School Forms Spread Sheet (1-7)

Region
School ID 103954
School Name
Barat Elementary School

AGE as of 1st
Friday of
June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
103954 130002
Balala, Randel Fronda
11/25/2007
6.0
103954 130003
Balicat, Rhile Justine Valladores
6/4/2008
6.0
103954 130005
Briones, Brandon Eion Immoliap
9/25/2008
5.0
AGE as of 1st
Friday of
June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
103963 130034
Claustro, Jan Real
1/16/2008
6.0
103954 140032
Cunanan, Jan Rai Dotimas
10/15/08
5.0
103954 130006
Dotimas, Jhey-ell Tambis
4/18/2008
6.0
103954 130007
Fragata, Henry James Sinadhan
4/28/2008
6.0
103954 130008
Franilla, Lee Jayson Jr. Peralta
6/17/2008
5.0
103954 130004
Gico, Angelo Barroga
8/17/2008
5.0
103954 130009
Gonzales, Joboy Cambia
3/25/2008
6.0
136074 130025
Lubong Christopher Ian Duran
3/3/2008
6.0
103954 130010
Lubong, Mark Benoza
9/20/2008
5.0
AGE as of 1st
Friday of
June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
103954 130011
Robles, Zaemone Sadang
103954 130012
Sabawil, Jhon Mark Agamata
103954 130013
Sagun, John James Bunuan
103968 120047
Tolentino, Kevin Andres
103954 130014
Valera, Karl Andrei Sagrado
7/25/2008
8/10/2008
2/2/2008
10/23/2008
5/13/2008
5
5
6
5
6
AGE as of 1st
Friday of
June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
103954 130015
Agamata, Mary Mae Balacay
9/8/2008
103954 130016
Agpalasin, Alexa Gee Mara
7/5/2008
103954 130017
Barroga, Aira Zyrille Marcelo
9/12/2008
AGE as of 1st
Friday of
June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
103954 130018
Burnos, Lyvin Shane Agamata
10/9/2009
103954 130019
Dumale, Krizzia Jane Senido
6/16/2008
103954 130020
Esposo, Shayranne Isabelle Dela Cruz
7/8/2008
103954 140033
Guiab, Clariz Bayag
11/6/2008
103954 130021
Guya, Jhaystine Ruar
5/11/2008
103954 130022
Marcelo, Marie Joy Marquez
9/25/2008
103954 140034
Ramilloza, Maybell Allyza Unggay
8/24/08
5.0
103954 130024
Rosete, Stefhanie Balicat
2/7/08
5.0
AGE as of 1st
Friday of
June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
103954 130025
Tabuyo, Sphie Isabella Grace Carillo
10/15/08
AGE as of 1st
Friday of
June
NAME
LRN
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
List and code of Indicators under REMARK colum

Indicator
Code
Transferred O
T/O
Transferred IN T/I
Dropped
DRP
Late Enrollme LE
Required Information
Indicator
Name of Public (P) Private (PR) School & Effectivity DateCCT Recipient
Name of Public (P) Private (PR) School & Effectivity DateBalik-Aral

Reason and Effectivity Date
Learner With Dissab
Reason (Enrollment beyond 1st Friday of June)
Accelarated
School Form 1 (SF 1) School Register

(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Division
ol
Nueva Vizcaya
School Year
District
2015-2016
Grade Level
MOTHER TONGUE
IP
(Specify Ethnic
Group)
Province
ADDRESS
Father (1st name only if family

identical to learner)
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Balala, Ruben Sallacup
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Balicat, Regie Noble
Ifugao
Ifugao
UECFI
Barat
Bambang
N.V
Briones, Gabriel Plamo
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
MOTHER TONGUE
ADDRESS
IP
(Specify Ethnic
Group)
Iloko
Igorot
Catholic
Bansing
Salinas
Bambang
N.V
Claustro, Jhon Manuel
Iloko
Ilokano
Methodist
Barat
Bambang
N.V
Cunanan, Lito Cano
Tagalog
Tagalog
Catholic
Barat
Bambang
N.V
Dotimas, Jerry Mallari
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Fragata, Jerome Pescasio
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Franilla, Lee Jayson Sr. Mariano
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Gico, Joenel Jardinico
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Gonzales, Rogelio Jr. Viernes
Iloko
Ilokano
UECFI
Barat
Bambang
N.V
Lubong, Leonardo Plamo
Iloko
Ilokano
UECFI
Barat
Bambang
N.V
Lubong, Gorgonio Jr. Plamo
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
RELIGION

MOTHER TONGUE
ADDRESS
IP
(Specify Ethnic
Group)
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Iloko
Ilokano
Independiente
Barat
Bambang
N.V
Sabawil, Rene Manuel
Iloko
Ilokano
UECFI
Barat
Bambang
N.V
Sagun, Tranquilino Jr. Natividad
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Tolentino, Mateo
Tagalog
Tagalog
Catholic
Barat
Bambang
N.V
Valera, Anthony Antiqua
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
RELIGION

IP
(Specify Ethnic
Group)
Iloko
Ilokano
RELIGION
Born Again
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
MOTHER TONGUE
ADDRESS
Barat
Bambang
N.V
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Iloko
Ilokano
Catholic
Barat
Bambang
N.V

Agamata, Edgar Jr. Corpuz

Agpalasin, Excel Labuanan
Barroga, Alie Uson
IP
(Specify Ethnic
Group)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
MOTHER TONGUE
ADDRESS
Iloko
Ilokano
Born Again
Barat
Bambang
N.V
Iloko
Ilokano
INC
Buag
Bambang
N.V
Iloko
Ilokano
UECFI
Barat
Bambang
N.V
Iloko
Ilokano
UECFI
Barat
Bambang
N.V
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Iloko
Ilokano
Catholic
Barat
Bambang
N.V
Iloko
Ilokano
UECFI
Barat
Bambang
N.V
Iloko
Ilokano
INC
Barat
Bambang
N.V

Burnos, Rovin Cagurangan

Dumale, Kriel Gene
Esposo, Randy Quirimit
Guiab, Julius Compay
Guya, Jayjay Marzan
Marcelo, Judy Ochimas
Ramilloza, Sammy Esposo
Rosete, Edwin Cambia
IP
(Specify Ethnic
Group)
Ilokano
RELIGION
House # /
Street/Sitio/
Purok
Catholic
Barangay
Barat
Municipality/ City
Bambang
Province
MOTHER TONGUE
Iloko
ADDRESS
N.V

Tabuyo, Deogracias Domingo
IP
(Specify Ethnic
Group)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
MOTHER TONGUE
ADDRESS

MARK column
ecipient
er With Dissabilit
arated
Code
Required Information
CCT
CCT Control/reference number & Effectivity

Date
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
BoSY
MALE
17
FEMALE
12
TOTAL
29
Bambang I
Two
Section
NAME OF PARENTS
name only if family name

ical to learner)
a, Ruben Sallacup
Lone
GUARDIAN (If not Parent)
Contact Number (Parent
/Guardian)
Mother (Maiden: 1st Name, Middle & Last

Name)
Name
Relationship
Fronda, Claricel Compay
9061969051
Noble
Valladores, Janice Camorongan
9993867221
el Plamo
Immoliap, Melchora Binadang
9263550105
NAME OF PARENTS

ical to learner)
stro, Jhon Manuel
anan, Lito Cano

/Guardian)

Name)
Palangyo, Merlyn Calpasi

Dotimas, Mary Jane Victor
Name
Relationship
9469042982
9358328614
y Mallari
Tamis, Junalyn Flores
9358351277
me Pescasio
Sinadhan, Susan Liba
9216540874
ayson Sr. Mariano
Peralta, Mylene Balicat
ardinico
Barroga, Marcela Uson
9059030474
gelio Jr. Viernes
Cambia, Helen Jacob
9067113139
ardo Plamo
Duran, Janeth
9269859284
onio Jr. Plamo
Benoza, Roselyn Apuya
9061147169
NAME OF PARENTS

/Guardian)

ical to learner)

Name)
Robles, Joan Sadang

Manuel
Name
Relationship
Rosalie C. Tabuyo Relative
Agamata, Myrnalyn Tamayo
uilino Jr. Natividad
Bunuan, Josephine Conde
eo
Andres, Claudine Balawat
ny Antiqua
Sagrado, Sharlyn
9353078029
9359739298
William A. Balawat Relative

Clarita A. Valera
Relative
9056997552
NAME OF PARENTS

ical to learner)
ar Jr. Corpuz
cel Labuanan
Uson

/Guardian)

Name)
Balacay, Mirriam Mangalao
Name
Relationship
9265277736
Mara, Melanie Culantes

Marcelo, Mary Grace Taylan
9056708964
NAME OF PARENTS

/Guardian)

ical to learner)
Cagurangan
Gene
y Quirimit
Compay
Marzan
Ochimas
mmy Esposo
n Cambia

Name)
Name
Relationship
Agamata, Dolly Masa
9052535832
Senido, Ruffa Agamata
9278288721
Dela Cruz, Shiela May Diaz
9278286793
Bayag, Catherine Balicat
9268657199
Ruar, Ronalyn Batuyong
9163432977
Marquez, Marilyn
Unggay, Loreline Compay
9064790352
Balicat, Gigi Noble
9057186079
NAME OF PARENTS

ical to learner)
racias Domingo

/Guardian)

Name)
Carillo, Rosalie Sadang
Name
Relationship
9262409561
NAME OF PARENTS

/Guardian)

ical to learner)
EoSY

Name)
Name
Prepared by:
Relationship
Certified Correct:
CAROL M. LUYAMAN
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
JERRY B. LAZARO
(Signature of School Head over Printed Na
BoSY Date:
EoSYDate:
REMARK/S
(Please refer to the legend on last

page)
CCT
REMARK/S

page)
CCT
REMARK/S

page)
CCT
REMARK/S

page)
REMARK/S

page)
CCT
REMARK/S

page)
REMARK/S

page)
ct:
RRY B. LAZARO
f School Head over Printed Name)
EoSYDate:
School Form 2 (SF2) Daily Atten
(This replaced Form 1, Form 2 & STS Form 4 -
School ID
103954
Name of School
LEARNER'S NAME
1 Balala, Randel Fronda
2 Balicat, Rhile Justine Valladores
3 Briones, Brandon Eion Immoliap
4 Claustro, Jan Real
5 Cunanan, Jan Rai Dotimas
6 Dotimas, Jhey-ell Tambis
7 Fragata, Henry James Sinadhan
8 Franilla, Lee Jayson Jr. Peralta
9 Gico, Angelo Barroga
10 Gonzales, Joboy Cambia
11 Lubong Christopher Ian Duran
12 Lubong, Mark Benoza
13 Robles, Zaemone Sadang
14 Sabawil, Jhon Mark Agamata
School Year
2014-2015
Barat Elementary School
(1st row for date, 2nd row for Day
LEARNER'S NAME
15 Sagun, John James Bunuan
16 Tolentino, Kevin Andres
17 Valera, Karl Andrei Sagrado
MALE | TOTAL Per Day

1 Agamata, Mary Mae Balacay
2 Agpalasin, Alexa Gee Mara
3 Barroga, Aira Zyrille Marcelo
4 Burnos, Lyvin Shane Agamata
5 Dumale, Krizzia Jane Senido
6 Esposo, Shayranne Isabelle Dela Cruz
7 Guiab, Clariz Bayag
LEARNER'S NAME
8 Guya, Jhaystine Ruar

9 Marcelo, Marie Joy Marquez
10 Martinez, Rose Ann C.
11 Ramilloza, Maybell Allyza Unggay
12 Rosete, Stefhanie Balicat
13 Tabuyo, Sphie Isabella Grace Carillo
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY

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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
Total Daily Attendance
b.
Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learner as of End of the month
x 100
x 100
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
LEARNER'S NAME
School Form 2: Page 2 of ________
ly Attendance Report of Learners
& STS Form 4 - Absenteeism and Dropout Profile)
Report for the Month of
nd row for Day: M,T,W,TH,F)
Grade Level
II
Section
Lone
Total for the Month
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
ABSENT
TARDY

legend number 2.
Total for the Month
ABSENT
1. CODES FOR CHECKING ATTENDANCE

blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
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
Month:
TARDY

legend number 2.
No. of Days of Classes:
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month
a.4. Family problems

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
Average Daily Attendance

Percentage of Attendance for the month
Number of students with 5 consecutive days of absences:
Drop out
Summary for the Month

M
TOTAL
17
12
29
Total for the Month
ABSENT
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
Transferred out
Transferred in
I certify that this is a true and correct report.
CAROL M. LUYAMAN
d.2. Armed conflict (incl. Tribal wars & clanfeuds)

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
TARDY

legend number 2.
(Signature of Teacher over Printed Name)

Attested by:
JERRY B. LAZARO
(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued
(This replaced Form 1 & Inventory of Text B
School ID
School Year
School Name
NO.
Grade Level
Subject Area & Title
Date
Date
Date
Date
LEARNER'S NAME
Issued
Acosta, Ferdinan
Acosta, Jemar
Acpal, Kobe Brian
Agustin, Anthony
Banao, Albert
Banao, Darwin
Banao, Dexter
Ceniza, John Nolie
Dacumos, Jbee
Del Rosario, Jarren
Delizo, Mark Anthony
Estacio, ElRodan
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Ganigan, June Ray
Ganigan, Russel
Garcia, Lloyd Aaron
Inocencio, Alvin James
Laciapag, Marcon
Laguisma, Chester
Licay, Mark Renzel
Licupa, Melvin
Mantilla, Alberto
Pacheco, James Ulric
Pascual, Jayson
Pascual, Kurt Arvin
Ramirez, Jasper
Ramirez, Vincent Karl
Tanguilig, Michael
Tablada, Jolo
Tablada, Zarex
Tayaban, Kenneth
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Acosta, Fredalyn
Agcaoile, Daismarie
Aguilona, Marjorie
Alcantara, Mariel
Alcantara, Primrose
Bengco,Joan Adeline
Camilo, Zyrra Myrr
Diozon, Hannah Marrie
Ibee, Geelyne Monick
Jurilla, Ella Mae
Laurel, Rachelle
Lavarias, Glenalyn
Lorenzo, Erika
Lucena, Marissa
Ocampo, Alpha Joyce
Rambac, Gerlyn Gay
Razon, Jolina
Reyes, Aiza
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Salvador, Christine Mae
TOTAL FOR MALE | TOTAL COPIES
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
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 w
A. In Column Date Returned, codes are: FM=Force Majeure,

B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2
oks Issued and Returned
& Inventory of Text Book)
Section
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
ovide information with the following code:
FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
25, s.2003, DO#14, 2.2012.
Issued
Returned
Prepared By:
(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________
School Form 3: Page 2 of ________
School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absenteeis
Region
Division
School ID
School Name
ATTENDANCE
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Percentage for the

Month
M
(A) Cumulative as of
Previous Month
M
(B) For 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 grad
rner's Movement and Attendance
4-Absenteeism and Dropout Profile)
District
School Year
Report for the Month of
OPPED OUT
For the Month

T
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
umn per grade/year level.
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promo
(This replaced Forms 18-E1, 18-E2, 18A a
Region
School ID
103954
School Name
LRN
Division
NUEVA VIZCAYA
School Year
2014-2015
BARAT ELEMENTARY SCHOOL
GENERAL AVERAGE
LEARNER'S NAME
(Numerical Value in 3
(Last Name, First Name, Middle decimal places for honor
Name)
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
column is for K to 12 Curric
grades level that still i
Completed as of end
103954130002
103954130003
103954330005
103954130034
103954140032
103954130006
103954130007
103954130008
103954130004
103954130009
136074130025
103954130010
103954130011
103954130012
103954130013
103968120047
103954130014
103954130015
103954130016
103954130026
103954130017
103954130018
103954130019
103954130020
103954140033
103954130021
103954130022
103954140033
103954140034
103954130024
103954130025
Balala, Randel Fronda

Balicat, Rhile Justine Valladores
Briones, Brandon Eoin Immoliap
Claustro, Jan Real Palangyo
Cunanan, Jan Rai Dotimas
Dotimas, Jhey ell Tambis
Fragata, Henry James Sinadhan
Franilla, Lee Jayson Jr. Peralta
Gico, Angelo Barroga
Gonzales, Joboy Cambia
Lubong, Christopher Ian
Lubong, Mark Benosa
Robles, Zaemone Jose Sadang
Sabawil, Jhon Mark
Sagun, John James
Tolentino, Kevin John Andres
Valera, Karl Andrei Sagrado
17
Agamata, Mfary mae Balacay
Agpalasin, Alexa Gee Mara
Balicat, Jolan Joie Compay
Barroga, Aira Zyrille Marcelo
Burnos, Lyvin Shane Agamata
Dumale, Krizzia Jane Senido
Esposo, Shayranne Ysabelle Dela Cruz
Guiab, Clariz Bayag

Guya, Jhaystine Ruar
Marcelo, Marie Joy Marquez
Pangilinan, Jera Quissia Nagsipoc
Ramilloza, Maybel Allysa Unggay
Rosete, Stefhanie Balicat
Tabuyo, Sophie Isabella Grace Carillo
91.571 A
77.07 D
80.64 AP
80.92 AP
77.82 D
84.10 AP
76.28 D
78.71 D
84.07 AP
81.96 AP
81.14 AP
81.35 AP
80.60 AP
84.21 AP
86.35 AP
75.35 D
83.67 AP
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
TOTAL MALE
87.82 P
75 D
88.285 P
79.89 D
78 D
90.571 A
88.324 P
78.64 D
79.5 D
79.28 D
88.125 P
79.5 D
79.75 D
84.57 AP
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
LRN
GENERAL AVERAGE
LEARNER'S NAME
(Numerical Value in 3
(Last Name, First Name, Middle decimal places for honor
Name)
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
column is for K to 12 Curric
grades level that still i
Completed as of end
14
31
TOTAL FEMALE
COMBINED
n Promotion & Level of Proficiency
1, 18-E2, 18A and List of Graduates)

District
BAMBANG I
Curriculum
Grade Level
K to 12
Section
LONE
ETE SUBJECT/S
(This
for K to 12 Curriculum and remaining RBEC in High School. Elementary
es level that still implementing RBEC need not to fill up this column)
mpleted as of end of current SY
as of End of the current SY
STATUS
SUMMARY TABLE
MALE
FEMALE
TOTAL
PROMOTED
17
14
31
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
FEMALE
TOTAL
BEGINNNING
(B:
74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%
-89%)
13
10
11
ADVANCED
(A: 90%
and above)
PREPARED BY:
FREVELITA S. TACTAY
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:

CATHERINE C. TACTAY
School Head
REVIEWED BY:
GUIDELINES:
EVELYN A. CASTAETO
Division Representative
ETE SUBJECT/S
(This
for K to 12 Curriculum and remaining RBEC in High School. Elementary
es level that still implementing RBEC need not to fill up this column)
mpleted as of end of current SY
as of End of the current SY

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)
5. Protocols of validation & submission will remain under the discretion of the Schools Division
Superintendent
School Form 5: Page 2 of 2
School Form 6 (SF6) Summarized Report on Prom

and Level of Proficiency
(This replaced Form 20)
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
(B:
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
90% and above)
(A:
TOTAL
Prepared and Submitted by:
Reviewed & Validated by:

SCHOOL HEAD
Noted by:
DIVISION REPRESENTATIVE
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
Promotion
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
d.
SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and Basic P

(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
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
Title of Plantilla Position

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

(as
appeared in the appointment document/PSIPOP)
Number of
Incumbent
Title of Designation
(Designation as ap
contract/document: Teacher, C
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
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 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
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.
and Basic Profile
ent List,
s)
School Year
(C ) Other Appointments and Funding Sources
ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)
Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)
Number of Incumbent
Teaching
NonTeaching
* Daily Program (time duration)

Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)
Remark/s (For Detailed

Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week
Ave. Minutes per Day

Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)

Items, Indicate name of
Total Actual
To (00:00)
-Ethnicity)
Assignment per
Week

Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)

Items, Indicate name of
Total Actual
To (00:00)
-Ethnicity)
Assignment per
Week

Submitted by:
o the Division Office .

as inventory list of school

Updated as of: ___________________________
School Form 7, Page 2 of ________

School Forms Spread Sheet (1-7)

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Region

Barat Elementary School

Sex BIRTH DATE (mm/

Balala, Randel Fronda

Balicat, Rhile Justine Valladores

Briones, Brandon Eion Immoliap

Sex BIRTH DATE (mm/

Claustro, Jan Real

Cunanan, Jan Rai Dotimas

Dotimas, Jhey-ell Tambis

Fragata, Henry James Sinadhan

Franilla, Lee Jayson Jr. Peralta

Gico, Angelo Barroga

Gonzales, Joboy Cambia

Lubong Christopher Ian Duran

Lubong, Mark Benoza

Sex BIRTH DATE (mm/

Robles, Zaemone Sadang

Sabawil, Jhon Mark Agamata

Sagun, John James Bunuan

Tolentino, Kevin Andres

Valera, Karl Andrei Sagrado

Sex BIRTH DATE (mm/

Agamata, Mary Mae Balacay

Agpalasin, Alexa Gee Mara

Barroga, Aira Zyrille Marcelo

Sex BIRTH DATE (mm/

Burnos, Lyvin Shane Agamata

Dumale, Krizzia Jane Senido

Esposo, Shayranne Isabelle Dela Cruz

Guiab, Clariz Bayag

Guya, Jhaystine Ruar

Marcelo, Marie Joy Marquez

Ramilloza, Maybell Allyza Unggay

Rosete, Stefhanie Balicat

Sex BIRTH DATE (mm/

Tabuyo, Sphie Isabella Grace Carillo

Sex BIRTH DATE (mm/

List and code of Indicators under REMARK colum

Name of Public (P) Private (PR) School & Effectivity DateBalik-Aral

School Form 1 (SF 1) School Register

Father (1st name only if family

Balala, Ruben Sallacup

Balicat, Regie Noble

Briones, Gabriel Plamo

Claustro, Jhon Manuel

Cunanan, Lito Cano

Dotimas, Jerry Mallari

Fragata, Jerome Pescasio

Franilla, Lee Jayson Sr. Mariano

Gico, Joenel Jardinico

Gonzales, Rogelio Jr. Viernes

Lubong, Leonardo Plamo

Lubong, Gorgonio Jr. Plamo

Father (1st name only if family

Sabawil, Rene Manuel

Sagun, Tranquilino Jr. Natividad

Valera, Anthony Antiqua

Father (1st name only if family

Father (1st name only if family

Agamata, Edgar Jr. Corpuz

Father (1st name only if family

Burnos, Rovin Cagurangan

Father (1st name only if family