Académique Documents
Professionnel Documents
Culture Documents
(This replaces 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
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)
COORDINATOR
Ave. Minutes per Day 440
ESP V M-F 7:30 8:00 150
PROJECT OCSI V M-F 8:00 8:30 150
English V M-F 8:30 9:30 300
SCIENCE V M-F 9:45 10:35 250
MATHEMATICS V M-F 10:35 11:35 300
AP V M-F 1:30 2:10 200
Regular/ FILIPINO V M-F 2:10 3:10 300
453-810-104 MARVIE C. VILLAR F DepEd Teacher I BEED GENERAL
Permanent MAPEH V M-F 3:10 3:50 200
EPP V M-F 3:50 4:40 250
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
Employee No. Name of School Personnel Nature of
(include Grade & Detailed Items,
(or Tax Fund Position/ Appointment/ Total Actual
(Arrange by Sex Section), Advisory Class DAY Indicate name of
Identification Source Designation Employment Degree / Post Major/ From To Teaching
Number -T.I.N.) Position, Descending) Regular/ Minor & Other Ancillary (M/T/W/ school/office, For
453-810-104 MARVIE C. VILLAR F DepEd Teacher I Status Graduate
BEED Specialization
GENERAL (00:00) (00:00) Minutes per
Permanent Assignments TH/F) IP's -Ethnicity)
Week
DRRM COORDINATOR
ENGLISH COORDINATOR
Number of
Incumbent
Non-
Teaching
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
GA
er Printed Name)
___________
e ___ of ________