Automated Complete School Forms Version

2015
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DEPED SCHOOL FORMS
INPUT PAGE
Region I
Pangasinan II
Tayug I PASSIONATE MENTORS
AGNO ELEMENTARY SCHOOL (Facebook Group)
School Name
102061
School ID NEEDED
I
SHAPES FORM 2
Grade K - 12 FILL OUT THE NO.
OF CLASSES
A
Section JUNE 22
IMELDA V. FERNANDEZ JULY 22
Class Adviser AUGUST 19
SONNY P. BACALZO SEPTEMBER 21
Principal II OCTOBER 22
NOVEMBER 18
DECEMBER 14
FORM I SCHOOL YEAR
JANUARY 20
FORM 3
FORM 44
2015 - 2016
Type the current School Year.
FEBRUARY
MARCH
20
21
FORM
APRIL 1
FORM 5 1 2 3 4 5 6
2015-2016
FORM 6
CLICK THE MONTH YOU
WANT TO SEE.
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 102061 School Year 2015-2016 Report for the Month of JUNE
Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

LEARNER'S NAME (1st row for date) Total for the
REMARKS (If DROPPED OUT, state reason, please
(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 0 0 0 0
Month refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
M T W TH F M T W TH F M T W TH F M T W TH F M T ABSENT TARDY School.)
1 Calderon, Jon Jefferson P. 1
2 Casilla, Jordan June C. 1
3 Dela Cruz, Mark A. 1
4 Distor, Noriel Dee R.
5 Fernando, Raymond G.
6 Fernando, Jioswa T.
7 Lopez, Dexter R.
8 Padillo, Mark Daniel M.
9 Palaruan, Benjamin Jr. N.
10 Santos, Alexander T.
11 Tapaoan, Mark Lester E. 1
12 Vino, Julius Cesar O.
13
14
15
16
17
18
19
20
21
22
23
24
(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 0 0 0 0
12 MALE l TOTAL Per Day 12 11 12 8 6 4 0

1 Asilum, Bleselda C.
2 Balingit, Aseah Neri G.
3 Batlanggao, Jusmayn C.
4 Cabote, Janell R.
5 Cornejo, Rio Ann R.
6 Gapuz, Ashley Mei L.
7 Geronimo, Bea N.
8 Geronimo, Lexie Anne V.
9 Geronimo, Mariane Rhea C.
Gudoy, Ronalen N.
Laureta, Sheila M.
Lopez, Kharyel Anne M.
Menosaba, Syra Lian R.
Millan, Susie Marie Y.
Ramos, Micaella O.
Reyes, Kyna Mae L.
Rodico,Joanalyn c.
Ruiz, April Mae F.
Sarmiento, Daniela L.
(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30 0 0 0 0
19 FEMALE l TOTAL Per Day 8 7 7 0 0

31 Combined TOTAL PER DAY 0 0 12 11 12 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 7 13 0 4 0
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Classes: 22
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for JUNE M F TOTAL
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 21 9 30
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100 6 6
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 12 19 31
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average Daily Attendance
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 b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month ### 100%
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days: 6% 6%
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out 6
c. School-Related Factors
c.1. Teacher Factor
Transferred out 6
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 6
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related IMELDA V. FERNANDEZ
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ SONNY P. BACALZO
(Signature of School Head over Printed Name)
BACK
School ID 102061 School Year 2015-2016 Report for the Month of JULY

(Last 0 0 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 31 0
W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 0 0 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 31 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 0 0 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 31 0


Classes: 22
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for JULY M F TOTAL
a. Percentage of Enrolment = x 100 6 6 12
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of AUGUST

(Last 0 0 0 0 0 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31
M T W TH F M T W TH F M T W TH F M T W TH F M ABSENT TARDY School.)
7 Lopez, Dexter R.


13
14
15
16
17
18
19
20
21
22
23
24
(Last 0 0 0 0 0 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 0 0 0 0 0 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 31


Classes: 19
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for AUGUST M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of SEPTEMBER

(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 0 0 0
T W TH F M T W TH F M T W TH F M T W TH F M T W ABSENT TARDY School.)
1 Calderon, Jon Jefferson P.
2 Casilla, Jordan June C.
3 Dela Cruz, Mark A. E
4 Distor, Noriel Dee R. I
D
5 Fernando, Raymond G. L
7 Lopez, Dexter R.
A
8 Padillo, Mark Daniel M. D
9 Palaruan, Benjamin Jr. N. H
10 Santos, Alexander T. A
11 Tapaoan, Mark Lester E.
12 MALE l TOTAL Per Day 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 0 0
4 Cabote, Janell R.
7 Geronimo, Bea N. E
8 Geronimo, Lexie Anne V. I
9 Geronimo, Mariane Rhea C. D
10 Gudoy, Ronalen N. L
11 Laureta, Sheila M.
12 Lopez, Kharyel Anne M. A
13 Menosaba, Syra Lian R. D
14 Millan, Susie Marie Y. H
A
15 Ramos, Micaella O.
16 Reyes, Kyna Mae L.
17 Rodico,Joanalyn c.
18 Ruiz, April Mae F.
A
(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 0 0 0
T W TH F M T W TH F M T W TH F M T W TH F M T W ABSENT TARDY School.)
19 Sarmiento, Daniela L.
19 FEMALE l TOTAL Per Day 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 0 0

Classes: 21
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for SEPTEMBER M F TOTAL
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month 100% 100% 100%
b.1. Illness
Average Daily Attendance 12 19 31
Percentage of Attendance for the month ### ### 100%
Number of students absent for 5 consecutive days: 0 0 0
Drop out 0 0 0
c.1. Teacher Factor
Transferred out 0 0 0
c.3. Peer influence
Transferred in 0 0 0
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of OCTOBER

(Last 0 0 0 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 0
TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
1 Calderon, Jon Jefferson P.
2 Casilla, Jordan June C.
3 Dela Cruz, Mark A.
SEMESTRAL
7 Lopez, Dexter R. BREAK
11 Tapaoan, Mark Lester E.
12 MALE l TOTAL Per Day 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 0 0
4 Cabote, Janell R.
7 Geronimo, Bea N.
10 Gudoy, Ronalen N.
SEMESTRAL
11 Laureta, Sheila M.
BREAK
12 Lopez, Kharyel Anne M.
13 Menosaba, Syra Lian R.
14 Millan, Susie Marie Y.
15 Ramos, Micaella O.
16 Reyes, Kyna Mae L.
17 Rodico,Joanalyn c.
18 Ruiz, April Mae F.
(Last 0 0 0 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 0
TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
19 Sarmiento, Daniela L.
19 FEMALE l TOTAL Per Day 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 0 0

Classes: 22
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for OCTOBER M F TOTAL
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month 100% 100% 100%
b.1. Illness
Average Daily Attendance 12 19 31
Percentage of Attendance for the month ### ### 100%
Number of students absent for 5 consecutive days: 0% 0% 0%
Drop out 0 0 0
c.1. Teacher Factor
Transferred out 0 0 0
c.3. Peer influence
Transferred in 0 0 0
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of DECEMBER

(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31 0 0
T W TH F M T W TH F M T W TH F M T W TH F M T W TH ABSENT TARDY School.)
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31 0 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31 0 0


Classes: 14
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for DECEMBER M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of NOVEMBER

(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 0 0 0 0 0
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 0 0 0 0 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 0 0 0 0 0


Classes: 18
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for NOVEMBER M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of JANUARY

(Last 0 0 0 0 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 0
F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 0 0 0 0 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 0 0 0 0 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 0


Classes: 20
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for JANUARY M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of FEBRUARY

(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 0 0 0 0 0
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 0 0 0 0 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 0 0 0 0 0


Classes: 20
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for FEBRUARY M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of MARCH

(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31 0 0
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31 0 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 0 1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 31 0 0


Classes: 21
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for MARCH M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School ID 102061 School Year 2015-2016 Report for the Month of APRIL

(Last 0 0 0 0 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 0
7 Lopez, Dexter R.

13
14
15
16
17
18
19
20
21
22
23
24
(Last 0 0 0 0 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 0

4 Cabote, Janell R.
7 Geronimo, Bea N.
Gudoy, Ronalen N.
Laureta, Sheila M.

Ramos, Micaella O.
Reyes, Kyna Mae L.

Rodico,Joanalyn c.
Ruiz, April Mae F.

(Last 0 0 0 0 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 0


Classes: 1
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for APRIL M F TOTAL
b.1. Illness
Drop out 6
c.1. Teacher Factor
Transferred out 6
c.3. Peer influence
Transferred in 6
f. Others (Specify)
Attested by:
BACK
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 102061 Region I Division Pangasinan II District Tayug I
School Name AGNO ELEMENTARY SCHOOL School Year 2015-2016 Grade Level I Section A
June 5, 2015
ADDRESS PARENTS
GUARDIAN
REMARKS
BA
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE Municipality/
June Group) Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
City
Purok Middle Name) Middle Name) page)
102061140001 Defensor, Meriam 11/17/2008 Roman

1 M 6 Iloko Ilokano 2 Agno Tayug Pangasinan Areola, Juan Rayos Jaramillo, Lita Buen Lito Uncle 9398756117 CCT
Catholic
2 102061140001 Roxas, Mar M 2/22/2009 6
2 M 9/25/2009 5
4 M 8/12/2009 5
5 M 6/19/2009 5
6 M 1/25/2009 6
7 M 2/20/2009 6
8 M 9/7/2008 6
9 M 1/7/2009 6
10 M 8/19/2009 5
11 M 5/7/2009 6
12 M 6/21/2009 5
13 M 5/14/2009 6
14 M 7/30/2008 6
15 M 8/6/2009 5
16 M 10/1/2009 5
17 M 3/26/2009 6
18 M 1/23/2009 6
19 M 4/15/2009 6
20 M 8/6/2009 5
21 M 3/1/2009 6
22 M 7/8/2008 6
23 M 2/15/2009 6
ADDRESS PARENTS
GUARDIAN
REMARKS
BA
(If not Parent)
City
M 2/16/2009 6
M 2/17/2009 6
M 2/18/2009 6
M 2/19/2009 6
M 2/20/2009 6
M 2/21/2009 6
M 2/22/2009 6
M 2/23/2009 6
M 2/24/2009 6
M 2/25/2009 6
M 2/26/2009 6
M 2/27/2009 6
M 2/28/2009 6
M 3/1/2009 6
M 3/2/2009 6
M 3/3/2009 6
M 3/4/2009 6
F 3/5/2009 6
F 3/6/2009 6
F 3/7/2009 6
F 3/8/2009 6
F 3/9/2009 6
F 3/10/2009 6
F 3/11/2009 6
F 3/12/2009 6
F 3/13/2009 6
F 3/14/2009 6
F 3/15/2009 6
ADDRESS PARENTS
GUARDIAN
REMARKS
BA
(If not Parent)
City
F 3/16/2009 6
F 3/17/2009 6
F 3/18/2009 6
F 3/19/2009 6
F 3/20/2009 6
F 3/21/2009 6
F 3/22/2009 6
F 3/23/2009 6
F 3/24/2009 6
F 3/25/2009 6
F 3/26/2009 6
F 3/27/2009 6
F 3/28/2009 6
F 3/29/2009 6
F 3/30/2009 6
F 3/31/2009 6
F 4/1/2009 6
F 4/2/2009 6
F 4/3/2009 6
F 4/4/2009 6
F 4/5/2009 6
F 4/6/2009 6
F 4/7/2009 6
F 4/8/2009 6
F 4/9/2009 6
F 4/10/2009 6
F 4/11/2009 6
F 4/12/2009 6
ADDRESS PARENTS
GUARDIAN
REMARKS
BA
(If not Parent)
City
F 4/13/2009 6
List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 2
IMELDA V. FERNANDEZ SONNY P. BACALZO
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE 0
Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL 2 0
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
BACK
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID 102061 Region Division Pangasinan II District Tayug I
School Name AGNO ELEMENTARY SCHOOL School Year 2015-2016 Report for the Month of
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
LEVEL the Month) the Month of Previous Month
Month
of Previous Month
Month
of Previous Month
End of the Month
M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
KINDER A MERCIL A. YABUT 18 9 27 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
I A IMELDA V. FERNANDEZ 13 10 23 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 2 1 0 1 1 1 2 2 1 3
II A ANITA B. HIDALGO 28 15 43 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 1 1 0 1 2 0 2
III A ARCELI U. FONTANILLA 22 29 51 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
IV A THADDEUS R. FERNANDEZ 12 19 31 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
V A MARYJEAN L. SERIOSA 14 14 28 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 1 1 1 0 1 0 1 1
VI A MARISSA L. GOMEZ 18 21 39 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
ELEMENTARY/SECONDARY:
KINDER 18 9 27 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
GRADE I 13 10 23 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 2 1 0 1 1 1 2 2 1 3
GRADE II 28 15 43 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 1 1 0 1 2 0 2
GRADE III 22 29 51 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
GRADE IV 12 19 31 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
GRADE V 14 14 28 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 1 1 1 0 1 0 1 1
GRADE VI 18 21 39 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1
TOTAL 125 117 242 100% 100% 100% 100% 100% 100% 0 0 0 0 0 0 0 0 0 1 1 2 1 1 2 2 2 4 2 1 3 7 1 8 8 2 10
GUIDELINES: Prepared and Submitted by:
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 SONNY P. BACALZO
Page _____ of _____ pages
BACK
School Form 5 (SF 5) Report on Promotion and Progress & Achievement
Revised to conform with the instructions of Deped Order 8, s. 2015
Region I Division Pangasinan II District Tayug I
School ID 102061 School Year 2015-2016 Curriculum K - 12
School Name AGNO ELEMENTARY SCHOOL Grade Level I Section A
GENERAL
ACTION TAKEN: Did Not Meet Expectations of the
LEARNER'S NAME AVERAGE
LRN PROMOTED, CONDITIONAL, ff. Learning Area/s as of end of
(Last Name, First Name, Middle Name) (Whole numbers for
or RETAINED current School Year
non-honor)
Incomplete
Failed Learning
Area/s as of end
102061140001 Ariola, Heinrich Al Jaramillo 88 Promoted SUMMARY TABLE
of current School
102061140002 Bautista, Kent Patrick Distor 76 Promoted Year STATUS MALE FEMALE TOTAL
102061140003 Cabello, Kobe Alexander Rayos 77 Promoted
PROMOTED 13 10 23
102061140004 Calderon, Michael James Espique 88 Promoted
102061140006 Dela Cruz, Rhojie Marquez 79 Promoted
*Conditional 0 0 0
102061140007 Escover, Paulo Abalos 83 Promoted
102061140033 Foronda, Jhorenz Casilla 77 Promoted
RETAINED 0 0 0
102061140023 Mayo, Jessie Bumatay 76 Promoted
102061140010 Morales, Rowel De Gracia 78 Promoted
LEARNING PROGRESS AND ACHIEVEMENT (Based on
102061140011 Padilla, Ryan Dexter Perez 78 Promoted Learners' General Average)
102061140012 Rayos, Richard Mara 77 Promoted Descriptors & Grading
Scale
MALE FEMALE TOTAL
102061140013 Rosario, Elino Castro 81 Promoted Did Not Meet Expectations

0 0 0
102061140015 Villanueva, Allen Vino 80 Promoted ( 74 and below)
Fairly Satisfactory
( 75-79) 8 7 15
Satisfactory
( 80-84) 3 0 3
Very Satisfactory
( 85 -89) 2 1 3
GENERAL
non-honor)
Outstanding
( 90 -100) 0 2 2
13 TOTAL MALE PREPARED BY:
102061140025 Cajes, Juliana Joie Carino 90.285 Promoted IMELDA V. FERNANDEZ
102061140016 Casilla, Vivian Cabobos 76 Promoted Class Adviser
102061140017 Cornejo, Realyn Cabreros 77 Promoted
102061140018 De Lena, Allaiza Jean Cabico 77 Promoted
102061140019 Geronimo, Angeline Santos 88 Promoted CERTIFIED CORRECT & SUBMITTED:
102061140024 Millan, Princess April Ybanez 77 Promoted SONNY P. BACALZO
102061140020 Morales, Jenny Anne Dela Cruz 75 Promoted Principal II
102061140029 Rodico, Aloha Bianca Samosa 79 Promoted
102061140021 Rodriguez, Lovely Ysabelle Agustin 90.035 Promoted
102061140022 Vino, Khriza Mae Pablico 77 Promoted REVIEWED BY:
CORNELIO R. AQUINO, Ed. D.
Chief Education Supervisor, CID
10 TOTAL FEMALE
23 COMBINED
Revised as of 3/10/2016 SFRT
BACK
School Name AGNO ELEMENTARY SCHOOL Grade Level II Section A
GENERAL
or RETAINED
Incomplete
current School Year
non-honor) Failed Learning
Area/s as of end
102061130010 Abellera, Christian Esponilla 95 Promoted SUMMARY TABLE
of current School
102061130011 Andrada, Renz Adrian Padillo 86 Promoted STATUS MALE FEMALE TOTAL
Austria, Aljibray Jr. Peralta
Year
102061130012 81 Promoted
Balanon, Mark Paasa
PROMOTED 28 15 43
102061130013 74 Promoted
102061130014 Cojotan, Jayson Areola 78 Promoted
Daz, Ray Vincent Pomada
*Conditional 0 0 0
102061130015 78 Promoted
102061130016 Decano, Jhon Jefferson Parilla 78 Promoted
Distor, Leander Son Alcaide
RETAINED 0 0 0
102061130017 78 Promoted
102061130018 Fernando, Jeryco Macanlalay 78 Promoted
102061130019 Fernando, Jesrell Tabilen 78 Promoted Learners' General Average)
Descriptors &
102061130021 Fernando, Jon Ivan Ramirez 78 Promoted MALE FEMALE TOTAL
Grading Scale
102061130023 Gabriel, Bilmar Tubiera 78 Promoted Did Not Meet Expectations
Gabriel, Marc Lenard Tubiera ( 74 and below) 1 1 2
102061130024 78 Promoted
102061130026 Geronimo, Carl Heines Asuncion 78 Promoted Fairly Satisfactory
Geronimo, Cedric Julian Santos ( 75-79) 24 11 35
102061130027 78 Promoted
102061130029 Lacaden, John Carlo Ebangga 78 Promoted Satisfactory
Lopez, Michael Santilla ( 80-84) 1 1 2
102061130030 78 Promoted
102061140030 Luces, Jesrick Rayos 78 Promoted Very Satisfactory
Morales, John Dave Dela Cruz ( 85 -89) 1 1 2
102061130031 78 Promoted
102061130032 Palaruan, Jhon Rhey Alcalde 78 Promoted Outstanding
Salazar, Randy Manalastas ( 90 -100) 1 1 2
102061140028 78 Promoted
102061130033 Sanchez, Bladymer Jr. Ugma 78 Promoted
102061130034 Santilla, Mark Anthony Padayao 78 Promoted
102061130035 Santos, Alexis Tabilin 78 Promoted
102061130037 Santos, John Christian Rodico 78 Promoted
102061130036 Santos, Venz Cyril Mabalot 78 Promoted
102061130038 Surio, Zander Madriaga 78 Promoted
GENERAL
non-honor)
102061130039 Tapaoan, Freddie Jr. Escalada 78 Promoted
102061130040 Abellera, Rachel Joy Sibayan 95 Promoted ANITA B. HIDALGO
102061130043 Agustin, Ashley Nicole 86 Promoted Class Adviser
102061130044 Areola, Paulene Joy Morales 81 Promoted
102061130045 Asilom, Donita Rose Langomes 74 Promoted
102061140031 Cajes, Jhoellianne Joie Carino 78 Promoted CERTIFIED CORRECT & SUBMITTED:
102061130047 Candelario, Vangie 78 Promoted SONNY P. BACALZO
102061130057 De Lena, Kriana Cabico 78 Promoted Principal II
102061130049 Fernandez, Rhea Fe Gabriel 78 Promoted
102061130050 Geronimo, Jeziel Fernandez 78 Promoted
102061130051 Millan, Dolce Gabana Umanito 78 Promoted REVIEWED BY:
102061130053 Ogoy, Jennifer Geronimo 78 Promoted CORNELIO R. AQUINO, Ed. D.
102061130054 Orina, Jenny Rose De Leon 78 Promoted Chief Education Supervisor, CID
102061130055 Reyes, Kyla Luga 78 Promoted
102061130056 Rodico, Kristine Anne Lopez 78 Promoted
102061130058 Villanueva, Claire Joy Cabane 78 Promoted
GUIDELINES:
1. Do not inlcude Dropouts and Transferred Out (D.O.4,
2014)
2. To be prepared by the Adviser. The Adviser should indicate the
General Average based on the learner's Form 138. Leave blank
for Conditional.
3. On the summary table, reflect the total number of learners

PROMOTED (Final Grade of at least 75 in ALL learning areas),
RETAINED (Did Not Meet Expectations in three (3) or more
learning areas) and *CONDITIONAL (*Did Not Meet
Expectations in not more than two (2) learning areas) and the
Learning Progress and Achievement according to the individual
General Average. All provisions on classroom assessment and
the grading system in the said Order shall be in effect for all grade
levels - Deped Order 29, s. 2015.
4. Did Not Meet Expectations of the Learning Areas. This refers to

learning area/s that the learner had failed as of end of current SY.
The learner may be for remediation or retention.
5. Protocols of validation & submission is under the discretion of

15 TOTAL FEMALE the Schools Division Superintendent.
43 COMBINED School Form 5: Page ____ of ________

BACK

School Name AGNO ELEMENTARY SCHOOL Grade Level III Section A
GENERAL
LRN PROMOTED, CONDITIONAL, ff.Incomplete
Learning Area/s as of end of
or RETAINED
non-honor) Failedcurrent School Year
Learning
Area/s as of end
102061100004 Aquino, Kyle Recto Salazar 81 Promoted SUMMARY TABLE
of current School
102061130001 Cabalar, Adrian Vino 76 Promoted STATUS MALE FEMALE TOTAL
Carino, Justin Geronimo
Year
102061120004 90.062 Promoted
Casilla, Adrian Braganza
PROMOTED 22 29 51
102061120005 79 Promoted
102061120006 Casilla, Johnrish Cabobos 77 Promoted
Cornejo, Denver Castillo
*Conditional 0 0 0
102061120007 79 Promoted
102061120008 Daz, Rajin Christian Pomado 79 Promoted
Distor, Syder-Son Alcalde
RETAINED 0 0 0
102061120010 80 Promoted
102061120011 Escover, Cristian Paul Abalos 83 Promoted
102061120012 Gamboa, RyanLouis Ver 90.5 Promoted Learners' General Average)
Descriptors &
102061130009 Joarizo, Jenwill Laique 80 Promoted MALE FEMALE TOTAL
Grading Scale
102061120013 Madriaga, Daryll King Balanon 78 Promoted Did Not Meet
Millan, Ralph Lauren Ybanez
Expectations 0 0 0
102061120014 80 Promoted ( 74 and below)
102061120015 Palaruan, Jaymar Alcalde 80 Promoted Fairly Satisfactory
Palaruan, Jayson Nagum ( 75-79) 11 7 18
102061120016 80 Promoted
102061130003 Ramos, Lawrence Polanco 84 Promoted Satisfactory
Rayos, Shane Lajera ( 80-84) 9 13 22
102061120017 81 Promoted
102061120019 Rosario, Jude Robert Castro 79 Promoted Very Satisfactory
Ruiz, Christian Gay ( 85 -89) 0 6 6
110242120014 78 Promoted
102061130004 Salazar, Michael Manalastas 77 Promoted Outstanding
Sarmiento, Matt Christian Isla ( 90 -100) 2 3 5
102066120060 76 Promoted
102061130005 Villanueva, Ronnie Basis 77 Promoted
102061120020 Aguilar, Abegail Distor 79 Promoted ARCELI U. FONTANILLA
102061120058 Asuncion, Hani Rose Manilab 91.625 Promoted Class Adviser
102061120023 Bautista, Patricia Marie Distor 82 Promoted
102061120024 Begonia, Angelica Jamero 81 Promoted
102061120025 Cabaya, Alexandria Venize Menosaba 88.000 Promoted CERTIFIED CORRECT & SUBMITTED:
102061130008 Calderon, Joylyn Pasuquin 82 Promoted SONNY P. BACALZO
102061120026 Cercena, Choco May Sky Luga 90.750 Promoted Principal II
102061120028 Distor, Jellan Velasco 89 Promoted
102061120029 Fernando, Angel Pajarillo 89 Promoted
102061120030 Foronda,Jewel Mae Casilla 88 Promoted REVIEWED BY:
102061120031 Geronimo, Althea Nitor 80 Promoted CORNELIO R. AQUINO, Ed. D.
102061120032 Geronimo, Mia Mae Calderon 77 Promoted Chief Education Supervisor, CID
102061120033 Gonzales, Measyldin Galvez 83 Promoted
BACK
School Name AGNO ELEMENTARY SCHOOL Grade Level IV Section A
GENERAL
non-honor)
Incomplete
Failed Learning
Area/s as of end
102061120049 Calderon, Jon Jefferson Padasdao 83 Promoted SUMMARY TABLE
of current School
102061120050 Casilla, Jordan June Cabobos 78 Promoted Year STATUS MALE FEMALE TOTAL
136638120227 Dela Cruz, Mark Abalos 83 Promoted
PROMOTED 12 19 31
102061110006 Distor, Noriel Dee Rosario 83 Promoted
102061110008 Fernandez, Raymond Gabriel 80 Promoted
*Conditional 0 0 0
102061110009 Fernando, Jioswa Tabilen 79 Promoted
102061110016 Lopez, Dexter Rodico 79 Promoted
RETAINED 0 0 0
102061110021 Padillo, Mark Daniel 86 Promoted
102061120053 Palaruan, Benjamin Jr. Nagum 84 Promoted
102061110025
Santos, Alexander Tabilin 81 Promoted Learners' General Average)
Descriptors &
102061120051
Tapaoan, Mark Lester Escalada 80 Promoted Grading Scale
MALE FEMALE TOTAL
102061120052 Vino, Julius Cesar Orsavia 83 Promoted Did Not Meet

Expectations 0 0 0
( 74 and below)
Fairly Satisfactory
( 75-79) 3 2 5
Satisfactory
( 80-84) 8 12 20
Very Satisfactory
( 85 -89) 1 2 3
GENERAL
non-honor)
Outstanding
( 90 -100) 0 3 3
102061120047 Asilum, Bleselda Cabarloc 79 Promoted THADDEUS R. FERNANDEZ
102061110001 Balingit, Aseah Neri Geronimo 85 Promoted Class Adviser
102061130028 Batlanggao, Jusmayn Cardinez 84 Promoted
102061110002 Cabote, Janell Ruiz 81 Promoted
102061110005 Cornejo, Rio Ann Rodico 85 Promoted CERTIFIED CORRECT & SUBMITTED:
102061110011 Gapuiz, Ashley Mei Lopez 84 Promoted SONNY P. BACALZO
102061110012 Geronimo, Bea Nitor 83 Promoted Principal II
106329110067 Geronimo, Lexie Anne V. 81 Promoted
102061110013 Geronimo, Mariane Rhea Cerenado 82 Promoted
102061110014 Gudoy, Ronalen Nagum 82 Promoted REVIEWED BY:
102061130025 Laureta, Shiela Menosaba 83 Promoted CORNELIO R. AQUINO, Ed. D.
102061120046 Lopez, Kharyel Anne M. 90.781 Promoted Chief Education Supervisor, CID
102061130020 Menosaba, Syra Lian Ramos 90.375 Promoted
102061110019 Millan, Susie Marie Ybanez 83 Promoted
102061110022 Ramos, Michaella Orina 79 Promoted
102061110023 Reyes, Kyna Mae Luga 82 Promoted
102061110024 Rodico, Joanalyn Cariaga 90.500 Promoted
102061120055 Ruiz, April Mae Fernando 82 Promoted
102061110026 Sarmiento, Daniela Lopez 84 Promoted
19 TOTAL FEMALE
31 COMBINED
BACK
School Name AGNO ELEMENTARY SCHOOL Grade Level V Section A
GENERAL
non-honor)
Incomplete
Failed Learning
Area/s as of end
10206134567 Duterte, Mar 95 Promoted of current School SUMMARY TABLE
10206134567 Duterte, Mar 86 Promoted Year STATUS MALE FEMALE TOTAL
10206134567 Duterte, Mar 81 Promoted

PROMOTED 40 40 80
*Conditional 0 0 0
RETAINED 0 0 0
10206134567 Duterte, Mar 78 Promoted Learners' General Average)
Descriptors &
10206134567 Duterte, Mar 78 Promoted Grading Scale
MALE FEMALE TOTAL
10206134567 Duterte, Mar 78 Promoted Did Not Meet

Expectations 1 1 2
10206134567 Duterte, Mar 78 Promoted ( 74 and below)
10206134567 Duterte, Mar 78 Promoted Fairly Satisfactory

( 75-79) 36 36 72
GENERAL
non-honor)
Fairly Satisfactory
( 75-79) 36 36 72
10206134567 Duterte, Mar 78 Promoted Satisfactory
( 80-84) 1 1 2
10206134567 Duterte, Mar 78 Promoted Very Satisfactory
( 85 -89) 1 1 2
10206134567 Duterte, Mar 78 Promoted Outstanding
( 90 -100) 1 1 2
GENERAL
non-honor)

GENERAL
non-honor)
You can hide blank row/s 78 Promoted

10206134567 Duterte, Mar 95 Promoted MARYJEAN L. SERIOSA

10206134567 Duterte, Mar 86 Promoted Class Adviser
10206134567 Duterte, Mar 78 Promoted CERTIFIED CORRECT & SUBMITTED:
10206134567 Duterte, Mar 78 Promoted SONNY P. BACALZO

10206134567 Duterte, Mar 78 Promoted Principal II
10206134567 Duterte, Mar 78 Promoted REVIEWED BY:
10206134567 Duterte, Mar 78 Promoted CORNELIO R. AQUINO, Ed. D.

10206134567 Duterte, Mar 78 Promoted Chief Education Supervisor, CID

GENERAL
non-honor)

10206134567 Duterte, Mar 78 Promoted GUIDELINES:
10206134567 Duterte, Mar 78 Promoted 2014)
10206134567 Duterte, Mar 78 Promoted 2. To be prepared by the Adviser. The Adviser should indicate the
10206134567 Duterte, Mar 78 Promoted for Conditional.
10206134567 Duterte, Mar 78 Promoted 3. On the summary table, reflect the total number of learners
10206134567 Duterte, Mar 78 Promoted RETAINED (Did Not Meet Expectations in three (3) or more
10206134567 Duterte, Mar 78 Promoted Expectations in not more than two (2) learning areas) and the
10206134567 Duterte, Mar 78 Promoted the grading system in the said Order shall be in effect for all grade
10206134567 Duterte, Mar 78 Promoted learning area/s that the learner had failed as of end of current SY.
GENERAL
non-honor)


BACK
School Name AGNO ELEMENTARY SCHOOL Grade Level VI Section A
GENERAL
non-honor)
Incomplete
Failed Learning
Area/s as of end
10206134567 Duterte, Mar 95 Promoted of current School SUMMARY TABLE
10206134567 Duterte, Mar 86 Promoted Year STATUS MALE FEMALE TOTAL

PROMOTED 40 40 80
*Conditional 0 0 0
RETAINED 0 0 0
10206134567 Duterte, Mar 78 Promoted Learners' General Average)
Descriptors &
10206134567 Duterte, Mar 78 Promoted Grading Scale
MALE FEMALE TOTAL
10206134567 Duterte, Mar 78 Promoted Did Not Meet

Expectations 1 1 2
10206134567 Duterte, Mar 78 Promoted ( 74 and below)
10206134567 Duterte, Mar 78 Promoted Fairly Satisfactory

( 75-79) 36 36 72
GENERAL
non-honor)
Fairly Satisfactory
( 75-79) 36 36 72
10206134567 Duterte, Mar 78 Promoted Satisfactory
( 80-84) 1 1 2
10206134567 Duterte, Mar 78 Promoted Very Satisfactory
( 85 -89) 1 1 2
10206134567 Duterte, Mar 78 Promoted Outstanding
( 90 -100) 1 1 2
GENERAL
non-honor)

GENERAL
non-honor)
You can hide blank row/s 78 Promoted

10206134567 Duterte, Mar 95 Promoted MARISSA L. GOMEZ

10206134567 Duterte, Mar 86 Promoted Class Adviser
10206134567 Duterte, Mar 78 Promoted CERTIFIED CORRECT & SUBMITTED:
10206134567 Duterte, Mar 78 Promoted SONNY P. BACALZO

10206134567 Duterte, Mar 78 Promoted Principal II
10206134567 Duterte, Mar 78 Promoted REVIEWED BY:
10206134567 Duterte, Mar 78 Promoted CORNELIO R. AQUINO, Ed. D.

10206134567 Duterte, Mar 78 Promoted Chief Education Supervisor, CID

GENERAL
non-honor)

10206134567 Duterte, Mar 78 Promoted GUIDELINES:
10206134567 Duterte, Mar 78 Promoted 2014)
10206134567 Duterte, Mar 78 Promoted 2. To be prepared by the Adviser. The Adviser should indicate the
10206134567 Duterte, Mar 78 Promoted for Conditional.
10206134567 Duterte, Mar 78 Promoted 3. On the summary table, reflect the total number of learners
10206134567 Duterte, Mar 78 Promoted RETAINED (Did Not Meet Expectations in three (3) or more
10206134567 Duterte, Mar 78 Promoted Expectations in not more than two (2) learning areas) and the
10206134567 Duterte, Mar 78 Promoted the grading system in the said Order shall be in effect for all grade
10206134567 Duterte, Mar 78 Promoted learning area/s that the learner had failed as of end of current SY.
GENERAL
non-honor)


BACK
School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)
School ID 102061 Region I Division Pangasinan II
School Name AGNO ELEMENTARY SCHOOL District Tayug I School Year 2015-2016
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
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
PROMOTED 13 10 23 28 15 43 22 29 51 12 19 31 40 40 80 40 40 80 155 153 308
IRREGULAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RETAINED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
BEGINNNING
0 0 0 1 1 2 0 0 0 0 0 0 1 1 2 1 1 2 3 3 6
(B: 74% and below)
DEVELOPING
8 7 15 24 11 35 11 7 18 3 2 5 36 36 72 36 36 72 118 99 217
(D: 75%-79%)
APPROACHING
PROFICIENCY 3 0 3 1 1 2 9 13 22 8 12 20 1 1 2 1 1 2 23 28 51
(AP: 80%-84%)
PROFICIENT
2 1 3 1 1 2 0 6 6 1 2 3 1 1 2 1 1 2 6 12 18
(P: 85% -89%)
ADVANCED
0 2 2 1 1 2 2 3 5 0 3 3 1 1 2 1 1 2 5 11 16
(A: 90% and above)
TOTAL 13 10 23 28 15 43 22 29 51 12 19 31 40 40 80 40 40 80 155 153 308
Prepared and Submitted by: SONNY P. BACALZO Reviewed & Validated by: CORNELIO R. AQUINO, Ed. D. Noted by: ATTY. DONATO D. BALDERAS, JR.
Principal II Chief Education Supervisor, CID SCHOOLS DIVISION SUPERINTENDENT
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.
BACK
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
School ID 102061 School Year 2015-2016
School Name AGNO ELEMENTARY SCHOOL Grade Level I Section A
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Martin, Coco 7/17/2015 3/4/2016
1

1 TOTAL FOR MALE | TOTAL COPIES 1 0 0 0 0 0 0 0 1
1 Salvador, Maja 6/20/2015 3/21/2016


1 TOTAL FOR FEMALE | TOTAL COPIES 1 0 0 0 0 0 0 0 1
2 TOTAL LEARNERS | TOTAL COPIES 2 0 0 0 0 0 0 0 2

GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence IMELDA V. FERNANDEZ
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
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.

B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for
Issued Returned Issued Returned code
Issued Returned
FM), TLTR=Teacher Issued Returned duly
prepared letter/report Issued
noted byReturned
School HeadIssued Returned
for submission to SchoolIssued
Property Returned Issued Returned
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
DO#14, 2.2012.
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2015

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

12 MALE l TOTAL Per Day 12 11 12 8 6 4 0

19 FEMALE l TOTAL Per Day 8 7 7 0 0

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

8 Padillo, Mark Daniel M.

9 Palaruan, Benjamin Jr. N.

11 Tapaoan, Mark Lester E. 1

24 MALE l TOTAL Per Day 12 11 12 8 6 4 0

2 Balingit, Aseah Neri G.

5 Cornejo, Rio Ann R.

6 Gapuz, Ashley Mei L.

8 Geronimo, Lexie Anne V.

9 Geronimo, Mariane Rhea C.

Menosaba, Syra Lian R.

Reyes, Kyna Mae L.

Ruiz, April Mae F.

9 FEMALE l TOTAL Per Day 8 7 7 0 0

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

8 Padillo, Mark Daniel M.

9 Palaruan, Benjamin Jr. N.

11 Tapaoan, Mark Lester E. 1

24 MALE l TOTAL Per Day 12 11 12 8 6 4 0

2 Balingit, Aseah Neri G.

5 Cornejo, Rio Ann R.

6 Gapuz, Ashley Mei L.

8 Geronimo, Lexie Anne V.

9 Geronimo, Mariane Rhea C.

Menosaba, Syra Lian R.

Reyes, Kyna Mae L.

Ruiz, April Mae F.

9 FEMALE l TOTAL Per Day 8 7 7 0 0

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

8 Padillo, Mark Daniel M.

9 Palaruan, Benjamin Jr. N.

11 Tapaoan, Mark Lester E. 1

24 MALE l TOTAL Per Day 12 11 12 8 6 4 0

2 Balingit, Aseah Neri G.

5 Cornejo, Rio Ann R.

6 Gapuz, Ashley Mei L.

8 Geronimo, Lexie Anne V.

9 Geronimo, Mariane Rhea C.

Menosaba, Syra Lian R.

Reyes, Kyna Mae L.

Ruiz, April Mae F.

9 FEMALE l TOTAL Per Day 8 7 7 0 0

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

Name of School AGNO ELEMENTARY SCHOOL Grade Level I Section A

8 Padillo, Mark Daniel M.

9 Palaruan, Benjamin Jr. N.

11 Tapaoan, Mark Lester E. 1

24 MALE l TOTAL Per Day 12 11 12 8 6 4 0

2 Balingit, Aseah Neri G.

5 Cornejo, Rio Ann R.

6 Gapuz, Ashley Mei L.

8 Geronimo, Lexie Anne V.

9 Geronimo, Mariane Rhea C.