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School ID School Name

LRN

NAME (Last Name, First Name, Middle Name)

LRN

NAME (Last Name, First Name, Middle Name)

LRN

NAME (Last Name, First Name, Middle Name)

LRN

NAME (Last Name, First Name, Middle Name)

LRN

NAME (Last Name, First Name, Middle Name)

List and Code of Indicat


Indicator
Transferred Out Transferred IN Dropped Late Enrollment

Code

Required Information

T/O Name of Public (P) Private (PR) Scho T/I

Name of Public (P) Private (PR) Scho

DRP Reason and Effectivity Date LE Reason (Enrollment beyond 1st Frida

School Form 1

(This replaces Form 1, Master Li

Region VIII

Division School

Sex (M/F)

AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June

MOTHER TONGUE

IP (Ethnic Group)

RELIGION

Sex (M/F)

AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June

MOTHER TONGUE

IP (Ethnic Group)

RELIGION

Sex (M/F)

AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June

MOTHER TONGUE

IP (Ethnic Group)

RELIGION

Sex (M/F)

AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June

MOTHER TONGUE

IP (Ethnic Group)

RELIGION

Sex (M/F)

AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June

MOTHER TONGUE

IP (Ethnic Group)

RELIGION

Indicators under REMARKS column


Code
CCT B/A LWD ACL

Required Informat

PR) School & Effectivity Date

CCT Control/referen

PR) School & Effectivity Date 1st Friday of June)

Name of school last

Specify Specify Level & Effe

ool Form 1 (SF 1) School Register

s Form 1, Master List & STS Form 2-Family Background and Profile)

District School Year


ADDRESS House #/ Street/ Sitio/ Purok Municipality/ City

Grade Level

Barangay

Province

Father's Name (Last Nam First Name, Middle Nam

ADDRESS House #/ Street/ Sitio/ Purok Municipality/ City

Barangay

Province

Father's Name (Last Nam First Name, Middle Nam

ADDRESS House #/ Street/ Sitio/ Purok Municipality/ City

Barangay

Province

Father's Name (Last Nam First Name, Middle Nam

ADDRESS House #/ Street/ Sitio/ Purok Municipality/ City

Barangay

Province

Father's Name (Last Nam First Name, Middle Nam

ADDRESS House #/ Street/ Sitio/ Purok Municipality/ City

Barangay

Province

Father's Name (Last Nam First Name, Middle Nam

d Information

REGISTERED

BoSY

trol/reference number & Effectivity Date

MALE

school last attended & Year

FEMALE TOTAL

Level & Effectivity Data

Section
PARENTS Mother's Maiden Name (Last Name, First Name, Middle Name) GUARDIAN (If not Parent) Name Relation-ship

Name (Last Name, ame, Middle Name)

PARENTS Mother's Maiden Name (Last Name, First Name, Middle Name)

GUARDIAN (If not Parent) Name Relation-ship

Name (Last Name, ame, Middle Name)

PARENTS Mother's Maiden Name (Last Name, First Name, Middle Name)

GUARDIAN (If not Parent) Name Relation-ship

Name (Last Name, ame, Middle Name)

PARENTS Mother's Maiden Name (Last Name, First Name, Middle Name)

GUARDIAN (If not Parent) Name Relation-ship

Name (Last Name, ame, Middle Name)

PARENTS Mother's Maiden Name (Last Name, First Name, Middle Name)

GUARDIAN (If not Parent) Name Relation-ship

Name (Last Name, ame, Middle Name)

EoSY

Prepared by:

(Signature of Adviser over Printed Name)

BoSY Date:

EoSYDate:

REMARKS Contact Number of Parent or Guardian (Please refer to the legend on last page)

REMARKS Contact Number of Parent or Guardian (Please refer to the legend on last page)

REMARKS Contact Number of Parent or Guardian (Please refer to the legend on last page)

REMARKS Contact Number of Parent or Guardian (Please refer to the legend on last page)

REMARKS Contact Number of Parent or Guardian (Please refer to the legend on last page)

Certified Correct:

(Signature of School Head over Printed Name)

BoSY Date:

EoSYDate:

School Form 2 (SF2)


School ID Name of School LEARNER'S NAME (Last Name, First Name, Middle Name) School Year

(This replaces Form 1, Fo

(1s
M T W TH F M T W TH F

MALE | TOTAL Per Day

LEARNER'S NAME (Last Name, First Name, Middle Name)

(1s
M T W TH F M T W TH F

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY


GUIDELINES: 1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. 2. Dates shall be written in the columns after Learner's Name. 3. To compute the following: Registered Learners as of end of the month a. Percentage of Enrolment = Enrolment as of 1st Friday of the school year Total Daily Attendance b. Average Daily Attendance = Number of School Days in reporting month Average daily attendance c. Percentage of Attendance for the month =

LEARNER'S NAME (Last Name, First Name, Middle Name)


c. Percentage of Attendance for the month =

(1s
M T W TH F M T W TH F

Registered Learners 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. 6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. * Beginning of School Year cut-off report is every 1st Friday of the School Year

School Form 2 : Page ___ of ________

2 (SF2) Daily Attendance Report of Learners


Report for the Month of Grade Level
(1st row for date)
M T W TH F M T W TH F M T W TH F

ces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

Section
Total for the Month

REMARKS (If DROP to ABSENT TARDY If TRANSFERRED

(1st row for date)


M T W TH F M T W TH F M T W TH F

REMARKS (If DROP to ABSENT TARDY If TRANSFERRED

Total for the Month

1. CODES FOR CHECKING ATTENDANCE (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes) 2. REASONS/CAUSES FOR DROPPING OUT a. Domestic-Related Factors a.1. Had to take care of siblings a.2. Early marriage/pregnancy a.3. Parents' attitude toward schooling a.4. Family problems

Month:

No. of Days of Classes:

* Enrolment as of (1st Friday of June) Late Enrollment during the month (beyond cut-off)

x 100

Registered Learners as of end of the month

x 100

Percentage of Enrolment as of end of the mo

(1st row for date)


M T W TH F M T W TH F M T W TH

x 100

b. Individual-Related Factors b.1. Illness b.2. Overage b.3. Death b.4. Drug Abuse b.5. Poor academic performance b.6. Lack of interest/Distractions 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)

REMARKS (If DROP to If TRANSFERRED F ABSENT TARDY Percentage of Enrolment as of end of the mo Average Daily Attendance Percentage of Attendance for the month

Total for the Month

able into

sent for 5

Number of students absent for 5 consecutive da


Drop out Transferred out Transferred in I certify that this is a true and correct report.

(Signature of Teacher over Pri Attested by:

(Signature of School Head ove

MARKS (If DROPPED OUT, state reason, please refer to legend number 2. TRANSFERRED IN/OUT, write the name of School.)

MARKS (If DROPPED OUT, state reason, please refer to legend number 2. TRANSFERRED IN/OUT, write the name of School.)

No. of Days of Classes:

Summary
M F TOTAL

Friday of June)

ng the month off)

end of the month

of end of the month

MARKS (If DROPPED OUT, state reason, please refer to legend number 2. TRANSFERRED IN/OUT, write the name of School.)

of end of the month

endance

e for the month

r 5 consecutive days:

out

d in

ct report.

of Teacher over Printed Name)

of School Head over Printed Name)

School Form 3 (SF3) B

(This replaces Form

School ID School Name


Subject Area & Title NO. LEARNER'S NAME (Last Name, First Name, Middle Name) Issued Subject Area & Title

School Year

Grade Lev
Subject Area & Title

Date Returned Issued

Date Returned Issued

Date Returned

Subject Area & Title NO. LEARNER'S NAME (Last Name, First Name, Middle Name) Issued

Subject Area & Title

Subject Area & Title

Date Returned Issued

Date Returned Issued

Date Returned

TOTAL FOR MALE | TOTAL COPIES

Subject Area & Title NO. LEARNER'S NAME (Last Name, First Name, Middle Name) Issued

Subject Area & Title

Subject Area & Title

Date Returned Issued

Date Returned Issued

Date Returned

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 b

A. In Column Date Returned, B. In Column Remark/Action T code FM), TLTR=Teacher pre (for code TDO), PTL=Paid by 2.2012.

SF3) Books Issued and Returned

laces Form 1 & Inventory of Textbooks)

ool Year Section


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

Grade Level
Subject Area & Title

Date Issued Returned Issued

Date Returned Issued

Date Returned Issued

Date Returned Issued

Date Returned

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date Issued Returned Issued

Date Returned Issued

Date Returned Issued

Date Returned Issued

Date Returned

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date Issued Returned Issued

Date Returned Issued

Date Returned Issued

Date Returned Issued

Date Returned

nreturned books, please provide information with the following code:

Prepared By:

e Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence mark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for =Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,

(Signature over printed name) Date BoSY:____________ Date EoSY: ___

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

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

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

Signature over printed name) ___________ Date EoSY: ___________

School Form 4 (SF4) Monthly


School ID School Name
REGISTERED LEARNERS (As of End of the Month) M F T ATTENDANCE

(This replaces Form 3 & STS

Region

Division

GRADE/ YEAR LEVEL

SECTION

NAME OF ADVISER

Daily Average
M F T

Percentage for (A) Cumulativ of Previous M the Month


M F T M

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: 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 2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31 Page _____ of _____ pages

Monthly Learner's Movement and Attendance


District School Year
DROPPED OUT (A) Cumulative as (B) For the Month of Previous Month F T M F T TRANSFERRED OUT

Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Report for the Month of

TRANSFERRE

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

Prepared and Submitted by:

date figures for the month.

(Signature of School Head over Printed Nam

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

er 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 School ID School Name

Division School Year

District Curriculum Grade Level Section

LRN

LEARNER'S NAME (Last Name, First Name, Middle Name)

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

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING (B: 74% and below) DEVELOPING (D: 75%-79%) APPROACHING PROFICIENCY (AP: 80%-84%) PROFICIENT (P: 85% -89%) ADVANCED (A: 90% and above)

TOTAL MALE

LRN

LEARNER'S NAME (Last Name, First Name, Middle Name)

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

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 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 School Form 5: Page ____ of ________

TOTAL FEMALE COMBINED

Summarized Report on Promotion and Level of Proficiency


(This replaces Form 20)

School Form 6 (SF6)

School ID School Name

Region

Division District School Year

SUMMARY TABLE

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

MALE 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

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

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)
TOTAL

Prepared and Submitted by: SCHOOL HEAD

Reviewed & Validated by: DIVISION REPRESENTATIVE

Noted by: 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. 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 School Name


(A) Nationally-Funded Teaching & Teaching Related Items

Region

Division District School Year


(C ) Other Appointments and Funding Sources Title of Designation (as it appears in the contract/document: Teacher, Clerk, Security Guard, Driver etc.) Appointment: (Contractual, Substitute, Volunteer, others specify) Number of Incumbent Teaching NonTeaching

(B) Nationally-Funded Non Teaching Items

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

Fund Source (SEF, PTA, NGO's etc.)

EDUCATIONAL QUALIFICATION Employee No. (or Tax


Identification Number T.I.N.)

Name of School Personnel Sex (Arrange by Position, Descending)

Fund Source

Position/ Designation

Nature of Appointment/ Employment Status

Degree / Post Graduate

Major/ Specialization

Minor

Daily Program (time duration) Subject Taught (include Grade & Total Actual Section), Advisory Class DAY From To Teaching & Other Ancillary (M/T/W/ (00:00) (00:00) Minutes per Assignments TH/F) Week

Remarks (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)

Ave. Minutes per Day

Ave. Minutes per Day

EDUCATIONAL QUALIFICATION Employee No. (or Tax


Identification Number T.I.N.)

Name of School Personnel Sex (Arrange by Position, Descending)

Fund Source

Position/ Designation

Nature of Appointment/ Employment Status

Degree / Post Graduate

Major/ Specialization

Minor

Daily Program (time duration) Subject Taught (include Grade & Total Actual Section), Advisory Class DAY From To Teaching & Other Ancillary (M/T/W/ (00:00) (00:00) Minutes per Assignments TH/F) Week Ave. Minutes per Day

Remarks (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day GUIDELINES: 1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an updated Form 19 must be submitted to the Division Office . 2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. 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. Submitted by:

(Signature of School Head over Printed Name) Updated as of: ___________________________ School Form 7, Page ___ of ________

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