School ID Region District School Name School Year Grade Level Section

School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
School ID Region District
School Name School Year Grade Level Section
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)

IP
Contact Number of
NAME BIRTH DATE AGE as of 1st (Specify
LRN Sex (M/F) MOTHER TONGUE RELIGION Parent or
(Last Name, First Name, Middle Name) (mm/dd/yyyy) Friday of June Ethnic
Group) House # / Mother's Maiden Name Guardian)
Municipality/ Father's Name (Last Name, Relationshi
Street/Sitio/ Barangay Province (Last Name, First Name, Name
City First Name, Middle Name) p
Purok Middle Name)
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)
IP
NAME BIRTH DATE AGE as of 1st (Specify Contact Number of
LRN (Last Name, First Name, Middle Name) Sex (M/F) (mm/dd/yyyy) Friday of June MOTHER TONGUE Ethnic RELIGION Parent or
Guardian)
Group) House # / Municipality/ Father's Name (Last Name, Mother's Maiden Name Relationshi
Street/Sitio/ Barangay City Province First Name, Middle Name) (Last Name, First Name, Name p
Purok Middle Name)
List and code of Indicators under REMARK column Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE (Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
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 BoSY Date: EoSY Date: BoSY Date: EoSY Date:
REMARK/S
(Please refer to the legend on last

page)
REMARK/S
(Please refer to the legend on last

page)
orrect:
re of School Head over Printed Name)
EoSY Date:
School Form 2 (SF2) Daily Attendance Report for learner
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID School Year Report for the Month of
Name of School Grade Level Section
1st row for date Total for the

LEARNER'S NAME Month REMARKS (If DROPPED OUT, state
(Last Name, First Name, Middle Name) reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY name of School.)
MALE | TOTAL Per Day

1st row for date Total for the
Month REMARKS (If DROPPED OUT, state
LEARNER'S NAME
(Last Name, First Name, Middle Name) reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY name of School.)
FEMALE | DAILY TOTAL

Combined TOTAL PER DAY
L E G E N D:
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
No. of Days of Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
2. Dates shall be written in the preceding columns beside Learner's Name. blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes) *Enrolment as of (1st Friday of June)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month (beyond cut-off)
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings Registered Learner as of end of the month
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrollment as of end of the month
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems
b. Individual-Related Factors Average Daily Attendance
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. Percentage of Attendance for the month
b.2. Overage
5. The adviser will provide necessary interventions including but not limited to home visitation to learner/s who were b.3. Death
Number of students absent for 5 consecutive days:
absent for 5 consecutive days and/or those at risk of dropping out. b.4. Drug Abuse
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.5. Poor academic performance
Drop out
* Beginning of School Year cut-off report is every 1st Friday of School Year. b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out
c. School-Related Factors
c.1. Teacher Factor
Transferred in
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clan

feuds) (Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work CEDRIC B. CLAROS,SP-1
School Form 2: Page _____of ______ f. Others (Specify) (Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replace Form 1 & Inventory of Text Book)
School ID School Year

School Name Grade Level Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
LEARNER'S NAME REMARKS/ACTION TAKEN
NO. (Last Name, First Date Date Date Date Date Date Date Date (Please refer to the legend on
Name, Middle Name) last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR MALE | TOTAL COPIES

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
LEARNER'S NAME REMARKS/ACTION TAKEN
NO. (Last Name, First Date Date Date Date Date Date Date Date (Please refer to the legend on
Name, Middle Name) last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
1. Title of Books Issued to each learner must be recorded by the class adviser.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
2. The Date of Issuance and the Date of Return shall be reflected in the form. NEG=Negligence
3. The Total Number of Copies of Books issued at BoSY shall be refected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by (Signature over printed name)
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for
4. The Total Number of Copies of Books returned at EoSY shall be refected in the form. 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, s.2012. BoSY Date: ____________ EoSY Date:__________
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
School Form 3: Page_______of ________
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID 125598 Region IX Division ZAMBOANGA SIBUGAY District IMELDA
School Name LA VICTORIA ELEMENTARY SCHOOL School Year 2018-2019 Report for the Month of June 29,2018
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER (As (A) (A+B) (A+B) (A+B)
of End of the (A) Cumulative (A) Cumulative
YEAR SECTION NAME OF ADVISER Daily Average Percentage for the Month Cumulative as (B) For the Cumulative as as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as
LEVEL Month) of Previous Month of End of the Month Month of End of the Month Month of End of the
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
Kinder A Mailyn M. Egos 15 11 26 14.17 10.78 24.94 94.46% 98.00% 95.92% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I A Michelia Lintas Morre 14 13 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13.94 12.80 26.83 99.20% 98.40% 99.37% 0
II A Rosemarie B. Gubatan 15 15 30 14..72 14..77 29.49 98.13% 98.46% 98.30% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
III A Zosima D. Monteroso 9 19 28 8.94 18.88 27.82 99.33% 99.37% 99.35% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
IV A Maria Pilar A. Gemeniano 17 13 30 16.94 12.94 29.88 99.65% 99.54% 99.60% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
V A Grace M. Matin 20 14 34 19.06 13.39 32.44 95.30% 95.64% 95.41% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VI A Argie L. Dilan 12 14 26 12 14 26 100% 100% 100.00% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ELEMENTARY/SECONDARY:
KINDER 15 11 26 14.17 10.78 24.94 94.46% 98.00% 95.92% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 1 14 13 27 13.94 12.80 26.83 99.20% 98.40% 99.37% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 2 15 15 30 14.72 14.77 29.49 98.13% 98.46% 98.30% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 3 9 19 28 8.94 18.88 27.82 99.33% 99.37% 99.35% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 4 17 13 30 16.94 12.94 29.88 99.65% 99.54% 99.60% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 5 20 14 34 19.06 13.39 32.44 95.30% 95.64% 95.41% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 6 12 14 26 12 14 26 100% 100% 100.00% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL FOR NON-GRADED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 102 99 201 99.77 97.56 197.4 98.01% 98.49% 98.28% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prepared by: Submitted by:

GUIDELINES:
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. MAILYN M. EGOS HARLENE BADA DELA CRUZ
2. Furnish the Division Office with a copy a week after June 30, October 31 & March 31 School ICT Coordinator (Signature of School Head over Printed Name)
Page ____of _______

School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A and List of Graduates)
Region Division District
School ID School Year Curriculum
School Name Grade Level Section
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE in High School. Elementary grades level that are still
ACTION TAKEN: implementing RBEC need not to fill up this columns)
LEARNER'S NAME (Numerical Value in PROMOTED,
LRN (Last Name, First Name, Middle Name) 2 decimal places and IRREGULAR or
3 decimal places for RETAINED
honor learners, and From previous school year
Descriptive Letter) completed as of end of current As of end of the current School
Year
School Year
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74%
and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP:
80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
Descriptive Letter) As of end of the current School
completed as of end of current
School Year Year
ADVANCED
(A: 90% and
TOTAL MALE above)
School Year Year
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:

Education Program Supervisor

Division Planning Officer
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per

subject area should be taken from the record of
subject teacher. The class adviser should make the
computation of General Average.
3. On the summary table, reflect the total number

of learners promoted, retained and *irregular (*for
grade 7 onwards only) and the level of proficiency
according to the individual General Average.
4. Must tally with the total enrollment report as of

End of School Year GESP /GSSP (EBEIS)
TOTAL FEMALE 5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent.
COMBINED
School Form 5: Page _____ of ______

School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)
School ID Region Division
School Name District School Year
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 TOTAL MALE FEMALE TOTAL
BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and above)
TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
School Head Division Planning Officer Schools Division Superintendent
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
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 and submission is under the discretion of the Schools Division Superintendent.
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)
School ID 125598 Region IX Division Zamboanga Sibugay
School Name LA VICTORIA ES District IMELDA School Year 2018-2019

(A) Nationally-Funded Teaching Related Items (B) Nationally-Funded Non Teaching Items (C) Other Appointments and Funding Sources
Title of Designation Appointment:

Title of Plantilla Position Title of Plantilla Position Fund Source
Number of Number of (as it appears in the contract/document: (Contractual, Number of Incumbent
(as it appears in the appointment (as it appears in the appointment (SEF, PTA, NGO's
Incumbent Incumbent Teacher, Clerk, Security Guard, Driver, Substitute, Volunteer,
document/PSIPOP) document/PSIPOP) etc.) Teaching Non-
etc.) Others specify)
Teaching
ESHT-III 1
T-III 2
T-II 1
T-I 4
EDUCATIONAL QUALIFICATION Subject Taught * Daily Program (time duration)

Employee Name of School (include Grade & Remark/s
Nature of
No. (or Tax Personnel Position/ Appointmen
Fund Designatio Section) Advisory Total (For Detailed Items,
Identificatio (Arrange by Sex Class & Other DAY Actual Indicate name of
n Number - Position, Descending) Source n t/Employme Degree / Post Major/
Minor Ancillary
From To
(M/T/W/ (00:00) (00:00) Teaching school/office, For IP's
Graduate Specialization
nt Status TH/F) Minutes -Ethnicity)
T.I.N.) Assignment per Week
(Please Specify)
ESHT-III
EPP-VI 1:30 2:20 200
ADMI ISTRATION &

SUPERVISION
NATIONAL
ESHT-III
4912255 / HARLENE B. DELA CRUZ REGULAR DOCTORAL M/T/W

F /TH/F
151-867-680 PERMANENT 18 UNITS
Ave. Minutes per Day 40

EDUKASYON SA 7:30 8:00 150
PAGPAPAKATAO -I I
FILIPINO - II 8:00 8:50 250
EDUCATIONAL MANAGEMENT
MOTHER TONGUE
BASED -II 8:50 9:40 250
ENGLISH - II M/T/W 9:55 10:45 250

NATIONAL
/TH/F
4912254/18 REGULAR BEED/ MA SHARED READING 1:00 1:30 150
T-II
ROSEMARIE B. GUBATAN F
3-500-239 PERMANENT 18 UNITS MATHEMATICS-II 1:30 2:20 250
ARALINGPANLIPUNAN-
II 2:20 3:00 200
MAPEH - II 3:00 3:40 200
REMEDIATION 3:40 4:00 100
EDUCATIONAL MANAGEMENT
NATIONAL
4912254/18 REGULAR BEED/ MA
T-II
3-500-239 ROSEMARIE
Employee Name ofB.School
GUBATAN F PERMANENT
Nature of 18 UNITS (include Grade & Remark/s
No. (or Tax Personnel Fund Position/ Appointmen Section) Advisory Total (For Detailed Items,
Identificatio (Arrange by Sex Designatio Class & Other DAY Actual Indicate name of
Minor Ancillary (M/T/W/
From To
Teaching school/office, For IP's
Graduate Specialization (00:00) (00:00)
T.I.N.) nt Status Assignment
TH/F) Minutes -Ethnicity)
per Week
(Please Specify)
FILIIPINO COORDINATOR

EDUKASYON SA
PAGPAPAKATAO - III 7:30 8:00 150
ENGLISH-III 8:00 8:50 250
ARALING
PANLIPUNAN- III 8:50 9:30 200
SCIENCE-III 9:45 10:35 250
M/T/W
FILIPINO -III /TH/F 10:35 11:25 250
8130007/18 ZOSIMA D. MONTEROSO REGULAR BEED/MA EDUCATIONAL SHARED READING- III 1:00 1:30 150
F NATIONAL T-III
0-523-271 PERMANENT 30 UNITS MANAGEMENT MATHEMATICS - III 1:30 2:20 250
MOTHER TONGUE BASED-
III 2:20 3:10 250
MAPEH - III 3:10 3:50 200
MATH COORDINATOR/NUTRITION CHAIRMAN

Employee Name of School Nature of (include Grade & Remark/s
From To
per Week
(Please Specify)
EDUKASYON SA
PAGPAPAKATAO - I 7:30 8:00 150
MOTHER TONGUE - I 8:00 8:50 250

FILIPINO - I 8:50 9:20 150
ARALING
PANLIPUNAN - I 9:20 10:00 200
ENGLISH - I M/T/W 10:00 10:30 150
EDUCATION /TH/F
8130049/94 REGULAR AL REINFORCEMENT 10:30 11:00 150
MICHELIA S. LINTAS F NATIONAL T -III MAED
5-845-956 PERMANENT MANAGEME MATHEMATICS - I 1:00 1:50 250
NT
MAPEH - I 1:50 2:30 200
PREPARATION OF
INSTRUCTIONAL 3:20 4:00 200
MATERIALS
MTB-MLE COORDINATOR/BAC MEMBER/SCOUTING

COORDINATOR
EDUKASYON SA
PAGPAPAKATAO - VI 7:30 8:00 150
MAPEH - VI 8:00 8:40 200

ENGLISH - VI 8:40 9:30 250
M/T/W
EDUCATION SCIENCE - VI /TH/F 9:45 10:35 250
8130058/94 NATION REGULAR BEED/MA AL FILIPINO - VI 10:35 11:25 250
ARGIE L. DILAN F T-I
6-496-463 AL PERMANENT 45 UNITS MANAGEME SHARED READING 1:00 1:30 150
NT MATHEMATICS - VI 2:20 3:10 250
ARALING PANLIPUNAN-
VI 3:10 4:00 250
ENGLISH COORDINATOR/SPG ADVISER/PROPERTY
CUSTODIAN/DRRM COORDINATOR
EDUKASYON SA
PAGPAPAKATAO-IV 7:30 8:00 150
MAPEH - IV 8:00 8:40 200
ENGLISH - IV 8:40 9:30 250
SCIENCE- IV M/T/W 9:45 10:35 250
EDUCATION FILIPINO - IV /TH/F 10:35 11:25 250
8130060/28 MARIA PILAR A. F T-I REGULAR BEED/MA AL SHARED READING 1:00 1:30 150
8-567-608 GEMENIANO PERMANENT 30 UNITS MANAGEME
NT MATHEMATICS - IV 1:30 2:20 250
ARALING
PANLIPUNAN -IV 3:10 4:00 250
ARPAN COORDINATOR / BAC CHAIRMAN/ SCIENCE

COORDINATOR
EDUCATIONALEDUCATION
QUALIFICATION Subject Taught * Daily Program (time duration)
Employee
8130060/28 Name
MARIAof School
PILAR A. F T-I REGULAR
Nature of
BEED/MA AL (include Grade & Remark/s
8-567-608
No. GEMENIANO
(or Tax Personnel PERMANENT
Position/ Appointmen 30 UNITS MANAGEME Section) Advisory Total (For Detailed Items,
Fund NT DAY Actual
Identificatio (Arrange by Sex Designatio Degree / Post Major/ Class & Other From To Indicate name of
n Number - Position, Descending) Source n t/Employme Minor Ancillary (M/T/W/ Teaching school/office, For IP's
per Week
ARPAN
(Please
COORDINATOR
Specify) / BAC CHAIRMAN/ SCIENCE
COORDINATOR
Employee Name of School Nature of (include Grade & Remark/s
From To
per Week
(Please Specify)
EDUKASYON SA 7:30 8:00 150
PAGPAPAKATAO -V
MAPEH - V 8:00 8:40 200

ENGLISH - V 8:40 9:30 250
SCIENCE - V 9:45 10:35 250
FILIPINO - V M/T/W 10:35 11:25 250
EARLY /TH/F
201 982 722 GRACE M. MATIN F NATION T-I REGULAR BEED/MA SHARED READING 1:00 1:30 150
AL PERMANENT 18 UNITS CHILDHOOD
EDUCATION
MATHEMATICS -V 1:30 2:20 250
ARALING
2:20 3:10 250
PANLIPUNAN - V
EPP-V 3:10 4:00 200

ARRIVAL TIME 7:30 7:40 50
MEETING TIME 1 7:40 8:00 100
WORK PERIOD 1 8:00 8:30 150
NATION
AL MEETING TIME 2
8:30 8:50 100
SUPERVISED M/T/W
EDUCATIONA RECESS /TH/F 8:50 9:05 75
BEED/MA L REST /STORY 9:05 9:25 100
8010132/27 MAILYN M. EGOS F T-I REGULAR
7-350-629 PERMANENT (CAR)/ECE MANAGEMEN WORK PERIOD 2 9:25 10:00 175
21 UNITS T/PRESCHOO
L INDOOR/ OUTDOOR
ACTIVITIES 10:00 10:20 100
MEETING TIME 3 10:20 10:30 50
EPP - IV
M/T/W 2:20 3:10 200
/TH/F
EPP COORDINATOR / ICT COORDINATOR

GUIDELINES: Submitted by:
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 school
year, an updated Form 19 must be submitted to the Division Office . HARLENE B. DELA CRUZ
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 (Signature of School Head over Printed Name)
lowest. This form shall also serve as inventory list of school personnel. JUNE 29,2018
3. Please reflect subjects being and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: ____________________________________
4. * Daily Program Column is for teaching personnel only. School Form 7: Page ________of ________
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A and List of Graduates)
Region IX Division ZAMBOANGA SIBUGAY District IMELDA

125596
School ID School Year 2013 - 2014 Curriculum BEC
School Name IMELDA CENTRAL ELEMENTARY SCHOOL Grade Level ONE Section A
Descriptive Letter) completed as of end of current As of end of the current School
Year
School Year
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74%
and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP:
80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
School Year Year
ADVANCED
(A: 90% and
TOTAL MALE above)
School Year Year
PREPARED BY:
Class Adviser
CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:

Education Program Supervisor

Division Planning Officer
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per

subject area should be taken from the record of
subject teacher. The class adviser should make the
computation of General Average.
3. On the summary table, reflect the total number

of learners promoted, retained and *irregular (*for
grade 7 onwards only) and the level of proficiency
according to the individual General Average.
4. Must tally with the total enrollment report as of

End of School Year GESP /GSSP (EBEIS)
TOTAL FEMALE 5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent.
COMBINED
School Form 5: Page _____ of ______

School ID Region District School Name School Year Grade Level Section

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School Form 1 (SF 1) School Register

School ID Region District

School Name School Year Grade Level Section

ADDRESS NAME OF PARENTS GUARDIAN (If not Parent)

(Please refer to the legend on last

(Please refer to the legend on last

re of School Head over Printed Name)

School ID School Year Report for the Month of

Name of School Grade Level Section

1st row for date Total for the

MALE | TOTAL Per Day

FEMALE | DAILY TOTAL

d.2. Armed conflict (incl. Tribal wars & clan

School ID School Year

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

School ID 125598 Region IX Division ZAMBOANGA SIBUGAY District IMELDA

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

Prepared by: Submitted by:

Page ____of _______

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

STATUS MALE FEMALE TOTAL

MALE FEMALE TOTAL

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)

(Name and Signature)

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per

3. On the summary table, reflect the total number

4. Must tally with the total enrollment report as of

TOTAL FEMALE 5. Protocols of validation & submission is under the

School Form 5: Page _____ of ______

School ID Region Division

School Name District School Year

LEVEL OF PROFICIENCY TOTAL MALE FEMALE TOTAL

School Head Division Planning Officer Schools Division Superintendent

School ID 125598 Region IX Division Zamboanga Sibugay

School Name LA VICTORIA ES District IMELDA School Year 2018-2019

Title of Designation Appointment:

EDUCATIONAL QUALIFICATION Subject Taught * Daily Program (time duration)

ADMI ISTRATION &

4912255 / HARLENE B. DELA CRUZ REGULAR DOCTORAL M/T/W

Ave. Minutes per Day 40

ENGLISH - II M/T/W 9:55 10:45 250

Ave. Minutes per Day 270

Ave. Minutes per Day 270

MOTHER TONGUE - I 8:00 8:50 250

MTB-MLE COORDINATOR/BAC MEMBER/SCOUTING

MAPEH - VI 8:00 8:40 200

ARPAN COORDINATOR / BAC CHAIRMAN/ SCIENCE

MAPEH - V 8:00 8:40 200

Ave. Minutes per Day 320

EPP COORDINATOR / ICT COORDINATOR

Region IX Division ZAMBOANGA SIBUGAY District IMELDA

STATUS MALE FEMALE TOTAL

MALE FEMALE TOTAL

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)

(Name and Signature)

1. For All Grade/Year Levels

Page of ___

School Form 5: Page _ of __

School Form 5: Page _ of __