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School ID

RegionCaraga

132107

School Name

Maon Elementary School


AGE as of 1st
Friday of June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

Abreau, Jerome

Apatino, Christian Ray

Aurestila, Jerome

Azura, Jules

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

Barbosa, Jodiereque Chloe

Batoon, Rey Jhun

Buladaco, Xyrus John

Cordova, Rence Reid Nolan

Crabajales, Kevin James

Daguplo, Chris Jay

Desuyo, Paulo

Duhaylungsod, Eumer

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

Duncano, Paulo

Espana. John Rey

Hayahay, Jack

Margate, Christer

Martinez, Nino Ruel

Montealto, Reynard

Nazi, Mark Ivan

Paelden, Lemuel

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

Paler, Christian Jay

Pangcatan, Jawad

Suyat, Jelfred

Trojillo, Jerad

Apatino, Jenny Rose

Bagcat, Leah Trexia

Capuyan, Raella Mae

Consad, Jerimae

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

David, Mhellany

Estampa, Joyce

Estrellado, Nadine

Fuentes, Rheadel

Gendeve, Princess Diane

Janohan, Irene Lyn

Monto, Rose Jane

Nilo, Nicole

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

Orbong, Antonette

Paler, Genny

Precioso, Jelly

Sandig, Marjorie Flor

Sicad, Abbygale

Tanglao, Heaven Cindy Michelle

Tanglao, Heaven Cindy Michelle

Torres, Melody

BIRTH PLACE
(Province)

AGE as of 1st
Friday of June

NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/ dd/yy) (nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

List and code of Indicators under REMARK column


Indicator

Code

Required Information

Indicator

Transferred Out

T/O

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

CCT Recipient

Transferred IN
Dropped
Late Enrollment

T/I
DRP
LE

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


Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)

Balik-Aral
Learner With Dissability
Accelarated

School Form 1 (SF 1) School Register


(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

Division

Butuan City
School Year

2016-2017

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Cebuano

Christianity

Pangabugan

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

Cebuano

Christianity

Maon

Butuan City

Agusan del Norte

ADDRESS
MOTHER
TONGUE

ith Dissability

IP
(Specify Ethnic
Group)

Code

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Required Information

CCT

CCT Control/reference number & Effectivity Date

MALE

B/A
LWD
ACL

Name of school last attended & Year


Specify
Specify Level & Effectivity Data

FEMALE
TOTAL

District
Grade Level

Southwest Butuan
Six

Section

NAME OF PARENTS

Laurel
GUARDIAN (If not Parent)
Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

BoSY
24

EoSY

Mother (Maiden: 1st Name, Middle &


Last Name)

Prepared by:

Relationship

Certified Correct:

MARY GRACE B. VILLARONTE

ROSEMARIE B. B

(Signature of Adviser over Printed Name)

20
44

Name

BoSY Date:

EoSYDate:

Principal

BoSY Date:

Eo

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

ect:

ARIE B. BAHAN
Principal-II

EoSYDate:

School Form 2 (SF2) Daily Attendance Report of Learn


(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID

132107

School Year

2016-2017

Report for the Month

Name of School MAON ELEMENTARY SCHOOL


LEARNER'S NAME
(Last Name, First Name, Middle Name)
1 Abreau,

Jerome
2 Apatino, Christian Ray
3 Aurestila, Jerome
4 Azura, Jules
5 Barbosa, Jodiereque Chloe
6 Batoon, Rey Jhun
7 Buladaco, Xyrus John
8 Cordova, Rence Reid Nolan
9 Crabajales, Kevin James
10 Daguplo, Chris Jay
11 Desuyo, Paulo
12 Duhaylungsod, Eumer
13 Duncano, Paulo
14 Espana. John Rey
15 Hayahay, Jack
16 Margate, Christer

Grade Lev
(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME
(Last Name, First Name, Middle Name)
17 Martinez,

Nino Ruel
18 Montealto, Reynard
19 Nazi, Mark Ivan
20 Paelden, Lemuel
21 Paler, Christian Jay
22 Pangcatan, Jawad
23 Suyat, Jelfred
24 Trojillo, Jerad
24
1 Apatino, Jenny Rose
2 Bagcat, Leah Trexia
3 Capuyan, Raella Mae
4 Consad, Jerimae
5 David, Mhellany
6 Estampa, Joyce
7 Estrellado, Nadine
8 Fuentes, Rheadel
9 Gendeve, Princess Diane
10 Janohan, Irene Lyn
11 Monto, Rose Jane
12 Nilo, Nicole
13 Orbong, Antonette
14 Paler, Genny

(1st row for date, 2nd row for Day: M,T,W,TH,F)

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME
(Last Name, First Name, Middle Name)
15 Precioso, Jelly
16 Sandig, Marjorie Flor
17 Sicad, Abbygale
18 Tanglao, Heaven Cindy Michelle
19 Tanglao, Heaven Cindy Michelle
20 Torres, Melody

20

Combined TOTAL PER DAY

44

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

1. CODES FOR CHECKING ATTENDANCE

blank- Present; (x)- Absent; Tardy (half shaded= Upp


Commer, Lower for Cutting Classes)

x 100

x 100

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
a.4. Family problems
b. Individual-Related Factors

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.

b.1. Illness

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

(1st row for date, 2nd row for Day: M,T,W,TH,F)

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

b.2. Overage
b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)

School Form 2: Page 2 of ________

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

earners

Month of

de Level

JUNE
SIX

Section

LAUREL
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

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

Month:

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

No. of Days of Classes:

Summary for the Month


M

TOTAL

24

20

44

Registered Learner as of end of the month

24

20

44

Percentage of Enrolment as of end of the month

100

100

100

ed= Upper for Late

* Enrolment as of (1st Friday of June)


Late Enrollment during the month
(beyond cut-off)

Average Daily Attendance


Percentage of Attendance for the month

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to


legend number 2.
If
TRANSFERRED
IN/OUT, write the name of School.)
ABSENT
TARDY
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.
MARY GRACE B. VILLARONTE

ds)

Teacher-III
Attested by:

ROSEMARIE B. BAHAN
Principal-II

School Form 3 (SF3) Books Issued

(This replaced Form 1 & Inventory of Text B

School ID
School Name

NO.

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

School Year

132107
MAON ELEMENTARY SCHOOL
Mathematics for Everyday
Use

English for You & Me


Language

English for You & Me


Reading

Bansang Pilipinas

13-Jun-16

6/13/2016

6/13/2016

6/13/2016

Issued

Abreau, Jerome
Apatino, Christian Ray
Aurestila, Jerome
Azura, Jules
Barbosa, Jodiereque Chloe
Batoon, Rey Jhun
Buladaco, Xyrus John
Cordova, Rence Reid Nolan
Crabajales, Kevin James
Daguplo, Chris Jay
Desuyo, Paulo
Duhaylungsod, Eumer

Grade Level

Returned

Issued

Returned

Issued

Returned

Issued

NO.

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

Mathematics for Everyday


Use

English for You & Me


Language

English for You & Me


Reading

Bansang Pilipinas

13-Jun-16

6/13/2016

6/13/2016

6/13/2016

Issued

Duncano, Paulo
Espana. John Rey
Hayahay, Jack
Margate, Christer
Martinez, Nino Ruel
Montealto, Reynard
Nazi, Mark Ivan
Paelden, Lemuel
Paler, Christian Jay
Pangcatan, Jawad
Suyat, Jelfred
Trojillo, Jerad
TOTAL FOR MALE | TOTAL COPIES

Apatino, Jenny Rose


Bagcat, Leah Trexia
Capuyan, Raella Mae
Consad, Jerimae

Returned

Issued

Returned

Issued

Returned

Issued

NO.

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

Mathematics for Everyday


Use

English for You & Me


Language

English for You & Me


Reading

Bansang Pilipinas

13-Jun-16

6/13/2016

6/13/2016

6/13/2016

Issued

David, Mhellany
Estampa, Joyce
Estrellado, Nadine
Fuentes, Rheadel
Gendeve, Princess Diane
Janohan, Irene Lyn
Monto, Rose Jane
Nilo, Nicole
Orbong, Antonette
Paler, Genny
Precioso, Jelly
Sandig, Marjorie Flor
Sicad, Abbygale
Tanglao, Heaven Cindy Michelle
Tanglao, Heaven Cindy Michelle
Torres, Melody

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Mathematics for Everyday


Use

English for You & Me


Language

English for You & Me


Reading

Bansang Pilipinas

13-Jun-16

6/13/2016

6/13/2016

6/13/2016

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

2016-2017
SIX

Section

ang Pilipinas

Wika

13/2016
Returned

Pagbasa

6/13/2016
Issued

LAUREL

Returned

6/13/2016
Issued

Returned

Science and Health

6/13/2016
Issued

Returned

6/13/2016
Issued

Returned

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

ang Pilipinas

13/2016
Returned

Wika

Pagbasa

6/13/2016
Issued

Returned

6/13/2016
Issued

Returned

Science and Health

6/13/2016
Issued

Returned

6/13/2016
Issued

Returned

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

ang Pilipinas

13/2016
Returned

Wika

Pagbasa

6/13/2016
Issued

Returned

6/13/2016
Issued

Returned

Science and Health

6/13/2016
Issued

Returned

6/13/2016
Issued

Returned

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

ang Pilipinas

13/2016
Returned

Wika

Pagbasa

6/13/2016
Issued

Returned

6/13/2016
Issued

Returned

Science and Health

6/13/2016
Issued

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.

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

6/13/2016
Issued

Returned

Prepared By:
MARY GRACE B. VILLARONTE
(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:

(Signature of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion & Le

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate

Region

Division

School ID

School Year

School Name

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL MALE

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL FEMALE
COMBINED

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/
(This column is for K to 1
Elementary grades level

Completed as of end of

otion & Level of Proficiency

and List of Graduates)

District
Curriculum
Grade Level

Section

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


SUMMARY TABLE
STATUS

MALE

FEMALE

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

TOTAL

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


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
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


CERTIFIED CORRECT & SUBMITTED:

School Head
(Name and Signature)

REVIEWED BY:

(Name and Signature)


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

LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)

eted as of end of current SY

as of End of the current SY


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 ________

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

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

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

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

* 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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* 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

Ave. Minutes per Day


Submitted by:

o the Division Office .


as inventory list of school

(Signature of School Head over Printed Name)


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

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