School Form 1 School Register For Senior High School (SF1-SHS)

School Form 1 School Register for Senior High School (SF1-SHS)
School Name INFORMATICS COLLEGE CALOOCAN School ID 400962 District 3rd Division CALOOCAN CITY Region NCR
Semester FIRST School Year 2018-2019 Grade Level 12 Track and Strand ACADEMIC TRACK- GENERAL ACADEMIC STRAND
Section GAS Course (For TVL Only)
COMPLETE ADDRESS PARENTS GUARDIAN

Sex (M/F)
BIRTHD (if learner is not Living with Parent) Contact REMARKS
NAME Religious Name Number of
LRN (Last Name, First Name, Name Extension, ATE AGE (Please refer to the legend)
(mm/dd/yy Affiliation Municipality/ Father's Name Mother's Maiden Name (Last Name, First Parent/
Middle Name) House No./ Street/ Sitio/ Purok Barangay Province (Last Name, First Name, Name Extension, (Last Name, First Name, Name Name, Name Relationship
yy) City Guardian
Middle Name) Extension, Middle Name) Extension, Middle
Name)
2 1/9/00 CHRISTIANITY 428 BERTOL ST. 2 RODRIGUEZ, JANE 9218398619
136-849050035 CASABAR, RUSSEL RODRIGUEZ M 17 CALOOCAN METRO MANILA CASABAR, ROGER
3 4/25/00 16 CHRISTIANITY 186 J.P RAMOY ST. BRGY 164 DELA CRUZ, NANCY REBUENO 9354321374
136524060300 DELA CRUZ, NATHAN LOUELL REBUE M CALOOCAN METRO MANILA DELA CRUZ , ANTONIO JR. REBUENO, NOEMI AUNT
4 12/31/99 17 CHRISTIANITY 173 J.P RAMOY ST. BRGY 164 N/A
136631060085 GAJULTOS, RENZO GANTANG M CALOOCAN METRO MANILA GAJULTOS, RENATO GAJULTOS, MA THERESA
5 1/12/00 17 CHRISTIANITY 84 LUCIA ST. 71 02-6215662

119855060013 GOMEZ, JEVIE MAURO M CALOOCAN METRO MANILA GOMEZ, QUINTEN CATUBIG MAURO, ROSARIO SOLANO
5 10/24/01 15 CHRISTIANITY B2 L11 PILLEL D.D 14 N/A

136606060152 MALLARI, JAMES PAUL, KINGCO M CALOOCAN METRO MANILA MALLAN, ABELARDO MALLAN, CHARI
6 11/10/00 16 CHRISTIANITY 286 BMBA COMPOUND COMPOUND 44TH Ave. 9169821912

107157060177 PARADO, RONAN JARON SAN PEDRO M GRACE PARK CALOOCAN METRO MANILA PARADO, LEODEGARIO FABIAN, JUVELYN
7 4/11/00 17 CHRISTIANITY 81 KABULUSAN1 9558596155

136614060183 RELEGIA,PATRICK, SALAZAR M 23 CALOOCAN METRO MANILA RELEGIA, VICENTE, P. RELEGIA, MELANIE, S.
8 16000216000 REPOSO, JAY OLARTE M 08/26/2000 17 CHRISTIANITY 08 MILAGROSA EXTENSION BAGONG BARRIO 151 CALOOCAN METRO MANILA REPOSO, EDGAR PINGCO CLARTES, MARITESS REFUERZO 9567454764
9 5/20/00 17 CHRISTIANITY B9 FIRST ST. 9035915244

105145060034 REYTERAN, MARVIN M 39 CALOOCAN METRO MANILA PAJALLA JR., MANUEL, R. REYTERAN, MARICHU
9 <=== TOTAL MALE
3/3/01 16 CHRISTIANITY BLK 98 LOT 10 KAWAL PUROK 5 9995113699
1 136608060016 AGUSTIN, ANGELA, SIMBOL F CALOOCAN METRO MANILA AGUSTIN, RODERICK AGUSTIN, ANITA
2/17/01 17 CHRISTIANITY B6 Lot 17 Ph3 ASSUMPTION VILLE F. DULALIA S 9774262259
2 136422060002 ALAYON, ALLONA JOYCE PELICANO F LINGUNAN CALOOCAN METRO MANILA ALAYON, GEORGE ALAYON, REBECCA
8/29/99 17 CHRISTIANITY BLK 5 LOT 6 KAWAL PUROK 5 9502960968
3 136608060047 ASILUM, MARY ANN, RAGUDOS F 28 CALOOCAN METRO MANILA ASILUM,DANTE ASILUM, MARIFE
10/20/98 CHRISTIANITY 457 HEROES DEL 96 9354318986
4 136618060035 ATIENZA, JONALYN F 18 74 CALOOCAN METRO MANILA ATIENZA, MARICEL ESCARES
11/7/00 CHRISTIANITY 4321 BLK 5 SAWATA MAYPAJO N/A
5 136608060157 COLIS, LORRAINE KAYE, VELARDO F 16 CALOOCAN METRO MANILA COLIS, ROMEO COLIS, LORNA V.
12/23/00 CHRISTIANITY 100 MALONZO ST. BRGY 74 N/A
7 136621060070 CRUZ, ELYZA DENISSE TOLON F 16 CALOOCAN METRO MANILA CRUZ, SATURNINO CRUZ, LENY
3/21/99 GEORGE
8 136615060162 DE GUZMAN, ZYRA JANE F 18 CHRISTIANITY PNR DORM GEN SAN CALOOCAN METRO MANILA DE GUZMAN, MARY JANE 9561355858
SALVALOSA
5/14/99 CHRISTIANITY 500 INT 29 BALTAZAR ST. 95TH AVE. WEST 9367327058
9 303609110055 DACUMA, APPLE GAY, LAGBO F 18 CALOOCAN METRO MANILA DACUMA,PRIMITIVO, L. DACUMA, EVELYN, L. SORIANO, AGNES
GRACE PARK
6/4/00 VALENZUEL
10 136814060364 FRANCISCO, ANGELICA, MAGBANUA F 17 CHRISTIANITY #24 ROSAL ST. KARUHATAN METRO MANILA FRANCISCO, ERLON FRANCISCO, ERLY 9755729866
A
11/10/00 JALLORES, MA.
11 109939060038 LIMPIADA, JESSMIN, MANUEVO F 16 CHRISTIANITY #22 TORILLIO TALABA CALOOCAN METRO MANILA ALONZO, JESSIE VILLAREAL LIMPIADA, MINDA CONSTANTINO SISTER
9155980548
IREEN
POQUIZ, JERMAINE ALTHEA, 7/14/01 SUMAYA,
12 136611060231 SUMAYA F 16 CHRISTIANITY BLK 39 E LOT 5 PHASE 3 F1 DAGATDAGATAN CALOOCAN METRO MANILA POQUIZ, JORGE, MARCULISIO POQUIZ, SHERLY, SUMAYA 9999058165
GRANDMOTH
THERESITA
13 302285140068 WANTIN, LOURGEN BONCACAS F 07/21/1999 18 CHRISTIANITY 3209 MOLAVE EXTENSION BO. OBRERO TONDO METRO MANILA WANTIN, BRAVO BONCACAS, VIVIAN 908172796
13 <=== TOTAL FEMALE

22 <=== COMBINED
Legend: List and Code of Indicators under REMARKS column
In
dic Beginning of the Prepared By:
Code Required Information Indicator Code Required Information REGISTERED End of the Semester
at Semester
or
Tra T/O CCT Recipient CCT CCT Control/reference number & Effectivity Date
nsf Name of school last attended & Year
err MALE 9
Balik Aral B/A Specify Exceptionality of the Learner
ed Specify Level & Effectivity Date MANIYA DIANNE A. REYES, LPT
Ou T/I
t
Name of School, Date of 1st Learner With LWE 13 Signature of Adviser over Printed Name
Attendance and Date of Last Exceptionality FEMALE
Tra Attendance if Transferred Out Accelerated ACL
nsf Beginning of the Semester Date: JUNE 13,
err
ed TOTAL 22 2018
In
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name INFORMATICS COLLEGE CALOOCAN School ID 400962 District 3rd Division Caloocan City Region NCR
Section GAS Course/s (only for TVL) Month of JUNE

DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Middle Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
1 Err:509
2 CASABAR, RUSSEL RODRIGUEZ
3 DELA CRUZ, NATHAN LOUELL REBUENO
4 GAJULTOS, RENZO GANTANG
5 MALLARI, JAMES PAUL, KINGCO
6 PARADO, RONAN JARON SAN PEDRO
7 RELEGIA,PATRICK, SALAZAR
8 REYTERAN, MARVIN
9 Err:509
<=== MALE | TOTAL Per Day ===> 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 162 0
1 AGUSTIN, ANGELA, SIMBOL
2 ALAYON, ALLONA JOYCE PELICANO
3 ASILUM, MARY ANN, RAGUDOS
4 ATIENZA, JONALYN
5 COLIS, LORRAINE KAYE, VELARDO
6 Err:509
7 CRUZ, ELYZA DENISSE TOLON
8 DE GUZMAN, ZYRA JANE
9 DACUMA, APPLE GAY, LAGBO
10 FRANCISCO, ANGELICA, MAGBANUA
11 LIMPIADA, JESSMIN, MANUEVO
12 POQUIZ, JERMAINE ALTHEA, SUMAYA
<=== FEMALE | TOTAL Per Day ===> 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 216 0
Combined TOTAL Per Day 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 378 0
No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for JUNE 18 M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 9 12 21
0 0 0
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off)
a. Percentage of Enrolment = x 100 (NLS) 9 12 21

Registered Learners as of end of the month Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year 100 100 100

a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings Average Daily Attendance 9 12 21
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 Percentage of Attendance for the month 100 100 100
a.4. Family problems
Average daily attendance Number of students absent for 5 consecutive days 0 0 0

c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form 4. b.1. Illness
No Longer in School (NLS)
Once signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 Transferred Out
b.5. Poor Academic Performance
consecutive days and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In
Shifting Out
c. School-Related Factors Shifting In

c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school JOYCE D. QUITAN
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name
e. Financial-Related
e.1. Child labor, work Attested By:
f. Others (Specify) Signature of School Head over Printed Name

a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
Section GAS Course/s (only for TVL) Month of JULY

DATE
No. (Last Name, First Name, Name Extension, 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
1 Err:509 21
6 PARADO, RONAN JARON SAN PEDRO 1
8 REYTERAN, MARVIN
9 Err:509
<=== MALE | TOTAL Per Day ===> 8 8 8 8 8 8 8 8 7 8 8 8 8 8 8 8 8 8 8 8 8 167 22
4 ATIENZA, JONALYN
5 COLIS, LORRAINE KAYE, VELARDO 1
6 Err:509
<=== FEMALE | TOTAL Per Day ===> 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 252 1
Combined TOTAL Per Day 20 20 20 20 20 20 20 20 19 20 20 20 20 20 20 20 20 20 20 20 20 419 23

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for JULY 21 M F TOTAL
0 0 0


a.1. Had to take care of siblings Average Daily Attendance 7.952380952 12 19.952380952
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month 88.35978836 100 95.011337868

b.4. Drug Abuse
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of AUGUST

DATE
1 Err:509
3 DELA CRUZ, NATHAN LOUELL REBUENO 1
4 GAJULTOS, RENZO GANTANG 2
5 MALLARI, JAMES PAUL, KINGCO 1
8 REYTERAN, MARVIN
9 Err:509
1 AGUSTIN, ANGELA, SIMBOL 1
4 ATIENZA, JONALYN 1
6 Err:509
9 DACUMA, APPLE GAY, LAGBO 2

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for AUGUST 21 M F TOTAL
0 0 0


a.1. Had to take care of siblings Average Daily Attendance 7.80952381 11.8095238095 19.619047619
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month 86.77248677 98.4126984127 93.4240362812

3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form b.1. Illness
4. Once signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
b.4. Drug Abuse
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of SEPTEMBER

DATE
No. (Last Name, First Name, Name Extension, 4 5 6 7 8 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
1 Err:509
8 REYTERAN, MARVIN
9 Err:509
<=== MALE | TOTAL Per Day ===> 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 160 0
4 ATIENZA, JONALYN 1
6 Err:509
<=== FEMALE | TOTAL Per Day ===> 12 12 11 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 239 1
Combined TOTAL Per Day 20 20 19 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 399 1

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for SEPTEMBER 20 M F TOTAL
0 0 0


a.1. Had to take care of siblings Average Daily Attendance 8 11.95 19.95
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month 88.88888889 99.5833333333 95

b.4. Drug Abuse
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of OCTOBER

DATE
No. (Last Name, First Name, Name Extension, 2 3 4 5 6 7 9 10 11 12 13 14 16 17 18 19 20 21 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
1 Err:509
8 REYTERAN, MARVIN
9 Err:509
<=== MALE | TOTAL Per Day ===> 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 120 0
4 ATIENZA, JONALYN
6 Err:509
<=== FEMALE | TOTAL Per Day ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 165 0
Combined TOTAL Per Day 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 0 0 285 0

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for OCTOBER 15 M F TOTAL
0 0 0



4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Semester SECOND School Year 2017-2018 Grade Level 11 Track and Strand ACADEMIC TRACK- GENERAL ACADEMIC STRAND
Section GAS Course/s (only for TVL) Month of NOVEMBER

DATE
No. (Last Name, First Name, Name Extension, 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
5 PARADO, RONAN JARON SAN PEDRO 1
7 REYTERAN, MARVIN
<=== MALE | TOTAL Per Day ===> 7 7 6 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 132 1
4 ATIENZA, JONALYN
<=== FEMALE | TOTAL Per Day ===> 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 190 0

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for NOVEMBER 19 M F TOTAL
0 0 0


a.1. Had to take care of siblings Average Daily Attendance 6.9473684211 10 16.947368421
b. Average Daily Attendance = a.3. Parents' attitude toward schooling
Number of School Days in reporting month Percentage of Attendance for the month 99.248120301 100 99.690402477

Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence
d.1. Distance between home and school MARY ROSE L. PADRINAO

a. Death
Section GAS Course/s (only for TVL) Month of DECEMBER

DATE
No. (Last Name, First Name, Name Extension, 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the
name of Track/Strand/Program).
7 REYTERAN, MARVIN
<=== MALE | TOTAL Per Day ===> 7 7 7 7 6 7 7 7 7 7 7 7 7 7 7 7 111 1
4 ATIENZA, JONALYN
<=== FEMALE | TOTAL Per Day ===> 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 150 0
Combined TOTAL Per Day 0 17 17 17 16 17 17 17 17 17 17 21 21 21 17 17 0 0 261 1

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for DECEMBER 16 M F TOTAL
0 0 0



Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of JANUARY

DATE
1 CASABAR, RUSSEL RODRIGUEZ 2
4 MALLARI, JAMES PAUL, KINGCO 2
7 REYTERAN, MARVIN
4 ATIENZA, JONALYN
5 COLIS, LORRAINE KAYE, VELARDO 1
6 CRUZ, ELYZA DENISSE TOLON 1
Combined TOTAL Per Day 17 17 17 17 17 16 17 17 16 16 14 21 21 21 16 17 17 17 17 17 348 9

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for JANUARY 21 M F TOTAL
0 0 0



Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of FEBRUARY

DATE
No. (Last Name, First Name, Name Extension, 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
2 CASABAR, RUSSEL RODRIGUEZ 2
4 GAJULTOS, RENZO GANTANG 1
8 REYTERAN, MARVIN
<=== MALE | TOTAL Per Day ===> 7 7 7 6 7 7 6 7 7 7 7 7 7 7 6 7 7 7 7 130 3
4 ATIENZA, JONALYN
7 CRUZ, ELYZA DENISSE TOLON 1
9 DACUMA, APPLE GAY, LAGBO 1
<=== FEMALE | TOTAL Per Day ===> 9 10 9 10 10 10 10 10 10 10 10 10 9 10 10 10 10 10 10 187 3
Combined TOTAL Per Day 16 17 17 16 17 17 16 17 17 17 17 17 17 17 16 17 17 17 17 317 6

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for FEBRUARY 19 M F TOTAL
0 0 0



Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of MARCH

DATE
No. (Last Name, First Name, Name Extension, 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
7 REYTERAN, MARVIN
<=== MALE | TOTAL Per Day ===> 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 140 0
4 ATIENZA, JONALYN
<=== FEMALE | TOTAL Per Day ===> 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 200 0

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for MARCH 20 M F TOTAL
0 0 0


Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month 100 100 100

Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
Section GAS Course/s (only for TVL) Month of APRIL

DATE
No. (Last Name, First Name, Name Extension, 3 4 5 6 7 8 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
8 REYTERAN, MARVIN
<=== MALE | TOTAL Per Day ===> 7 7 7 7 7 35 0
4 ATIENZA, JONALYN
<=== FEMALE | TOTAL Per Day ===> 10 10 10 10 10 50 0
Combined TOTAL Per Day 17 17 17 17 17 85 0

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for APRIL 5 M F TOTAL
0 0 0


b. Average Daily Attendance = a.3. Parents' attitude toward schooling
Number of School Days in reporting month Percentage of Attendance for the month 100 100 100

Transferred Out
Shifting Out

c.1. Teacher Factor
c.3. Peer Influence

a. Death
School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
School Name School ID District Division
Semester School Year Grade Level Track and Strand
Section Course/s (only for TVL)
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
11
12
13
SHS)
Region
/ ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>
GUIDELINES: In case of lost/unreturned books, 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, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code
4. The Total Number of Copies of Books Returned shall be reflected in the form. TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
Signature of Class A
/ ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
ature of Class Adviser over Printed Name

School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SHS)
School Name INFORMATICS COLLEGE CALOOCAN District 3rd Division Caloocan City
Region NCR
School ID 400962 Semester FIRST School Year 2017-2018 For the Month of JUNE
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT SHIFTED IN
REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B)
(As of End of Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily Average % for the Month Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
the Month) the Month the Month the Month the Month the Month
of Previous End of the of Previous of End of the of Previous End of the of Previous End of the of Previous End of the
Month Month Month Month Month Month 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 M F T M F T M F T M F T M F T M F T
ACADEMIC GAS 9.0 12.0 21.0 9.0 12.0 21.0 100.0 100.0 100.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 9.0 12.0 21.0 100.0 100.0 100.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL
Prepared and Submitted By:
Signature of School Head over Printed Name

Region NCR
School ID 400962 Semester FIRST School Year 2017-2018 For the Month of JULY
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 8.0 12.0 20.0 88.4 100.0 95.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 8.0 12.0 20.0 88.4 100.0 95.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester FIRST School Year 2017-2018 For the Month of AUGUST
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 7.81 11.81 19.62 86.77 98.41 93.42 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 7.81 11.81 19.62 86.77 98.41 93.42 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester FIRST School Year 2017-2018 For the Month of SEPTEMBER
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 8.00 11.95 19.95 88.9 99.58 95.00 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 8.00 11.95 19.95 88.9 99.58 95.00 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester FIRST School Year 2017-2018 For the Month of OCTOBER
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 8.00 11.00 19.00 88.9 91.7 90.5 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 8.00 11.00 19.00 88.9 91.7 90.5 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester SECOND School Year 2017-2018 For the Month of NOVEMBER
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 6.95 10.00 16.95 99.2 100.0 99.69 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 6.95 10.00 16.95 99.25 100.0 99.69 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester SECOND School Year 2017-2018 For the Month of DECEMBER
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 6.94 9.38 16.31 99.11 93.75 95.96 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 6.94 9.38 16.31 99.11 93.8 95.96 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester SECOND School Year 2017-2018 For the Month of JANURY
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 6.76 9.81 16.57 96.60 98.10 97.48 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 6.76 9.81 16.57 96.60 98.1 97.48 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester SECOND School Year 2017-2018 For the Month of FEBRUARY
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 6.84 9.84 16.68 97.74 98.42 98.14 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 6.84 9.84 16.68 97.74 98.4 98.14 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 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester SECOND School Year 2017-2018 For the Month of MARCH
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 7.00 10.00 17.00 100.0 100.0 100.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 7.00 10.00 17.00 100.0 100.0 100.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

Region NCR
School ID 400962 Semester SECOND School Year 2017-2018 For the Month of APRIL
REGISTERED
(B) Total for
(B) Total for
Number as Number as
(B) Total for
(B) Total for
(B) Total for
Number as of
ACADEMIC GAS 9.0 12.0 21.0 7.00 10.00 17.00 100.0 100.0 100.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 11 9.0 12.0 21.0 7.00 10.00 17.00 100.0 100.0 100.0 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 0 0 0 0 0 0 0 0 0 0
TOTAL FOR GRADE 12

GRAND TOTAL

School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
Semester FIRST School Year 2017-2018 Grade Level 11 Section GAS
Track and Strand ACADEMIC TRACK- GENERAL ACADEMIC STRAND Course/s (only for TVL)
BACK SUBJECT/S END OF SEMESTER END OF SCHOOL

LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating STATUS YEAR STATUS
(Last Name, First Name, Name Extension, Middle Name)
below 75%) (Complete/ Incomplete) (Regular/ Irregular)
MALE
1 Err:509 Err:509 INCOMPLETE SUMMARY TABLE 1ST SEM
2 136-849050035 CASABAR, RUSSEL RODRIGUEZ COMPLETE STATUS MALE FEMALE TOTAL

3 136524060300 DELA CRUZ, NATHAN LOUELL REBUENO COMPLETE COMPLETE 7 11 18
4 136631060085 GAJULTOS, RENZO GANTANG COMPLETE INCOMPLETE 2 1 3
5 136606060152 MALLARI, JAMES PAUL, KINGCO COMPLETE TOTAL 9 12 21
6 107157060177 PARADO, RONAN JARON SAN PEDRO COMPLETE
7 136614060183 RELEGIA,PATRICK, SALAZAR COMPLETE SUMMARY TABLE 2ND SEM
8 105145060034 REYTERAN, MARVIN COMPLETE STATUS MALE FEMALE TOTAL

9 Err:509 Err:509 INCOMPLETE COMPLETE 7 10 17
INCOMPLETE 0 1 1
TOTAL 7 11 18
FEMALE SUMMARY TABLE (End of the School Year Only)
1 136608060016 AGUSTIN, ANGELA, SIMBOL COMPLETE STATUS MALE FEMALE TOTAL

2 136422060002 ALAYON, ALLONA JOYCE PELICANO COMPLETE REGULAR 7 10 17
3 136608060047 ASILUM, MARY ANN, RAGUDOS COMPLETE IRREGULAR 0 0 0
4 136618060035 ATIENZA, JONALYN COMPLETE TOTAL 7 10 17
5 136608060157 COLIS, LORRAINE KAYE, VELARDO COMPLETE
Prepared By:
6 136850050134 Err:509 INCOMPLETE
7 136621060070 CRUZ, ELYZA DENISSE TOLON COMPLETE
8 136615060162 DE GUZMAN, ZYRA JANE COMPLETE JOYCE D. QUITAN
Signature of Class Adviser over Printed Name
9 303609110055 DACUMA, APPLE GAY, LAGBO COMPLETE
10 136814060364 FRANCISCO, ANGELICA, MAGBANUA COMPLETE
11 109939060038 LIMPIADA, JESSMIN, MANUEVO COMPLETE
12 136611060231 POQUIZ, JERMAINE ALTHEA, SUMAYA COMPLETE
Certified Correct By:
Reviewed By:
Signature of Division Representative over Printed Name
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These data
elements shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
Semester SECOND
School Year 2017-2018 Grade Level 11 Section GAS
Track and Strand ACADEMIC TRACK- GENERAL ACADEMIC STRAND Course/s (only for TVL)
BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)
MALE
1 136-849050035 CASABAR, RUSSEL RODRIGUEZ COMPLETE SUMMARY TABLE 1ST SEM
2 136524060300 DELA CRUZ, NATHAN LOUELL REBUENO COMPLETE STATUS MALE FEMALE TOTAL
3 136631060085 GAJULTOS, RENZO GANTANG COMPLETE COMPLETE 7 11 18
4 136606060152 MALLARI, JAMES PAUL, KINGCO COMPLETE INCOMPLETE 2 1 3
5 107157060177 PARADO, RONAN JARON SAN PEDRO COMPLETE TOTAL 9 12 21
6 136614060183 RELEGIA,PATRICK, SALAZAR COMPLETE
7 105145060034 REYTERAN, MARVIN COMPLETE SUMMARY TABLE 2ND SEM
STATUS MALE FEMALE TOTAL
COMPLETE 7 10 17
INCOMPLETE 0 1 1
TOTAL 7 11 18
FEMALE SUMMARY TABLE (End of the School Year Only)
1 136608060016 AGUSTIN, ANGELA, SIMBOL COMPLETE STATUS MALE FEMALE TOTAL

2 136422060002 ALAYON, ALLONA JOYCE PELICANO COMPLETE REGULAR 7 10 17
3 136608060047 ASILUM, MARY ANN, RAGUDOS COMPLETE IRREGULAR 0 0 0
4 136618060035 ATIENZA, JONALYN COMPLETE TOTAL 7 10 17
5 136608060157 COLIS, LORRAINE KAYE, VELARDO COMPLETE
6 136621060070 CRUZ, ELYZA DENISSE TOLON COMPLETE
7 136615060162 DE GUZMAN, ZYRA JANE COMPLETE MARY ROSE L. PADRINAO
8 303609110055 DACUMA, APPLE GAY, LAGBO COMPLETE
9 109939060038 LIMPIADA, JESSMIN, MANUEVO COMPLETE
10 136611060231 POQUIZ, JERMAINE ALTHEA, SUMAYA COMPLETE
Certified Correct By:
Reviewed By:
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These
data elements shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name School ID District Division Region
Semester School Year Section
Track and Strand Course/s (only for TVL)
Completed SHS in
2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)
MALE
SUMMARY TABLE A
Learners who
completed SHS
Program within 2
SYs or 4
semesters
Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters
TOTAL
SUMMARY TABLE B
NC III
NC II
NC I
TOTAL
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
Completed SHS in
2 SYs? (Y/N)
National
No. LRN
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
FEMALE
Reviewed By:
Certified Correct & Submitted By:
Reviewed By:

Completed SHS in
2 SYs? (Y/N)
National
No. LRN
School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)
Semester School Year
END OF SCHOOL YEAR

END OF SEMESTER STATUS
(Fill up only at the end of the second se
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE
GRADE 11
TRACK/STRAND/COURSE
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Divisio
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school t
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
6-SHS)
Region
OOL YEAR
the second semester.)
ULAR TOTAL
TOTAL MALE FEMALE TOTAL
ature of Division Superintendent over Printed Name
e and school total.

School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding S
Appointment:
Title of Designation
Title of Plantilla Position Title of Plantilla Position (Contractual,
Number of Number of (as it appears in the contract/document:
(as it appears in the appointment (as it appears in the appointment Substitute,
Incumbent Incumbent Teacher, Clerk, Security Guard, Driver etc.)
document/PSIPOP) document/PSIPOP) Volunteer, Others
specify)
EDUCATIONAL QUALIFICATION Daily Program (time

Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From
Number Position, Descending) (Regular/ Minor Assignments sections (M/T/W/T
-T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00)
H/F)
Part Time) Training Attended
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
EDUCATIONAL QUALIFICATION Daily Program (time
Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From
Number Position, Descending) (Regular/ Minor Assignments sections (M/T/W/T
-T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00)
H/F)
Part Time) Training Attended
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movement of teachers and other
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lowest. Si
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only. Updated as of:
SHS)
Region
nd Funding Sources
Number of Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-Teaching
Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
Total Actual *For additional loads from
To Teaching JHS- please indicate the number
(00:00) Minutes per of teaching minutes per week)
Week
e. Minutes per Day
e. Minutes per Day
e. Minutes per Day
e. Minutes per Day

Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
Total Actual *For additional loads from
To Teaching JHS- please indicate the number
(00:00) Minutes per of teaching minutes per week)
Week
e. Minutes per Day
e. Minutes per Day
ated as of:
School Form 7, Page ___ of ________

SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)
School Name District Division Region
School ID Grade Section Track/Strand (SHS) School Year
Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
MALE
FEMALE
SFRT 2017
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
SFRT 2017
SFRT 2017

School Form 1 School Register For Senior High School (SF1-SHS)

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School Form 1 School Register For Senior High School (SF1-SHS)

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School Form 1 School Register for Senior High School (SF1-SHS)

COMPLETE ADDRESS PARENTS GUARDIAN

5 1/12/00 17 CHRISTIANITY 84 LUCIA ST. 71 02-6215662

5 10/24/01 15 CHRISTIANITY B2 L11 PILLEL D.D 14 N/A

6 11/10/00 16 CHRISTIANITY 286 BMBA COMPOUND COMPOUND 44TH Ave. 9169821912

7 4/11/00 17 CHRISTIANITY 81 KABULUSAN1 9558596155

9 5/20/00 17 CHRISTIANITY B9 FIRST ST. 9035915244

13 <=== TOTAL FEMALE

Section GAS Course/s (only for TVL) Month of JUNE

2 CASABAR, RUSSEL RODRIGUEZ

3 DELA CRUZ, NATHAN LOUELL REBUENO

4 GAJULTOS, RENZO GANTANG

5 MALLARI, JAMES PAUL, KINGCO

6 PARADO, RONAN JARON SAN PEDRO

<=== MALE | TOTAL Per Day ===> 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 162 0

1 AGUSTIN, ANGELA, SIMBOL

2 ALAYON, ALLONA JOYCE PELICANO

3 ASILUM, MARY ANN, RAGUDOS

5 COLIS, LORRAINE KAYE, VELARDO

7 CRUZ, ELYZA DENISSE TOLON

8 DE GUZMAN, ZYRA JANE

9 DACUMA, APPLE GAY, LAGBO

10 FRANCISCO, ANGELICA, MAGBANUA

11 LIMPIADA, JESSMIN, MANUEVO

12 POQUIZ, JERMAINE ALTHEA, SUMAYA

<=== FEMALE | TOTAL Per Day ===> 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 216 0

Combined TOTAL Per Day 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 21 378 0

No. of Days of Classes:

a. Percentage of Enrolment = x 100 (NLS) 9 12 21

Enrolment as of 1st Friday of the school year 100 100 100

Average daily attendance Number of students absent for 5 consecutive days 0 0 0

c. School-Related Factors Shifting In

f. Others (Specify) Signature of School Head over Printed Name

Section GAS Course/s (only for TVL) Month of JULY

2 CASABAR, RUSSEL RODRIGUEZ

3 DELA CRUZ, NATHAN LOUELL REBUENO

4 GAJULTOS, RENZO GANTANG

5 MALLARI, JAMES PAUL, KINGCO

6 PARADO, RONAN JARON SAN PEDRO 1

<=== MALE | TOTAL Per Day ===> 8 8 8 8 8 8 8 8 7 8 8 8 8 8 8 8 8 8 8 8 8 167 22

1 AGUSTIN, ANGELA, SIMBOL

2 ALAYON, ALLONA JOYCE PELICANO

3 ASILUM, MARY ANN, RAGUDOS

5 COLIS, LORRAINE KAYE, VELARDO 1

7 CRUZ, ELYZA DENISSE TOLON

8 DE GUZMAN, ZYRA JANE

9 DACUMA, APPLE GAY, LAGBO

10 FRANCISCO, ANGELICA, MAGBANUA

11 LIMPIADA, JESSMIN, MANUEVO

12 POQUIZ, JERMAINE ALTHEA, SUMAYA

<=== FEMALE | TOTAL Per Day ===> 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 252 1

Combined TOTAL Per Day 20 20 20 20 20 20 20 20 19 20 20 20 20 20 20 20 20 20 20 20 20 419 23

No. of Days of Classes:

a. Percentage of Enrolment = x 100 (NLS) 9 12 21

Enrolment as of 1st Friday of the school year 100 100 100

Average daily attendance Number of students absent for 5 consecutive days 0 0 0

c. School-Related Factors Shifting In

f. Others (Specify) Signature of School Head over Printed Name

Section GAS Course/s (only for TVL) Month of AUGUST

2 CASABAR, RUSSEL RODRIGUEZ

3 DELA CRUZ, NATHAN LOUELL REBUENO 1

4 GAJULTOS, RENZO GANTANG 2

5 MALLARI, JAMES PAUL, KINGCO 1