School ID 313309 Region VIII Divisio

School Name Gibacungan National High School

AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

121896070003 M 1/15/2001
Amistoso, Romnick C.
1
M 7/9/2000
Arnado, Ronnie
2
121896070006 M 7/15/2001
Astorga, Jayson R.
3
121896070011 M 7/24/2001
Bustrillo, Jhon Rey D.
4
 AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

121900070008 M 9/8/2001
Dabucol, Ronald A.
5
M 7/2/1998
Dauba, Bibbs
6
M 12/7/2002
Dela Peña, James T.
7
121886070014 M 10/17/2000
Delima, Jamel C.
8
121614070024 M 2/11/2000
Esco, Jimuel A.
9
M 7/19/1999
Gopio, Alfred L.
10
M 7/19/1999
Gopio, Albert L.
11
121591070017 M 3/27/2001
Halichic, Ediboy
12
121591070018 M 4/25/2001
Halichic, Vicente Jr. B.
13
 AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

121886070024 M 6/18/2001
Halikhik, John Riel B.
14
M
Macol, Jay
15
121900070020 M
Maini, Rowemar D.
16
M 8/8/2000
Olinares, Arnie
17
121592070088 M
Perosa, James
18
121900070028 M 1/28/2002
Piamonte, Eddie Mar
19
121900070024 M 3/25/2002
Quintana, Rogie G.
20
121591070034 M 2/8/2001
Rubas, Jarwin R.
21
121896070028 M 09/20/
Ruto, Rolando C.
22
 AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

121900070033 M 9/12/2000
Serilles, Kevin R.
23
121900070035 M 1/11/2002
Soposo, Ramel D.
24
121900070036 M 11/29/2001
Subito, Noe C.
25
M 11/5/1998
Terrano, Elmar A.
26
121889070035 M 3/29/2002
Troyo, Joshua
27
121896070032 M 9/24/2000
Villamor, Aldrin J.
28

124250120895 Amistoso, Trischa M.

1
121900070002 Amodia, Almalyn D.
2
 AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

121900070003 Baras, Salvie Joyce L.

3
121896070008 Baron, Rose Mae
4
121884070009 Broñola, Syrel Mae C.
5
121900070005 Cabuquing, Mary Joy M.
6
121896060010 Caminade, Rhea Mae R.
7
121886070007 Chavez, Cherrylen L.
8
121900070007 Condes, Julina R.
9
121903070001 Condes, Maria Lourdes
10
121900070011 Delantar, Kimberly M.
11
 AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

121900070013 Delima, Christine Joyce

12
121900070014 Delima, Lady Ann O.
13
Inot, Edilyn B.
14
121900070017 Lamoste, Aiding H.
15
121900070018 Ligutan, Rhealyn A.
16
121900070019 Llurag, Gelyn S.
17
1218860700037 Montecillo, Crisalyn D.
18
121903070015 Montellen, Ley-Ann G.
19
121900070027 Patiag, Jenniebel D.
20
 AGE as of
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June

120202070261 Regir, Fivie L.

21
121900070032 Rubia, Jealsy M.
22
1218861200055 Saludaga, Salvacion
23
List and Code of Indicators under REMARKS column
Indicator Code Required Information
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date
Dropped DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Division Leyte District

School Year 2014 - 2015 Grade Level 7 Section

ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

Butason Tabango Leyte Amistoso, Ramonito, Marybel

Cabuquing

Butason Tabango Leyte deceased Delanta, Vilma Arnuco

Butason Tabango Leyte Astorga, Zosimo Jesus Radan, Grace

Dela Rama
Butason II Tabango Leyte Bustrillo, Rodolfo Sitoy, Julieta Paulo
Damayo
 ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

Arimoso Gibacungan Tabango Leyte Dabucol, Jundy Bebit Arribe, Erlinda Delatado

Cuta Gibacungan Tabango Leyte Dauba, Edgar Ligmoren Geganto, Lioneda

Manlawaan Tabango Leyte Dela Peña, Rodulfo Troyo, Virginia Damayo

Delos Santos
Gimarco Tabango Leyte Delima, Fortunato Condes, Elzabeth Costillo
Balugaya
Butason - 1 Tabango Leyte Esco, Rosalito Baring Amistoso, Nena Terrano

Cuta Gibacungan Tabango Leyte

 ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS
IP
(Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name
Group) Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

olumn
Prepared by:
Code Required Information REGISTERED BoSY EoSY

CCT CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Pr

B/A Name of school last attended & Year FEMALE

LWD Specify
TOTAL
ACL Specify Level & Effectivity Data BoSY Date: E
 B
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
 GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

Certified Correct:

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

EoSYDate: BoSY Date: EoSYDate:

 School Form 2 (SF2) Daily Attendance Report of Lea
(This replaces 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

LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

MALE | TOTAL Per Day

LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upp
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table b.2. Overage
into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out.
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)

School Form 2 : Page ___ of ________

f Learners
e)

Section

Total for the

Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Month: No. of Days of Summary

Classes: M F TOTAL
ded= Upper for
sses)
* Enrolment as of (1st Friday of June)
UT
Late Enrollment during the month
(beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Number of students absent for 5 consecutive days:

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)

 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

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

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

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

TOTAL FOR MALE | TOTAL COPIES

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

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

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

TOTAL FOR FEMALE | TOTAL COPIES

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 copies of this form may be used if needed.
In case of lost/unreturned books, please provide information with the following code:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG
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

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

REMARKS/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

REMARKS/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

REMARKS/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

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

llowing code: Prepared By:

/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
 School Form 4 (SF4) Monthly Learner's Movement and Atten
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRAN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the
LEVEL the Month) 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 form 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 the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

ttendance

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
epared and Submitted by:

(Signature of School Head over Printed Name)

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

Region 8 Division Leyte District Tabango

School ID 313309 School Year 2013-2014 Curriculum k-12 & RBEC

School Name Gibacungan National High School Grade Level VII

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year

121900060002 Arnoco, Joebert A. T. (back subjects completed during the

(failed subject this year)
current school year)
121900060003 'Arribe, Jerric P.

121900060004 Arribe, Joven P.

Asada, Mark H.

Brejento, Alberto

Cabuquing Keven Jay

Dauba, Bibbs G.

Dauba, Edgar Jr.

Dela Cruz, Aljon

Dela Peña, Elcris A.

 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year
Dela Peña, King Melgazar T.

Labor, Jayson L.

Macol, Jay P.

Monsanto Jr., Renato R.

Montebon, Ray Marth B.

Padilla, Arnel

Perdigan, Jervin

Roldan, April Boy E.

Rubia, Arsie Jay C.

Saludaga, Jeffy D.

Saro, Remart B.

TOTAL MALE
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year

TOTAL FEMALE

COMBINED
ficiency

abango

& RBEC

Section B

um and remaining
vel that are still
se columns)

current School Year

ubject this year) SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
um and remaining
vel that are still
se columns)

current School Year

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:

PROSE IVY N. ENSOY

Class Adviser

(Name and Signature)

um and remaining
vel that are still
se columns)

current School Year

CERTIFIED CORRECT & SUBMITTED:

DEISY D. COQUILLA

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 teachers. The class adviser should compute
for the 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.
um and remaining
vel that are still
se columns)

3. On the summary table, reflect the total number of

current School Year 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)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent

School Form 5: Page ____ of ________

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

School ID 313309 Region VIII Division LEYTE

School Name GIBACUNGAN NHS District TABANGO

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 16 19 35 0 0 0 0
CONDITIONALLY
0 0 0 0 0
PROMOTED
RETAINED 1 1 0 0 0 0

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

Did Not Meet

Expectations(74% and below)
1 1 0 0 0 0

Fairly Satisfactory(75%-
14 3 17 0 0 0 0
79%)

Satisfactory (80%-84%) 2 10 12 0 0 0 0

Very Satisfactory (85%-

0 5 5 0 0 0 0
89%)

Outstanding (90%-100%) 0 1 1 0 0 0 0
 TOTAL 17 19 36 0 0 0 0 0 0 0 0 0 0 0 0 0

Prepared and Submitted by: ANTONIO B. DACATIMBANG, JR. Reviewed & Validated by: CRISANTO T. DAGA Noted by: RONELO AL K. FIRMO
HEAD TEACHER III/SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPER
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 & submission is under the discretion of the Schools Division Superintendent.
 School Year 2016-2017

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

0 16 19 35

0 0

0 1 0 1

FEMALE TOTAL MALE FEMALE TOTAL

0 0

0 0

0 0

0 0

0 0
 0 0 17 19 36

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

School ID 313309 Region VIII Division Leyte

School Name Gibacungan NHS District Tabango School Y

(A) Nationally-Funded Teaching & 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 (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.)
specify)

Teacher I 10 Administrative Assistant II 1 Teacher I Contractual National

Teacher III 4
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
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/ From To
Number Position, Descending) Minor & Other Ancillary (M/T/W/T
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignments H/F)

MAPEH 7-Sapphire M/T/W/TH/F 11:00 12:00

TCHR3-540316-2013

MAPEH 7-Emerald 3:00 4:00

T-III/Lead Teacher
M/T/W/TH/F

REG. PERM
MAPEH 8-Newton M/T/W/TH/F 8:45 9:45
NATIONAL

English
Department Head
10134 ALOHA O. LAGUTOM F BSED None EMIS COOR.
SMEA COOR
LIS/EBEIS COOR
Ave. Minutes per Day
TLE 8-Einstein M/T 10:00 12:00
TLE 8-Newton W/F 10:00 12:00
TLE 9 Cookery M/T/W 7:45 9:45

Language Teaching
BSAged/MSAged
TLE 10 Cookery TH/F 9:45 11:00
NATIONAL

Crop ESP 10-Athena M/F 7:45 8:45

H3-541601-2014

4554254 PROSE IVY N. ENSOY F T-III REG. PERM Production/Agricult TLE 7-Sapphire T/W/TH 1:00 3:00
ure Ed. CLASS ADVISER M/T/W/TH/F
TLE COOR.
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &

Language Teaching
(Arrange by Sex Section), Advisory Class DAY

BSAged/MSAged
Identification
Source Designation Employment Degree / Post Major/ From To

NATIONAL
Number Position, Descending) Crop Minor & Other Ancillary (M/T/W/T
Status
TCH1-544625-2012 TCH3-541601-2014
-T.I.N.) Graduate Specialization Assignments (00:00) (00:00)
4554254 PROSE IVY N. ENSOY F T-III REG. PERM Production/Agricult H/F)
ure Ed.

ICT Coordinator M/T/W/TH/F

Ave. Minutes per Day

SCIENCE 7-Sapphire M/T/TH/F/W 2:00 3:00
SCIENCE 7-Emerald M/T/TH/F/W 1:00 2:00
ARAL. PAN 8-Einstein W/TH/F 11:00 12:00

NATIONAL
ARAL. PAN 8-Newton M/T/TH 10:00 11:00
4528254 GENNELYN L. REUBAL F T-III REG.PERM BSIEd GEN. SCIENCE NONE
Guidance Councilor
Grievance Com.
Chairmn
Ave. Minutes per Day

ENGLISH 7-Sapphire M/T/W/F/TH 8:45 9:45

ENGLISH 7-Emerald M/T/W/F/TH 10:00 11:00
TCHR3540621-2016

NATIONAL
ENGLISH 9-Titanium M/T/W/F/TH 11:00 12:00
4547733 RUTH P. ALBARICO F T-III REG.PERM BSED ENGLISH NONE ENGLISH 9-Helium M/T/W/TH/F 1:00 2:00
Oral Commmunication 11 M/T/W/F/TH 2:00 3:00
READING COOR
Ave. Minutes per Day
TH/F
ESP 9-Titanium 10:00 11:00
M/T/W/TH/F
FILIPINO 9-Titanium 1:00 2:00
NATIONAL

FILIPINO 9-Helium M/T/W/TH/F 3:00 4:00

TCH1-540626-2011

4528423 NOEL D. VILLAMOR M T-I REG.PERM BSED FILIPINO NONE FILIPINO 10-Aphrodite M/T/W/TH/F 2:00 3:00
FILIPINO 10-Athena M/T/W/TH/F 7:45 8:45
FILIPINO COOR.
Ave. Minutes per Day
Earth&Life Science 11 T/W/TH/F/M 10:00 11:00
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
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/ From To
Number Position, Descending) Minor & Other Ancillary (M/T/W/T
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignments H/F)

ESP 8-Newton T/TH 8:45-9:45 10:00-11:00

SCIENCE 10-Aphrodite M/T/W/TH/F 11:00 12:00

NATIONAL
TCH1-544623-2012

SCIENCE 10-Athena M/T/W/TH/F 1:00 2:00

NONE
4655466 RISHYL I. LUBIANO F T-I REG. PERM BSED PHYSICAL SCIENCE
ESP 7-Emerald TH/F 7:45 8:45
SCIENCE COOR.
CLASS ADVISER
Ave. Minutes per Day
MAPEH 9-Titanium M/T/W/TH/F 2:00 3:00
MAPEH 9-Helium M/T/W/TH/F 11:00 12:00
MAPEH 10-Aphrodite M/T/W/TH/F 7:45 8:45

NATIONAL
MAPEH 10-Athena M/T/W/TH/F 10:00 11:00
TCH1-540669-2012

4641601 MA. ANGELIE P. CORTES F T-I REG.PERM BSED ENGLISH NONE ESP 10-Aphrodite M/W 8:45 9:45
MAPEH COOR.
CLASS ADVISER
SSG ADVISER
Ave. Minutes per Day
SCIENCE 9-Titanium M/T/W/TH/F 10:00 11:00
SCIENCE 9-Helium M/T/W/TH/F 2:00 3:00
NATIONAL

BIOLOGICAL SCIENCE
TLE 9-HORTI M/T/W 8:00 10:00
TCH1-544624-2012

4655465 ROMEL A. BONTES M T-I REG. PERM BSED NONE TLE 10-HORTI TH/F 9:00 11:00
ESP 9-Helium W/F 9:00AM/2:00 10:00AM/3:00
CLASS ADVISER
DORP COORDINATOR
Ave. Minutes per Day

ARAL PAN 9-Titanium M/T/W/ 8:45 9:45

AAL PAN 9-Helium W/TH/F 7:45 8:45
ARAL PAN 10-Aphrodite M/T/W 10:00 11:00
NAL

NCE
1
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
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/ From To
Number Position, Descending) Minor & Other Ancillary (M/T/W/T
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignments H/F)

ARAL PAN 10-Athena M/T/W 2:00 3:00

NATIONAL

BIOLOGICAL SCIENCE
TCH1-540627-2011

SCIENCE 8-Einstein M/T/TH/F/W 1:00 2:00

4659485 KAYZELLE MARIE U.BARONDA F T-I REG.PERM BSED NONE SCIENCE 8-Newton M/T/TH/F/W 3:00 4:00
Physical Facilities Coor.
PROPERTY CUSTODIAN
Ave. Minutes per Day
FILIPINO 8-Einstein M/T/W/TH/F 2:00 3:00
FILIPINO 8-Newton M/T/W/TH/F 7:45 8:45

NATIONAL

BIOLOGICAL SCIENCE
FILIPINO 7-Sapphire M/T/W/TH/F 10:00 11:00
TCH1-541981-2015

4661439 CHARLIE A. LOZADA M T-I REG. PERM BSED NONE FILIPINO 7-Emerald M/T/W/TH/F 11:00 12:00
Komunikasyon 11 M/T/W/TH 1:00 2:00
CLASS ADVISER
GAD COOR
Ave. Minutes per Day
MATH 7-Sapphire M/W/TH/F/T 1:00 2:00
NATIONAL MATH 7-Emerald M/W/TH/F/T 2:00 3:00
TCH1-541982-2015

MATH 9-Titanium M/W/TH/F/T 3:00 4:00

4661440 ANGELICA O. CENITA F T-I REG. PERM BSED MATHEMATICS NONE MATH 9-Helium M/W/TH/F/T 10:00 11:00
Gen.Mathematics 11 M/T/TH/F/W 11:00 12:00
CLASS ADVISER
Ave. Minutes per Day
ENGLISH 8-Einstein M/T/W/F/TH 8:45 9:45
ENGLISH 8-Newton M/T/W/F/TH 2:00 3:00
NATIONAL
TCH1-541983-2015

ENGLISH 10-Athena M/T/W/F/TH 3:00 4:00

4662472 JOJI D. REQUIROSO F T-I REG.PERM BSED English NONE ENGLISH 10-Aphrodite M/T/W/F/TH 1:00 2:00
21st Century Lit. 11 M/T/W/F 7:45 8:45
School Paper Adviser
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &

TCH1-541983-2015
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor & Other Ancillary (M/T/W/T
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignments H/F)

Ave. Minutes per Day

MAPEH 8-Einstein M/T/W/TH/F 7:45 8:45
Business Math 12 M/W/TH/F/T 1:00 2:00

NATIONAL
MATH 10-Aphrodite M/W/TH/F/T 3:00 4:00
TCH1-541984-2015

4661922 MADELYN O. PANAL F T-I REG.PERM BSED MATHEMATICS NONE MATH 10-Athena M/W/TH/F/T 11:00 12:00
ESP 8-Einstein TH/F 10:00 11:00
CLASS ADVISER
DISBURSING OFFICER-DESIGNATE
Ave. Minutes per Day

ARAL PAN 7-Sapphire M/T/W 7:45 8:45

T/W/TH/F 8:45 9:45

NATIONAL
Disaster Risk Reduction 11
TCH1-541980-2015

MATH 8-Einstein M/W/TH/F/T 3:00 4:00

4661438 ERIC G. ALAGASI M T-I REG.PERM BSED MATHEMATICS NONE MATH 8-Newton M/W/TH/F/T 1:00 2:00
CLASS ADVISER
DRRM COORDINATOR
Ave. Minutes per Day
Org.& Management 11 M/T/W/TH 8:45 9:45
Intro to Philosophy 12 M/T/W/TH 7:45 8:45
Understanding Culture 12 M/T/W/TH 11:00 12:00
NATIONAL

VALUES World Religion 12 M/T/W/TH 3:00 4:00

ALICIA I. AMIT F T-I CONTRACTUAL BSED SOCIAL SCIENCE EDUCATION P.E & Health 12 F 7:45 8:45
Class Adviser
Child Friendly School
System Coordinator
Ave. Minute per Day
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
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/ From To
Number Position, Descending) Minor & Other Ancillary (M/T/W/T
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignments H/F)

ARAL PAN 7-Emerald M/T/W/F 8:45 9:45

Empowermnet Tech.11 3:00 4:00

NATIONAL
M/T/W/TH
Pagbasa at Pagsusuri 12 M/T/W/TH 2:00 3:00
JOYLYN S. PATEÑO F T-I CONTRACTUAL BSIT SOCIAL SCIENCE Practical Research 2 M/T/W/TH 4:00 5:00
P.E & Health 11 F 1:00 2:00
Child Protection
Policy Coordinator
CLASS ADVISER
Ave. Minutes per Day
Entrepreneurship 11 M/T/W/F 10:00 11:00
NIRAGEN G. SABALO F T-I Aral.Panlipunan 9 W/TH/F 8:45 9:45

NATIONAL
REG.PERM BSED Home Economics TLE 7-Emerald M/T/W 7:45 9:45
ESP 7-Sapphire TH/F 7:45 8:45
Personality Development 11 M/T/W/TH 4:00 5:00
SBM Wins
CLASS ADVISER
Ave. Minutes per Day

Math 11 M/T/W/TH 11:00 12:00

NATIONAL

F T-I PERMANENT BSED MATHEMATICS Filipino 7 M/T/W/F 10:00 11:00

KAREN N. CATARINA MAPEH 7 M/T//W/TH 7:45 8:45
English 9 M/T/W/TH 1:00 2:00
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 the school
year, an updated Form 19 must be submitted to the Division Office . ANTONIO B. DACATIMBAN
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Plantilla
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/ From To
Number Position, Descending) Minor & Other Ancillary (M/T/W/T
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignments H/F)

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. (Signature of School Head over Pri
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. Daily Program Column is for teaching personnel only. Updated as of: ___ Jun-17
School Form 7, Page __
e

School Year 2017-2018

ding Sources

Number of
Incumbent
nd Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching
National 2

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

300
300
300
300 Detailed from
300 Tabango NHS
300
300
300
300
300
300
300
300
300
300
300
me duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
Teaching school/office, For
Minutes per IP's -Ethnicity)
Week

300
300
300
300
180
180
300

300

300

300
300
300
Detailed from
300 Tabango NHS
300
300
300
120
300
300
300
300
300
270
300
me duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
Teaching school/office, For
Minutes per IP's -Ethnicity)
Week

120
300
300
120
300
300
270
300
300
300
300
120
300
300
300
278
300
300
300
300
120
300
300
274

180
180
180
me duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
Teaching school/office, For
Minutes per IP's -Ethnicity)
Week

180
300
300
300
300
300
300
300
300
300
240
300
300
291
300
300
300
300
240
300
290
300
300
300
300
300
300
me duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
Teaching school/office, For
Minutes per IP's -Ethnicity)
Week

300
300
300
300
300
120
300
300
274

180
240
300
300
300
300
270
240
240
240
240
60
300
300

270
me duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
Teaching school/office, For
Minutes per IP's -Ethnicity)
Week

240
240
240
240
60
300

300
270
240
180
300
120
240
300
300
270

240
300
300
300
270

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

ol Head over Printed Name)

Form 7, Page ___ of ________