Schoo

(This replace Form 1, M

School ID Region Division

School Name

AGE as
of
BIRTH IP
NAME Sex
LRN (Last Name, First Name, (M/
DATE (nos. of BIRTH PLACE MOTHER (Specify
(mm/ years as ( Province) TONGUE Ethnic
Middle Name) F)
dd/yy) per last Group)
birthday)

1 115261130046 Agustin, Edward R.

2 115403130003 Allo, Jayson Mark J.
3 115405110007 Aquino, Raine Chrys V.
4 115403130007 Badong, Jose Lorenzo S.
5 115403130008 Badong, Romel J.
6 115225110014 Blasi, Jason Y.
7 115408130008 Bonares, Renier H.
8 115403130009 Canoy, Ronlick R.
9 115405130030 Dubria, Jacob B.
10 115401130010 Dubria, Max Aldwin A.
11 115402130003 Fernandez, Eijie Kent B.
12 115405130006 Francisco, Brayan Mars G.
13 115390110012 Galicia, Karl Franz G.
14 115408130078 Juanillo, Andrew H.
15 115389120012 Jurada, Ejay L.
16 115404110031 Macabata, Joebert R.
17 115408130081 Macavinta, Benny Martin B.
18 115403110019 Montalbo, Rodney F.
19 115390130034 Rafael, Ronald A.
20 115393110054 Roquero, Harge M.
21 115391130048 Valerta, Mark Vincent J.
 AGE as
BIRTH of IP
NAME Sex
LRN (Last Name, First Name, (M/
DATE (nos. of BIRTH PLACE MOTHER (Specify
(mm/ years as ( Province) TONGUE Ethnic
Middle Name) F)
dd/yy) per last Group)
birthday)
1 115403130019 Allo, Jovelyn J. F
2 115391110001 Ambol, Darlyn C. F
3 115408130050 Baril, First Diamond S. F
4 115408130064 Castillo, Rhian Joy O. F
5 115401130023 Dubria, Metche A. F
6 115403130024 Fernando, Angella Mae V. F
7 115404130048 Florentino, Mia Joy R. F
8 115391130050 Gallego, Sheryl Mae J. F
9 115405110031 Gomez, Melody Joy H. F
10 Jacobo, Lucky Girl H. F
11 115405130041 Jurada, Elsa Mae U. F
12 115408130069 Lozada, Gina Mae F
13 115408130071 Lozada, Marian Mae O. F
14 115408100074 Obarios, Chona B. F
15 115405130042 Raymundo, Beverly C. F
16 115391110023 Roquero, May G. F
17 115393130037 Salvador, Mary Ann M. F
18 136603120351 Sotillo, Tressia A. F
19 115405130044 Vicente, Evelyn H. F
115261130045 Villeza, Andy Rose G.
 List and code of Indicators under REMARKS column
Indicator Code Required Information Indicator
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral
Dropped DRP Reason and Effectivity Date Learner With Dissability
Accelarated
 School Form 1 (SF 1) School Register
place Form 1, Master List & STS Form 2-Family Background and Profile)

District

School Year 2013-2014 Grade Level

ADDRESS NAME OF PARENTS

Father (1st
RELIGION name only if
House # / Street/Sitio/ Municipality/
Barangay Province family name Mother (Maiden)
Purok City identical to
learner)
 ADDRESS NAME OF PARENTS
Father (1st
RELIGION name only
House # / Street/Sitio/ Municipality/ if family
Barangay Province Mother (Maiden)
Purok City name
identical to
learner)
Code Required Information BoSY EoSY Prepared by:
CCT CCT Control/reference number & Effectivity Date MALE
B/A Name of school last attended & Year FEMALE (Signature of Adviser over Print
LWD TOTAL 0 0 Name)

ACL
Date:
 SECTION

RENTS GUARDIAN (If not Parent) REMARK/S

(Please refer to
Relations Contact
r (Maiden) Name the legend on
hip Number
last page)
RENTS GUARDIAN (If not Parent) REMARK/S

(Please refer to
Relations Contact
r (Maiden) Name the legend on
hip Number
last page)
 Certified Correct:

ser over Printed (Signature of School Head over Printed Name)

me)

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 302384 School Year 2019-2020 Month Reporting JUNE

Name of School VALDERRAMA NATIONAL HIGH SCHOOL Grade Level 7A Subject ENGLISH

*LEARNER'S NAME DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month REMARK/S (If DROPPED OU
(Last 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 reason, please refer to legend n
Name, First Name, Middle Name) If TRANSFERRED IN/OUT,

Th

Th

Th

Th

Th
name of School.)

W
M

M
T ABSENT TARDY

F
1 Agustin, Edward R. P P H P P P P I P P P P P P P P P P P S 0 0
2 Allo, Jayson Mark J. P P O P P P P N P P P P P P P P P P P U 0 0
3 Aquino, Raine Chrys V. P P L P P P P D P P P P P P P P P P P S 0 0
4 Badong, Jose Lorenzo SP P I P P P P E P P P P P P P P P P P P 0 0
5 Badong, Romel J. P P D P P P P P P P P P P P P P P P P E 0 0
6 Blasi, Jason Y. P P A P P P P E P P P P P P P P P P P N 0 0
7 Bonares, Renier H. P P Y P P P P N P P P P P P P P P P P S 0 0
8 Canoy, Ronlick R. P P P P P P D A A P P P P P A P P P I 3 0
9 Dubria, Jacob B. P P P P P P E P P P P P P P P P P P O 0 0
10 Dubria, Max Aldwin A. P P P P P P N P P P P P P P P P P A N 1 0
11 Fernandez, Eijie Kent BP P P P P P C P P P P P P P P P P P 0 0
12 Francisco, Brayan MarsP P P P P P E P P P P P P P P P P P O 0 0
13 Galicia, Karl Franz G. P P P P P P P A P P P P A P P P P F 2 0
14 Juanillo, Andrew H. P P P P P P D A A P P P P A P P P P 2 0
15 Jurada, Ejay L. P P P P P P A P P P P P P P P P P P C 0 0
16 Macabata, Joebert R. P P P A A P Y P P P P P P P P P P P L 2 0
17 Macavinta, Benny MartiA A P A A P P P P P P P P P P P P A 4 0
18 Montalbo, Rodney F. P P P P P P P P A A P P P P P P P S 2 0
19 Rafael, Ronald A. P P P P P P P P P P P P P P P P P S 0 0
20 Roquero, Harge M. P P P P P P P P P P P P P P P P P E 0 0
21 Valerta, Mark Vincent J.P P P P P P P P P P P P P P P P P S 0 0
MALE | TOTAL Per Day
20
20
NO
21
19
19
21
NO
19
18
20
20
21
21
20
20
21
21
20
NO
*LEARNER'S NAME DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month REMARK/S (If DROPPED OU
(Last 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 - reason, please refer to legend n
Name, First Name, Middle Name) If TRANSFERRED IN/OUT,

Th

Th

Th

Th

Th
ABSENT TARDY

W
name of School.)

M
T

F
1 Allo, Jovelyn J. P P P P P P P P P P P P P P P P P 0 0
2 Ambol, Darlyn C. P P P P P P P P P P P P P P P P P 0 0
3 Baril, First Diamond S
P P P P P P P P P P P P P P P P P 0 0
4 Castillo, Rhian Joy O. P P P P P P P P P P P P P P P P P 0 0
5 Dubria, Metche A. P P P P P P P P P P P P P P P P P 0 0
6 Fernando, Angella MaP P P P P P P P P P P P P P P P P 0 0
7 Florentino, Mia Joy R.P P P P P P P P P P P P P P P P P 0 0
8 Gallego, Sheryl Mae JP P P P P P P P P P P P P P P P P 0 0
9 Gomez, Melody Joy H.P P P P P P P P P P P P P P P P P 0 0
10 Jacobo, Lucky Girl H. P P P P P P P P P P P P P P P P P 0 0
11 Jurada, Elsa Mae U. P P P P P P P P P P P P P P P P P 0 0
12 Lozada, Gina Mae P P P P P P P P P P P P P P P P P 0 0
13 Lozada, Marian Mae O
P P P P P P P P P P P P P P P P P 0 0
14 Obarios, Chona B. P P P P P P P P P P P P P P P P P 0 0
15 Raymundo, Beverly CP P P P P P P P P P P P P P P P P 0 0
16 Roquero, May G. P P P P P P P P P P P P P P P P P 0 0
17 Salvador, Mary Ann MP P P P P P P P P P P P P P P P P 0 0
18 Sotillo, Tressia A. P P P P P P P P P P P P P P P P P 0 0
19 Vicente, Evelyn H. P P P P P P P P P P P P P P P P P 0 0
20 Villeza, Andy Rose G.P P P P P P P P P P P P P P P P P 0 0
NO

NO

NO
FEMALE | DAILY TOTAL
20
20

20
20
20
20

20
20
20
20
20
20
20
20
20
20
20

Combined TOTAL PER DAY 40 40 NO 41 39 39 41 NO 39 38 40 40 41 41 40 40 41 41 40 N0

If DROPPED OUT, state
refer to legend number 2.
RRED IN/OUT, write the
me of School.)
If DROPPED OUT, state
refer to legend number 2.
RRED IN/OUT, write the
me of School.)
 School Form 3 (SF3) Books Issued and Returned
(This replace Form 1 & Inventory of Text Book)

School ID 0 School Year 2013-2014

School Name 0 Grade Level 0 Section

Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title
*LEARNER'S NAME MATH
NO. (Last Name, First
Name, Middle Name)
Date Date Date Date Date
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 ACTUAL DATE
20
21
0
0
0

TOTAL FOR MALE | TOTAL COPIES

Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title
*LEARNER'S NAME

NO. (Last Name, First

Name, Middle Name)
Date Date Date Date Date
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
0
0
0
0
0
0

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES
* Automatic Generation thru LIS
GUIDELINES: Prepared By:
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 at BoSY shall be reflected in the form. (Signature over printed name
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
d

Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned

Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued Returned
printed name)
School Form 3: Page 2 of ________
 School Form 4 (SF4) Monthly Learner's Movement and At
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profi
Region 0 Division 0 District
School ID 0

School Name 0 School Year

REGISTER
ED ATTENDANCE DROPPED OUT TR
(A) (A)
LEARNER (A+B)
GRADE/ Cumulative Cumulative
(B) For the Cumulative
NAME OF ADVISER YEAR SECTION (As of Average Percentage as of
Month as of End of
as of
LEVEL End of the Previous Previous
Month) the Month
Month Month
M F T M F T M F T M F T M F T M F T M
1
2
3
4
5
6
7
8
9
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)

GUIDELINES:
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advise
update figures for the month. Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported f
previous month".
2. Furnish copy to Division Office: a week after July 31, October 30 & March 31
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.
t and Attendance
pout Profile)
District 0

l Year 2013-2014 Month Reporting 0

TRANSFERRED OUT TRANSFERRED IN
(A) (A)
(A+B) (A+B)
Cumulative Cumulative
(B) For the Cumulative (B) For the Cumulative
as of as of
Month as of End of Month as of End of
Previous Previous
the Month the Month
Month Month
F T M F T M F T M F T M F T M F T

Prepared and Submitted by:

(Signature of School Head over Printed Name)

ers/advisers to
reported from
 School Form 5 (SF 5) Report on Promotion & Level of Pro
(This replace Forms 18-E1, 18-E2, 18A)
Region 0 Division 0

School ID 0 School Year 2013-2014

School Name 0

INCOMPLETE SUBJECT/S
GENERAL (This co
ACTION
AVERAGE 12 Curriculum and remaining R
LEARNER'S NAME TAKEN:
(Numerical School. Elementary grades le
LRN (Last Name, First Value in 3
PROMOTED or
Name, Middle Name) RETAINED implementing RBEC need not to fill
decimal
(RBEC only)
places) Completed as of end of current
SY
115261130046 Agustin, Edward R.
115403130003 Allo, Jayson Mark J.
115405110007 Aquino, Raine Chrys V.
115403130007 Badong, Jose Lorenzo S.
115403130008 Badong, Romel J.
115225110014 Blasi, Jason Y.
115408130008 Bonares, Renier H.
115403130009 Canoy, Ronlick R.
115405130030 Dubria, Jacob B.
115401130010 Dubria, Max Aldwin A.
115402130003 Fernandez, Eijie Kent B.
115405130006 Francisco, Brayan Mars G.
Err:509 Err:509
115390110012 Galicia, Karl Franz G.
115408130078 Jurada, Ejay L.
115389120012 Macabata, Joebert R.
115404110031 Macavinta, Benny Martin B.
115408130081 Montalbo, Rodney F.
115403110019 Rafael, Ronald A.

TOTAL MALE
115403130019 Allo, Jovelyn J.
115391110001 Ambol, Darlyn C.
115408130050 Baril, First Diamond S.
115408130064 Castillo, Rhian Joy O.
115401130023 Dubria, Metche A.
115403130024 Fernando, Angella Mae V.
115404130048 Florentino, Mia Joy R.
115391130050 Gallego, Sheryl Mae J.
115405110031 Gomez, Melody Joy H.
115405130041 Jurada, Elsa Mae U.
115408130069 Lozada, Gina Mae
115408130071 Lozada, Marian Mae O.
115408100074 Obarios, Chona B.
115405130042 Raymundo, Beverly C.
115391110023 Roquero, May G.
115393130037 Salvador, Mary Ann M.
136603120351 Sotillo, Tressia A.
115405130044 Vicente, Evelyn H.
115261130045 Villeza, Andy Rose G.
Err:509 Err:509
0 0
0 0
0 0
0 0
0 0

TOTAL FEMALE
COMBINED
* May generate thru Learner's Information System or may lift from Master List of Learners.
& Level of Proficiency
)
District 0

Curriculum RBEC

Grade Level 0 Section 0

E SUBJECT/S
(This column is for K to
ulum and remaining RBEC in High
Elementary grades level that still
RBEC need not to fill up this column)

s of end of current as of End of the

SY current SY

SUMMARY TABLE
MALE FEMALE TOTAL

PROMOTED

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)

PREPARED BY:

DANALYN V. SERVILLON
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head
(Name and Signature)
 GUIDELINES:
1. For All Grades Level
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 the level of proficiency
according to the individual general
average

3. Must tallied with the total enrollment

report as of End of School Year GESP
/GSSP (BEIS)

r List of Learners. School Form 5: Page 2 of ________

 School Form 6 (SF6) Summarized Report on Promot

and Level of Proficiency

(This cancel Form 20)

School ID 0 Region 0 Division

School Name 0 District 0

GRADE 1 / GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10

SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

PROMOTED

RETAINED (RBEC)

LEVEL OF PROFICIENCY 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:

SCHOOL HEAD DPO/EPS

GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute th
each data field.
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Divis
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP.
n Promotion

0
School Year 2013-2014

GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

Noted by:
SCHOOLS DIVISION SUPERINTENDENT

all compute the Total for Grade Level in order to reflect the result in

ed to the Division Office by the end of the school year.

 School Form 7 (SF7) School Personnel Assignment L
(This replace Form 12-Monthly Status Report for Teachers, Form
Form 29-Teacher Program and Form 31-Summary Informa

School ID 115401 Region VI Division

School Name IGLINAB ELEMENTARY SCHOOL District

(A) Nationally-Funded Teaching Related Items (B) Nationally-Funded Non Teaching Items
Title of Plantilla Position Title of Plantilla Position
Number of Number of Nature of Appo
(as appeared in the appointment (as appeared in the appointment
Incumbent Incumbent
document) document)

EDUCATIONAL QUALIFICATION

Name of School Personnel

Fund Position/ Nature of
No. (Arrange by Sex Degree / Post Major/
Source Designation Appointment Minor
Position, Descending) Graduate Specialization
GUIDELINES:
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and
during SY, updated Form 19 must submit to the Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from
down to the lowest. This form shall also serve as inventory list of school personnel.
3. * Daily Program Column is for teaching personnel only
ment List and Basic Profile
ers, Form 19-Assignment List,
Information of Teachers)

ANTIQUE

VALDERRAMA School Year 2016-2017

(C ) Other Appointments
Number of Incumbent
ure of Appointment and Designation
Fund Source Non-
(Contractual, Substitute, Volunteer & others) Teaching
LOCALLY Teaching
KINDER FUNDED 1

ON * Daily Program (time duration)

Subject Taught (include Actual
Remark/s (For Detailed
Grade & Section) & Teaching/
Items, Indicate name of
Other Ancillary Service
Minor DAY From To school/office, For IP's
Assignment (Please Render
-Ethnicity)
Specify)
(Mins/Day)

Ave. Minutes per

Day

Ave. Minutes per

Day

Ave. Minutes per

Day
 Ave. Minutes per
Day

Ave. Minutes per

Day

Ave. Minutes per

Day

Ave. Minutes per

Day

Ave. Minutes per

Day

Ave. Minutes per

Day

Submitted by:
hers and other personnel

sted from the highest rank (Signature of School Head over Printed Name)

School Form 7, Page 2 of ________