School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)

School ID

School Year

School Name

NO.

Section

Grade Level
Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & Tit

Date
Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Returned

Issued

Subject Area & Tit

Date
Returned

Issued

TOTAL FOR MALE | TOTAL COPIES

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 copies of this form may be used if needed.

In case of lost/unreturned books, please provide information with the following code:

Prepared By:

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.

Date BoSY:______

ect Area & Title

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

ect Area & Title

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

(Signature over printed name)

BoSY:____________ Date EoSY: ___________

School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

107984

School Name

Region I-V -A

IMUS CITY

District

ESTANISLAO VILLANUEVA MEM. ELEM. SCHL.

(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position

(as it
appears in the appointment document/PSIPOP)

Division
CAVITE

(B) Nationally-Funded Non Teaching Items

Number of Incumbent

CAVITE

School Year

2015-2016

(C ) Other Appointments and Funding Sources

Title of Plantilla Position

(as it appears
Number of Incumbent
in the appointment document/PSIPOP)

Title of Designation
(as it appears in the contract/document:
Teacher, Clerk, Security Guard, Driver etc.)

Number of Incumbent
Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Teaching
Non-Teaching

EDUCATIONAL QUALIFICATION

BEED/MAEd

PRINCIPAL I

NATIONAL

PERMANENT
PERMANENT

BSC W/ 24 UNITS EDUCATION

D W/ 18 UNITS M.A

PERMANENT

Condes, Asuncion (TII)

TEACHER III

Saez, Marilou (TIII)

NATIONAL

WILMA J. CHIQUILLO

Fund Source

Nature of
Position/ Designation
Appointment/
Employment Status Degree / Post Graduate

TEACHER II

4430051

4405065

4892099

Sex

NATIONAL

Employee No.
(or Tax
Name of School Personnel
Identification
(Arrange by Position, Descending)
Number -T.I.N.)

Major/ Specialization

Daily Program (time duration)

Minor

Subject Taught (include Grade

& Section), Advisory Class &
DAY
Other Ancillary Assignments (M/T/W/TH/
F)

From
(00:00)

To (00:00)

9:55
10:45
2:00
2:40
3:20
4:00
7:00
8:00
1:00

10:55
11:25
2:40
3:20
4:00
4:40
8:00
9:00
2:00

7:35

8:05

Total Actual
Teaching Minutes
per Week

MAPEH

Ave. Minutes per Day

EPP IV
M-F
MAPEH IV
M-F
EPP V
M-F
MAPEH V
M-F
EPPVI
M-F
MAPEH VI
M-F
CANTEEN WORKS
M-F
PROPERTY CUSTODIAN
M-F
FEEDING COORDINATOR
M-F
Ave. Minutes per Day
ESP IV
M-F

0
50
40
40
40
40
40
60
60
60
430
30

Remarks (For Detailed

Items, Indicate name of
school/office, For IP's
-Ethnicity)

EDUCATIONAL QUALIFICATION

BEED W/ 18 UNITS M.A

BEED W/ 30 UNITS M.A

PERMANENT
PERMANENT
PERMANENT

NATIONAL

TEACHER II
TEACHER II
TEACHER 1

BEED W/ 18 UNITS M.A

BEED W/ 39 UNITS M.A

PERMANENT

Beronio, Blesita (TI)

Nature of
Position/ Designation
Appointment/
Employment Status Degree / Post Graduate

TEACHER 1

Borlat, Genalyn (TI)

NATIONAL

Belostrino, Jeanette (TII)

Fund Source

NATIONAL

Condes, Asuncion (TII)

Sex

NATIONAL

257689047

4634697

4432171

4430051

Employee No.
(or Tax
Name of School Personnel
Identification
(Arrange by Position, Descending)
Number -T.I.N.)

Major/ Specialization

Daily Program (time duration)

Minor

Subject Taught (include Grade

& Section), Advisory Class &
DAY
Other Ancillary Assignments (M/T/W/TH/
F)
ENGLISH IV
MATH IV
FILIPINO IV
ARALING PANLIPUNAN IV

SCIENCE IV
CLINIC WORKS

M-F
M-F
M-F
M-F
M-F
M-F

Ave. Minutes per Day

ESP
M-F
MATH
M-F
FILIPINO
M-F
ARALING PANLIPUNAN
M-F
MOTHER TONGUE
M-F
MAPEH
M-F
ENGLISH
M-F
REM. TEACHING
M-F
GUIDANCE WORKS
M-F
Ave. Minutes per Day
ESP VI
M-F
ENGLISH VI
M-F
FILIPINO IV
M-F
MATH V
M-F

From
(00:00)

To (00:00)

Total Actual
Teaching Minutes
per Week

8:05
1:00
1:50
2:40
3:20
9:55

8:55
1:50
2:40
3:20
4:10
10:55

50
50
50
40
50
60

7:25
7:55
8:45
9:55
10:45
1:00
1:40
2:30
3:10

7:55
8:45
9:35
10:45
11:35
1:40
2:30
3:10
4:10

7:25
7:45
8:45
10:05

7:45
8:45
9:45
11:05

330
30
50
50
50
50
40
50
40
60
420
20
60
60
60

MATH VI

M-F

1:00

2:00

60

ARALING PANLIPUNAN VI

M-F

2:00

2:40

60

ICT

M-F

3:20

4:20

60

7:25
7:55
8:45
9:35
10:15
1:00
1:40

7:55
8:45
9:15
10:15
11:05
1:40
2:10

60
440
30
50
30
40
50
40
30

2:10

3:00

M-F
Ave. Minutes per Day
ESP
M-F
MOTHER TONGUE
M-F
FILIPINO
M-F
ARALING PANLIPUNAN
M-F
MATH
M-F
MAPEH
M-F
ENGLISH
M-F
LIS

CORRECTIVE TEACHING

M-F

Ave. Minutes per Day

50
320

Remarks (For Detailed

Items, Indicate name of
school/office, For IP's
-Ethnicity)

EDUCATIONAL QUALIFICATION
Nature of
Appointment/
Employment Status Degree / Post Graduate

BEED

Position/ Designation

PERMANENT

Fund Source

TEACHER 1

Doligon, Lyn (TI)

Sex

NATIONAL

30016105600

Employee No.
(or Tax
Name of School Personnel
Identification
(Arrange by Position, Descending)
Number -T.I.N.)

Major/ Specialization

Daily Program (time duration)

Minor

Subject Taught (include Grade

& Section), Advisory Class &
DAY
Other Ancillary Assignments (M/T/W/TH/
F)

From
(00:00)

To (00:00)

Total Actual
Teaching Minutes
per Week

ESP

M-F

7:25

7:55

30

ENGLISH
FILIPINO
MTB
ARALING PANLIPUNAN
SCIENCE
MATHEMATICS
MAPEH

M-F
M-F
M-F
M-F
M-F
M-F
M-F
M-F

7:55
8:45
9:55
10:45
1:00
1:50
2:40
3:20

8:35
9:35
10:45
11:25
1:50
2:40
3:20
4:40

50
50
50
40
50
50
40
20

CORRECTIVE TEACHING

BEED

PERMANENT

Hector Laga (TI)

TEACHER II

4531509130

NATIONAL

Ave. Minutes per Day

380

ESP

M-F

7:25

7:55

30

ENGLISH
FILIPINO V
SCIENCE & HEALTH VI
SCIENCE & HEALTH V

M-F
M-F
M-F
M-F
M-F
M-F

7:55
9:10
10:10
1:00
3:20
4:00

8:55
10:10
11:10
2:00
4:00
5:00

60
60
60
60
40
60

ARALING PANLIPUNAN V

JOURNALISM

Ave. Minutes per Day

GUIDELINES:

Remarks (For Detailed

Items, Indicate name of
school/office, For IP's
-Ethnicity)

370
Submitted by:

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 the school year, an updated SF 7 must be submitted 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.
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.

WILMA J. CHIQUILLO
(Signature of School Head over Printed Name)
Updated as of: _______

30-Jun-15
School Form 7, Page 1 of 1

1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion w
2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.

3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Oth

4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or

5. In the future, the format of the modified forms may be adjusted to align with the most recent polic

port on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12

K to 12 program. Other grade/year level will keep that column blank.

SF 4 may be used or the current form 3)

he most recent policy of K to 12 program.

EC and K to 12