School Form 1 (SF 1) School Register

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

School ID 136426 NCR Division City Schools, Manila District II

School Name
FRANCISCO BENITEZ ELEMENTARY SCHOOL School Year 2015-2016 Grade Level SIX Section ESCURO
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic RELIGION 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 House #/ Street/ Sitio/ Municipality/
June Group) Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
Purok City
Middle Name) Middle Name) page)

M 63 Abiera, Edgardo Pabalan Javier, Rizalina Casiano

136426090004 Abiera , Edgardo III Javier 09/23/03 Tagalog Iglesia ni Cristo 621 Pilapil St. Tondo Manila Metro Manila

M 521 Z 1 Peralta St. 182 Carolino, Dexter, Mangibin, Ma. Carolyn

136426090115 Carolina , Kyan Mangibin 09/24/04 Tagalog Catholic Manila Metro Manila
Gagalangin Tdo. Indidaño Barrientos
M 152 Dayrit, Nelson, Ramirez Domingo, Rosario Neri
136426090147 Dayrit, Nico Domingo 01/05/04 Tagalog Catholic 778 Kagandahan St. Tdo. Manila Metro Manila

M 742 Int. 3 Benita St. 185 De Gracia, Larry, Serrano, Jilly Lorino
136426090149 De Gracia , Jomari Tristan Serrano 05/18/04 Tagalog Catholic Manila Metro Manila
Gagalangin Tdo. Galauran
M 2290 G. Perfecto St. Ext. 152 De Leon, Allan, Chan Neo, Jocelyn Sanchez
136426070146 De Leon , Jeric Neo 09/28/02 Tagalog Catholic Manila Metro Manila
Tdo.
M 31 De Vivar, Rodrigo, Vetonio, Fe Cui
136426080173 De Vivar , Renz Vetonio 10/19/02 Tagalog Catholic 304 Paulicas St. Maypajo Caloocan Metro Manila
Legaspi
M 152 Diaz, Jeffrey, Lanaja Baluyot, Julie Solis
136426090184 Diaz , Reylie Baluyot 12/26/03 Tagalog Catholic 783 Int. 33 M. Guizon St. Tdo. Manila Metro Manila

M 152 Esperas, Noel, Talusan Villarez, Ellen Siarez

136426090205 Esperas , Juan Pablo Villarez 12/24/03 Tagalog Catholic 783 F.Ma. Guizon St. Tdo. Manila Metro Manila

M 171 Fabrig, Raymundo, Bernal, Charina Arboleda

136426120422 Fabrig , Angelo Ray Bernal 03/10/03 Tagalog Born Again 2325-A Fidel St. Tdo. Manila Metro Manila
Icasiano
M 183 Geronimo, Ruben, Martin Ignacio, Carmen Joaquin
136426090237 Geronimo , Ravencarl Igncio 09/25/04 Tagalog Catholic 654 Patricia St. Gag. Tdo. Manila Metro Manila

M 28 Guerrero, Mario, Aquino Manalastas, Roleen

136426090245 Guerero , Marc Shanen Manalastas 08/24/04 Tagalog Born Again B 67 L 13 Kawal St. Manila Metro Manila
Dominico
M 27 Lim, Jonathan, Torres Pamatmat, Delia Cabrera
136426120454 Lim , Jonathan Jr. Pamatmat 09/30/03 Tagalog Catholic 56 Socorro St. Caloocan Metro Manila

M 153 Unknown Magbanua, Jessica

136426090307 Magbanua , John Lester 07/15/01 Tagalog Catholic 728 Ma. Guizon St. Gag. Tdo. Caloocan Metro Manila
Guevarra
M 184 Moncal, Armando, Nogra Eglesia, Alma Placer
136426090343 Moncal , Luis Armando Eglesia 07/05/04 Tagalog Catholic 742 Lakambini St. Gag. Tdo. Manila Metro Manila

M 2254 G. Perfecto St. Gag. 152 Monserat, Allan, Dorado Fajardo, Ma. Remedios
136426090344 Monserat , Arvin Rainier Fajardo 01/24/04 Tagalog Catholic Manila Metro Manila
Tdo. David
M 2165 E. Rodriguez St. Balut 129 Montebon, Samuel, Saquin, Raquel Lumondang
136426090345 Montebon , Samuel Jr. Saquin 09/22/03 Tagalog Catholic Manila Metro Manila
Tdo. Batistis
1301 Lot 4 Blk 10
M 212 Sanchez, Frederick, Cabanlit, Norylyn Garay
136426120468 Sanchez , Derick Joshua Cabanlit 10/07/03 Tagalog Born Again Sampaguita St. J. Abad Manila Metro Manila
Coronel
santos Tdo.
M 11 Sanchez, Ricardo, Lugtu Ibarra, Cristina Amato
136426090466 Sanchez , Richard Chris Ibarra 11/14/03 Tagalog Catholic 161 Lakas Ng Mahirap St. Caloocan Metro Manila

M 34 Tulagan, Samuel, Mapayo, Marivic

136426120427 Tulagan , Lorenz Mapayo 05/28/04 Tagalog Catholic 12 Estan Islao Maypajo Caloocan Metro Manila
Sanchez
M 2629 A Int. 10 Dagupan Ext. 164 Udal, Denver, Villacorta Clariño, Luis Zaida Castillo
136426120436 Udal , Zyrill Drixx Clariño 11/02/03 Tagalog Catholic Manila Metro Manila
Tdo.
M 34 Varona, Roderico, Aquino, Roselia Yee
136426090519 Varona , Mark Aquino 05/30/04 Tagalog Catholic 68 Sto. Tomas St. Maypajo Caloocan Metro Manila
Bermudo
M
Ventura, Junjin Sison Tagalog Catholic Manila Metro Manila

F 2551 G. Bulacan St. Gag. 173

136426090002 Abarquez , Bernadette Ann Lasala 04/16/03 Tagalog Catholic Manila Metro Manila
Tdo.
F
136246090020 Alisbo , Mikaella Shane Paraguya 12/18/03 Tagalog Catholic 2449 B Yangco St. Gag. Tdo. Manila Metro Manila

F 27
136426130086 Aquino , Aira Calangoy 01/26/04 Tagalog Catholic 280 Lourdes St. Caloocan Metro Manila

F 147
136426090030 Aquino, Rachel Ann Cajusay 04/25/04 Tagalog Catholic 639 Villa Fojas St. Gag. Tdo. Manila Metro Manila
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic RELIGION 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 House #/ Street/ Sitio/ Municipality/
June Group) Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
Purok City
Middle Name) Middle Name) page)

F 2627 B Fernandez St. Gag. 175

136426090090 Budy , Kate Chelsy Gatchalian 06/26/04 Tagalog Catholic Manila Metro Manila
Tdo.
F 184
136419121100 Cabañes , Alexandra Nicole 12/11/02 Tagalog Catholic 746 Avellana St. Gag. Tdo. Manila Metro Manila

F 184
136426090105 Canape , Keiycia Mae 06/27/04 Tagalog Catholic 3047 Maliklik St. Gag. Tdo. Manila Metro Manila

F 186
136426090136 Cortez , Arriane Mae 05/15/04 Tagalog Catholic 2770 Benita St. Gag. Tdo. Manila Metro Manila

F 147
136426090156 De Jesus, Genre Lyn Rome 05/24/04 Tagalog Catholic 648 Villafojas St. zGag. Tdo. Manila Metro Manila

F 35
136426090224 Gabionza , Angela Mariano 10/20/02 Tagalog Catholic 453 JP. Rizal St. Maypajo Caloocan Metro Manila

F 184
136426090244 Gratuito , Maria Nicole Bonaobra 06/03/04 Tagalog Catholic 2984 Dagupan Ext. Gag. Tdo. Manila Metro Manila

F 181
136426090259 Ignacio , Danilyn Cabrales 10/22/03 Tagalog Catholic 639 Pag-asa St. Gag. Tdo. Manila Metro Manila

F 2023 G. Perfecto St. Laguna 153

136426090269 Junio , Kristel Ann Jamison 06/06/04 Tagalog Catholic Manila Metro Manila
Ext. Tdo.
F 147
136426090273 Langit , Erica Valerio 12/04/04 Tagalog Catholic 679 Villa Fojas St. Gag. Tdo. Manila Metro Manila

F 174
136426090313 Manalo , Arlene 02/19/04 Tagalog Catholic 2521 Tirzo Cruz St. Gag. Tdo. Manila Metro Manila

F 177
136426090349 Monterola , Jamie Cajurao 03/06/03 Tagalog Born Again 2977 Benita Ext. Gag. Tdo. Manila Metro Manila

F 179
136426090426 Quiroz , Faith Frnachesca Palileo 09/25/03 Tagalog Protestant 634 Nenette St. Gag. Tdo. Manila Metro Manila

F 216
136426090422 Quiza , Aimie Rose Sastrillas 07/29/04 Tagalog Catholic 1145 Int. 8 B-Vargas St. Tdo. Manila Metro Manila

F 2217 Callejon D. Earnshaw 148

136426090434 Reyes , Cyra Desalet 03/29/01 Tagalog Catholic Manila Metro Manila
Gag. Tdo.
F 198
136426090435 Reyes , Yneri Gabrielle Yabut 10/02/03 Tagalog Iglesia ni Cristo 3147 Pilar St. Manuguit Tdo. Manila Metro Manila

F 037 Quirino St. Bo. 119

136426130078 Santiago , Ma. Khristel Bautista 08/05/04 Tagalog Catholic Manila Metro Manila
Magsaysay Tdo.
F 182
136426090474 Santos , Mary Jane 08/05/02 Tagalog Catholic 2791 G. Santos St. Tdo. Manila Metro Manila

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

(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

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Report for the Month of

Name of School Grade Level Section

LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T 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

MALE | TOTAL Per Day

LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T 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

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
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)
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
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
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
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. 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
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
 LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T 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
Attested by:
School Form 2 : Page ___ of ________
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 136426 School Year School Year 2015-2016

School Name FRANCISCO BENITEZ ELEMENTARY SCHOOL Grade Level SIX Section FAHRENHEIT

Subject Area & Title Subject Area & Title Subject Area & Title You Subject Area & Title You Subject Area & Title Uawit Subject Area & Title Math Subject Area & Title Math Subject Area & Title
Landas ng Wika Landas Pagbasa and Me- Reading and Me- Language at Gumuhit Today and Beyond For Everyday Science Into The Future
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

1 Abiera , Edgardo III Javier 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

2 Carolino , Kyan Mangibin 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

3 Dayrit, Nico Domingo 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

4 De Gracia , Jomari Tristan Serrano 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

5 De Leon , Jeric Neo 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

6 De Vivar , Renz Vetonio 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

7 Diaz , Reylie Baluyot 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

8 Esperas , Juan Pablo Villarez 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

9 Fabrig , Angelo Ray Bernal 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

10 Geronimo , Ravencarl Igncio 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

11 Guerero , Marc Shanen Manalastas 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

12 Lim , Jonathan Jr. Pamatmat 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

13 Magbanua , John Lester 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

14 Moncal , Luis Armando Eglesia 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

15 Monserat , Arvin Rainier Fajardo 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

16 Montebon , Samuel Jr. Saquin 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

17 Sanchez , Derick Joshua Cabanlit 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

18 Sanchez , Richard Chris Ibarra 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

19 Tulagan , Lorenz Mapayo 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

20 Udal , Zyrill Drixx Clariño 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

21 Varona , Mark Aquino 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

22 Ventura, Jun Jun Sison 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015
TOTAL FOR MALE | TOTAL COPIES 22 22 22 22 22 22 22 22
 Subject Area & Title Subject Area & Title Subject Area & Title You Subject Area & Title You Subject Area & Title Uawit Subject Area & Title Math Subject Area & Title Math Subject Area & Title
Landas ng Wika Landas Pagbasa and Me- Reading and Me- Language at Gumuhit Today and Beyond For Everyday Science Into The Future
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

1 Abarquez , Bernadette Ann Lasala 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

2 Alisbo , Mikaella Shane Paraguya 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

3 Aquino , Aira Calangoy 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

4 Aquino, Rachel Ann Cajusay 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

5 Budy , Kate Chelsy Gatchalian 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

6 Cabañes , Alexandra Nicole 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

7 Canape , Keiycia Mae 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

8 Cortez , Arriane Mae 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

9 De Jesus, Genre Lyn Rome 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

10 Gabionza , Angela Mariano 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

11 Gratuito , Maria Nicole Bonaobra 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

12 Ignacio , Danilyn Cabrales 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

13 Junio , Kristel Ann Jamison 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

14 Langit , Erica Valerio 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

15 Manalo , Arlene 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

16 Monterola , Jamie Cajurao 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

17 Quiroz , Faith Frnachesca Palileo 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

18 Quiza , Aimie Rose Sastrillas 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

19 Reyes , Cyra Desalet 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

20 Reyes , Yneri Gabrielle Yabut 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

21 Santiago , Ma. Khristel Bautista 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

22 Santos , Mary Jane 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015
TOTAL FOR FEMALE | TOTAL COPIES 22 22 22 22 22 22 22 22
TOTAL LEARNERS | TOTAL COPIES 44 44 44 44 44 44 44 44
GUIDELINES: In case of lost/unreturned books, please provide in 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 RICHARD JOHN P. LITAO
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 code FM), (Signature over printed name)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by Date BoSY: 06/01/2015 Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 136426 School Year School Year 2015-2016

School Name FRANCISCO BENITEZ ELEMENTARY SCHOOL Grade Level SIX Section FAHRENHEIT

Subject Area & Title Subject Area & Title Subject Area & Title Gabay Subject Area & Title Subject Area & Title Subject Area & Title Math Subject Area & Title Math Subject Area & Title Math
Umawi't Gumuhit Yamang Pilipinas Buhay Developing Reading ReadingSoaring High Today Everyday and Me
LEARNER'S NAME Power VI 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

1 BAUTISTA, JIERIC MARIJUAN 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

2 BEDIG, ERLINDO MONCIDA JR 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

3 DEL MORAL, NAROLD MONTOYA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

4 DEL ROSARIO, CORNELIO DELA CRUZ III 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

5 LIBAY, ARZENDRICK MAMALE 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

6 LLACER, ALLEN MARK NOVALES 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

7 LOPEZ, PRINCE DERICK CAYARI 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

8 LUMAWON, JASPER - 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

9 MALLARI, CLARENCE JAME OPORTO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

10 MARQUEZ, KURT ALLEN ALAY-AY 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

11 MARTICIO, DION - 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

12 MENDOZA, JANIEL VILLANUEVA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

13 MIAMO, MARK JEFFERSON ARABE 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

14 MINGCAY, JOHN KEVIN FALCUTILA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

15 MONTERA, RYAN JAY FRANCISCO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

16 MUSNI, TIMOTHY KENNETH CAJIUAT 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

17 NARSOLIS, JAERELL KIAN ANSUAS 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

18 ORBITA, HARROLD AUDITOR 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

19 PANGANIBAN, KING KENNETH DALISAY 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

20 PASCUAL, FRANCIS CEDRIC JOHN REIN - 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

21 PROTOMARTIR, JONES GREGORY ARIE 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015
REGACHUELO, RYAN PHILIP DELA CRUZ

SANTOS, FRANCE WILLIAM GARCIA

22 SUAL, JOHN PATRICK BACOLOD

24 24 24 24 24 24 24 24
 Subject Area & Title Subject Area & Title Subject Area & Title Gabay Subject Area & Title Subject Area & Title Subject Area & Title Math Subject Area & Title Math Subject Area & Title Math
Umawi't Gumuhit Yamang Pilipinas Buhay Developing Reading ReadingSoaring High Today Everyday and Me
LEARNER'S NAME Power VI 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

1 ALVARO, LARAH JULIANA PEUSCA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

2 BALAYO, LOREEN JADE DRIO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

3 BAO-AS, MARY JOYCE DUMANGIN 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

4 BIONA, KATE ANGELINE BALAJADIA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

5 CARIAGA, ABEGAIL BAYANG 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

6 CONSTANTINO, BERNADETTE - 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

7 DACANAY, KYLY CURSTY LOWI AGUILAR 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

8 DE JAÑO, FARAH BIANCA SANTOS 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

9 DIAZ, JANAH PATRICE VILLANUEVA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

10 ESPINO, EDZEL DRAIZEN BANTO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

11 GALUPO, JULIA MARIE GUMAWA 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

12 GATCHALIAN, COLINE DYPANGCO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

13 HETIGAN, MARIELLE SERRANO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

14 ISIDRO, REYNA BANQUIRIGAN 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

15 JACOBE, ALLYSSA JHANE KILAT 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

16 JIMENEZ, EDEL QUEEN MONTANO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

17 MANACMUL, MICHAELA JADEZIA NARCISO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

18 MAÑIBO, ANGELICA JOY ALBO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

19 MONTERA, RIZALYN FRANCISCO 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

20 OCAMPO, MISSYHEART TORRES 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

21 PELOVELLO, SHERILYN 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

22 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015 06-01-2015

TOTAL FOR FEMALE | TOTAL COPIES 21 21 21 21 21 21 21 21
TOTAL LEARNERS | TOTAL COPIES 45 45 45 45 45 45 45 45
GUIDELINES: In case of lost/unreturned books, please provide i 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 ODYSSEY A.ORONICO
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 code FM), (Signature over printed name)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by Date BoSY: 06/01/2015 Date EoSY: ___________
the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year 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

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: 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
 (Signature of School Head over Printed Name)
Page _____ of _____ pages
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and
above)
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year ADVANCED
(A: 90% and
TOTAL MALE above)

PREPARED BY:

Class Adviser

(Name and Signature)

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
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.

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
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE

COMBINED School Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)

School ID Region Division

School Name District School Year

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

IRREGULAR

RETAINED

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
(B: 74% and below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE 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.
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division

School Name District School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

Number of
Title of Designation Appointment:
Incumbent
Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an
updated Form 19 must be submitted to the Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________