Senior High School Form 1 (SHSF-1) S

School ID Schools Division Sem

School Name School Year Grade

COMPLETE ADDRESS

Gender (M/F)
NAME BIRTH DATE Religious
LRN AGE House #/
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Affiliation
Street/ Municipality/
Barangay Provinc
Sitio/ City
Purok

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

<=== TOTAL MALE

1
2
HSF-1) School Register (Semestral)
Semester Track and Strand

Grade Level Course/s (only for TVL)

Section

GUARDIAN
E ADDRESS PARENTS REMARKS
(if Not Parent)

Father's Name
Mother's Maiden Name
(Last Name, First Contact Number (Please refer to the
Province Name (Last Name, (Last Name, First Relationship
Name, Middle (Optional) legend)
First Name, Middle Name, Middle
Name)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

<=== TOTAL FEMALE

<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Beginning
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semest
Transfered Out T/O Name of Public (P) Private (PR) CCT Recipient CCT CCT Control/reference number
& Effectivity Date
School & Effectivity Date MALE
Transfered In Name of Public (P) Private (PR) Balik Aral B/A Name of school last attended &
Year
T/I School & Effectivity Date
Learner With LWD Specify

Disability FEMALE
Specify Level & Effectivity Data
Accelerated ACL

TOTAL
Beginning of the End of the Prepared by;
Semester Semester

Name and Signature of Adviser

Beginning of the Semester Date: End of the Semester Date:

 Senior High School Form 2 (SHSF-2) Daily Attend
School ID Schools Division

School Name School Year

Semester
(1st row for date)
NAME
No.
(Last Name, First Name, Middle Name)
M T W TH F S M T W TH F S M T W TH F S M T W TH

11 <=== MALE | TOTAL Per Day ===>

34 <=== FEMALE | TOTAL Per Day ===>

45 Combined TOTAL Per Day

aily Attendance Report of Learners
Month of Track and Strand

Grade Level Course/s (only for TVL)

Section
Total for the REMARKS
Month (1. If No Longer in School (NLS), state reason, please refer to legend number 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the
name of Track/Strand/Program)
F S M T W TH F S ABSENT TARDY
 Senior High School Form 3 (SHSF-3) Books/Learning Modules Issued
School ID Schools Division Semester

School Name School Year Grade Level

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Middle
Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
SUB-TOTAL ===>
1
2
3
4
5
6
7
8
9
10
dules Issued and Returned
Track and Strand

Course/s (only for TVL)

Section
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned Issued Returned
 11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
SUB-TOTAL ===>
GRAND TOTAL ===>
Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

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.
3. The Total Number of Copies issued shall be reflected in the form.
4. The Total Number of Copies of Books Returned shall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
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), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
(Revise Format)
Prepared By:

Name and Signature of Adviser

 Senior High School Form 4 (SHSF-4) Sum

School ID Schools Division

School Name School Year

ATTENDANCE NO L

REGISTERED
LEARNERS (A)
GRADE (As of End Percentage Cumulativ
TRACK STRAND SECTION NAME OF ADVISER Daily
for the Number a
LEVEL of the Month) Average
Month of Previou
Month

M F T M F T M F T M

GRADE 11

GRADE 12
TOTAL
GUIDELINES:
1. This form shall be accomplished at the end of every month using the summary box of SHSF-2 submitted by the teachers/advisers.
2. The school shall furnish a copy to the Division Office a week after June 30, October 30, November 30 & March 31.

Page of pages
SF-4) Summary of Monthly Learner's Movement and Attendance

chools Division Month of

School Year Semester

NO LONGER IN SCHOOL TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT

(A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B)

Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(B) Total for (B) Total for (B) Total for (B) Total for
Number as Number as Number as Number as Number as Number as Number as Number as
the Month the Month the Month the Month
of Previous of End of of Previous of End of of Previous of End of of Previous of End of
Month the Month Month the Month Month the Month Month the Month

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

s.
Prepared and Submitted by:

Name and Signature of School Head

ce

ED OUT SHIFTED IN

(A+B) (A) (A+B)

Cumulative Cumulative Cumulative
(B) Total for
Number as Number as Number as
the Month
of End of of Previous of End of
the Month Month the Month

T M F T M F T M F T
 Senior High School Form 5 (SHSF-5) Status of Lea
*based on DO

Region Schools Division

School ID School Year Semester

2017-2018
School Name

LEARNER'S NAME
LRN
(Last Name, First Name, Middle Name)

MALE

<=== SUB TOTAL

FEMALE
 <=== SUB TOTAL
<=== GRAND TOTAL

PREPARED BY: CERTIFIED CORRECT & SUBMITTED BY:

Name and Signature of Class Adviser Name and Signature of School Head
Date signed: Date signed:

GUIDELINES:

Indicators
End of Semester Status
Complete means number of learners who completed/satisfied (obtained at least 75%) requirement in all subje
Incomplete means number of learners who failed (obtained less than 75%) in one or more subject areas (regard
No Longer in School means number of learners who left school (stop attending classes in any school) before the end of S

End of School Year Status

Regular means number of learners who completed/satisfied (obtained at least 75%) requirement in all subje
Irregular number of learners who did not able to satisfied /completed requirement in one or both semesters

Remark Notification will display if the learner shifted from one track/program to another, and transfer to anoth
1. Track/Program (e.g. HUMSS, STEM, TVL, GAS,)
2. Transfer In
3.Trans Out
tatus of Learners (End of Semester and End of School Year)
*based on DO 23, s. 2017

Track and Strand Course/s (only for TVL)

Grade Level Section

BACK SUBJECT/S END OF SEMESTER END OF THE SCHOOL SUMMARY TABLE 1ST SEM
List down subjects where STATUS YEAR STATUS
learner Did Not Meet (Complete/
Expectations (Grade of below Incomplete)
75) (Regular/ Irregular)
STATUS MALE FEMALE

COMPLETE
INCOMPLETE

TOTAL

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE 1ST SEM

MALE FEMALE
LEARNERS WITH BACK SUBJECTS

SUMMARY TABLE 2ND SEM

MALE FEMALE
LEARNERS WITH BACK SUBJECTS

SUMMARY TABLE (EOSY)

STATUS MALE FEMALE

REGULAR

IRREGULAR

TOTAL
 REVIEWED BY:

re of School Head Name and Signature of Division Representative

Date signed:

uirement in all subject areas

subject areas (regardless of number of subjects failed)
) before the end of Semester

uirement in all subject areas both in 1st and 2nd semester

or both semesters

and transfer to another school within the School Year

LE 1ST SEM

TOTAL

LE 2ND SEM

TOTAL

LE 1ST SEM

TOTAL

LE 2ND SEM

TOTAL

BLE (EOSY)

TOTAL
 Senior High School Form 6 (
Summarized Report of Learne
Region Schools Division School Ye

School ID School Name Semes

END OF SEMESTER

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL
Prepared and Submitted by: Reviewed & Validated by:
Name and Signature of School Head Name and Sig
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the class adviser, the School Head sh
2. This report shall be forwarded to the Division Office by the end of the semesterr.
3. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
hool Form 6 (SHSF-6)
ort of Learners' Status
School Year

Semester

END OF SCHOOL YEAR

(fill up only at the end of the second semester)

TOTAL REGULAR IRREGULAR TOTAL

TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
 Noted by:
Name and Signature of Division Representative Name and Signature of Schools Division Superintendent

er, the School Head shall compute the grade level total per track/strand/course and school total.
 Senior High School Form 7 (SHSF-7) School Pe
School ID Region
School Name Schools Division
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items

Title of Plantilla Position Title of Plantilla Position

Number of Number of
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent
document/PSIPOP) document/PSIPOP)

EDUCATIONAL QUALIFICATI
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status Degree/
Source Designation Specialization/
Number Position, Descending) (Regular/ Masteral/ Post
-T.I.N.) Probationary/ Specialized
Graduate
Part Time) Training Attended
 EDUCATIONAL QUALIFICATI
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status Degree/
Source Designation Specialization/
Number Position, Descending) (Regular/ Masteral/ Post
-T.I.N.) Probationary/ Specialized
Graduate
Part Time) Training Attended
 EDUCATIONAL QUALIFICATI
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status Degree/
Source Designation Specialization/
Number Position, Descending) (Regular/ Masteral/ Post
-T.I.N.) Probationary/ Specialized
Graduate
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
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 ra
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also repor
4. Daily Program Column is for teaching personnel only.
School Personnel Assignment List and Basic Profile
Semester
School Year
(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

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

Remarks:
NAL QUALIFICATION Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP's -Ethnicity)
Subjects Taught, Advisory Sections
Major/ Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Specialization/ Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
Specialized taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
aining Attended 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:
NAL QUALIFICATION Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP's -Ethnicity)
Subjects Taught, Advisory Sections
Major/ Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Specialization/ Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
Specialized taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
aining Attended 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:
NAL QUALIFICATION Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP's -Ethnicity)
Subjects Taught, Advisory Sections
Major/ Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Specialization/ Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
Specialized taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
aining Attended 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

on Office. In case of movement of teachers and other

d from the highest rank down to the lowest. (Signature of School Head over Printed Name)
ties must also reported.
Updated as of:
School Form 7, Page ___ of ________
 Senior High School Form (SHSF-8)
List of Learners who Completed All SHS Requirements
School ID Semester Track and Strand
Grade
School Name
Level
Course/s (only for TVL)
Section

National
Certificatio
LEARNER'S FULL NAME n Level
LRN
(Last Name, First Name, Middle Name) Attained
(only if
applicable)

MALE
SUMMARY TABLE

STATUS MALE FEMALE TOTAL

DIPLOMA

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

NC III

NC II

NC I
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.

2. It should be compiled and checked by the school
head and passed to the Division Office before graduation.

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

School Head
(Name and Signature)
 School Head
(Name and Signature)

REVIEWED BY:

Division Representative
FEMALE