Académique Documents
Professionnel Documents
Culture Documents
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
AGE as of
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)
BIRTH
BIRTH IP
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ TONGUE House # /
(nos. of years as ( Province) Ethnic Group) Father (1st name only if family
dd/yy) Street/Sitio/ Barangay Municipality/ City Province Mother (Maiden) Name Relationship
per last birthday) name identical to learner)
Purok
AGE as of
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)
BIRTH
BIRTH IP
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ TONGUE House # /
(nos. of years as ( Province) Ethnic Group) Father (1st name only if family
dd/yy) Street/Sitio/ Barangay Municipality/ City Province Mother (Maiden) Name Relationship
per last birthday) name identical to learner)
Purok
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE
Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify
TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data Date:
not Parent) REMARK/S
Certified Correct:
not Parent) REMARK/S
Date:
School Form 2 (SF2) Daily Attendance Report for learner
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
*LEARNER'S NAME DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
*LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
*LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
School ID
1 0 1 1 0 1
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
# Need home visitation as per DECS Service Manual (page, section) Prepared and Submitted by:
GUIDELINES:
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after July 31, October 30 & March 31 (Signature of School Head over Printed Name)
3. Teachers who are handling advisory class shall be reported.
4. Small school that has one section per grade/year level are 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.
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner,2 for
IRREGULAR or
RETAINED SUMMARY TABLE
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY
MALE FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE FEMALE
BEGINNNING
(B: 74% and
below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner,2 for
IRREGULAR or
RETAINED SUMMARY TABLE
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY ADVANCED
(A: 90% and MALE FEMALE
above)
TOTAL MALE
PREPARED BY:
Class Adviser
School Head
GUIDELINES:
CY
TOTAL
TOTAL
e)
TED:
e)
Final rating
from the
ass adviser
General
the total
etained and
ncy
ral average
TOTAL
ollment
ESP /GSSP
e 2 of ________
School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This cancel Form 20)
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
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: Reviewed & Validated by: Noted by:
SCHOOL HEAD DPO/EPS SCHOOLS DIVISION SUPERINTENDENT
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
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
Title of Plantilla Position Nature of Appointment and Designation Funded by Number of Incumbent
Number of Title of Plantilla Position Number of
(as appeared in the appointment (Contractual , Substitute, (SEF, PTA, NGO's
Incumbent (as appeared in the appointment document) Incumbent Non-
document) Volunteer & others) etc.) Teaching
Teaching
Other illness(specify):
b.3 Immunization
Learner's immunization shots are complete and current: yes /no
b.4 Physical Fitness and SY SY
Sports Talent Test (PFSTT) SY_____ SY_____ SY_____ SY_____ SY_____
b.4.1. Muscular Fitness
Partial: Curl Ups
Trunk: Lift (cm)
90-Degrees push- ups
b.4.2. Flexibility Fitness
Sit and Reach
Left leg bent (cm)
Right leg bent (cm)
Shoulder Flexibility
Right arm up (cm)
Left arm up (cm)
b.4.3. Physiological Fitness
1km run - Time: (min/sec)
b.5. Sports Talents
b.5.1 Anthropometrics
Sitting Height (cm)
Arm Span (cm)
b.5.2. Muscular Power
Standing Long Jump (m)
Basketball Pass (m)
b.5.3 Speed
40-meter sprint (sec.)
GUIDELINE:
The Learner Data Sheet shall be accomplish by the parent/pupil during enrolment. While, the medical/health record s
the health officer/clinic teacher at the beginning of every school year. (July?)
Municipality/Province
SY_____ SY_____
SY_____ SY_____