2012.
1. Title of Books Issued to each learner must be recorded by the class adviser.
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
Date Date Date Date
Subject Area & Title
Date
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page) Date
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for
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,
2.2012.
PILILLA
School ID
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
KINDER 1 16 21 37 16 21 37 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 1 0 1 1 0 1
2 19 16 35 18 16 34 95 100 98 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0 0 1 1 0 1 1
20 19 39 19 18 37 95 95 95 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
55 56 111 53 55 108 96 98 97 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 2 2 4 0 0 0 1 1 2 1 1 2
GRADE I 1 15 20 35 15 20 35 100 100 100 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
2 22 13 35 22 13 35 100 100 100 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
3 22 16 38 22 16 38 100 100 100 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
59 49 108 59 49 108 100 100 100 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
GRADE II 1 20 31 51 20 31 51 100 100 100 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
2 25 31 56 24 28 52 96 90 93 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
45 62 107 44 59 103 98 95 96 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
GRADE III 1 MRS. EVELYN C. GUINTO 24 23 47 23 23 46 96 100 98 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
2 MRS. DOROTEA C. ENCIO 24 19 43 23 18 41 96 95 95 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
3 MRS. AURALYN V. CRUZ 30 12 42 29 11 40 97 92 95 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
78 54 132 75 52 127 96 96 96 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
GRADE IV 1 29 25 54 27 24 51 93 96 94 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
2 MRS. LIWANAG A. GUINTO 35 21 56 34 21 55 97 100 98 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
64 46 110 61 45 106 95 98 96 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
GRADE V 1 22 19 41 21 18 39 95 95 95 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
2 19 20 39 18 19 37 95 95 95 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
3 19 18 37 17 17 34 89 94 92 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
60 57 117 56 54 110 93 95 94 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
GRADE VI 1 18 22 40 18 22 40 100 100 100 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
2 19 19 38 19 19 38 100 100 100 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
2 19 19 38 18 19 37 95 100 97 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
56 60 116 55 60 115 98 100 99 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
MRS. CYNTHIA DC. FERRERA
MRS. RASCHELLN. PEREZ
MRS. GLEREZA-AN D. FELICIANO
MRS. NEULANI B. MONJE
TOTAL
MRS. MARY ANN A. PENDON
REGISTERED
LEARNER (As
of End of the Month)
ATTENDANCE
(B) For the
Month
MRS. LEONARDA B. TEJADA
MRS. MARIFA C. CANTORNA
School Year Report for the Month of
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
Daily Average
Percentage for the
Month
(A) Cumulative
as of Previous
Month
(B) For the
Month
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(B) For the Month
IV-A RIZAL
109453
JULY 2014-2015 NIOGAN ELEMENTARY SCHOOL
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Name
Region Division District
GRADE
LEVEL
NAME OF ADVISER
MRS. JENALYN DC. HEBRON
MRS. TEODORA S. GAROVILLAS
MR. KIM ALVIN C. DELARA
MRS. RHODORA V. PEROLINA
MISS. SARAH JANE A. PENAMORA
MRS. GRACE B. ROCERO
(A+B)
Cumulative as of
End of the Month
SECTI
ON
ELEMENTARY/SECONDARY:
55 56 111 53 55 108 96 98 97 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 2 2 4 0 0 0 1 1 2 1 1 2
59 49 108 59 49 108 100 100 100 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
45 62 107 44 59 103 98 95 96 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
78 54 132 75 52 127 96 96 96 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
64 46 110 61 45 106 95 98 96 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
60 57 117 56 54 110 93 95 94 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0
56 60 116 55 60 115 98 100 99 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
417 384 801 403 374 777 97 97 97 0 0 0 0 0 0 0 0 0 1 0 1 2 3 5 3 3 6 0 0 0 1 1 2 1 1 2
GUIDELINES: Prepared and Submitted by:
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)
MRS. MARY ANN A. RUBIO
KINDER
TOTAL
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
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
GRADE 1/GRADE 7
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.
Region IV - A Division District
Curriculum
Grade Level SIX (6) Section
109456070007 90.700 PROMOTED
109456070022
87.800
PROMOTED STATUS MALE FEMALE TOTAL
109456120218
86.900
PROMOTED
109456070055
84.300
PROMOTED
109457070055
84.400
PROMOTED
109456070088
84.350
PROMOTED
109456070096
92.350
PROMOTED
109456070113
86.250
PROMOTED
109456070130
83.500
PROMOTED
109456070141
85.650
PROMOTED
109456070142
86.250
PROMOTED MALE FEMALE TOTAL
109456070150
83.850
PROMOTED
109456070154
84.400
PROMOTED
109456070178
85.250
PROMOTED
109456070184 83.650 PROMOTED
109456070192 Pilapil, Frank Joshua, Nieves 85.500 PROMOTED
109456070213 89.400 PROMOTED
109456070237 Tendilla, Mart Deniel, Martinez 83.550 PROMOTED
109456070239 Tibay, Adrian Allan, Bartolome 85.250 PROMOTED
165503070090 84.750 PROMOTED
20
PROFICIENT
(P: 85% -89%)
ADVANCED (A:
90% and above)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
LEVEL OF PROFICIENCY
DEVELOPING (D:
75%-79%)
BEGINNNING
(B: 74% and below)
PROMOTED
*IRREGULAR
SUMMARY TABLE
2013-2014
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC
in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
From Previous School Year
Completed as of end of
current SY
as of End of the current SY
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
School Name
School ID School Year
RIZAL
PILILLA ELEMENTARY SCHOOL CENTRAL RIZAL
(Last Name, First Name, Middle Name)
LEARNER'S NAME
Albis, Rigel Lance, Patea (Second Honorable Mention)
RBEC
PILILLA
109456
Ferrer, Jasper Vince, Banda (First Honors)
Jesuitas, Benny Ravel, Martinez
Lopez, Mark Angelo, Gelaga
Maranan, Brynt Augustin, Vidanes
Maranan, Emanuelle Christian, Sta. Maria
Aragon, Gene Alfred, Briones
Atencia, Andre, Garcenes
Candelaria, Allen, Avecilla
Cervantes, John Clyde, Patag
Endoma, Charles John, Balentong
Matienzo, Jann Vic, Boco
Millendez, John Owen, Enriquez
Pajadan, Jim Beryl, Cereno
Paz, King Belshazzar, Jayme
Retuerma, John Adrian, Cillan (Third Honorable Mention)
RETAINED
Villarin, Stephen Lloyd, Gonzales
TOTAL MALE
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC
in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
From Previous School Year
Completed as of end of
current SY
as of End of the current SY
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
(Last Name, First Name, Middle Name)
LEARNER'S NAME
CERTIFIED CORRECT & SUBMITTED:
REVIEWED BY:
GUIDELINES:
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)
School Form 5: Page 2 of 3
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grade/Year Levels
5. Protocols of validation & submission will remain under
the discretion of the Schools Division Superintendent
(Name and Signature)
Division Representative
MRS. FIDELA F. BENDANA
MRS. LYN P. SANCHEZ
MRS. TERESITA PAREDES
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC
in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
From Previous School Year
Completed as of end of
current SY
as of End of the current SY
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
(Last Name, First Name, Middle Name)
LEARNER'S NAME
School Form 5: Page 3 of 3
Region IV -A Division District
Curriculum
Grade Level TWO ( 2 ) Section
STATUS MALE FEMALE TOTAL
109453120014 84.000 ( AP)
PROMOTED
109453110002 82.000(AP)
PROMOTED
109453110005 86.000 (P)
PROMOTED
109364120375 85.000 (P)
PROMOTED
112444110018 81.000 ( AP)
PROMOTED
109453110013 84.000 ( AP)
PROMOTED
109453110014 82.000 ( AP)
PROMOTED
109453120041 82.000 ( AP)
PROMOTED
109453110016 86.000 (P)
PROMOTED MALE FEMALE TOTAL
109453120100 82.000( AP)
PROMOTED
109453110020 83.000 ( AP)
PROMOTED
109453110021 83.000 ( AP)
PROMOTED
109453120021 84.000 ( AP)
PROMOTED
88.000(P)
PROMOTED
109453110024 82.000 ( AP)
PROMOTED
109453120012 85.000 (P)
PROMOTED
109453110027 83.000 ( AP)
PROMOTED
109453110030 82.000 ( AP)
PROMOTED
109453110032 84.000 ( AP)
PROMOTED
109453120044
82.000 ( AP)
PROMOTED
Castelo, Emmanuel John, Precilla
School Form 5: Page 1 of 4
DEVELOPING
(D: 75%-79%)
*IRREGULAR
Abao, Christopher
SUMMARY TABLE
Abria,Jhosua, Hidalgo
School Name NIOGAN ELEMENTARY SCHOOL
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC
in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
From Previous School Year
Completed as of end of
current SY
as of End of the current SY
RIZAL
LEARNER'S NAME
(Last Name, First Name, Middle Name)
PROMOTED
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
RIZAL PILILLA
School ID 109453 School Year 2013-2014 K-12 BEC
Lomabas, Bernice, Francisco
Allague,Nehemiah, Garcia
Arancel, Gil, Adia
Cario, John Kenneth, Nacario
Cebrero,Ronnie, Agana
Clavecilla, Kim, Buagas
Crespo, Jaryl, Caranza
Cultura, KN Bryne, Macasaet
Dario, John Michael Vincent, Requioma
Dasco, Jetro Aerowin, Aguirre
Del Valle, Charles Edward, Datay
Ferrera, Ron Kaisser Ven, Dela Cruz
Gacula, Fernand, Ogena
Garovillas, Ryle Jaydee, Solmerano
Gomonit, Mack Andrei, Matuba
Joyosa, Kennard, Villarojas
Libao, Justine, Aguirre
BEGINNNING
(B: 74% and
below)
LEVEL OF PROFICIENCY
RETAINED
PROFICIENT
(P: 85% -89%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
ADVANCED
(A: 90% and
above)
STATUS MALE FEMALE TOTAL
Abao, Christopher
SUMMARY TABLE
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC
in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
From Previous School Year
Completed as of end of
current SY
as of End of the current SY
LEARNER'S NAME
(Last Name, First Name, Middle Name)
PROMOTED
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
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
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.
Nos. of ADVANCED
(A: 90% and above)
Nos. of PROFICIENT
(P: 85% -89%)
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of DEVELOPING
(D: 75%-79%)
School Form 6 (SF6) Summarized Report on Promotion
(This replaced Form 20)
IRREGULAR
TOTAL
Nos. of BEGINNNING
(B: 74% and below)
and Level of Proficiency
GRADE 1 /GRADE 7
PROMOTED
RETAINED
School Year School Name
School ID Region Division
District
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE

4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
Region
Teaching
Non-
Teaching
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes
Assignment
per Week
Ave. Minutes per Day
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
(C ) Other Appointments and Funding Sources
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignment
Ave. Minutes per Day
Ave. Minutes per Day
* Daily Program (time duration)
Fund Source
(SEF, PTA, NGO's
etc.)
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Number of
Incumbent
Minor
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
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 Year
School ID
School Name
Division
District
(B) Nationally-Funded Non Teaching Items
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
(A) Nationally-Funded Teaching & Teaching Related Items

Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes
Assignment
per Week
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignment
* Daily Program (time duration)
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Minor
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
GUIDELINES: Submitted by:
(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. Updated as of: ___________________________
School Form 7, Page 2 of ________
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
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
also serve as inventory list of school personnel.
4. * Daily Program Column is for teaching personnel only.
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 .
Ave. Minutes per Day

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