school forms
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School Form 1 (SF 1) School Register(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 136685 Region NCR Division Marikina City District 2
School Name SSS Village Elementary School School Year 2015-2016 Grade Level 2 Section Pulag
LRN RELIGION
ADDRESS PARENTS REMARKS
Barangay Province Name Relation-ship
1
136685130179 Bagacina, Jay Vincent Buenaventura M 9/3/07 8 Roman Catholic 9 Sulucan St. Cupang Antipolo City Rizal 9276775371
2
136685140337 Balano, Kenshin Tsukuyama M 9/20/08 7 Roman Catholic Marikina City NCR Balano, Ramil B. Tsukayama, Jun C. 9466185783
3
136685130129 Buenaventura, Carl Cyruz Ancheta M 6/13/07 8 Roman Catholic Sulucan St. Cupang Antipolo City Rizal Ancheta, Kristine Amper 9753039427
4
136685140538 Caballero, Sherwin M 3/18/08 8 Roman Catholic Marikina City NCR NA Caballero, Eva Merciales 9092703356
5
136685130366 Cabato, Louie angelo Aguaviva M 2/27/08 8 Roman Catholic Cupang Antipolo City Rizal Cabato, Angelo Enseng Aguaviva, Lizbeth Culi 9466499282
6
109229100041 Cambronero, Fernus Lumbuan M 1/6/05 11 Roman Catholic Marikina City NCR Lumbuan, Venus Reazon 9282965046
7
136685130519 Campang, Jimwel Jade Mohamed M 3/26/08 8 Roman Catholic Purok 1 Zone 8 Cupang Antipolo City Rizal Mohamed, Laarnie Dunez 9198126324
8
136685130592 Caspe, Jason Rivera M 9/21/05 10 INC Marikina City NCR Rivera, Jeanette Bualoy 9291959779
9
136685130184 Castejon, Gabriel Sam Balanay M 2/6/07 9 Cagayan Roman Catholic Marikina City NCR Balanay, Lelit Mariano 9208946349
10
136685130520 Clamar, Ronnie Agnote M 9/4/08 7 INc Marikina City NCR Clamar, Ronald Penaojas Agnote, Arminda Ferrer 9498543768
11
136685140091 Cruz, Albert Matthew Alcazar M 6/9/08 7 Roman Catholic Purok 5 Zone 8 Cupang Antipolo City Rizal Cruz, Alberto Sison Alcazar, Gracia Dioquino 9098660267
12
136685140092 Dela Cruz, Joseph Andrew Cabeltes M 10/15/07 8 Roman Catholic Marikina City NCR Cabeltes, Gina Achegue 9199532092
13
109477140601 Don, J-vie Estanislao M 8/25/08 7 Roman Catholic Marikina City NCR Don, Jerwin I. Estanislao, Elvie D 9062559304
14
136685130373 Limbaga, Mark Therence Que M 11/8/07 8 Roman Catholic Mayamot Antipolo City Rizal Limbaga, Grejomar Lucas Que, Ma. Myla Romano 9297736939
15
136685120183 Mendoza, Jade Cedrick Roduta M 12/2/07 8 Roman Catholic Purok 1 Zone 8 Cupang Antipolo City Rizal Roduta, Baby Lyn Dogayo 9239395996
16
136685130102 Munar, Clarence Brent Macapinlac M 2/23/08 8 Roman Catholic Marikina City NCR Munar, Roderick Garcia Macapinlac, Norlita M 9326421358
17
136673140041 Palatan, Ariesean Eiveruol Reyes M 1/27/08 8 Roman Catholic Cupang Antipolo City Rizal Palatan, Marlo Mesolania Reyes, Revie Arrisgado 9337116927
18
136685140392 Paler, James Edward M 7/11/08 7 Taguig City Roman Catholic Purok 2 Zone 8 Cupang Antipolo City Rizal Paler, Larpa Jarabejo NA 9496124316
19
107314070061 Ramos, Clarence Victorino M 8/8/06 9 Roman Catholic 12 Lime St. Marikina City NCR Victorino, Criselda Galicio 9289261503
20
136685130632 Ramos, Luigi Mikiel Tejoso M 11/27/07 8 Roman Catholic Cupang Antipolo City Rizal Ramos, Miguel Luna Tejoso, Eula Maie Villas 9395847133
21
136685140143 Rodriguez, John Muriel M 5/4/08 7 Roman Catholic Cupang Antipolo City Rizal Muriel, Mae Quejado 9323990094
22
136685140310 Salguero, Jomarie Jay Salameda M 9/20/07 8 Roman Catholic Cupang Antipolo City Rizal Salguero, Jomar Lungabit 9982716792
23
136685140393 Salom, Frank Emmanuel Ampoon M 5/22/08 7 INC 3 Sandalwood Marikina City NCR Salom, Ramil Gotos Ampoon, Cloverly Guiang 9433531085
24
136685130602 Victorio, Julius Tañedo M 7/30/07 8 Roman Catholic 3556 Rosal St. Cupang Antipolo City Rizal Victorio, Amelito Aringo Tañedo, Ana Marie Abdon 9201208718
NAME(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/dd/ yyyy)
AGE as of 1st Friday
June
BIRTH PLACE
(Province)MOTHER TONGUE
IP (Ethnic Group)
GUARDIAN (If not Parent)
Contact Number of Parent or
GuardianHouse #/ Street/ Sitio/Purok
Municipality/ City
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last Name, First Name, Middle
Name)(Please refer to the
legend on last page)
Antipolo City
Bagacina, Joel Tabarangao
Buenaventura, Olivia Pedracio
Quezon City
77 Panorama St. SSS Vill.
Concepcion Dos
Antipolo City
Buenaventura, John Carlo C.
Mauban Quezon
21 Magat Salamat
Concepcion Dos
Marikina City
357 Rosal St. Tamenggo
Tagkawayan Quezon
50 Pio Del Pilar St.
Concepcion Dos
Cambronero, Ferdinand Valdemor
Antipolo City
Campang, Geminiano Panganiban
Marikina City
3 Apo St. Hac. Hts.
Concepcion Dos
Caspe, Geronimo Bautista
19 Aquamarine St. SSS Vill.
Concepcion Dos
Castejon, John Peter Flora
Atimonan Quezon
44 Tangerine St.
Concepcion Dos
Quezon City
Marikina City
119 Starlite St. Rancho 3
Concepcion Dos
Dela Cruz, Ronaldo Asuncion
Marikina City
12 Olive St. SSS Village
Concepcion Dos
Antipolo City
3A Tuazon Vill. Baybay Sapa
Antipolo City
Mendoza, Orlando Bacod
Quezon City
New 21 Pinto St. Rancho 1
Concepcion Dos
Marikina City
6 Taurus St. Sierra Vista
Marikina City
Concepcion Dos
Ramos Jr., Jose Villablanca
Marikina City
66 Purok 1 Zone 8
Marikina City
Liamzon St. Ma. Corazon
Rodriguez, Jose Robert Lado
Antipolo City
28 Purok 4 Zone 8
Salameda, Annie Joy Mangaoil
Marikina City
Concepcion Dos
Antipolo City
LRN RELIGION
ADDRESS PARENTS REMARKS
Barangay Province Name Relation-ship
NAME(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/dd/ yyyy)
AGE as of 1st Friday
June
BIRTH PLACE
(Province)MOTHER TONGUE
IP (Ethnic Group)
GUARDIAN (If not Parent)
Contact Number of Parent or
GuardianHouse #/ Street/ Sitio/Purok
Municipality/ City
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last Name, First Name, Middle
Name)(Please refer to the
legend on last page)
1
136685140394 Alesoso, Sheryl Cesar F 8/4/08 7 Roman Catholic Cupang Antipolo city Rizal Alesoso, Daniel T. Cesar, Margarita D. 9325900439
2
136685130417 Almario, Danilyn Cuadro F 10/20/07 8 Roman Catholic Zone Purok 3 Cupang Antipolo city Rizal Cuadro, Mary Rose Baldera 9305059958
3
136685130553 Alvarez, Cyrell Abelardo F 6/29/08 7 Roman Catholic Cupang Antipolo city Rizal Alvarez. Cyril Arsenio Abelardo, May Montecalvo 9498596025
4
136685140165 Bunuan, Eiselle Vernice Duque F 4/7/08 7 Roman Catholic Marikina City NCR Bunuan, Virgilio Juan Duque, Esmeralda Penalba 9353318761
5
136685140203 Capute, Venice Kyla Manigos F 2/17/08 8 Pasig City Roman Catholic Marikina City NCR Capute, Norman Restor Manigos, Nancy Manriquez 9109076909
6
136685140176 Caspe, Princess Rhian Rivera F 10/22/07 8 INC Marikina City NCR Rivera, Jeanette Bualoy
7
136685120200 Dacanay, Jhamima Yruma F 3/27/08 8 Roman Catholic Purok 1 Zone 8 Cupang Antipolo city Rizal Dacanay, Joel Riuner Iruma, Marivic Tenedero 9396240081
8
136685140160 Dalo, Marry Claire Ponso F 6/26/08 7 Roman Catholic 162 Starlite Cupang Antipolo city Rizal Dalo, Restificar Ponso, Clarita Tanugan 9198822577
9
136685130261 Dayandante, Jenella Louise F 10/28/07 8 Roman Catholic Cupang Antipolo city Rizal NA 9983646783
10
136685130533 Duremdes, Janna Andrea Manalon F 10/13/08 7 Roman Catholic Mayamot Antipolo city Rizal Duremdes, Arnold Calizo Manalon, Juana Miralles 9199611684
11
136685130534 Fabila, Jhazmine Maickie Capariño F 8/12/08 7 Roman Catholic Cupang Antipolo city Rizal Fabila, jacky Ruby T. 9307960136
12
136685130657 Isturis, Hanna Vienne Makiramdam F 5/18/08 7 Roman Catholic Cupang Antipolo city Rizal Isturis, Arvin De Manuel Makiramdam, Aileen Hate 9472714172
13
136685140370 Jeve, Mary Gillian Aguaviva F 10/20/07 8 Roman Catholic Cupang Antipolo city Rizal Jeve, Brian Dacut Aguaviva, Genie Camasura 9158533938
14
109323120164 Miasco, Vanessa Syrine Prieto F 1/24/07 9 INC Cupang Antipolo city Rizal Miasco, Alexander G. Prieto, Jocelyn Francia 9329278119
15
136685130640 Micua, Ashly Nicole Ramos F 2/27/08 8 Roman Catholic Cupang Antipolo city Rizal Micua, Joseph Agoot Ramos, Aileen Ortega 9397882019
16
136685130270 Modrigo, Emma Sophia Demoos F 9/26/08 7 Roman Catholic Cupang Antipolo city Rizal NA Modrigo, Amy Demoos 9462213362
17
136685130359 Palileo, Meryl Kate Ramos F 9/26/08 7 Roman Catholic Marikina City NCR NA Palileo, Jalyn Ramos 9233659980
18
114037140080 Quiaño, Johanna Kamea Tulosa F 3/1/08 8 Sorsogon Roman Catholic Marikina City NCR Tulosa, Alma Gelua 9435331296
19
136685130607 Rebusquillo, Princess Nirvana B. F 11/16/07 8 Roman Catholic Marikina City NCR Rebusquillo, Alvin Bernas, Emily 9175572226
20
136680130212 Regalado, Francesca Vian F 9/5/06 9 Born Again Cupang Antipolo city Rizal Aunt 9064783154
21
136675130957 Rivera, Layzie Kyle Alaroso F 4/17/08 7 Roman Catholic Cupang Antipolo city Rizal Rivera, Jose Collamat Alaroso, Mary Grace Asuela 9067103759
22
136685140401 Salvador, Alicia Gail Bacnat F 5/16/08 7 Roman Catholic Purok 6 Zone 8 Cupang Antipolo city Rizal Bacnat, Grace Nedio 9332594097
23
136685120694 Supillo, Sandrene Belaro F 11/1/07 8 Roman Catholic Cupang Antipolo city Rizal Supillo, Angelito Ocampo Belaro, Reesie Fruelda 9173578457
24
109323140863 Tambadoc, Maricar Sorronda F 7/2/05 10 Roman Catholic Cupang Antipolo city Rizal NA 9309212656
25
136685140084 Tuvilla, Angelica Manio F 1/20/08 8 Roman Catholic Cupang Antipolo city Rizal Manio, Edna Sitiphone
List and Code of Indicators under REMARKS column Prepared by: Certified Correct:Code Indicator Code REGISTERED BoSY EoSY
T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 24AIDA F. BENITO
T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A FEMALE 25(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
DRP Reason and Effectivity Date LWD Specify
TOTAL 49
Quezon City
36 Saint Ignacius St.
Antipolo City
Almario, Danilo Jay Aristotoles
Banga, Aklan
Ma. Corazon Subd.
Antipolo City
54 Gold St, SSS Village
Concepcion Dos
81 Cor. Fatima Lane West Drive
Concepcion Dos
Antipolo City
3 Apo St. Hac. Hts.
Concepcion Dos
Caspe, Geronimo Bautista
Antipolo City
Bayugan, Agusan Del
SurAntipolo
CityPurok 5 Zone 8 Dayandante, Mary Jane
Eulogio
Quezon City
Zone 4 Josenia Ext. Sumulong
Marikina City
36 Saint Ignacius St.
Capariño, Jeremy Caguimbay
Antipolo City
4B St. Claire St. Ma. Corazon Subd.
Marikina City
Tumana St. Ma. Corazon
Quezon City
161 Caimito St. Tamenggo
Antipolo City
214 Purok 1 Zone 8
Marikina City
Blk 1 L7 Tumana
Antipolo City
555 Bayan Bayanan
Concepcion Uno
86 Redeo St. Rancho E St. II
Concepcion Dos
Quezon City
12 C Magat Salamat St.
Concepcion Dos
Quezon City
36 St. Anthony St. Ma Corazon
Regalado, Ma. Dolores C.
Marikina City
46 P. Oliveros St.
Marikina City
Salvador, Alvin Pagapulaan
Antipolo City
9 Saint Ignacius St. Ma. Corazon
Marikina City
Saint Ignacius St. Ma Corazon
Tambadoc, Maricris Sorronda
Quezon City
126 Purok 3 Zone 8
Tuvilla, Jose Antonio Enano
Indicator
Required Information
Required Information
Transferred Out
CCT RecipientTra
nsferred IN
Name of school last attended & Year
Dropped
Learner With Dissability
LRN RELIGION
ADDRESS PARENTS REMARKS
Barangay Province Name Relation-ship
NAME(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE (mm/dd/ yyyy)
AGE as of 1st Friday
June
BIRTH PLACE
(Province)MOTHER TONGUE
IP (Ethnic Group)
GUARDIAN (If not Parent)
Contact Number of Parent or
GuardianHouse #/ Street/ Sitio/Purok
Municipality/ City
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last Name, First Name, Middle
Name)(Please refer to the
legend on last page)
LE Reason (Enrollment beyond 1st Friday of June) ACLTOTAL 49
Late Enrollment
Accelarated
Specify Level & Effectivity Data
BoSY Date: EoSYDate:
BoSY Date: EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners(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 Section
(1st row for date)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
MALE | TOTAL Per Day
LEARNER'S NAME (Last Name, First Name, Middle Name)
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.)
(1st row for date)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
LEARNER'S NAME (Last Name, First Name, Middle Name)
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.)
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
2. Dates shall be written in the columns after Learner's Name.* Enrolment as of (1st Friday of June)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
a. Percentage of Enrolment =Registered Learners as of end of the month
x 100a. Domestic-Related Factors
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
b. Average Daily Attendance = Total Daily Attendance a.2. Early marriage/pregnancy
Number of School Days in reporting month a.3. Parents' attitude toward schooling
c. Percentage of Attendance for the month =Average daily attendance
x 100a.4. Family problems
Registered Learners as of end of the month b. Individual-Related Factors
b.1. IllnessAverage Daily Attendance
b.2. Overageb.3. Death
Percentage of Attendance for the month b.4. Drug Abuseb.5. Poor academic performance
Number of students absent for 5 consecutive days: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/MalnutritionDrop out
c. School-Related Factorsc.1. Teacher Factor
Transferred outc.2. Physical condition of classroomc.3. Peer influence
Transferred ind. Geographic/Environmentald.1. Distance between home and schoold.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasterse. Financial-Related
e.1. Child labor, work (Signature of Teacher over Printed Name)f. Others (Specify)
No. of Days of Classes:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)
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
4. 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. Once signed by the principal, this form should be returned to the adviser.
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.
(1st row for date)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
LEARNER'S NAME (Last Name, First Name, Middle Name)
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.)
School Form 2 : Page ___ of ________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
NO.
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
LEARNER'S NAME (Last Name, First Name, Middle
Name)
REMARKS/ACTION TAKEN (Please refer to the
legend on last page)
NO.
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
LEARNER'S NAME (Last Name, First Name, Middle
Name)
REMARKS/ACTION TAKEN (Please refer to the
legend on last page)
TOTAL FOR MALE | TOTAL COPIES
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
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.2. The Date of Issuance and the Date of Return shall be reflected in the form.3. The Total Number of Copies issued at BoSY shall be reflected in the form. (Signature over printed name)4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Date BoSY:____________ Date EoSY: ___________5. All textbooks being used must be included. Additional copies of this form may be used if needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=NegligenceB. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
School Form 4 (SF4) Monthly Learner's Movement and Attendance(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID Region Division District
School Name School Year Report for the Month of
SECTION NAME OF ADVISER
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
Daily Average (B) For the Month (B) For the Month (B) For the 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
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
TOTALGUIDELINES: Prepared and Submitted by:
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
(Signature of School Head over Printed Name)
GRADE/ YEAR LEVEL
REGISTERED LEARNERS (As of End of the
Month)Percentage for
the Month(A) Cumulative as of Previous Month
(A+B) Cumulative as of End of the
Month(A) Cumulative as of Previous Month
(A+B) Cumulative as of End of the
Month(A) Cumulative as of Previous Month
(A+B) Cumulative as of End of the Month
School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
Region Division District
School ID School Year Curriculum
School Name Grade Level Section
LRN
As of end of current School Year
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
LEARNER'S NAME (Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2 decimal places and 3
decimal places for honor learners, and Descriptive Letter)
ACTION TAKEN: PROMOTED,
IRREGULAR or RETAINED
INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC
need not to fill up these columns)
From previous school years completed as of end of current
School Year
BEGINNNING (B: 74% and
below)
DEVELOPING (D: 75%-79%)
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT (P: 85% -89%)
ADVANCED (A: 90% and above)
LRN
As of end of current School Year
LEARNER'S NAME (Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2 decimal places and 3
decimal places for honor learners, and Descriptive Letter)
ACTION TAKEN: PROMOTED,
IRREGULAR or RETAINED
INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC
need not to fill up these columns)
From previous school years completed as of end of current
School Year
TOTAL MALE
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head
(Name and Signature)
REVIEWED BY:
(Name and Signature)
Division Representative
GUIDELINES:
1. For All Grade/Year Levels
ADVANCED (A: 90% and above)
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.
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
LRN
As of end of current School Year
LEARNER'S NAME (Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2 decimal places and 3
decimal places for honor learners, and Descriptive Letter)
ACTION TAKEN: PROMOTED,
IRREGULAR or RETAINED
INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC
need not to fill up these columns)
From previous school years completed as of end of current
School Year
TOTAL FEMALE
COMBINED School Form 5: Page ____ of ________
5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent
School Form 6 (SF6)Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)
School ID Region Division
School Name District School Year
SUMMARY TABLEGRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.3. The Report on Promotion per grade level is reflected in the End of School Year Report of GESP/GSSP.
BEGINNNING (B: 74% and below)
DEVELOPING (D: 75%-79%)
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT (P: 85% -89%)
ADVANCED (A: 90% and above)
4. Protocols of validation & submission is under the discretion of the Schools Division 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 Region Division
School Name District School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Teaching
Sex
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Minor
Ave. Minutes per Day
Ave. Minutes per Day
Title of Plantilla Position (as it appears in the appointment
document/PSIPOP)Number of Incumbent
Title of Plantilla Position (as it appears in the appointment
document/PSIPOP)Number of Incumbent
Title of Designation (as it appears in the contract/document: Teacher, Clerk, Security Guard, Driver etc.)
Appointment: (Contractual, Substitute,
Volunteer, others specify)
Fund Source (SEF, PTA,
NGO's etc.)
Number of Incumbent
Non-Teaching
Employee No. (or Tax Identification
Number -T.I.N.)
Name of School Personnel (Arrange by
Position, Descending) Fund
SourcePosition/
Designation
Nature of Appointment/ Employment
Status
Subject Taught (include Grade &
Section), Advisory Class & Other Ancillary
Assignments
Remarks (For Detailed Items,
Indicate name of school/office, For IP's
-Ethnicity)Degree / Post
GraduateMajor/
SpecializationDAY
(M/T/W/TH/F)
From (00:00)
To (00:00)
Total Actual Teaching
Minutes per Week
Sex
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Minor
Employee No. (or Tax Identification
Number -T.I.N.)
Name of School Personnel (Arrange by
Position, Descending) Fund
SourcePosition/
Designation
Nature of Appointment/ Employment
Status
Subject Taught (include Grade &
Section), Advisory Class & Other Ancillary
Assignments
Remarks (For Detailed Items,
Indicate name of school/office, For IP's
-Ethnicity)Degree / Post
GraduateMajor/
SpecializationDAY
(M/T/W/TH/F)
From (00:00)
To (00:00)
Total Actual Teaching
Minutes per Week
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
GUIDELINES: Submitted by:
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 Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
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 SF 7 must be submitted to the Division Office .
Sex
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Minor
Employee No. (or Tax Identification
Number -T.I.N.)
Name of School Personnel (Arrange by
Position, Descending) Fund
SourcePosition/
Designation
Nature of Appointment/ Employment
Status
Subject Taught (include Grade &
Section), Advisory Class & Other Ancillary
Assignments
Remarks (For Detailed Items,
Indicate name of school/office, For IP's
-Ethnicity)Degree / Post
GraduateMajor/
SpecializationDAY
(M/T/W/TH/F)
From (00:00)
To (00:00)
Total Actual Teaching
Minutes per Week
4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________School Form 7, Page ___ of ________
1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12
2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.
3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Other grade/year level will keep that column blank.
4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or the current form 3)
5. In the future, the format of the modified forms may be adjusted to align with the most recent policy of K to 12 program.
1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12
3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Other grade/year level will keep that column blank.
4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or the current form 3)
5. In the future, the format of the modified forms may be adjusted to align with the most recent policy of K to 12 program.