School Form 1 (SF 1) School Register

(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 113346 Region V Division CATANDUANES District Virac North

School Name San Vicente Elementary School School Year 2017-2018 Grade Level II Section Matapat

AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH of June BIRTH IP
NAME Sex MOTHER Contact Number
LRN DATE PLACE (Specify RELIGION
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE (Parent /Guardian)
(mm/ dd/yy) ( Province) Ethnic Group) House # / Father (1st name only if
years as Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
per last Middle & Last Name) legend on last page)
Purok learner)
birthday)

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

List and code of Indicators under REMARK column Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required
CCT Information BoSY EoSY
Control/refer
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivi CCT Recipient CCT ence number MALE
& Effectivity PEDRO T. SOMIDO
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivi Balik-Aral B/A Name of school last attended & Year
Date FEMALE

Dropped DRP Reason and Effectivity Date Learner With Disability LWD Specify
TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 113346 School Year 2017-2018 Report for the Month of July

Name of School San Vicente Elementary School Grade Level II Section MATAPAT

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month
1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of

MON

WED

MON

WED

MON

WED

MON

WED

MON

WED
THU

THU

THU

THU

THU
TUE

TUE

TUE

TUE

TUE
FRI

FRI

FRI

FRI

FRI
ABSENT TARDY School.)

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

MALE | TOTAL Per Day

1

10

11

12

13

14

15

16

17

18

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
Summary for the
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month JUNE 2016 No. of Days of
Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
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
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment 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 extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 b.3. Death Number of students with 5 consecutive days of
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect 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 Calendar Days 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 & clanfeuds)

(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID 113346 School Year 2017-2018

School Name San Vicente Elementary School Grade Level II Section MATA
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
EsP 10 Science
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

10

11

12
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
EsP 10 Science
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

13

14

15

15 TOTAL FOR MALE | TOTAL COPIES

5
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
EsP 10 Science
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

10

11

12

13

14

15

16

17

18

19
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
EsP 10 Science
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

19 TOTAL FOR FEMALE | TOTAL COPIES

34 TOTAL LEARNERS | TOTAL COPIES

GUIDELINES:
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.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
In case of losses/unreturned, please provide information with the following code:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NE
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
DO#14, 2.2012.
ned

MATAPAT
ct Area & Title Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

ing code: Prepared By:

ed/Dropout, NEG=Negligence
rner duly signed by parent/guardian
for submission to School Property
ces: DO#23, s.2001, DO#25, s.2003,
PEDRO. T. SOMIDO
(Signature over printed name)
Date BoSY:____________ Date EoSY: ___________

School Form 3: Page 2 of ________

 School Form 4 (SF4) Monthly Learner's Movement and Atte
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region V Division CATANDUANES District

School ID 113346

School Name San Vicente Elementary School School Year 2

ATTENDANCE DROPPED OUT TRAN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative
Percentage for (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average (B) For the Month as of End of the
the Month of Previous Month
Month
of Previous Month

M F T M F T M F T M F T M F T M F T M F T
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
GUIDELINES: Prepared
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.
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is 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.
nd Attendance

Virac North

2017-2018 Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

(A) Cumulative as
(B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month
Month End of the Month

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)

 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region V Division Catanduanes District Virac North

School ID 113346 School Year 2017-2018 Curriculum

School Name SAN VICENTE ELEMENTARY SCHOOL Grade Level II

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

113214050001 Advincula, Leo Nick Sarmiento 78.84 D Promoted 78.84 D

 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

TOTAL FEMALE

COMBINED
iciency

ac North

Section MATAPAT

Curriculum and
grades level that
p this column)

of the current SY

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED 22 15 37

*IRREGULAR 0 0 0

RETAINED 1 0 1

LEVEL OF PROFICIENCY
Curriculum and
grades level that
p this column)

of the current SY

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and 1 0 1
below)

DEVELOPING (D:
75%-79%)
14 1 15

APPROACHING
PROFICIENCY
(AP:
8 8 16
80%-84%)

PROFICIENT
(P: 85% -89%)
0 6 6

ADVANCED (A:
90% and above)
0 0 0

PREPARED BY:

Class Adviser

(Name and Signature)

Curriculum and
grades level that
p this column)

of the current SY

CERTIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

Division Representative

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
Curriculum and
grades level that
p this column)

of the current SY

4. Must tallied with the total enrollment report as of

End of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain

under the discretion of the Schools Division
Superintendent

School Form 5: Page 2 of ________

 School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced Form 20)

School ID 113346 Region V Division Catanduanes

School Name SAN VICENTE ELEMENTARY SCHOOL District Virac North

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCYMALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

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: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERI
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
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 & submission will remain under the discretion of the Schools Division Superintendent
 School Year 2017-2018

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

SION SUPERINTENDENT

eld.
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID 113346 Region V Division Catanduanes

School Name San Vicente Elementary School District Scho

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sou
Title of Designation
(Designation Appointment:
Title of Plantilla Position Title of Plantilla Position (Contractual, Fund Source
Number of Number of as appeared in the
(as appeared in the appointment (as appeared in the appointment Substitute, (SE
Incumbent Incumbent contract/document: Teacher, Clerk, Volunteer, others
document/PSIPOP) document/PSIPOP) NGO's
Security Guard, Driver etc.) specify)

EDUCATIONAL QUALIFICATION * Daily Program (time durat

Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From To
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignment TH/F)

Computer Secretarial
Bachelor of

Education
Teacher 1

Science in
931-293-361 F Permanent
Secretarial
Administration

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION * Daily Program (time durat
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From To
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignment TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION * Daily Program (time durat
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From To
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignment TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

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 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 the highest rank down to the lowest. This form (Signature of Sch
shall also serve as inventory list of school personnel.
3. Please reflect subjects being taught 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.
Scho
 School Year 2017-2018

ing Sources

Number of
Source Incumbent
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching

me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week
me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week
me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week

e of School Head over Printed Name)

___________________________

School Form 7, Page 2 of ________