Académique Documents
Professionnel Documents
Culture Documents
AGE as of
1st Friday IP
NAME Sex BIRTH DATE of June BIRTH PLACE MOTHER (Specify
NO LRN
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) ( Province) TONGUE Ethnic
(nos. of Group)
years as
per last
birthday)
BANTAYAN, GERALIN O.
109063060009 F 06/24/2001 17 Quezon Tagalog
5
6 109078060017 BILINGAN, MARY JOY A. F 05/12/2001 17 Quezon Tagalog
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
R. Catholic Ungos Real Quezon William Evangeline A. Asutilla
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
Rolando
R. Catholic Capalong Real Quezon Maila D. Balubar
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
R. Catholic Ungos Real Quezon William Jalyn P. Tena
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
Prepared by:
Required Information BoSY EoSY
CCT Control/reference number & Effectivity MALE 27 MARIA THERESA C. PALACIO
Date (Signature of Adviser over Printed Name)
Name of school last attended & Year FEMALE 25
Specify
TOTAL 52
ADDRESS NAME OF PARENTS GUARDIAN (If not Pare
RELIGION
Father (1st name
House # /
Municipalit only if family name Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Province Name
y/ City identical to Middle & Last Name)
Purok
learner)
TOTAL 52
Specify Level & Effectivity Data BoSY Date: 7/2/15 EoSYDate:
ICT B
Grandmother
(If not Parent) REMARK/S
Contact
Number
(Parent
/Guardian) (Please refer to
Relationship the legend on last
page)
(If not Parent) REMARK/S
Contact
Number
(Parent
/Guardian) (Please refer to
Relationship the legend on last
page)
Auntie
(If not Parent) REMARK/S
Contact
Number
(Parent
/Guardian) (Please refer to
Relationship the legend on last
page)
Certified Correct:
AUREA P. EVASCO
(Signature of School Head over Printed Name)
(If not Parent) REMARK/S
Contact
Number
(Parent
/Guardian) (Please refer to
Relationship the legend on last
page)
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
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM),
3.
4. The
The Total Number of
Total Number of Copies
Copies of
issued at Returned
Books BoSY shallatbe
thereflected
EoSYshallin the form. in the
be reflected TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid
form. by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
Textbook ENGLISH Textbook FILIPINO Textbook Textbook SCIENCE Textbook ARALING Textbook E.S.P Textbook T.L.E Textbook MUSIC &
MATHEMATICS PANLIPUNAN ARTS
LEARNER'S NAME
(Last
NO.
Name, First Name, Middle Name) B. In Column
Date Date Date Remark/Action Taken,
Datecodes are: LLTR=Secured
Date Letter from Learner
Date duly signed by parent/guardian
Date (for code Date
FM),
TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid
Issued Returned Issued Returned byIssued
the Learner (for code NEG).
Returned Issued References:
Returned DO#23,
Issueds.2001, DO#25, s.2003,
Returned Issued DO#14, 2.2012.Issued Returned Issued Returned
Returned
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
Textbook PE &
HEALTH
REMARK/ACTION TAKEN
(Please refer to the
Date legend on last page)
Issued Returned
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Textbook PE &
HEALTH
REMARK/ACTION TAKEN
(Please refer to the
Date legend on last page)
Issued Returned
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Textbook PE &
HEALTH
REMARK/ACTION TAKEN
(Please refer to the
Date legend on last page)
Issued Returned
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Jun-14
Prepared By:
AIAN Z. VILLANUEVA
M F T M F T M F T M F T M F T M F T M F T
ARANTE, REMELIE R. G12 GAS A 7 20 27 7 20 27 100 100 100
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
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 grade/year level.
nd Attendance
REAL
M F T M F T M F T M F T M F T
Prepared and Submitted by:
AUREA P. EVASCO
(Signature of School Head over Printed Name)
School Form 5 (SF 5) Report on Promotion & Level of Proficien
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curr
GENERAL AVERAGE
(Numerical Value in 3 decimal
ACTION TAKEN: remaining RBEC in High School. Elementary grad
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this
LRN places for honor learner, 2 for
(Last Name, First Name, Middle Name) *IRREGULAR or
non-honor & Descriptive
RETAINED
Letter) Completed as of end of current
SY
109065120099 Alpar, Mark Lawrence Viaje.
109074070004 Anacin, Jhon Mark Azores.
109074070016 Avila, John Cardel Nierra.
109077070018 Brozo, Jerome Bungag.
TOTAL MALE
109074070002 Almacha, Lyneth Ruzol.
240001070175 Astejada, Shiela Marie Mahinay
109065070004 Bartolome, Ana Mhay Detoito.
TOTAL FEMALE
COMBINED
of Proficiency
REAL
K-12
11 Section ICT B
SUMMARY TABLE
PROMOTED 21 23 44
*IRREGULAR
RETAINED 3 4 7
ADVANCED (A:
90% and above)
PREPARED BY:
AIAN Z. VILLANUEVA
Division Representative
GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCYMALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
(D: 75%-79%)
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
(P: 85% -89%)
Nos. of ADVANCED
(A: 90% and above)
TOTAL
Prepared and Submitted by: AUREA P. EVASCO Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERI
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
School Year 2013-2014
eld.
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Title of Plantilla Position Title of Plantilla Position Title of Designation Appointment: Fund Source
Number of Number of
(as appeared in the appointment (as appeared in the appointment (Designation as appeared in the contract/document: (Contractual, Substitute, (SEF, PTA,
Incumbent Incumbent Volunteer, others specify)
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, Driver etc.) NGO's etc.)
OIC /Principal 1
Master Teacher 1 2
Teacher III 2 UTILITY MAN contractual MOOE
Teacher II 5
Special Science Tteacher 1 1
M/T/W/TH/F
SENIOR HIGH SCHOOL/ P S
ENGLISH
Regular DLLE(Diploma in G12 (ICT-A/HE)Practical Research 2 M/T/W/TH/F 10:45 11;45
4646746 Remelie R. Arante F n/a
18)
SCIENCE/MAED
BS COMPUTER
SENIOR HIGH
SCHOOL/ P S
M/T/W/TH/F
(SHS) (SG 18)
SCIENCE
5497675 Williamm P. Inte M n/a GXI(TVL - ICT ) Computer System Servicng M/T/W/TH/F 3:00 PM 5:00PM
Regular Permanent
Employee Nature of
SCIENCE/MAED
BS COMPUTER
SENIOR HIGH
SCHOOL/ P S
No. (or Tax Name of School Personnel Subject Taught (include Grade & Section),
COMPUTER
GRADUATE
(SHS) (SG 18)
Fund Position/ Appointment/
SCIENCE
Identification (Arrange by Sex Advisory Class & Other Ancillary
5497675 Williamm P. Inte M Source Designation Employment Degree / Post Major/ n/a DAY From To
Number Position, Descending) Minor Assignment
-T.I.N.) Status Graduate Specialization (M/T/W/TH/F) (00:00) (00:00)
Regular Permanent
G11(TVL-ICT )English for Academic and Prof. M/T/W/TH/F 9:45 10:45
MEDTECH
G11(HE)English for Academic and Prof. Purpos M/T/W/TH/F 1:00 2:00
5495538 Melissa E. Nanong F n/a G12 (ICT-A) Earth and Life Science M/T/W/TH/F 3:00 4:00
G12 (ICT-A) Physical Science M/T/W/TH/F 4:00 5:00
BS CHEMISTRY/36 units
G12 (ICT B) Physical Science M/T/W/TH/F 8:30 9:30
Provisional
Chemistry
education
(SG13) G11(GAS )Personal Development M/T/W/TH/F 10:45 11:45
5495535 Maria Theresa C. Palacio F n/a G11(HE )Personal Development M/T/W/TH/F 2:00 3:00
G12 (GAS A) Physical Science M/T/W/TH/F 3:00 4:00
ICT- B adviser
Ave. Minutes per Day
T-II SECONDARY (SHS)
BSED
TLE
n/a
4546220 Aiza P. Licayan F GXI(TVL-H E)Bread and Pastry M/T/W/TH/F 3:00 5:00
TVL/H.E Adviser
Ave. Minutes per Day
G12(GAS-A) Intro. To the World Religion and Be M/T/W/TH/F 7:30 8:30
NIOR HIGH SCHOOL/ P
MATHEMATICS
G12(GASB)Phillippine Politics M/T/W/TH/F 1:00 2:00
(SG12)
BSED
n/a
105458732 Resplandor, Mercedes A. F
S
Regular Permanent
No. (or Tax Name of School Personnel Subject Taught (include Grade & Section),
MATHEMATICS
Fund Position/ Appointment/
Identification (Arrange by Sex Advisory Class & Other Ancillary
Source Designation Employment
(SG12)
Degree / Post Major/ DAY From To
BSED
Number Position, Descending) Minor Assignment
n/a
105458732 Resplandor, Mercedes A. F
S
-T.I.N.) Status Graduate Specialization (M/T/W/TH/F) (00:00) (00:00)
MATHEMATICS
Provisional
G12(GAS-B)Entrepreneurship M/T/W/TH/F 1:00 2:00
BSED
n/a
265-236-947 Rinen, Nick L. M G12(GAS-A)Applied Economics M/T/W/TH/F 2:00 3:00
G12(GAS-B) Introduction to World and Belief S M/T/W/TH/F 3:00 4:00
G12(ICTA/HE)Entrepreneurship M/T/W/TH/F 4:00 5:00
GAS11 Adviser
Ave. Minutes per Day
G12(GAS-A) Media and Information Literacy 8:30 9:30
BS in Business Administration
SENIOR HIGH SCHOOL/ P S
M/T/W/TH/F
Management Information
T-II SECONDARY (SHS)
G12(ICT-B) Media and Information Literacy 9:45 10:45
Professional Education
M/T/W/TH/F
Graduate; 18 Units of
Administration (MBA)
G12(GASA) Practical Research 2 M/T/W/TH/F 10:45 11:45
Provisional
G12(ICT-A) Media and Information Literacy 1:00 2:00
System
M/T/W/TH/F
(SG12)
n/a
265-382-469 Resplandor, Rex Michael A. M G12(GASB) Media and Information Literacy M/T/W/TH/F 2:00 3:00
G12(ICT-B) Practical Research 2 M/T/W/TH/F 4:00 5:00
ICT 11 Adviser
Ave. Minutes per Day
n/a
468936 Villanueva, Aian Z. M
G12 (GAS-A) PE and Health F 1:00 2:00
G12 (GAS-B) PE and Health F 2:00 3:00
G11 (ICT and HE) PE and Health F 3:00 4:00
T-II SECONDARY (SHS) (S
n/a
468936 Aian Z. M Fund Position/ Appointment/
Identification (Arrange by Sex Advisory Class & Other Ancillary
Source Designation Employment Degree / Post Major/ DAY From To
Number Position, Descending) Minor Assignment
-T.I.N.) Status Graduate Specialization (M/T/W/TH/F) (00:00) (00:00)
Adviser - HE
Ave. Minutes per Day
G12(GASB)INTRODUCTION TO THE PHILOS M/T/W/TH/F 8:30 9:30
Provisional
G12(GAS-A) PHILIPPINE POLITICS AND GO M/T/W/TH/F 1:00 2:00
Biology
n/a
327-781-698 Astoveza, Effiel Avmil F G12(ICT-B) INTRODUCTION TO THE PHILO M/T/W/TH/F 3:00 4:00
G12(GAS-A) INTRODUCTION TO THE PHILO M/T/W/TH/F 4:00 5:00
ICT-A 12 Adviser
Ave. Minutes per Day
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 .
Submitted by:
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 school personnel.
EMERSON P. POR
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. (Signature of School Head
4. * Daily Program Column is for teaching personnel only.
Updated as of: _____July 7, 2017______
Number of
Source Incumbent
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching
MOOE 1
duration)
Remark/s (For Detailed
Total Actual Items, Indicate name of
Teaching school/office, For IP's
Minutes -Ethnicity)
Assignment
per Week
300
300
300
300 FULL-TIME SHS
teacher UNHS-
300
Main
300
360
600
600
FULL-TIME SHS
600 teacher UNHS-
Main
duration)
Remark/s (For Detailed
Total Actual Items, Indicate name
FULL-TIME SHSof
Teaching school/office, For IP's
Minutes teacher UNHS-
-Ethnicity)
Assignment Main
per Week
360
300
300
300
300 FULL-TIME SHS
300 teacher UNHS-
Main
300
360
300
300
300
300 FULL-TIMESHS
300 teacher UNHS-Main
300
360
600
300
300 FULL-TIME SHS
600 teacher UNHS-
Main
360
300
300
300
FULL-TIME SHS
300 teacher UNHS-
300 Main
duration)
Remark/s (For Detailed
Total Actual Items, Indicate name of
Teaching FULL-TIMEFor
school/office, SHS
IP's
Minutes teacher UNHS-
-Ethnicity)
Assignment Main
per Week
300
360
300 60
300 6
300
300 FULL-TIME SHS
300 teacher UNHS-
300 Main
300
360
300
300
300
300 FULL-TIME SHS
300 teacher UNHS-
Main
300
360
300
300
300
300
60
60
60
60
60
60
duration)
Remark/s (For Detailed
Total Actual Items, Indicate name of
Teaching school/office, For IP's
Minutes -Ethnicity)
Assignment
per300
Week
360
300
300
300
300 FULL-TIME SHS
300 teacher UNHS-
300 Main
360
MERSON P. PORTALES
e of School Head over Printed Name)
17______
______
School Form 7 (SF7) School Personnel Assignm
(This replaced Form 12-Monthly Status Report for Teachers, Form
Form 29-Teacher Program and Form 31-Summary Informa
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items
EDUCATIONAL QUALIFICATIO
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post
Number Position, Descending)
-T.I.N.) Status Graduate
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 perso
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest ran
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also r
4. * Daily Program Column is for teaching personnel only.
Personnel Assignment List and Basic Profile
nthly Status Report for Teachers, Form 19-Assignment List,
gram and Form 31-Summary Information of Teachers)
Division QUEZON
District REAL School Year 2013-2014