Académique Documents
Professionnel Documents
Culture Documents
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
Region
312506
SCHOOL ID
School Name
(nos. of
years as
per last
birthday)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
12
Negros Occ.
Cebuano
13
Cebu
Cebuano
Villacorta
13
Cebu
Cebuano
Tolete
12
Cebu
Cebuano
12
Cebu
Cebuano
February 7, 2001
13
Cebu
Cebuano
Aluran
119871070003
Abada
Phillip Ibrihim
119868070021
Amaba
Reygie
119871120606
Belano
Michael Jr
11943007012
Briso
Brethren
119871070094
Bucio
John Carlo
Lada
ta
118917070026
Binondo
Cabarrubias
Jhon Lloyd
Betonta
12
Cebu
Cebuano
119868070062
Cabello
Ivan
Brigola
12
Cebu
Cebuano
119871120723
Clerigo
Jefferson
Villacorta
14
Cebu
Cebuano
13
Cebu
Cebuano
13
Cebu
Cebuano
September 5, 2000
13
Cebu
Cebuano
13
Cebu
Cebuano
20
Cebu
Cebuano
12
Leyte
Cebuano
12
Cebu
Cebuano
13
Cebu
Cebuano
September 6, 2001
12
Cebu
Cebuano
12
Cebu
Cebuano
12
Cebu
Cebuano
12
Cebu
Cebuano
15
Cebu
Cebuano
10
119871070191
Ebarola
John Mark
11
119868070128
Enario
Mark Victor
12
119871070204
Evangelista
Mhike Dillon
Hermogenes
John Julius
11968070159
14
119871120922
15
119871070367
16
119871070391
17
119871120609
18
Sex
(M/F)
AGE as of
1st Friday
of June
119871070029
13
Momongan
Lymar
Napoles
Arjay
Orbeta
Carl
Pacquiao
119886070323 Pastrana
Dionisio III
Mike Pritchard
Caete
Paran
Lumeran
Arapoc
Lucaas
19
119868070274
20
119868070293
21
119871070528
22
119868120263
Zamora
Welliam
23
119879070002
Aleguin
Jovelyn
Baclayon
12
Cebu
Cebuano
24
119871070511
Bacalla
Rabbe Loi
Caballero
12
Cebu
Cebuano
25
119871070057
Cabornay
14
Cebu
Cebuano
26
119871070062
Baculi
Jennie Fayte
13
Cebu
Cebuano
27
119871070068
Baje
Rhealiza
Dalogdog
12
Cebu
Cebuano
28
119871070070
BaLonga
Jean Hazel
Faustor
February 8, 2002
12
Cebu
Cebuano
29
119868070043
13
Cebu
Cebuano
30
119879070034
13
Manila
Cebuano
31
119336070052
August 9, 2001
12
Cebu
Cebuano
32
119871070174
October 4, 2000
13
Cebu
Cebuano
33
11987107023
34
119871070266
35
Sabella
Kevin Lyle
Tabada
Jerick
Tangian
Baclayon
Bayogo
Jabonero
Jayson
Mylene
Desa Neil
Canoy
Marjorie
Alarcon
Cuyos
Jim Khane
Ramoneda
dela Rama
Charm
Cuizon
Gaspar
Kristine Marie
Pazo
June 1, 2001
13
Cebu
Cebuano
September 8, 2000
13
Cebu
Cebuano
November 6, 2001
12
Cebu
Cebuano
Jabonero
119884070068 Laborte
CEBU CITY
Mary Shental
Irish
Labitad
District
School Year
Division
NAME
(Last Name, First Name, Middle Name)
LRN
VII
IP
(Specify
Ethnic
Group)
2014-2015
Grade Level
ADDRESS
RELIGION
Roman
Catholic
Roman
Catholic
Born Again
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
House # /
Street/Sitio/
Purok
Barangay
VII
Section
NAME OF PARENTS
BENEDICT
GUARDIAN (If not Parent)
Name
Relationship
REMARK/S
Contact Number
(Parent
/Guardian)
Caimbol
Tisa
Cebu City
Cebu
Junrey
Analyn Binondo
9161636402
Katipunan
Tisa
Cebu City
Cebu
Unknown
Dina Abada
9062340468
Taytayan
Buhisan
Cebu City
Cebu
Guillermo
Conchita Villacorta
9421907236
F. Llamas
Tisa
Cebu City
Cebu
Michael
Catherin
Capaculan
Tisa
Cebu City
Cebu
Unknown
Deceased
Sitio Nazareth
Buhisan
Cebu City
Cebu
Eusebio
Luzviminda Lada
Tisa Proper
Tisa
Cebu City
Cebu
Efren
Vivian Betonta
Mangga
Punta Princesa
Cebu City
Cebu
Nestor
Nida Brigola
Sidlakan
Tisa
Cebu City
Cebu
AnastacioClerigo
Analyn Villacorta
Punta plaza
Punta Princesa
Cebu City
Cebu
Unknown
Shiela Ebarola
Sitio Nazareth
Buhisan
Cebu City
Cebu
Renato
Adelina Caete
Hills View
Tisa
Cebu City
Cebu
Unknown
Divina Evangelista
9334503621
Milagros
Caballero
Auntie
9425515412
9068965192
9231448753
Michelle D.
Cabrera
Auntie
Rosario
Evangelsta
Grandmother
9157706400
9322474512
Puso
Buhisan
Cebu City
Cebu
Jaime
Lorina Paran
Motra
Tisa
Cebu City
Cebu
Rodmar Abas
Evelyn Momongan
Mohon 2
Tisa
Cebu City
Cebu
Randolf Sarcol
Jocelyn Napoles
9362126422
Mansinitas
Tisa
Cebu City
Cebu
Elias
Silveria
9429668814
Cebu City
Cebu
Dionisio
Maria Joselyn
9304952747
Jerome
Glony Lucaas
9326051272
Salve Sabella
9321679251
SOUTH DISTRICT 5
9186939381
Salvador Ext.
Labangon
Cebu City
Cebu
Puso
Buhisan
Cebu City
Cebu
Mangga
Punta Princesa
Cebu City
Cebu
Manolo
Maria Jabonero
9491959286
Villa Elena
Tisa
Cebu City
Cebu
Unknown
Jocelyn Tangian
9227739312
Puso
Buhisan
Cebu City
Cebu
Christoto Yap
Remediosa Zamora
9331467631
Guadalupe
Cebu City
Cebu
Joseph
Evelyn Baclayon
Tisa Proper
Tisa
Cebu City
Cebu
Raul
Beverly Caballero
9234195258
Santa Ana
Labangon
Cebu City
Cebu
Marlon
Divina Cabornay
9226857268
Mangga
Tisa
Cebu City
Cebu
Jeffrey Ygot
Capaculan
Tisa
Cebu City
Cebu
Alberto
Epifania Dalogdog
9239372147
Mansinitas
Tisa
Cebu City
Cebu
Isaias
Salvacion Faustor
9239189534
Tuburan
Punta Princesa
Cebu City
Cebu
Nosario Potistas
Melaquiadesa
Bayogo
9193311988
Tisa
Cebu City
Cebu
Maxwel
Josephine Alarcon
9229824974
Rivaridge
Tisa
Cebu City
Cebu
Roberto
Dina Ramoneda
9235909065
Nangka
Tisa
Cebu City
Cebu
Jerson
Chona Cuizon
262-6322/
09326821336
Odevilas Subd.
Tisa
Cebu City
Cebu
Jerry
Emelie Pazo
9425976992
Tubod
Buhisan
Cebu City
Cebu
Richie Dinsay
Nilga Caballero
9491959286
Eskwelehan
Buhisan
Cebu City
Cebu
Roger
Chona
NAME
(Last Name, First Name, Middle Name)
LRN
Sex
(M/F)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
36
119868070182
37
119871070342
38
119871120845
Mendoza
Lieslee
39
119871070350
Miasco
Baby Jean
40
119871070357
Montero
Kimberly
January 6, 2002
12
41
119871070358
Jiah
42
119871070363
43
119871070458
44
Lawas
Merry Joy
Mayol
Alain Mae
Montimor
45
119868070317
46
120715076153
47
119868120723
48
119871070547
12
Cebu
Cebuano
Sy
12
Cebu
Cebuano
12
Cebu
Cebuano
Cebu
Cebuano
Cebu
Cebuano
12
Cebu
Cebuano
12
Cebu
Cebuano
12
Cebu
Cebuano
13
Cebu
Cebuano
13
Cebu
Cebuano
11
Cebu
Cebuano
Tude
Lastimoso
Sheila Mae
Traya
Reyes
Kristine AlyZa
Cayacap
Nathalia Nicole
Prado
Trazona
Lenny
Vao
Jannille Ann
Verzosa
Cherelyn
Vidas
Vean
MOTHER
TONGUE
Frias
Morgado
119886070394 Tano
BIRTH
PLACE
(Province)
Arante
Suello
February 6, 2002
12
Cebu
Cebuano
12
Cebu
Cebuano
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Roman
Catholic
Born Again
Roman
Catholic
Roman
Catholic
House # /
Street/Sitio/
Purok
Barangay
NAME OF PARENTS
Code
Indicator
Code
Relationship
Puso
Buhisan
Cebu City
Cebu
Alexandro
Maylinda Frias
9323251603
Tisa
Cebu City
Cebu
Albert
Greta Sy
9433416557
Tisa
Cebu City
Cebu
Ricardo Quijano
Villa Elena
Tisa
Cebu City
Cebu
Julius
Gina C. Tude
9323440195
Tabaylawom
Tisa
Cebu City
Cebu
Reynaldo Dacuba
Jenny Montero
9325430908
Tabaylawom
Tisa
Cebu City
Cebu
Luis Jr.
Merlyn Lastimoso
9434671657
Tisa
Cebu City
Cebu
William
9184754340
Tisa Proper
Tisa
Cebu City
Cebu
Alain Reyes
Fe Cayacap
9321742215
A. lopez
Labangon
Cebu City
Cebu
Edgardo
Zenaida Tano
9236945707
Kalumbuyan
Buhisan
Cebu City
Cebu
Antonio Alonzo
Merlinda Trazona
Katipunan St.
Tisa
Cebu City
Cebu
Alfredo
Jorenda Arante
9167386443/
09324240392
Puso
Buhisan
Cebu City
Cebu
Jackdy Reyes
Regina Versoza
9336352495
Kadasig Phase I
Tisa
Cebu City
Cebu
Antonio
Elvera Suellas
9097255234
Required Information
BoSY
Transferred Out
T/O
CCT Recipient
CCT
MALE
Transferred IN
T/I
DRP
LE
Balik-Aral
Learner With Dissability
Accelarated
B/A
LWD
ACL
FEMALE
26
TOTAL
48
Dropped
Late Enrollment
Name
REMARK/S
Contact Number
(Parent
/Guardian)
Tisa Proper
22
EoSY
Prepared by:
VIRGILIO T. REGALADO JR
(Signature of Adviser over Printed Name)
Date:___________________________________
Certified Correct:
ALICE S. GANAR
(Signature of School Head over Printed Name)
Date:______________________
School ID
312506
School Year
2014-2015
Month Reporting
Name of School
Grade Level
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
20
21
22
2
3
4
5
6
7
8
9
10
11
Aleguin
Bacalla
Baclayon
Baculi
Baje
BaLonga
Bayogo
Canoy
Cuyos
dela Rama
Gaspar
TH
TH
TH
TH
X X
7
0
0
0
0
0
0
0
0
0
Caete
Paran
X X X X
X X X X X X X X X X
16
0
X X X X
X X
X X
X X X
12
2
Lumeran
Arapoc
Lucaas
0
0
0
0
Jabonero
0
0
0
19
Jovelyn
Rabbe Loi
Mylene
Jennie Fayte
Rhealiza
Jean Hazel
Desa Niel
Marjorie
Jim Khane
Charm
Kristine Marie
ST. BE
VII
ABSENT
Lada
Betonta
Brigola
Villacorta
28
Baclayon
Caballero
Caburnay
20
19
27
20
18
26
20
17
25
20
16
24
19
15
21
20
14
20
21
13
19
21
12
X X
18
21
11
17
21
10
14
19
13
19
12
20
11
20
Binondo
Villacorta
Tolete
10
19
Reygie
Michael Jr
Brethren
John Carlo
Jhon Lloyd
Ivan
Jefferson
John Mark
Mare Victor
Mhike Dillon
John Julius
Lymar
Arjay
Carl
Dionisio III
Mike Pritchard
Kevin Lyle
Jerick
Jayson
Welliam
20
20
Philip Ibrihim
21
Abada
Aluran
Amaba
Belano
Briso
Bucio
Cabarrubias
Cabello
Clerigo
Ebarola
Enario
Evangelista
Hermogenes
Momongan
Napoles
Orbeta
Pacquiao
Pastrana
Sabella
Tabada
Tangian
Zamora
21
4
T
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NOVEMBER
37
0
0
0
0
Dalogdog
Faustor
0
0
0
Alarcon
Ramoneda
Cuizon
Pazo
0
0
0
0
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
Jabonero
Laborte
Lawas
Mayol
Mendoza
Miasco
Montero
Montimor
Morgado
Reyes
Tano
Trazona
Vao
Verzosa
Vidas
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Mary Shental
Irish
Merry Joy
Alain Mae
Lieslee
Baby Jean
Kimberly
Jiah
Sheila Mae
Kristine AlyZa
Nathalia Nicole
Lenny
Jannille Ann
Cherelyn
Vean
27
28
F
26
TH
25
24
21
20
19
TH
18
17
14
13
12
TH
11
10
TH
4
T
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Labitad
Frias
Sy
0
0
0
0
Tude
0
0
Lastimoso
Traya
Cayacap
Prado
0
0
X X X X X X X X X X X X X X X X X X X X
19
0
0
Arante
Fernandez
Suello
0
0
0
25
25
25
25
25
25
25
25
25
25
25
25
25
44
46
46
45
45
44
45
45
44
44
46
46
46
25
25
25
25
25
25
25
19
46
45
44
45
45
45
45
56
L E G E N D:
GUIDELINES:
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:
2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment
b.
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
5. 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
x 100
x 100
Month:
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
Percentage of Enrollment as of e
month
b. Individual-Related Factors
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
d.2. Armed conflict (incl. Tribal wars & clan
feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teach
Attested by:
ST. BENEDICT
Total for the
Month
TARDY
0
0
0
0
0
0
0
3
1
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
401
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
500
Month:
TOTAL
22
26
48
22
26
48
100
100
100
20
25
45
91.14
96.15
93.65
Drop out
Transferred out
Transferred in
ALICE S.GANAR
(Signature of School Head over Printed Name)
School ID
School Year
School Name
Grade Level
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Section
ct Area &
Title
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the code on
last page)
ct Area &
Title
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the code on
last page)
ct Area &
Title
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the code on
last page)
ct Area &
Title
Date
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the code on
last page)
Returned
Prepared By:
School ID
Region
Division
School Name
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
ELEMENTARY/SECONDARY:
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
F
Average
DROPPED
Percentage
(A) Cumulative
as of Previous
Month
M
(B) For th
Month
M
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 Form 1 submitted by the teachers/advisers to update figures fo
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, t
accomplish the summary column per grade/year level.
District
School Year
OPPED OUT
Month Reporting
TRANSFERRED OUT
(A+B)
Cumulative as
of End of the
Month
M
(A) Cumulative
as of Previous
Month
M
TRANSFERRED IN
(A+B)
Cumulative as
of End of the
Month
M
(A) Cumulative
as of Previous
Month
M
(A+B)
Cumulative as
of End of the
Month
M
Region
Division
School ID
School Year
School Name
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
TOTAL MALE
GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
TOTAL FEMALE
COMBINED
GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
E2, 18A)
District
Curriculum
Grade Level
Section
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
SUMMARY TABLE
MALE
PROMOTED
IRREGULAR
RETAINED
FEMALE
TOTAL
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
LEVEL OF PROFICIENCY
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
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
Prepared by:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
GUIDELINES:
1. For All Grades Level
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
School ID
Region
Division
School Name
SUMMARY TABLE
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
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:
School Head
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Leve
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
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP.
Division
District
RADE 10
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
Noted by:
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignmen
Form 29-Teacher Program and Form 31-Summary Information of Teachers
School ID
School Name
Region
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
Division
District
Number of Incumbent
Number of
Incumbent
Nature of Appoin
(Contractual, Subs
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Position, Descending)
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
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 duri
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
lowest. This form shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only.
19-Assignment List,
on of Teachers)
School Year
(C) Other Appointments and Funding Sources
Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)
Fund Source
(SEF, PTA, NGO's etc.)
Number of Incumbent
Teaching
Non-Teaching
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)