K To 12 Gr.5-5 Btes-Annex B School Form

School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Region
School ID
School Name
LRN
BOYS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Division
IV
LAGUNA
JESUS THE RISEN SAVIOR SCHOOL
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
School Year
District
2013-2014
Grade Level
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
SAN PEDRO
FOUR
GRATEFUL
Section
NAME OF PARENTS
GUARDIAN (If not Parent)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if

family name identical to
learner)
Mother (Maiden: 1st Name,

Middle & Last Name)
Name
LRN
22
23
24
25
GIRLS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
NAME
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME OF PARENTS
RELIGION
Purok
Barangay
Municipality/ City
Province

learner)

Middle & Last Name)
Name
LRN
NAME
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME OF PARENTS
RELIGION
Purok
Barangay
Municipality/ City
Province

learner)
List and code of Indicators under REMARK column

Indicator
Code
Required Information
Indicator
Code
Required Information
BoSY
Transferred Out T/O
Name of Public (P) Private (PR) School & Effectivity Date

CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
MALE
Transferred IN T/I
Dropped
DRP
Late Enrollment LE
Name of Public (P) Private (PR) School & Effectivity Date

Balik-Aral
Reason and Effectivity Date
Learner With Dissability
Reason (Enrollment beyond 1st Friday of June)
Accelarated
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
FEMALE
TOTAL
EoSY

Middle & Last Name)
Name
Prepared by:
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
GRATEFUL
REMARK/S
Contact Number (Parent
/Guardian)
Relationship
(Please refer to the

legend on last page)
REMARK/S
/Guardian)
Relationship

REMARK/S
/Guardian)
Relationship
Certified Correct:
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID
19
20
21
22
23
24
25
26
MALE | TOTAL Per Day

1
2
3
4
Acenas, Carene, Amporyas

Altar, Mery Jane, Guira
Arbiol, Joella, Bucoy
Arendain, Hanna Bee, Marpel
Section
FIVE
X
I
N
D
E
P
E
N
N/A N/A N/A N/A N/A N/A N/A N/A D N/A N/A N/A
X
E
N
C
E
X
X
X
D
X
A
X
Y
X
X
N/A N/A
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
I
N
X
X
31
T
30
M
TH
TH
TH
27
23
18
26
24
17
25
21
16
24
24
15
23
26
14
20
22
13
19
23
12
18
22
11
17
21
10
16
24
13
25
11
25
10
25
24
24
25
Alowa, Aldrin Jay, Sapad

Agner, Lee Andrey, Dalogdog
Amascual, Earl Aldrin, Lanna
Amascual, Wilbert, Obejos
Balasta, Mark Adrian, Edrial
Bea Jr., Crisolo, Diza
Cabacungan, Arjay, Vicente
Cayman, Justine Mark, Melmon
Dahari, Al-Jameer, Buenafe
De Guzman, Jan Karl Luis, Magkamit
Dela Cruz Jr., Allan, Gutierez
Dizon, Justine Josh, Penuela
Dulay, Mark Angelo, Gravo
Gala, Jhon Carl, Bonaobra
Javier, Jaymark, Cante
Lamera, Julian, Dimatangal
Lascua, John Vincent, Bartido
Malto, Jovanie, Odvina
Oliveros, Mark Bryan, Santiago
Poseo, John Rey, Gamposilao
Puod, John Edward, Yuro
Quinto, Rowel, Sentillas
Ramirez, Elijah Azanti, Nuya
Sacay, Romnick, Anos
Saulda, Justine Clark, Peralta
Vismanos, Jericho, Wales
24
24
Grade Level
JUNE
(1st row for date, 2nd row for Day: M,T,W,TH,F)

2
25
LEARNER'S NAME
Report for the Month of
Bagong Tanyag Elementary School - Annex B
25
Name of School
2014-2015
School Year
5
Total for the
Month
ABSENT TARDY
0
1
0
0
1
0
0
1
1
0
5
0
2
0
4
7
0
1
2
1
1
2
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31
REMARK/S (If DROPPED OUT, state reason,

please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
Late Enrollment (June 20, 2014)
c. Percentage of Attendance for the month =
TH
TH
TH
31
23
54
E
N
X
X
41 18
40 16
37 16
ABSENT TARDY
D
X
Total for the

Month
1. CODES FOR CHECKING ATTENDANCE
blank- Present; (x)- Absent; Tardy (half shaded= Upper

for Late Commer, Lower for Cutting Classes)
Registered Learner as of End of the Month

Enrolment as of 1st Friday of June
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
Registered Learner as of End of the month
x 100
x 100
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
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.
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
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
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
d.1. Distance between home and school
Month:

School.)
No. of Days of Classes:
Summary for the

Month
M
* Enrolment as of (1st Friday of June)
25
Late Enrollment during the month

(beyond cut-off)
Registered Learner as of end of the month
26
Percentage of Enrolment as of end of the month
96.2
Average Daily Attendance
23.8
Percentage of Attendance for the month
91.5
Number of students with 5 consecutive days of

absences:
0%
Average Daily Attendance =
30
2. Dates shall be written in the preceding columns beside Learner's Name.

3. To compute the following:
b.
27
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
Percentage of Enrolment =
26
GUIDELINES:
a.
25
44 20
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
24
46 20
20
23
42 20
19
20
43 20
18
19
41 19
17
18
40 19
16
17
44 20
15
16
44 19
14
13
40 15
13
11
44 19
12
10
43 19
11
44 20
10
45 20
Baribar, Maria Eden, Pacquiao

Bobier, Rose Ann, Caicdoy
Cabaguing, Lainecel, Gade
Catalon, Cindy, Cuachin
Catubig, Ma. Flordeliza, Jarabe
Falcutan, Patricia, Cabab
Gutierrez, Abigail, Calam
Londonio, Trisha Mae, Jaigo
Mata, Shaira, Merelos
Nargatan, Andrea, Morante
Nuguit, Camille, Besa
Osio, Joyce, Roncal
Parayno, Jhelsie Mae, Pearanda
Parias, Melanie, Busio
Ruben, Daniela May, Paliro
Santos, Nicole, Dagon
43 19
42 18
45 20
45 20

2
M
LEARNER'S NAME
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.

31
T
30
M
27
F
26
TH
25
W
24
T
23
M
20
F
19
TH
18
W
17
T
16
M
13
F
11
W
10
T
9
M
6
F
5
TH
4
W
3
T
2
M
LEARNER'S NAME
Total for the

Month
ABSENT TARDY
Mr. Harley Jay M. San Pedro

(Signature of Teacher over Printed Name)
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
School Form 2: Page 2 of ________
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others

School.)
Attested by:
Mrs. Juliet B. Acosta
D OUT, state reason,

end number 2.
UT, write the name of
l.)
June 20, 2014)

end number 2.
l.)
Summary for the

Month
20
45
20
46
100
98.08
18.9
42.65
94.3
92.9
0%
TOTAL
0%

end number 2.
l.)
Name)
ted Name)
School Form 3 (SF3) Books Issued and Returned

(This replaced Form 1 & Inventory of Text Book)
School ID
School Year
School Name
Subject Area & Title
NO.
LEARNER'S NAME
Date
Issued
TOTAL FOR MALE | TOTAL COPIES
Section
Grade Level
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)

NO.
LEARNER'S NAME
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)
Date
Issued
Returned
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 copy/ies of this form may use if needed.
In case of losses/unreturned, please provide information with the following code:

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.
Prepared By:
(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________
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
NAME OF ADVISER
School Year
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As of End of the
Month)
M
ATTENDANCE
DROPPED OUT
Daily Average
Percentage for (A) Cumulative as

(B) For the Month
of Previous Month
the Month
TRANSFERRED OUT
TRANSFERRED IN
(A+B) Cumulative
(A+B) Cumulative
(A+B)
(A) Cumulative as
(A) Cumulative as
as of End of the
(B) For the Month as of End of the
(B) For the Month Cumulative as of
of Previous Month
of Previous Month
Month
Month
End of the Month
M
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:
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.
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.
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
Region
IV-A
Division
School ID
District
2013-2014
School Year
School Name
LRN
LAGUNA
LEARNER'S NAME
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
Curriculum
Grade Level
SAN PEDRO
K TO 12 RBEC
TWO
VICTORY
Section
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)
Completed as of end of current
SY
as of End of the current SY
BOYS
Adea, Neil Emmanuel Tajonera

Arroyo, Samuel Charles, Cunanan
Borja, Zedrick James, Barnachea
Cabazor, John Carlos, Malbun
Davis, Shane Paolo, Santiago
Deem, Kerwin Andrew, Sanchez
Diaz, John Harvey, De Asis
Erese, Michael Ryan, Aligora
Enerio, John Henry, Casas
Garcia, Francis John, Balbuena
Lanuza, John Daniel, Verdadero
Namocatcat, Tyrone James, Balbuena
Peralta, Jan Aldous, Pandapatan
Reyes, Leo Angelo, Cornista
Rivas, Karl Vince Danchle, Mercado
SUMMARY TABLE
PROMOTED
PROMOTED
PROMOTED
STATUS
MALE
FEMALE
TOTAL
PROMOTED
PROMOTED
PROMOTED
*IRREGULAR
RETAINED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
LEVEL OF PROFICIENCY
PROMOTED
PROMOTED
PROMOTED
PROMOTED
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A:
90% and above)
FEMALE
TOTAL
LRN
LEARNER'S NAME
TOTAL MALE
BOYS
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)
Completed as of end of current
SY
as of End of the current SY

ADVANCED
(A:
90% and above)
GIRLS
Cabrera, Celine Andrea, Tebelin

Ferrer, Alexis Mavis, Sesalim
Lozaes, Emerleigh, Manalo
Medina, Michaela Isabel, Vialon
Salterio, Izela Viviene, Alberto
Tanzuaco, Samantha Valerie, Laporga
Torres, Kirsten Neyca, Penales
PROMOTED
PREPARED BY:
PROMOTED
Ms. Mary Rose R. Abrenilla
PROMOTED
Class Adviser
PROMOTED
(Name and Signature)
PROMOTED
PROMOTED
CERTIFIED CORRECT & SUBMITTED:
PROMOTED
Ms. Melba Joy R. Concordia

School Head
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)
TOTAL FEMALE
COMBINED
2
6
5. 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
Division
Region
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Number of
Incumbent
School Year
(B) Nationally-Funded Non Teaching Items

Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Number of
Incumbent
(C ) Other Appointments and Funding Sources

Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)
Name of School Personnel

Sex
(Arrange by Position, Descending)
Fund
Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/
Specialization
Minor
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
Fund Source
(SEF, PTA, NGO's
etc.)
* Daily Program (time duration)

Subject Taught
(include Grade &
Total Actual
Section), Advisory Class DAY
Teaching
From
To
& Other Ancillary
(M/T/W/
Minutes
(00:00) (00:00)
Assignment
TH/F)
Assignment
per Week
Ave. Minutes per Day
Number of
Incumbent
NonTeaching Teaching
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)
Name of School Personnel

Sex
(Arrange by Position, Descending)
Fund
Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/
Specialization
Minor
* Daily Program (time duration)

Subject Taught
(include Grade &
Total Actual
Section), Advisory Class DAY
Teaching
From
To
& Other Ancillary
(M/T/W/
Minutes
(00:00) (00:00)
Assignment
TH/F)
Assignment
per Week
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)

GUIDELINES:
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
also serve as inventory list of school personnel.
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.
Submitted by:

Updated as of: ___________________________
School Form 7, Page 2 of ________
School Form 6 (SF6) Summarized Report on Promotion

and Level of Proficiency
(This replaced Form 20)
School ID
Region
School Name
GRADE 1 /GRADE 7
SUMMARY TABLE
MALE
IV-A
FEMALE
TOTAL
GRADE 2 / GRADE 8
MALE
PROMOTED
FEMALE
8
GRADE 3 / GRADE 9
TOTAL
8
Division
LAGUNA
District
SAN PEDRO
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
School Year
GRADE 6 / GRADE 12
2013-2014
TOTAL
MALE
FEMALE
TOTAL
MALE FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
16
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
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:

SCHOOL HEAD
Noted by:
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 2 (SF2) Daily Attendance Report of Learners

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Alowa, Aldrin Jay, Sapad

Agner, Lee Andrey, Dalogdog
Amascual, Earl Aldrin, Lanna
Amascual, Wilbert, Obejos
Balasta, Mark Adrian, Edrial
Bea Jr., Crisolo, Diza
Cabacungan, Arjay, Vicente
Cayman, Justine Mark, Melmon
Dahari, Al-Jameer, Buenafe
De Guzman, Jan Karl Luis, Magkamit
Dela Cruz Jr., Allan, Gutierez
Dizon, Justine Josh, Penuela
Dulay, Mark Angelo, Gravo
Gala, Jhon Carl, Bonaobra
Javier, Jaymark, Cante
Lamera, Julian, Dimatangal
JULY
Grade Level FIVE
Section
TH
TH
TH
TH

4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31
F
TH
1 2 3
W
LEARNER'S NAME
Bagong Tanyag Elementary School - Annex B
Name of School
2014-2015
School Year
School ID
5
Total for the
Month
ABSENT
TARDY
REMARK
reason, ple
If TRANSFER
17
18
19
20
21
22
23
24
25
26
Lascua, John Vincent, Bartido

Malto, Jovanie, Odvina
Oliveros, Mark Bryan, Santiago
Poseo, John Rey, Gamposilao
Puod, John Edward, Yuro
Quinto, Rowel, Sentillas
Ramirez, Elijah Azanti, Nuya
Sacay, Romnick, Anos
Saulda, Justine Clark, Peralta
Vismanos, Jericho, Wales
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Acenas, Carene, Amporyas
Altar, Mery Jane, Guira
Arbiol, Joella, Bucoy
Arendain, Hanna Bee, Marpel
Baribar, Maria Eden, Pacquiao
Bobier, Rose Ann, Caicdoy
Cabaguing, Lainecel, Gade
Catalon, Cindy, Cuachin
Catubig, Ma. Flordeliza, Jarabe
Falcutan, Patricia, Cabab
Gutierrez, Abigail, Calam
Londonio, Trisha Mae, Jaigo
Mata, Shaira, Merelos
Milabo, Andrea Mae,
Nargatan, Andrea, Morante
Nuguit, Camille, Besa
Osio, Joyce, Roncal
Parayno, Jhelsie Mae, Pearanda
(Late En
19 Parias, Melanie, Busio

20 Ruben, Daniela May, Paliro
21 Santos, Nicole, Dagon
GUIDELINES:
blank- Present; (x)- Absent; Tardy (half

shaded= Upper for Late Commer, Lower for
Cutting Classes)
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
a.
b.

summary table into the School Form 4. Once signed by the principal, this form should be returned to the
adviser.
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
x 100
x 100
No. of D
Clas
Month:
* Enrolment as of (1st Friday of
Late Enrollment during the mo

(beyond cut-off)
Registered Learner as of end of th
Percentage of Enrolment as of end

month
Percentage of Attendance for the
Number of students with 5 consecutiv

absences:
Drop out
Transferred out
Transferred in
I certify that this is a true an
Mr. Harley Jay M. Sa

(Signature of Teacher ov
f. Others
Attested by:
Mrs. Juliet B. Ac
(Signature of School Head
) Daily Attendance Report of Learners

& STS Form 4 - Absenteeism and Dropout Profile)
5
REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
School.)
(Late Enrollment July 21, 2014)
No. of Days of
Classes:
Summary for
the Month
TOTAL

(beyond cut-off)
Percentage of Enrolment as of end of the
month
absences:
Drop out
Transferred out
Transferred in

Mrs. Juliet B. Acosta

School Form 2 (SF2) Daily Attend
(This replaced Form 1, Form 2 & STS Form 4 - Ab
M
15

2 Arroyo, Samuel Charles, Cunanan
3 Borja, Zedrick James, Barnachea
4 Cabazor, John Carlos, Malbun
5 Davis, Shane Paolo, Santiago
6 Deem, Kerwin Andrew, Sanchez
7 Diaz, John Harvey, De Asis
8 Erese, Michael Ryan, Aligora
9 Enerio, John Henry, Casas
10 Garcia, Francis John, Balbuena
11 Lanuza, John Daniel, Verdadero
12 Namocatcat, Tyrone James, Balbuena
13 Peralta, Jan Aldous, Pandapatan
14 Reyes, Leo Angelo, Cornista
15 Rivas, Karl Vince Danchle, Mercado
15
TH
(1st row for date, 2nd row

7 8 9 12
W
LEARNER'S NAME
Jesus the Risen Savior School
Name of School
2013-2014
School Year
TH
School ID

2 Ferrer, Alexis Mavis, Sesalim
3 Lozaes, Emerleigh, Manalo
4 Medina, Michaela Isabel, Vialon
5 Salterio, Izela Viviene, Alberto
1
14
15
15
15
15
15

7 Torres, Kirsten Neyca, Penales
22 7
22 7
21 7
22 7
22 7
22 7
22 7
22 7
GUIDELINES:
a.
b.
adviser.
5.
x 100
x 100
) Daily Attendance Report of Learners
Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

Grade Level FOUR
Section
GRATEFUL
Total
for
the
27 28 29 30
reason, please refer to legend number 2.
Month If TRANSFERRED IN/OUT, write the name
ABSENT
TARDY
of School.)
22 23
F
TH
st row for date, 2nd row for Day: M,T,W,TH,F)

13 14 15 16 19 20
TH
AUGUST
TH
013-2014
1
X
15
15
14
14
15
15
15
15
15
13
15
14
X
6
r/s that

Cutting Classes)
x 100
x 100
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
f. Others
22 7
22 7
21 7
21 7
22 7
22 7
22 7
22 7
22 7
20 7
22 7
21 7
No. of
Days of
Classes
Month:
Summary for the

Month
M
* Enrolment as of (1st Friday of

15
June)
(beyond cut-off)
Registered Learner as of end of
15
the month
Percentage of Enrolment as of end
100
of the month
14.7
Percentage of Attendance for the
97.80
month
Number of students with 5
consecutive days of absences:
Drop out
Transferred out
Transferred in

Attested by:
DROPPED OUT, state

efer to legend number 2.
D IN/OUT, write the name
of School.)
Summary for the

Month
F
TOTAL
22
22
100
100
7 21.67
100
98.9
School Form 2 (SF2) Daily Attend
(This replaced Form 1, Form 2 & STS Form 4 - A
School ID
TH

TH
(1st row for date, 2nd row for Day: M

10 11 12 13 16
T
LEARNER'S NAME
Name of School
2013-2014
School Year

6 Tanzuaco, Samantha Valerie, Laporga
1
14
15
14
15
15
15
15
15
15
15
X
15
GUIDELINES:
a.
b.
21 7
22 7
21 7
21 6
22 7
22 7
22 7
22 7
22 7
22 7
22 7
x 100
x 100
adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that
rm 2 (SF2) Daily Attendance Report of Learners

replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2013-2014

Grade Level FOUR
TH
TH
27 30
Section
GRATEFUL
Total for the
Month

please refer to legend number 2
If TRANSFERRED IN/OUT, write the n
ABSENT TARDY
School.)
15
13
14
14
15
15
15
15
2
15
X
14

17 18 19 20 23 24 25 26
School
SEPTEMBER
x 100
tion to learner/s that
22 7
20 7
20 6
21 7
22 7
22 7
20 5
21 6
22 7
20 6
x 100
6
13
Month:

Cutting Classes)
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence

(beyond cut-off)
month
absences:
Drop out
Transferred out
Transferred in


f. Others
No. of Days of
Classes:
Attested by:
GRATEFUL
School.)
Summary for the

Month
Friday of June)
TOTAL
15
22
15
22
during the month

cut-off)
of end of the month
ment as of end of the

nth
y Attendance
100
100
100
14.71
6.71
21.42
dance for the month
98.07
95.86
96.97
h 5 consecutive days of
nces:
p out
rred out
erred in

nature of Teacher over Printed Name)
ture of School Head over Printed Name)
School Form 2 (SF2) Daily At
(This replaced Form 1, Form 2 & STS Fo
School ID
TH

1

15
14
14
15
15
15
15
15
15
15
TH
(1st row for date, 2nd row for

9 10 11 14
W
LEARNER'S NAME
Name of School
2013-2014
School Year

6
GUIDELINES:
a.
b.
adviser.
5.
22 7
21 7
21 7
21 6
22 7
22 7
22 7
22 7
21 6
22 7
x 100
x 100
(SF2) Daily Attendance Report of Learners
d Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
13-2014
OCTOBER
Grade Level FOUR

30
W
28 29
M
TH
TH
ow for date, 2nd row for Day: M,T,W,TH,F)

15 16 17 18 21 22 23 24 25
Section
GRATEFUL
Total for the
Month
ABSENT TARDY
1
15
15
15
15
15
1
15
X
14
15
15
15
15
15
1
X
REMARK/S (If DROPPED OUT,

please refer to legend num
If TRANSFERRED IN/OUT, write
School.)
er/s that
x 100
x 100
22 7
22 7
22 7
22 7
22 7
22 7
20 6
22 7
22 7
22 7
22 7
22 7
Month:
blank- Present; (x)- Absent; Tardy (half shaded=

Upper for Late Commer, Lower for Cutting
Classes)
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
No. of Days of
Classes:

(beyond cut-off)
month
absences:
Drop out
Transferred out
Transferred in


f. Others
Attested by:
TEFUL
MARK/S (If DROPPED OUT, state reason,

RANSFERRED IN/OUT, write the name of
School.)
Summary for the

Month
of June)
TOTAL
15
22
15
22
100
100
100
14.87
6.87
21.74
99.13
98.14
98.64
the month
ff)
nd of the month
s of end of the
ndance
for the month
nsecutive days of
ut
arley Jay M. San Pedro

f Teacher over Printed Name)
chool Head over Printed Name)
School Form 2 (SF2) Da
(This replaced Form 1, Form 2
School ID
TH


1
12
X
X
14
14
14
14
15
15
14
X
15
11
TH
14
(1st row for date, 2nd

13 14
Name of School
LEARNER'S NAME
2013-2014
School Year

21 7
21 7
21 7
21 7
22 7
22 7
21 7
22 7
21 7
GUIDELINES:
a.
b.
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
Form 2 (SF2) Daily Attendance Report of Learners
2013-2014
27
28
29
F
TH

15 18 19 20 21 22 25 26
TH
Grade Level FOUR
chool
NOVEMBER
Section
GRATEFUL
Total for the
Month
ABSENT TARDY
1
2
1
X
12
X
X
15
3
14
X
15
15
15
15
15
14
14
15
13
1
1
the Month
of June
e
rting month
ce
the month
x 100
x 100
cording of
ed to the adviser.
arner/s that committed 5
22 7
20 6
22 7
20 7
22 7
21 6
22 7
22 7
21 7
21 7
22 7
ce.
2
14
Month:

Upper for Late Commer, Lower for Cutting Classes)
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence
Late Enrollment during the mont

(beyond cut-off)
Registered Learner as of end of the m
Percentage of Enrolment as of end of th

Percentage of Attendance for the mo

Number of students with 5 consecutive
absences:
Drop out
Transferred out
Transferred in

f. Others
(Signature of Teacher ov
Attested by:
(Signature of School H
GRATEFUL
REMARK/S (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
No. of Days of
Classes:
as of (1st Friday of June)
Summary for the Month

M
TOTAL
15
22
15
22
100
100
100
14.4
6.9
21.3
96
98.57
97.29
Enrollment during the month

(beyond cut-off)
d Learner as of end of the month
of Enrolment as of end of the month
tage of Attendance for the month

students with 5 consecutive days of
absences:
Drop out
Transferred out
Transferred in
his is a true and correct report.

School Form 2 (SF2) Daily At
School ID

10
11
TH
TH
(1st row for date, 2nd row f

12 13 16
LEARNER'S NAME
Name of School
2013-2014
School Year

X
X
X
14
14
12
15
15
14
15
14
15
X
15
X
13
GUIDELINES:
a.
b. Average Daily Attendance =
adviser.
5.
21 7
20 6
19 7
22 7
22 7
19 5
21 7
22 7
21 6
21 6
19 6

6
x 100
x 100
d Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
13-2014

Grade Level FOUR
TH
st row for date, 2nd row for Day: M,T,W,TH,F)

17 18 19 20
DECEMBER
Section
GRATEFUL
Total for the
Month
REMARK/S (If DROPPED

reason, please refer to legen
If TRANSFERRED IN/OUT, wr
ABSENT TARDY
School.)
1
1
1
1
1
2
9
15
X
13
15
15
er/s that
x 100
x 100
22 7
20 7
22 7
22 7
15
Month:

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence

(beyond cut-off)
month
Number of students with 5 consecutive days
of absences:
Drop out
Transferred out
Transferred in

(Signature of Teacher over Printed Nam

f. Others
No. of Days of
Classes:
Attested by:
(Signature of School Head over Printed Nam
EFUL
EMARK/S (If DROPPED OUT, state

ason, please refer to legend number 2.
ANSFERRED IN/OUT, write the name of
School.)
Summary for the

Month
TOTAL
15
22
15
22
100
100
100
ance
14.3
6.6
20.87
r the month
95.13
94.29
94.71
of June)
he month
of the month
f end of the
secutive days

of Teacher over Printed Name)
chool Head over Printed Name)
School Form 2 (SF2) Da
(This replaced Form 1, Form 2
School ID
TH

10
13
14
TH
(1st row for date,

15 16
Name of School
LEARNER'S NAME
2013-2014
School Year

14
13
14
15
13
14
15
15
X
15

21 7
20 7
21 7
22 7
20 7
20 6
22 7
22 7
22 7
GUIDELINES:
a.
b.
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
replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2013-2014
29 30
31
F
TH

17
20 21 22 23 24 27 28
TH
Grade Level FOUR
hool
JANUARY
Section
GRATEFUL
Total for the
Month
ABSENT TARDY
2
X
15
15
15
14
15
15
15
14
15
14
12
1
13
x 100
ng month
he month
ng of
the adviser.
s that committed 5
x 100
22 7
21 6
22 7
21 7
22 7
22 7
22 7
21 7
22 7
20 6
19 7
he Month
June
3
16
Month:

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence

(beyond cut-off)
Registered Learner as of end of the m
Percentage of Enrolment as of end of

month
Percentage of Attendance for the mo
Number of students with 5 consecutive d

absences:
Drop out
Transferred out
Transferred in

f. Others
(Signature of Teacher o
Attested by:
(Signature of School Head o
GRATEFUL
School.)
No. of Days of
Classes:
as of (1st Friday of June)
Summary for the Month

M
TOTAL
15
22
15
22
nrollment during the month

(beyond cut-off)
Learner as of end of the month
e of Enrolment as of end of the

month
verage Daily Attendance
100
100
100
14.35
6.86
21.21
ge of Attendance for the month
95.67
98
96.84
tudents with 5 consecutive days of

absences:
Drop out
Transferred out
Transferred in
is is a true and correct report.

School Form 2 (SF2) Daily
(This replaced Form 1, Form 2 & S
School ID
10
11
12
TH
TH

14
14
14
14
(1st row for date, 2nd

13 14
14
LEARNER'S NAME
Name of School
2013-2014
School Year

15
14
15
14
15

21 6
21 7
22 7
21 7
22 7
21 7
21 7
21 7
21 7
21 7
GUIDELINES:
a. Percentage of Enrolment =
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
s replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2013-2014

Grade Level FOUR
TH
28
27
Section
GRATEFUL
Total for the Month

17 18 19 20 21 24
26
TH
ol
FEBRUARY
ABSENT
1
15
15
15
15
12
15
6
15
X
13
14
13
TARDY
x 100
x 100
cording of
ed to the adviser.
rner/s that committed
22 7
22 7
22 7
22 7
22 7
22 7
19 6
21 7
20 7
e.
2
14
Month:
blank- Present; (x)- Absent; Tardy (half shaded= Upper

for Late Commer, Lower for Cutting Classes)
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence

(beyond cut-off)
Registered Learner as of end of the mon
Percentage of Enrolment as of end of th

month
Number of students with 5 consecutive day

absences:
Drop out
Transferred out
Transferred in

f. Others
(Signature of Teacher over

Attested by:
(Signature of School Head o
GRATEFUL
School.)
TOTAL
15
22
15
22
100
100
100
14.37
6.89
21.26
95.8
98.43
97.12
0%
1.0%
of (1st Friday of June)
Summary for the

Month
1.0%
No. of Days of
Classes:
ollment during the month

(beyond cut-off)
earner as of end of the month
of Enrolment as of end of the

month
rage Daily Attendance
e of Attendance for the month
dents with 5 consecutive days of

absences:
Drop out
Transferred out
Transferred in
s a true and correct report.

School Form 2 (SF2) Daily A
School ID
F
X
X
X
X
X
X
X
X
15
13
12
14
15
15
15
10
11

1
14
TH
TH
7 10
(1st row for date, 2nd row fo

11 12 13 14 17
10

LEARNER'S NAME
Name of School
2013-2014
School Year

GUIDELINES:
a. Percentage of Enrolment =
adviser.
5.
22 7
17 7
17 6
16 6
19 6
19 7
21 7
22 7
22 7
22 7
21 7
x 100
x 100
Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
TH
28
27
row for date, 2nd row for Day: M,T,W,TH,F)

18 19 20 21 24 25 26
TH
Grade Level
MARCH
PRE-KINDER
31
M
13-2014
Section
JOY
Total for the
Month
REMARK/S (If DROPPED OUT,

please refer to legend num
If TRANSFERRED IN/OUT, writ
ABSENT TARDY
School.)
2
4
1
2
1
3
1
2
15
15
15
15
15
15
15
15
15
15
2
21
1
/s that
x 100
22 7
22 7
22 7
22 7
22 7
22 7
22 7
22 7
22 7
22 7
x 100
3
24
Month:

b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
c.1. Teacher Factor
c.3. Peer influence

(beyond cut-off)
month
absences:
Drop out
Transferred out
Transferred in


f. Others
No. of Days of
Classes:
Attested by:
(Signature of School Head over Printed Nam
OY
ARK/S (If DROPPED OUT, state reason,

ANSFERRED IN/OUT, write the name of
School.)
Summary for the

Month
of June)
TOTAL
15
22
15
22
100
100
100
14
6.86
20.86
93.33
98
95.67
he month
of the month
of end of the
dance
or the month
secutive days of

f Teacher over Printed Name)
School Head over Printed Name)

K To 12 Gr.5-5 Btes-Annex B School Form

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K To 12 Gr.5-5 Btes-Annex B School Form

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School Form 1 (SF 1) School Register

JESUS THE RISEN SAVIOR SCHOOL

GUARDIAN (If not Parent)

Father (1st name only if

Mother (Maiden: 1st Name,

GUARDIAN (If not Parent)

Father (1st name only if

Mother (Maiden: 1st Name,

Father (1st name only if

List and code of Indicators under REMARK column

GUARDIAN (If not Parent)

Transferred Out T/O

Name of Public (P) Private (PR) School & Effectivity Date

CCT Control/reference number & Effectivity Date

Name of Public (P) Private (PR) School & Effectivity Date

Name of school last attended & Year

Mother (Maiden: 1st Name,

(Signature of Adviser over Printed Name)

(Please refer to the

GUARDIAN (If not Parent)

(Please refer to the

GUARDIAN (If not Parent)

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report of Learners

MALE | TOTAL Per Day

Acenas, Carene, Amporyas

Alowa, Aldrin Jay, Sapad

(1st row for date, 2nd row for Day: M,T,W,TH,F)

Report for the Month of

Bagong Tanyag Elementary School - Annex B

REMARK/S (If DROPPED OUT, state reason,

Late Enrollment (June 20, 2014)

c. Percentage of Attendance for the month =

Total for the

1. CODES FOR CHECKING ATTENDANCE

blank- Present; (x)- Absent; Tardy (half shaded= Upper

Registered Learner as of End of the Month

REMARK/S (If DROPPED OUT, state reason,

No. of Days of Classes:

Summary for the

* Enrolment as of (1st Friday of June)

Late Enrollment during the month

Registered Learner as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

Number of students with 5 consecutive days of

Average Daily Attendance =

2. Dates shall be written in the preceding columns beside Learner's Name.

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

Baribar, Maria Eden, Pacquiao

(1st row for date, 2nd row for Day: M,T,W,TH,F)

I certify that this is a true and correct report.

(1st row for date, 2nd row for Day: M,T,W,TH,F)

Total for the

Mr. Harley Jay M. San Pedro

d.2. Armed conflict (incl. Tribal wars & clanfeuds)

School Form 2: Page 2 of ________

REMARK/S (If DROPPED OUT, state reason,

D OUT, state reason,

June 20, 2014)

D OUT, state reason,