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School Name RAJAH CABUNGSUAN IS School ID 500327 District LINGIG II Division SURIGAO DEL SUR Region
Semester FIRST SEMESTER School Year 2018-2019 Grade Level TWELVE Track and Strand GENERAL ACADEMIC STRAND
Section FARADAY Course (For TVL Only)
Sex (M/F)
(if learner is not Living with Parent)
NAME BIRTHDAT Religious Mother's Maiden Number of
LRN (Last Name, First Name, Name E AGE Name (Please refer to
Affiliation House No./ Municipality/ Father's Name Name (Last Name, First Name, Parent/
Extension, Middle Name) (mm/dd/yyyy) Street/ Sitio/ Barangay Province (Last Name, First Name, Name (Last Name, First Name, Relationship
Purok City Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Church of the Rajah Gay-od, Nestor Feliscuzo, Velona
### GAY-OD NECK JUN FELISCUZO M 12/22/1999 18 Lingig Surigao del Sur
Rising Jesus Cabungsuan Linggay Monson
Church of the Rajah
### LATIBAN, JEMBOY, LUZGAPA M 10/30/1999 18 Lingig Surigao del Sur Latiban, Marcos Luzgapa, Genevie M.
Rising Jesus Cabungsuan
SFRT 2017
Senior High School (SF1-SHS)
CARAGA
GENERAL ACADEMIC STRAND
REMARKS
(Please refer to the legend)
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
RAJAH CABUNGSUAN INTEGRATED
School Name School ID 500327 District LINGIG II Division SURIGAO DEL SUR Region
SCHOOL
Semester FIRST SEMESTER School Year 2017-2018 Grade Level ELEVEN Track and Strand GENERAL ACADEMIC S
ADEMIC STRAND
UNE
MARKS
reason, please refer to legend number. 2. If
School. 3. If SHIFTING IN/OUT, write the name of
and/Program).
Summary
F TOTAL
2 5
0 0
2 5
100 100
2 5
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please re
TRANSFERRED IN/OUT, write the name of School. 3. If SHIF
Name) a.1. Had to take care of siblings Track/Strand/Program).
M T W TH F S M T W TH F S M T W TH F S a.2.
M Early
T marriage/pregnancy
W TH F S M T W TH F S ABSENT TARDY
b. Average Daily Attendance = Number of School Days in reporting month a.3. Parents' attitude toward schooling
a.4. Family problems Percentage of Attendance for the month 100
Number of students absent for 5
consecutive days 0
c. Percentage of Attendance for the month = Average daily attendance x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form 4. Once b.1. Illness
b.2. Overage
No Longer in School (NLS) 0
signed by the School Head, this form should be returned to the Class Adviser.
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive
b.5. Poor Academic Performance
Transferred Out 0
days and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In 0
Shifting Out 0
c. School-Related Factors Shifting In 0
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
NORELYN B. ACEDILL
d.3. Calamities/Disasters Signature of Class Adviser over Printed Nam
e. Financial-Related
e.1. Child labor, work Attested By:
GAUDIOSA L. ALKUIN
f. Others (Specify) Signature of School Head over Printed Nam
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
MARKS
reason, please refer to legend number. 2. If
School. 3. If SHIFTING IN/OUT, write the name of
and/Program).
100 100
0 0
0 0
0 0
0 0
0 0
0 0
EDILLA
Printed Name
LKUINO
Printed Name
School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
School Name School ID 500327 District LINGIG-II Division SURIGAO DEL SUR CARAGA
RAJAH CABUNGSUAN INTEGRATED SCHOOL Region
Semester FIRST School Year 2017-2018 Grade Level ELEVEN Track and Strand GENERAL ACADEMIC STRAND
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
RAJAH CABUNGSUAN
School Name District LINGIG-II Division SURIGAO DEL SUR Region CARAGA
INTEGRATED SCHOOL
School ID 500327 Semester FIRST School Year 2017-2018 For the Month of AUGUST
REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A)
(As of End Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
Number as of Number as
(B) Total for
Number as of Number as
(B) Total for
of the Month) Average Month the Month the Month the Month the Month the Month
of Previous End of the of Previous of End of of Previous End of the of Previous End of the of Previous
Month Month Month the Month Month Month Month Month 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 M F T M F T M F T M F T M F T
GAUDIOSA L. ALKUINO
Signature of School Head over Printed Name
UST
D IN
(A+B)
Cumulative
Number as
of End of the
Month
M F T
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
School Name RAJAH CABUNGSUAN IS School ID 500327 District LINGIG II Division SURIGAO DEL SUR
Track and Strand GENERAL ACADEMIC STRAND Course/s (only for TVL)
MALE
1 SUMMARY TABLE 1ST SEM
INCOMPLETE
TOTAL
COMPLETE
INCOMPLETE
TOTAL
REGULAR
IRREGULAR
TOTAL
FEMALE
Prepared By:
BACK SUBJECT/S END OF
LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)
Reviewed By:
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These
data elements shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
PLATO
TOTAL
TOTAL
ear Only)
TOTAL
Name
Name
inted Name
School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name RAJAH CABUNGSUAN IS School ID 500327 District LINGIG II Division SURIGAO DEL S Region CARAGA
Semester SECOND School Year 2017-2018 Section PLATO
Track and Strand GENERAL ACADEMIC STRAND Course/s (only for TVL)
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
MALE
SUMMARY TABLE A
STATUS MALE FEMALE TOTAL
Learners who
completed SHS
Program within 2
SYs or 4
semesters
Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters
TOTAL
SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
FEMALE
Reviewed By:
Reviewed By:
School Name RAJAH CANUNGSUAN IS School ID 500327 District LINGIG-II Division SURIGAO DEL SUR Region CARAGA
Semester SECOND School Year 2017-2018
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
GRADE 11
TRACK/STRAND/COURSE
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Division Superintendent over Printed Name
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school total.
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
School Form 7 School Personnel Basic Profile and Assign
School Name School ID District
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items
Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
Division Region
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
FEMALE
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
SFRT 2017
gh School (SF8-SHS)
Region
School Year
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Reviewed By:
SFRT 2017
SFRT 2017