School Forms

School ID
Region
136685
School Name
NCR
SSS Village Elementary School
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
136685130179
Bagacina, Jay Vincent Buenaventura
9/3/07
136685140337
Balano, Kenshin Tsukuyama
9/20/08
136685130129
Buenaventura, Carl Cyruz Ancheta
6/13/07
136685140538
Caballero, Sherwin
3/18/08
136685130366
Cabato, Louie angelo Aguaviva
2/27/08
LRN
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
1
2
3
4
5
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
109229100041
Cambronero, Fernus Lumbuan
1/6/05
11
136685130519
Campang, Jimwel Jade Mohamed
3/26/08
136685130592
Caspe, Jason Rivera
9/21/05
10
136685130184
Castejon, Gabriel Sam Balanay
2/6/07
136685130520
Clamar, Ronnie Agnote
9/4/08
136685140091
Cruz, Albert Matthew Alcazar
6/9/08
136685140092
Dela Cruz, Joseph Andrew Cabeltes
10/15/07
109477140601
Don, J-vie Estanislao
8/25/08
136685130373
Limbaga, Mark Therence Que
11/8/07
6
7
8
9
10
11
12
13
14
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
136685120183
Mendoza, Jade Cedrick Roduta
12/2/07
136685130102
Munar, Clarence Brent Macapinlac
2/23/08
136673140041
Palatan, Ariesean Eiveruol Reyes
1/27/08
136685140392
Paler, James Edward
7/11/08
107314070061
Ramos, Clarence Victorino
8/8/06
136685130632
Ramos, Luigi Mikiel Tejoso
11/27/07
136685140143
Rodriguez, John Muriel
5/4/08
136685140310
Salguero, Jomarie Jay Salameda
9/20/07
136685140393
Salom, Frank Emmanuel Ampoon
5/22/08
15
16
17
18
19
20
21
22
23
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
136685130602
Victorio, Julius Taedo
7/30/07
136685140394
Alesoso, Sheryl Cesar
8/4/08
136685130417
Almario, Danilyn Cuadro
10/20/07
136685130553
Alvarez, Cyrell Abelardo
6/29/08
136685140165
Bunuan, Eiselle Vernice Duque
4/7/08
136685140203
Capute, Venice Kyla Manigos
2/17/08
136685140176
Caspe, Princess Rhian Rivera
10/22/07
136685120200
Dacanay, Jhamima Yruma
3/27/08
24
1
2
3
4
5
6
7
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
136685140160
Dalo, Marry Claire Ponso
6/26/08
136685130261
Dayandante, Jenella Louise
10/28/07
136685130533
Duremdes, Janna Andrea Manalon
10/13/08
136685130534
Fabila, Jhazmine Maickie Capario
8/12/08
136685130657
Isturis, Hanna Vienne Makiramdam
5/18/08
136685140370
Jeve, Mary Gillian Aguaviva
10/20/07
109323120164
Miasco, Vanessa Syrine Prieto
1/24/07
136685130640
Micua, Ashly Nicole Ramos
2/27/08
136685130270
Modrigo, Emma Sophia Demoos
9/26/08
8
9
10
11
12
13
14
15
16
LRN
NAME
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
136685130359
Palileo, Meryl Kate Ramos
9/26/08
114037140080
Quiao, Johanna Kamea Tulosa
3/1/08
136685130607
Rebusquillo, Princess Nirvana B.
11/16/07
136680130212
Regalado, Francesca Vian
9/5/06
136675130957
Rivera, Layzie Kyle Alaroso
4/17/08
136685140401
Salvador, Alicia Gail Bacnat
5/16/08
136685120694
Supillo, Sandrene Belaro
11/1/07
109323140863
Tambadoc, Maricar Sorronda
7/2/05
10
136685140084
Tuvilla, Angelica Manio
1/20/08
17
18
19
20
21
22
23
24
25
NAME
LRN
Indi
cat
Tran
or
sfer
red
Tran
Out
sfer
red
Dro
IN
ppe
d
Sex (M/F)
BIRTH DATE
(mm/dd/ yyyy)
List and Code of Indicators under REMARKS column

Code
Required
Information
T/O
Name of Public (P) Private (PR) School & Effectivity Date
T/I
Name of Public (P) Private (PR) School & Effectivity Date
DRP
Reason and Effectivity Date
AGE as of 1st
Friday June
NAME
LRN
Late
Enr
ollm
ent
LE
Sex (M/F)
Reason (Enrollment beyond 1st Friday of June)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
Friday June
School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
NCR
Division
Marikina City
School
School Year
2015-2016
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Cupang
Municipality/ City
Province
Antipolo City
Roman Catholic
9 Sulucan St.
Antipolo City
Rizal
Quezon City
Roman Catholic
NCR
Antipolo City
Roman Catholic
77 Panorama St. Concepcion Dos Marikina City

SSS Vill.
Sulucan St.
Cupang
Antipolo City
Rizal
Mauban
Quezon
Marikina City
Roman Catholic
21 Magat Salamat Concepcion Dos
Marikina City
NCR
Roman Catholic
357 Rosal St.

Tamenggo
Antipolo City
Rizal
Cupang
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
Tagkawayan
Quezon
Antipolo City
Roman Catholic
50 Pio Del Pilar St. Concepcion Dos
Marikina City
NCR
Roman Catholic
Purok 1 Zone 8
Antipolo City
Rizal
Marikina City
INC
3 Apo St. Hac. Hts. Concepcion Dos
Marikina City
NCR
Roman Catholic
Marikina City
NCR
Marikina City
NCR
Cagayan
Cupang
Atimonan
Quezon
Quezon City
INc
19 Aquamarine St. Concepcion Dos

SSS Vill.
44 Tangerine St. Concepcion Dos
Roman Catholic
Purok 5 Zone 8
Cupang
Antipolo City
Rizal
Marikina City
Roman Catholic
Concepcion Dos
Marikina City
NCR
Marikina City
Roman Catholic
Concepcion Dos
Marikina City
NCR
Antipolo City
Roman Catholic
119 Starlite St.

Rancho 3
12 Olive St. SSS
Village
3A Tuazon Vill.
Baybay Sapa
Mayamot
Antipolo City
Rizal
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Antipolo City
Roman Catholic
Purok 1 Zone 8
Quezon City
Roman Catholic
Marikina City
Roman Catholic
Taguig City
Barangay
Cupang
Municipality/ City
Province
Antipolo City
Rizal
Marikina City
NCR
Antipolo City
Rizal
Roman Catholic
New 21 Pinto St. Concepcion Dos

Rancho 1
6 Taurus St. Sierra Cupang
Vista
Purok 2 Zone 8
Cupang
Antipolo City
Rizal
Marikina City
Roman Catholic
12 Lime St.
Marikina City
NCR
Marikina City
Roman Catholic
66 Purok 1 Zone 8 Cupang
Antipolo City
Rizal
Marikina City
Roman Catholic
Antipolo City
Rizal
Antipolo City
Roman Catholic
Liamzon St. Ma. Cupang

Corazon
28 Purok 4 Zone 8 Cupang
Antipolo City
Rizal
Marikina City
INC
3 Sandalwood
Marikina City
NCR
Concepcion Dos
Concepcion Dos
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
Antipolo City
Roman Catholic
3556 Rosal St.
Cupang
Antipolo City
Rizal
Quezon City
Roman Catholic
Antipolo city
Rizal
Antipolo City
Roman Catholic
36 Saint Ignacius Cupang

St.
Zone Purok 3
Cupang
Antipolo city
Rizal
Banga, Aklan
Roman Catholic
Ma. Corazon Subd. Cupang
Antipolo city
Rizal
Antipolo City
Roman Catholic
Marikina City
NCR
Pasig City
Roman Catholic
Marikina City
NCR
Marikina City
NCR
Antipolo city
Rizal
Antipolo City
INC
54 Gold St, SSS Concepcion Dos

Village
81 Cor. Fatima
Concepcion Dos
Lane West Drive
3 Apo St. Hac. Hts. Concepcion Dos
Antipolo City
Roman Catholic
Purok 1 Zone 8
Cupang
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
Bayugan,
Agusan Del
Sur City
Antipolo
Roman Catholic
162 Starlite
Cupang
Antipolo city
Rizal
Roman Catholic
Purok 5 Zone 8
Cupang
Antipolo city
Rizal
Quezon City
Roman Catholic
Antipolo city
Rizal
Marikina City
Roman Catholic
Antipolo city
Rizal
Antipolo City
Roman Catholic
Antipolo city
Rizal
Marikina City
Roman Catholic
Antipolo city
Rizal
Quezon City
INC
Antipolo city
Rizal
Antipolo City
Roman Catholic
Antipolo city
Rizal
Marikina City
Roman Catholic
Zone 4 Josenia
Mayamot
Ext. Sumulong
36 Saint Ignacius Cupang
St.
4B St. Claire St. Cupang
Ma. Corazon Subd.
Tumana St. Ma. Cupang
Corazon
161 Caimito St.
Cupang
Tamenggo
214 Purok 1 Zone Cupang
8
Blk 1 L7 Tumana Cupang
Antipolo city
Rizal
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
Antipolo City
Roman Catholic
Sorsogon
Roman Catholic
Quezon City
Roman Catholic
Quezon City
Born Again
Marikina City
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
Concepcion Uno
Marikina City
NCR
Concepcion Dos
Marikina City
NCR
Concepcion Dos
Marikina City
NCR
Cupang
Antipolo city
Rizal
Roman Catholic
555 Bayan
Bayanan
86 Redeo St.
Rancho E St. II
12 C Magat
Salamat St.
36 St. Anthony St.
Ma Corazon
46 P. Oliveros St.
Cupang
Antipolo city
Rizal
Marikina City
Roman Catholic
Purok 6 Zone 8
Cupang
Antipolo city
Rizal
Antipolo City
Roman Catholic
Antipolo city
Rizal
Marikina City
Roman Catholic
Antipolo city
Rizal
Quezon City
Roman Catholic
9 Saint Ignacius St. Cupang

Ma. Corazon
Saint Ignacius St. Cupang
Ma Corazon
126 Purok 3 Zone Cupang
8
Antipolo city
Rizal
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Indicator
Code
CCT
Recipient
Required
Information
CCT
CCT Control/reference number & Effectivity Date
B/A
Name of school
last attended &
Year
Specify
Balik-Aral
Learner
With
Dissability
LWD
Municipality/ City
Province
ADDRESS
BIRTH PLACE
MOTHER TONGUE
(Province)
Accelarated
IP
(Ethnic Group)
ACL
RELIGION
Specify Level &

Effectivity Data
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
District
Grade Level
2
2
Section
PARENTS
Province
Father's Name (Last Name, First

Name, Middle Name)
Mother's Maiden Name (Last Name,

First Name, Middle Name)
Rizal
Bagacina, Joel Tabarangao
Buenaventura, Olivia Pedracio
NCR
Balano, Ramil B.
Tsukayama, Jun C.
Rizal
Buenaventura, John Carlo C.
Ancheta, Kristine Amper
NCR
NA
Caballero, Eva Merciales
Rizal
Cabato, Angelo Enseng
Aguaviva, Lizbeth Culi
Pulag
GUARDIAN
(If
not Parent)
Name
Relation-ship
PARENTS
Province
NCR

Name, Middle Name)

Lumbuan, Venus Reazon
NCR
Cambronero, Ferdinand
Valdemor
Campang, Geminiano
Panganiban
Caspe, Geronimo Bautista
NCR
Castejon, John Peter Flora
Balanay, Lelit Mariano
NCR
Clamar, Ronald Penaojas
Agnote, Arminda Ferrer
Rizal
Cruz, Alberto Sison
Alcazar, Gracia Dioquino
NCR
Dela Cruz, Ronaldo Asuncion
Cabeltes, Gina Achegue
NCR
Don, Jerwin I.
Estanislao, Elvie D
Rizal
Limbaga, Grejomar Lucas
Que, Ma. Myla Romano
Rizal
Mohamed, Laarnie Dunez

Rivera, Jeanette Bualoy
GUARDIAN
(If
not Parent)
Name
Relation-ship
PARENTS
Province

Name, Middle Name)

Rizal
Mendoza, Orlando Bacod
Roduta, Baby Lyn Dogayo
NCR
Munar, Roderick Garcia
Macapinlac, Norlita M
Rizal
Palatan, Marlo Mesolania
Reyes, Revie Arrisgado
Rizal
Paler, Larpa Jarabejo
NA
NCR
Ramos Jr., Jose Villablanca
Victorino, Criselda Galicio
Rizal
Ramos, Miguel Luna
Tejoso, Eula Maie Villas
Rizal
Rodriguez, Jose Robert Lado
Muriel, Mae Quejado
Rizal
Salguero, Jomar Lungabit
Salameda, Annie Joy Mangaoil
NCR
Salom, Ramil Gotos
Ampoon, Cloverly Guiang
GUARDIAN
(If
not Parent)
Name
Relation-ship
PARENTS
Province

Name, Middle Name)

Rizal
Victorio, Amelito Aringo
Taedo, Ana Marie Abdon
Rizal
Alesoso, Daniel T.
Cesar, Margarita D.
Rizal
Almario, Danilo Jay Aristotoles Cuadro, Mary Rose Baldera
Rizal
Alvarez. Cyril Arsenio
Abelardo, May Montecalvo
NCR
Bunuan, Virgilio Juan
Duque, Esmeralda Penalba
NCR
Capute, Norman Restor
Manigos, Nancy Manriquez
NCR
Caspe, Geronimo Bautista
Rivera, Jeanette Bualoy
Rizal
Dacanay, Joel Riuner
Iruma, Marivic Tenedero
GUARDIAN
(If
not Parent)
Name
Relation-ship
GUARDIAN
PARENTS
Province

Name, Middle Name)
(If
not Parent)

Rizal
Dalo, Restificar
Ponso, Clarita Tanugan
Rizal
NA
Dayandante, Mary Jane Eulogio
Rizal
Duremdes, Arnold Calizo
Manalon, Juana Miralles
Rizal
Fabila, jacky Ruby T.
Capario, Jeremy Caguimbay
Rizal
Isturis, Arvin De Manuel
Makiramdam, Aileen Hate
Rizal
Jeve, Brian Dacut
Aguaviva, Genie Camasura
Rizal
Miasco, Alexander G.
Prieto, Jocelyn Francia
Rizal
Micua, Joseph Agoot
Ramos, Aileen Ortega
Rizal
NA
Modrigo, Amy Demoos
Name
Relation-ship
GUARDIAN
PARENTS
Province

Name, Middle Name)
NCR
NA
NCR
NCR
(If
not Parent)

Name
Relation-ship
Palileo, Jalyn Ramos

Tulosa, Alma Gelua
Rebusquillo, Alvin
Bernas, Emily
Rizal
Regalado, Ma.
Dolores C.
Rizal
Rivera, Jose Collamat
Alaroso, Mary Grace Asuela
Rizal
Salvador, Alvin Pagapulaan
Bacnat, Grace Nedio
Rizal
Supillo, Angelito Ocampo
Belaro, Reesie Fruelda
Rizal
NA
Tambadoc, Maricris Sorronda
Rizal
Tuvilla, Jose Antonio Enano
Manio, Edna Sitiphone
Aunt
GUARDIAN
PARENTS
Province

Name, Middle Name)
REGISTERED
BoSY
MALE
24
EoSY
not Parent)

Name
Prepared by:
AIDA F. BENITO
(Signature of Adviser over Printed Name)
FEMALE
25
TOTAL
49
(If
Relation-ship
PARENTS
Province
TOTAL

Name, Middle Name)

49
BoSY Date:
EoSYDate:
GUARDIAN
(If
not Parent)
Name
Relation-ship
REMARKS
Contact Number of
Parent or Guardian
9276775371
9466185783
9753039427
9092703356
9466499282
(Please refer to the legend

on last page)
REMARKS
Contact Number of
Parent or Guardian
9282965046
9198126324
9291959779
9208946349
9498543768
9098660267
9199532092
9062559304
9297736939

on last page)
REMARKS
Contact Number of
Parent or Guardian
9239395996
9326421358
9337116927
9496124316
9289261503
9395847133
9323990094
9982716792
9433531085

on last page)
REMARKS
Contact Number of
Parent or Guardian
9201208718
9325900439
9305059958
9498596025
9353318761
9109076909
9396240081

on last page)
REMARKS
Contact Number of
Parent or Guardian
9198822577
9983646783
9199611684
9307960136
9472714172
9158533938
9329278119
9397882019
9462213362

on last page)
REMARKS
Contact Number of
Parent or Guardian
9233659980
9435331296
9175572226
9064783154
9067103759
9332594097
9173578457
9309212656

on last page)
REMARKS
Contact Number of
Parent or Guardian

on last page)
Certified Correct:
(Signature of School Head over Printed Name)
REMARKS
Contact Number of
Parent or Guardian
BoSY Date:
EoSYDate:

on last page)
School Form 2 (SF2) Daily Atten
(This replaces Form 1, Form 2 & STS Form 4
School ID
School Year
Name of School
(1st row for date)
LEARNER'S NAME
M
TH
TH
TH
(1st row for date)
LEARNER'S NAME
M
MALE | TOTAL Per Day
TH
TH
TH
(1st row for date)
LEARNER'S NAME
M
TH
TH
TH
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 columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
1. CODES F
(blank) - Pre
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 School Form 4. Once signed by the
principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
2. REASON
a. Domestic
a.1. Had to t
a.2. Early m
a.3. Parents
a.4. Family p
b. Individua
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Ab
(1st row for date)
LEARNER'S NAME
M
TH
TH
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
School Form 2 : Page ___ of ________
TH
b.5. Poor ac
b.6. Lack of
b.7. Hunger/
c. School-R
c.1. Teacher
c.2. Physica
c.3. Peer inf
d. Geograph
d.1. Distance
d.2. Armed c
d.3. Calamit
e. Financial
e.1. Child lab
f. Others (S
Attendance Report of Learners
Form 4 - Absenteeism and Dropout Profile)
Report for the Month of

Grade Level
Section
Total for the Month
)
F
TH
TH
ABSENT
TARDY
REMARKS (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Total for the Month
)
F
TH
TH
ABSENT
TARDY

number 2.
Total for the Month
)
F
TH
ODES FOR CHECKING ATTENDANCE
nk) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
EASONS/CAUSES FOR DROPPING OUT

omestic-Related Factors
Had to take care of siblings
Early marriage/pregnancy
Parents' attitude toward schooling
Family problems
dividual-Related Factors
Illness
Overage
Death
Drug Abuse
TH
Month:
ABSENT
TARDY

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

Late Enrollment during the month
(beyond cut-off)
Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Summary
M
TOTAL
Total for the Month
)
F
TH
Poor academic performance

Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school
Armed conflict (incl. Tribal wars & clanfeuds)
Calamities/Disasters
nancial-Related
Child labor, work
hers (Specify)
TH
ABSENT
TARDY

number 2.
Number of students absent for 5 consecutive days:

Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
(Signature of Teacher over Printed Name)

Attested by:
School Form 3 (SF3) Books Issued
(This replaces Form 1 & Inventory of Textb
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 copies of this form may be used if needed.
In case of lost/unreturned books, please provide informatio
A. In Column Date Returned, codes are: FM=Force Majeure, T

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 Textbooks)
Section
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARKS/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
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
e provide information with the following code:
M=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 4 (SF4) Monthly Learner's M
(This replaces Form 3 & STS Form 4-Absenteeism
School ID
Region
Division
School Name
GRADE/
YEAR LEVEL
SECTION
NAME OF ADVISER
REGISTERED
LEARNERS
(As of End of the
Month)
M
ATTENDANCE
Daily Average
M
DROPPED OU
Percentage for the

Month
M
(A) Cumulative as of
Previous Month
M
(B) For the Mon

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 form 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 the Division Office with a copy a week after June 30, October 30 & March 31
Page _____ of _____ pages
rner's Movement and Attendance
-Absenteeism and Dropout Profile)
District
School Year
Report for the Month of
DROPPED OUT
B) For the Month

F
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
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Lev
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates
Region
Division
School ID
School Year
School Name
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT
column is for K to 12 Curricu
level that are still im
From previous school years

of end of current Sch
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

ion & Level of Proficiency
List of Graduates)
District
Curriculum
Grade Level
Section
LETE SUBJECT/S
(This
r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)
ous school years completed as

nd of current School Year
As of end of current School Year

SUMMARY TABLE
STATUS
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
LETE SUBJECT/S
(This


MALE
FEMALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
TOTAL
LETE SUBJECT/S
(This


CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:

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 teachers. The class adviser should
compute for the 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.
LETE SUBJECT/S
(This

4. Must tally with the total enrollment report as of End of School Year
GESP /GSSP (EBEIS)
5. Protocols of validation & submission is under the discretion of the
Schools Division Superintendent
School Form 5: Page ____ of ________
School Form 6 (SF6)
Summarized Report on Promotion and Level of Prof

(This replaces 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
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%
-89%)
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 grade level total and school total.
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 is under the discretion of the Schools Division Superintendent.
f Proficiency
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
SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and

(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
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
(B) Nationally-Funded Non Teaching Items

Title of Designation
Title of Plantilla Position

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

(as it
appears in the appointment document/PSIPOP)
Number of
Incumbent
(as it ap
contract/document: Teach
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 the school year, an updated SF 7 must be submitte
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.
t List and Basic Profile
Assignment List,
Teachers)
School Year
(C ) Other Appointments and Funding Sources
esignation
(as it appears in the

ct/document: Teacher, Clerk, Security
uard, Driver etc.)
Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO's etc.)
specify)
Number of Incumbent
Teaching
NonTeaching
Daily Program (time duration)

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

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

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

Total Actual
-Ethnicity)
per Week

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

Total Actual
-Ethnicity)
per Week

Submitted by:
F 7 must be submitted to the Division

Updated as of: ___________________________
School Form 7, Page ___ of ________
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
marized Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to
ementing K to 12 program. Other grade/year level will keep that column blank.
nd SF 6. (SF 4 may be used or the current form 3)
ign with the most recent policy of K to 12 program.
and secondary, RBEC and K to 12

School Forms

Transféré par

Informations du document

Description originale:

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

School Forms

Transféré par

Droits d'auteur :

Formats disponibles

School ID

SSS Village Elementary School

Bagacina, Jay Vincent Buenaventura

Balano, Kenshin Tsukuyama

Buenaventura, Carl Cyruz Ancheta

Cabato, Louie angelo Aguaviva

Cambronero, Fernus Lumbuan

Campang, Jimwel Jade Mohamed

Caspe, Jason Rivera

Castejon, Gabriel Sam Balanay

Clamar, Ronnie Agnote

Cruz, Albert Matthew Alcazar

Dela Cruz, Joseph Andrew Cabeltes

Don, J-vie Estanislao

Limbaga, Mark Therence Que

Mendoza, Jade Cedrick Roduta

Munar, Clarence Brent Macapinlac

Palatan, Ariesean Eiveruol Reyes

Paler, James Edward

Ramos, Clarence Victorino

Ramos, Luigi Mikiel Tejoso

Rodriguez, John Muriel

Salguero, Jomarie Jay Salameda

Salom, Frank Emmanuel Ampoon

Victorio, Julius Taedo

Alesoso, Sheryl Cesar

Almario, Danilyn Cuadro

Alvarez, Cyrell Abelardo

Bunuan, Eiselle Vernice Duque

Capute, Venice Kyla Manigos

Caspe, Princess Rhian Rivera

Dacanay, Jhamima Yruma

Dalo, Marry Claire Ponso

Dayandante, Jenella Louise

Duremdes, Janna Andrea Manalon

Fabila, Jhazmine Maickie Capario

Isturis, Hanna Vienne Makiramdam

Jeve, Mary Gillian Aguaviva

Miasco, Vanessa Syrine Prieto

Micua, Ashly Nicole Ramos

Modrigo, Emma Sophia Demoos

Palileo, Meryl Kate Ramos

Quiao, Johanna Kamea Tulosa

Rebusquillo, Princess Nirvana B.

Regalado, Francesca Vian

Rivera, Layzie Kyle Alaroso

Salvador, Alicia Gail Bacnat

Supillo, Sandrene Belaro

Tambadoc, Maricar Sorronda

Tuvilla, Angelica Manio

List and Code of Indicators under REMARKS column

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

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

77 Panorama St. Concepcion Dos Marikina City

21 Magat Salamat Concepcion Dos

357 Rosal St.

50 Pio Del Pilar St. Concepcion Dos

3 Apo St. Hac. Hts. Concepcion Dos

19 Aquamarine St. Concepcion Dos

119 Starlite St.