School Forms Spread Sheet 2014-2015 AUGUST CAUCHY

School ID
Region
300841
School Name
RIZAL NATIONAL HIGH SCHO

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

(M/F)
dd/yy)
(nos. of years as per
last birthday)
105654060002
Apanay, Jericho P.
06/06/00
14
105653060023
Baula, Ramon A.
08/14/00
14
105640060008
Benico, Nariel R.
08/25/00
14
105653060029
Bonganay, Raymond John A.
05/08/01
14
105659060007
Clemente, Jerome V.
01/10/00
14 1/2

of June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
last birthday)
105653050051
Dela Cruz, Gesrom C.
105659060008
Divina, Jay Mark D.
10/19/00
13 1/2
105653060058
Domingo, Arnel A.
03/02/00
14 1/2
105653060072
Fernandez, Alvin V.
01/06/01
13 1/2
10
300795110074
Franada, Jonathan L.
11
105643060012
Gamatan, Francis Jay G.
03/13/01
13 1/2
12
105653060080
Gante, Aljer Ira P.
11/15/00
13 1/2
13
105653060092
Javier, John Michael D.
05/02/01
13
14
105608060020
Lejano, Emil Jon T.
01/06/01
13 1/2

of June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
last birthday)
15
300841100324
Marquez, Vincent
16
105653060120
Mauyao, Jamel C.
09/02/00
14
17
105653060130
Obello, William V.
07/01/00
14
18
105653060139
Paraiso, Lerix Caytan V.
09/04/01
13
19
105709060105
Pascua, John Patrick
20
105659060016
Perido, Noel C.
11/25/00
13 1/2
21
105653060160
Sapigao, Ralph Christian M.
12/25/99
14 1/2
22
105644060049
Satumba, Zhareck Andrey A.
07/01/00
14
23
105657060027
Tagarro, Medwill G.
03/26/00
14 1/2

of June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
last birthday)
24
105653060175
Teves, Glen R.
11/29/00
13 1/2
25
105608060035
Torqueza, Paul John T.
02/26/01
13 1/2
26
105653060177
Tubije, Jan Lorenz P.
02/26/01
13 1/2
13 1/2
GIRLS
1
2
3
4
5
6
105644060001
Abella, Maricel M.
03/14/01
105608060001
Alvarez, Mickael Ellyssa C.
08/25/01
13
105653060011
Amican, Chlarys Jemn B.
04/29/00
14
105654060004
Banaban, Reggie O.
11/09/00
105644060016
Bisquera, Mika Joyce A.
07/21/01
13
105659060002
Busa, Rea May S.
09/24/00
14
13 1/2

of June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
last birthday)
7
8
9
10
11
12
13
14
15
105656060012
Daileg, Joyce Marie C.
03/19/01
13 1/2
105658060005
Danglapin, Frida Joy N.
10/13/00
13 1/2
105653060050
De leon, Joyce H.
10/03/00
13 1/2
105654060018
Gabriel, Ivy May D.
05/20/99
105659060012
Garcia, Jamaica S.
10/25/00
13 1/2
105607060020
Garcia, Rose Marie C.
12/24/00
13 1/2
105654060040
Gatcho, Carina V.
05/20/00
105653060098
Lapastora, Rheynelyn D.
11/03/99
14 1/2
105643050006
Linda, Rya Jobelle S.
11/02/99
14 1/2
15
14

of June
LRN
NAME
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
last birthday)
16
17
18
19
20
21
22
23
24
Lopez, Cathleen E.
05/30/01
13
Nono, Jovelyn H.
07/04/00
14
300841130069
Pascua, Kristine L.
02/18/99
105653060137
Perado, Ericka T.
05/29/00
105653060146
Puselero, Jhamila A.
11/10/00
105655060019
Rillon, Joanne V.
06/08/01
105654060039
Ruiz, Louie Ann G.
03/28/01
105658060018
Sarroca, Carla D.
07/08/01
105659060019
Tabara, Kimberly G.
01/15/01
105356060059
10550605001
15 1/2
14
13 1/2
13
13 1/2
13
13 1/2

of June
NAME
LRN
Sex BIRTH DATE (mm/

(M/F)
dd/yy)
last birthday)
25
105653060176
Torres, Angelica S.
Code
01/04/00
14 1/2
Required Information
T/O
Name of Public (P) Private (PR) School & Effectivity Date
T/I
DRP
LE
Name of Public (P) Private (PR) School & Effectivity Date

Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profil
III
Division
NUEVA ECIJA
School Year
GH SCHOOL
2014-2015
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Nueva Ecija
Filipino
Aglipayan
Quezon St.
Pob.West
Nueva Ecija
Filipino
Catholic
Munsayac St.
Pob.Sur
Nueva Ecija
Filipino
Aglipayan
Purok 5
Pob.West
Nueva Ecija
Filipino
UCCP
Nueva Ecija
Filipino
Iglesia ni Cristo
Pob.Norte
Purok 2
Villa Paraiso
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
RELIGION
Purok
Barangay
Nueva Ecija
Filipino
Nueva Ecija
Filipino
Nueva Ecija
Filipino
Aglipayan
Villanueva St.
Pob.East
Nueva Ecija
Filipino
Catholic
Purok 5
Pob.West
Nueva Ecija
Filipino
Nueva Ecija
Filipino
Catholic
Purok Kamagong
Del Pilar
Nueva Ecija
Filipino
Catholic
Purok 2
Calaocan District
Nueva Ecija
Filipino
Catholic
Aglipay St.
Pob.Sur
Nueva Ecija
Filipino
Catholic
Purok 7
San Juan
Purok 1
Purok 3
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
RELIGION
Purok
Barangay
Nueva Ecija
Filipino
Nueva Ecija
Filipino
Catholic
Agaran St.
Pob.Norte
Nueva Ecija
Filipino
Aglipayan
Villanueva St.
Pob.East
Nueva Ecija
Filipino
Iglesia ni Cristo
Manzano St.
Pob.Norte
Nueva Ecija
Filipino
Nueva Ecija
Filipino
UCCP
Purok 3
Villa Paraiso
Nueva Ecija
Filipino
Catholic
Tabangay St.
Pob.East
Nueva Ecija
Filipino
Catholic
Purok 7
Calaocan District
Nueva Ecija
Filipino
UCCP
Purok 3
Sta.Monica
Purok 1
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
RELIGION
Purok
Barangay
Tabangay St.
Pob.East
Nueva Ecija
Filipino
Iglesia ng Dios
Nueva Ecija
Filipino
Catholic
Nueva Ecija
Filipino
Catholic
Nague St.
Pob.Centro
San Juan
Filipino
Nueva Ecija
Filipino
Catholic
Pakak St.
Calaocan District
Nueva Ecija
Filipino
Catholic
Purok 2
San Juan
Nueva Ecija
Filipino
Catholic
Agaran St.
Pob.Sur
Nueva Ecija
Filipino
Catholic
Nueva Ecija
Filipino
Catholic
Langka St.
Calaocan District
Nueva Ecija
Filipino
Catholic
Purok 2
Villa Paraiso
Santor
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
RELIGION
Purok
Barangay
Nueva Ecija
Filipino
Catholic
Purok 6
San Gregorio
Nueva Ecija
Filipino
Catholic
Purok 1
Villa Labrador
Nueva Ecija
Filipino
Catholic
Quezon St.
Pob.West
Nueva Ecija
Filipino
Catholic
Pob.West
Nueva Ecija
Filipino
Catholic
Villa Paraiso
Nueva Ecija
Filipino
Catholic
Purok 2
Sampaloc
Nueva Ecija
Filipino
Catholic
Bites
Sta.Monica
Nueva Ecija
Filipino
Catholic
Purok 5
Pob.West
Nueva Ecija
Filipino
Catholic
Purok Yakal
Del Pilar
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
RELIGION
Purok
Barangay
Purok 2
Villa Labrador
Nueva Ecija
Filipino
Born Again
Nueva Ecija
Filipino
Catholic
Nueva Ecija
Filipino
Catholic
Purok 2
Villa Labrador
Nueva Ecija
Filipino
Methodist
Agaran St.
Pob.Norte
Nueva Ecija
Filipino
Catholic
Magsaysay St.
Pob.Sur
Nueva Ecija
Filipino
Iglesia ni Cristo
Purok 3
San Esteban
Nueva Ecija
Filipino
Catholic
Valdez St.
Pob.West
Nueva Ecija
Filipino
Iglesia ni Cristo
Purok 3
Villa Labrador
Nueva Ecija
Filipino
Catholic
Purok 2
Villa Paraiso
San Alfonso
ADDRESS
BIRTH PLACE
(Province)
Nueva Ecija
Indicator
MOTHER
TONGUE
IP
Filipino
RELIGION
Iglesia ni Cristo
Code
Purok
Barangay
Purok 3
Pob.West
Required Information
CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
Balik-Aral
Learner With Dissabilit
Accelarated
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
ol Register
Background and Profile)
RIZAL
District
4-2015
Grade Level
SS
Section
NAME OF PARENTS
Municipality/ City
Province
Father (1st name only if family name

identical to learner)
Mother (Maiden: 1st Name, Middle & Last Name)
Rizal
Nueva Ecija
Amel
Luningning Marquez Peralta
Rizal
Nueva Ecija
James
Melita Gordolan Abulencia
Rizal
Nueva Ecija
Ariel
Nancy N. Rosendo
Rizal
Nueva Ecija
Ramil
Arlene I. Alarcon
Rizal
Nueva Ecija
Gil
Josephine Ramos Valiente
SS
NAME OF PARENTS

Nueva Ecija
Rey
Elvie B. Albiatar
Rizal
Nueva Ecija
Domingo
Teodora Verdadero. Fernandez
Rizal
Nueva Ecija
Rizal
Nueva Ecija
Albert
Rowena Marquez Gavino
Rizal
Nueva Ecija
Repable
Luz R. Pocsidio
Rizal
Nueva Ecija
Felipe
Menalyn Secreto Dela Cruz
Pantabangan
Nueva Ecija
Ernesto
Maribel Villanueva Torres
Municipality/ City
Province
Rizal
Nueva Ecija
Rizal
Nueva Ecija
Rizal
SS
NAME OF PARENTS

Nueva Ecija
Rogelio
Beverly B. Carsolin
Rizal
Nueva Ecija
Wilson
Estelita Velasco Viernes
Rizal
Nueva Ecija
Brixter
Lerio De leon Valerio
Rizal
Nueva Ecija
Rizal
Nueva Ecija
Roy
Fe Baquirin Corpuz
Rizal
Nueva Ecija
Roland
Marivic Asuncion Mangalinao
Rizal
Nueva Ecija
Darwin
Elisa S. Adona
Rizal
Nueva Ecija
Medel
Wilma Bugarin Guillermo
Municipality/ City
Province
Rizal
Nueva Ecija
Rizal
SS
NAME OF PARENTS
Municipality/ City
Province

Rizal
Nueva Ecija
Jovener
Brenda Valeroso Radovan
Pantabangan
Nueva Ecija
Joel
Leila V. Torres
Rizal
Nueva Ecija
Ignacio
Lorena P. Pascua
Rizal
Nueva Ecija
Ignacio
Tessie Domingo Menquita
Pantabangan
Nueva Ecija
Mark Gil
Eufeliza Mabasa Carasco
Rizal
Nueva Ecija
Crisostomo
Lorna Lysa S. Bautista
Bongabon
Nueva Ecija
Jerry
Rasiel T. Ordanza
Rizal
Nueva Ecija
Rodolfo
Damiana Agliba Avendiano
Rizal
Nueva Ecija
Romeo
Wilma Garcia Soriano
SS
NAME OF PARENTS
Municipality/ City
Province

Rizal
Nueva Ecija
Joemar
Olivia Martinez Cabuslay
Rizal
Nueva Ecija
Frisco
Jocelyn Upalar Nono
Rizal
Nueva Ecija
Nicanor
Adelina Rocapor Hernandez
Rizal
Nueva Ecija
Felipe
Sarah Morales De Guzman
Rizal
Nueva Ecija
Mario
Vilma Labrador Sudio
Pantabangan
Nueva Ecija
Zaldy
Mary Jane Gonzales Candelaria
Rizal
Nueva Ecija
Darius
Saturnina Gatcho Santos
Rizal
Nueva Ecija
Rhey
Norlita Pascual David
Rizal
Nueva Ecija
Dexter
Aiza Pajarito Sibayan
SS
NAME OF PARENTS
Municipality/ City
Province

Rizal
Nueva Ecija
Francisco
Joy Ramos Esmilla
Llanera
Nueva Ecija
Jacinto
Lucricia B. Hilario
Rizal
Nueva Ecija
Antonio
Vilma Bernardo Limos
Rizal
Nueva Ecija
Arturo
Nene Villanueva Tore
Rizal
Nueva Ecija
Adriano
Pamela Cecilia De Guzman. Agustin
Rizal
Nueva Ecija
Joven
Evelyn Batac Viernes
Rizal
Nueva Ecija
Antonio
Jennifer Co Gordo
Rizal
Nueva Ecija
Leonardo
Ailyn Yabis Domingo
Rizal
Nueva Ecija
Reynaldo
Jenny D. Gruezo
SS
NAME OF PARENTS
Municipality/ City
Province

Rizal
Nueva Ecija
Alfredo
Rowena Dela Cruz Somera
BoSY
EoSY
Prepared by:
MALE
GERARDO A. BALOSBALOS JR.
FEMALE
TOTAL
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
CAUCHY
GUARDIAN (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Amel Castillo Apanay
Father
James Esguerra Baula
Father
Ariel Datugan Benico
Father
Ramil D. Bonganay
Father
Gil Medrano Clemente
Father
(Please refer to the legend

on last page)
0909-677-3143
0928-9630-035
REMARK/S
Contact Number
(Parent /Guardian)
on last page)
Name
Relationship
Rey Macaraig Domingo
Father
Domingo Fagaragan
Fernandez
Father
Albert Fronda. Gamatan
Father
Repable G. Gante, Jr.
Father
0908-4114-934
Felipe Linda Javier
Father
0939-6082-534
Ernesto Viernes Lejano
Father
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Rogelio L. Mauyao
Father
Wilson Grospe Obello
Father
Brixter Gelbolingo
Paraiso
Father
Roy Garcia Perido
Father
Roland Valeroso Sapigao
Father
Darwin Cubangbang
Satumba
Father
Medel Duazon Tagarro
Father

on last page)
0929-282-3019
0998-458-9506
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Jovener Balmediano
Teves
Father
Joel C. Torqueza
Father
Ignacio Ruiz Tubije, Jr.
Father
Ignacio Espiritu Abella
Father
Mark Gil Bravo Alvarez
Father
Crisostomo Salonga
Amican
Father
Jerry S. Banaban
Father
Rodolfo Domingo
Bisquera
Father
Romeo Busa
Father

on last page)
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Joemar M. Daileg
Father
Frisco Dawa Danglapin
Father
Nicanor Baldonado De
leon
Father
Felipe Guiang Gabriel
Father
Mario Tamayo Garcia
Father
Zaldy Ines Garcia, Sr.
Father
Darius Sion Santos
Father
Rhey Cinense Lapastora
Father
Dexter Aguilar Linda
Father

on last page)
0928-9097-030
REMARK/S
Contact Number
(Parent /Guardian)
Name

on last page)
Relationship
Francisco Faustino
Lopez
Jacinto E. Nono, Jr.
Father
Antonio Antolin Pascua
Father
Arturo Tobias Perado
Father
Adriano Feliciano
Puselero
Father
Joven Ramirez Rillon
Father
Antonio S. Ruiz
Father
Leonardo Valdez Sarroca
Father
Reynaldo Galiendo
Tabara
Father
0998-381-3695
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Alfredo Linda Torres
Father

on last page)
Certified Correct:
BALOS JR.
r Printed Name)
DANILO A. TAMAYO
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) D
(This replaced Form 1, For
School ID
Name of School
300841
2014-2015
School Year
RIZAL NATIONAL HIGH SCHOOL
7
8
9
10
11
12
13
14
14
TH
13
W
12
T
11
TH
Apanay, Jericho P.
Baula, Ramon A.
Benico, Nariel R.
Bonganay, Raymond John A.
Clemente, Jerome V.
Dela Cruz, Gesrom C.
Divina, Jay Mark D.
Domingo, Arnel A.
Fernandez, Alvin V.
Franada, Jonathan L.
Gamatan, Francis Jay G.
Gante, Aljer Ira P.
Javier, John Michael D.
Lejano, Emil Jon T.
LEARNER'S NAME
(1st row for d
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
16
17
18
19
20
21
22
23
24
25
26
MALE | TOTAL Per Day

1
2
3
4
5
6
7
8
9
Abella, Maricel M.
Alvarez, Mickael Ellyssa C.
Amican, Chlarys Jemn B.
Banaban, Reggie O.
Bisquera, Mika Joyce A.
Busa, Rea May S.
Daileg, Joyce Marie C.
Danglapin, Frida Joy N.
De leon, Joyce H.
14
TH
13
W
12
T
11
M
8
F
7
TH
6
W
Marquez, Vincent
Mauyao, Jamel C.
Obello, William V.
Paraiso, Lerix Caytan V.
Pascua, John Patrick
Perido, Noel C.
Sapigao, Ralph Christian M.
Satumba, Zhareck Andrey A.
Tagarro, Medwill G.
Teves, Glen R.
Torqueza, Paul John T.
Tubije, Jan Lorenz P.
15
LEARNER'S NAME
(1st row for d
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
24
24
24
24
22
24
24
24
24
23
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
18
19
20
21
22
23
24
25
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
14
TH
13
12
11
17
16
15
14
TH
13
12
11
Gabriel, Ivy May D.

Garcia, Jamaica S.
Garcia, Rose Marie C.
Gatcho, Carina V.
Lapastora, Rheynelyn D.
Linda, Rya Jobelle S.
Lopez, Cathleen E.
Nono, Jovelyn H.
Pascua, Kristine L.
Perado, Ericka T.
Puselero, Jhamila A.
Rillon, Joanne V.
Ruiz, Louie Ann G.
Sarroca, Carla D.
Tabara, Kimberly G.
Torres, Angelica S.
10
LEARNER'S NAME
(1st row for d
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
22
22
22
22
22
21
22
22
22
22
46
46
46
46
44
45
46
46
46
45
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:
a.
Percentage of Enrolment =
b.
Average Daily Attendance =
c. Percentage of Attendance for the month =
14
TH
13
W
12
T
11
M
8
F
7
TH
6
W
5
T
4
M
LEARNER'S NAME
(1st row for d
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
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
School Form 2: Page 2 of ________
SF2) Daily Attendance Report of Learners
Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2015
AUGUST
Report for the Month of
Grade Level
Total for the Month
29
28
27
25
26
X X
TH
X X
X X
X X
22
F
21
TH
20
W
19
T
18
M
15
st row for date, 2nd row for Day: M,T,W,TH,F)
CAUCHY
Section
ABSENT
X X
X X
X X
X X
19
X X
X X
TARDY
REMARK/S (If DROPPED OUT, sta

numbe
If TRANSFERRED IN/OUT, w
Transeferr
Total for the Month
29
F
28
TH
27
26
25
22
21
X X
X X
X X
X X
X X
TH
20
19
18
15
ABSENT
X X
X X
X X
X X
19
TARDY

numbe
Dropped out due to lack o
X X
24
23
24
24
24
24
24
23
24
451
X X
X X
X X
X X
X X
X X
X X
X X
X X
19
Transeferr
Total for the Month
X X
X X
X X
X X
X X
X X
29
28
27
26
25
M
22
F
21
X X
TH
X X
X X
ABSENT
X X
X X
X X
X X
19
Transeferr
X X
X X
X X
X X
19
Dropped out due to
X X
TARDY

numbe
X X
TH
20
W
19
T
18
M
15
22
22
22
22
22
22
22
21
22
416
46
45
46
46
46
46
46
44
46
867
1. CODES FOR CHECKING ATTENDANCE
Month:
JULY
blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June)
No. of Days of Classes:
Total for the Month
x 100
x 100
otentials of
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
29
F
28
TH
27
W
26
T
25
M
22
F
21
TH
20
W
19
T
18
M
15
ABSENT
TARDY

numbe
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
Average Daily Attendance
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
Percentage of Attendance for the month

Number of students with 5 consecutive days of absences:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
GERARDO A. BALOSBALOS,
d.2. Armed conflict (incl. Tribal wars & clanfeuds)

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teacher over Printed Name)

Attested by:
APOLONIO T. DUMAYA, Ph
(Signature of School Head over Printed Nam
UT, state reason, please refer to legend

number 2.
OUT, write the name of School.)
nseferred Out

number 2.
to lack of interest/distractions
nseferred Out

number 2.
nseferred Out
due to child labor/work
Summary for the Month

M
TOTAL
26
25
51

number 2.
0
24
22
46
92.31
88.00
90.20
22.55
20.8
43.35
93.96
94.55
94.24
ALOS, JR.
A, PhD.
ed Name)
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 Promotion & Level of Prof

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
III
Region
300841
School ID
School Year
2013-2014
School Name
LRN
NUEVA ECIJA
Division
GENERAL AVERAGE (Numerical
LEARNER'S NAME
(Last Name, Value in 3 decimal places for honor

First Name, Middle Name)
Apanay, Jericho P.
learner, 2 for non-honor &

Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
LRN
LEARNER'S NAME


Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
LRN
LEARNER'S NAME


Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
LRN
LEARNER'S NAME

TOTAL FEMALE
COMBINED

Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
el of Proficiency
District
014
Curriculum
Grade Level
RIZAL
K-12
7
Section
BAPTISIA
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)
SUMMARY TABLE
Completed as of end of current SY
as of End of the current SY
STATUS
MALE
FEMALE
TOTAL
PROMOTED
26
22
48
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
FEMALE
TOTAL
BEGINNNING
(B:
74% and below)
DEVELOPING (D: 75%79%)
12
column)
SUMMARY TABLE
STATUS
MALE
DEVELOPING (D: 75%79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%
-89%)
FEMALE
TOTAL
12
18
15
33
PREPARED BY:
JESIEL M. MABASA
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
column)
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
APOLONIO T. DUMAYA, Ph.D.

School Head
REVIEWED BY:
RENATO S. TAN, Ph.D.

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)
column)
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
5. Protocols of validation & submission will remain under

the discretion of the Schools Division Superintendent
School Form 6 (SF6) Summarized Report on Promo

and Level of Proficiency
(This replaced Form 20)
School ID
Region
300841
School Name
Division
III
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
District
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
PROMOTED
26
22
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
MALE
(B:
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
90% and above)
(A:
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
48
1
0
TOTAL
12
18
15
33
TOTAL
Prepared and Submitted by:
26
23
APOLONIO T. DUMAYA, Ph. D.
SCHOOL HEAD
49
Reviewed & Validated by:
RENATO S. TAN, Ph.D.
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
NUEVA ECIJA
RIZAL
School Year
GRADE 5 / GRADE 11
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
d.
EDNA SANTOS-ZERRUDO, Ed.D, CESO V

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 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
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
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
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
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 Forms Spread Sheet 2014-2015 AUGUST CAUCHY

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School ID

RIZAL NATIONAL HIGH SCHO

Sex BIRTH DATE (mm/

Bonganay, Raymond John A.

AGE as of 1st Friday

Sex BIRTH DATE (mm/

Dela Cruz, Gesrom C.

Divina, Jay Mark D.

Gamatan, Francis Jay G.

Gante, Aljer Ira P.

Javier, John Michael D.

Lejano, Emil Jon T.

AGE as of 1st Friday

Sex BIRTH DATE (mm/

Paraiso, Lerix Caytan V.

Pascua, John Patrick

Sapigao, Ralph Christian M.

Satumba, Zhareck Andrey A.

AGE as of 1st Friday

Sex BIRTH DATE (mm/

Torqueza, Paul John T.

Tubije, Jan Lorenz P.

Alvarez, Mickael Ellyssa C.

Amican, Chlarys Jemn B.

Bisquera, Mika Joyce A.

Busa, Rea May S.

AGE as of 1st Friday

Sex BIRTH DATE (mm/

Daileg, Joyce Marie C.

Danglapin, Frida Joy N.

Gabriel, Ivy May D.

Garcia, Rose Marie C.

Linda, Rya Jobelle S.

AGE as of 1st Friday

Sex BIRTH DATE (mm/

Ruiz, Louie Ann G.

AGE as of 1st Friday

Sex BIRTH DATE (mm/

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

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

School Form 1 (SF 1) School Register

CCT Control/reference number & Effectivity Date

Name of school last attended & Year

Father (1st name only if family name

Mother (Maiden: 1st Name, Middle & Last Name)

Luningning Marquez Peralta

Melita Gordolan Abulencia

Josephine Ramos Valiente

Father (1st name only if family name

Mother (Maiden: 1st Name, Middle & Last Name)

Teodora Verdadero. Fernandez

Rowena Marquez Gavino

Menalyn Secreto Dela Cruz

Maribel Villanueva Torres

Father (1st name only if family name

Mother (Maiden: 1st Name, Middle & Last Name)

Estelita Velasco Viernes

Lerio De leon Valerio

Marivic Asuncion Mangalinao

Wilma Bugarin Guillermo

Father (1st name only if family name

Mother (Maiden: 1st Name, Middle & Last Name)

Brenda Valeroso Radovan

Tessie Domingo Menquita