Académique Documents
Professionnel Documents
Culture Documents
RegionCaraga
132107
School Name
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
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)
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
Hayahay, Jack
Margate, Christer
Montealto, Reynard
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)
Pangcatan, Jawad
Suyat, Jelfred
Trojillo, Jerad
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
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
Sicad, Abbygale
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)
Code
Required Information
Indicator
Transferred Out
T/O
CCT Recipient
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
Balik-Aral
Learner With Dissability
Accelarated
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
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Cebuano
Christianity
Pangabugan
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
Cebuano
Christianity
Maon
Butuan City
ADDRESS
MOTHER
TONGUE
ith Dissability
IP
(Specify Ethnic
Group)
Code
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Required Information
CCT
MALE
B/A
LWD
ACL
FEMALE
TOTAL
District
Grade Level
Southwest Butuan
Six
Section
NAME OF PARENTS
Laurel
GUARDIAN (If not Parent)
Contact Number
(Parent /Guardian)
Name
Relationship
NAME OF PARENTS
Name
Relationship
NAME OF PARENTS
Name
Relationship
NAME OF PARENTS
Name
Relationship
NAME OF PARENTS
Name
Relationship
NAME OF PARENTS
Name
Relationship
NAME OF PARENTS
BoSY
24
EoSY
Prepared by:
Relationship
Certified Correct:
ROSEMARIE B. B
20
44
Name
BoSY Date:
EoSYDate:
Principal
BoSY Date:
Eo
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
ect:
ARIE B. BAHAN
Principal-II
EoSYDate:
School ID
132107
School Year
2016-2017
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
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
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
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)
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)
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
ABSENT
TARDY
ABSENT
Month:
TARDY
TOTAL
24
20
44
24
20
44
100
100
100
ds)
Teacher-III
Attested by:
ROSEMARIE B. BAHAN
Principal-II
School ID
School Name
NO.
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
132107
MAON ELEMENTARY SCHOOL
Mathematics for Everyday
Use
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)
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
Returned
Issued
Returned
Issued
Returned
Issued
NO.
LEARNER'S NAME
(Last Name, First Name, Middle Name)
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.
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
2016-2017
SIX
Section
ang Pilipinas
Wika
13/2016
Returned
Pagbasa
6/13/2016
Issued
LAUREL
Returned
6/13/2016
Issued
Returned
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
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
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
6/13/2016
Issued
Returned
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 ________
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
(A) Cumulative as of
Previous 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
District
School Year
OPPED OUT
TRANSFERRED OUT
TRANSFERRED IN
(A+B) Cumulative as
of End of the Month
M
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
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)
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)
FEMALE
BEGINNNING
(B: 74% and below)
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)
School Head
(Name and Signature)
REVIEWED BY:
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)
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
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.
School ID
Region
Division
School Name
District
Number of Incumbent
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.
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
DAY
(M/T/W/TH/
F)
From
(00:00)
DAY
(M/T/W/TH/
F)
From
(00:00)
DAY
(M/T/W/TH/
F)
From
(00:00)