School Form 1 (SF 1) School Register

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

School ID School Name

Region

Division School Year

District Grade Level

ADDRESS RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province Father (1st name only if family name identical to learner) Mother (Maiden) Name Relationshi p NAME OF PARENTS

Section
GUARDIAN (If not Parent) Contact Number (Parent /Guardian)

LRN

NAME (Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/ dd/yy)

AGE as of 1st Friday of June (nos. of years as per last birthday)

BIRTH PLACE (Province)

MOTHER TONGUE

IP (Specify Ethnic Group)

LRN

NAME (Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE (mm/ dd/yy)

AGE as of 1st Friday of June (nos. of years as per last birthday)

BIRTH PLACE (Province)

MOTHER TONGUE

IP (Specify Ethnic Group)

ADDRESS RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province

NAME OF PARENTS

GUARDIAN (If not Parent) Contact Number (Parent /Guardian)

Father (1st name only if family name identical to learner)

Mother (Maiden)

Name

Relationshi p

List and code of Indicators under REMARK column

Indicator
Transferred Out Transferred IN Dropped Late Enrollment

Code
T/O T/I DRP LE

Required Information
Name of Public (P) Private (PR) School & Effectivity Date Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of June)

Indicator
CCT Recipient

Code
CCT

Required Information
CCT Control/reference number & Effectivity Date Name of school last attended & Year Specify Specify Level & Effectivity Data
MALE FEMALE TOTAL

BoSY

EoSY

Prepared by:

Certified Correct:

Balik-Aral B/A Learner With DissabilityLWD Accelarated ACL

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name)

Date:___________________________________

Date:__________________________________________________

REMARK/S

(Please refer to the legend on last page)

REMARK/S

(Please refer to the legend on last page)

Certified Correct:

(Signature of School Head over Printed Name)

Date:__________________________________________________

________________________

School Form 2 (SF2) Daily Attendance Report for learner

(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID Name of School

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

School Year

Month Reporting Grade Level

DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

Section
REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2. If TRANSFERRED IN/OUT, write the name ABSENT TARDY of School.) Total for the Month

MALE | TOTAL Per Day

DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) LEARNER'S NAME (Last Name, First Name, Middle Name)

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

Total for the Month

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY

L E G E N D:

GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. 2. Dates shall be written in the preceding columns beside Learner's Name. 3. To compute the following: a. Percentage of Enrolment = b. Average Daily Attendance = c. Percentage of Attendance for the month =

1. CODES FOR CHECKING ATTENDANCE blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Comer, Lower for Cutting Classes)

Month:

No. of Days of Classes:

Summary for the Month

M F TOTAL

Enrollment as of (1st Friday of June) Late Enrollment (beyond cut-off) Registered Learner as of end of the month Percentage of Enrollment as of end of the month Average Daily Attendance Percentage of Attendance for the month Number of students with 5 consecutive days of absences:
Drop out Transferred out Transferred in I certify that this is a true and correct report.

Registered Learner as of End of the Month Enrolment as of 1st Friday of June Total Daily Attendance Number of School Days in reporting month Average daily attendance Registered Learner as of End of the month

x 100

x 100

2. REASONS/CAUSES OF DROP-OUTS 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 problem b. Individual-Related Factors

4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. 5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period * Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

School Form 2: Page 2 of ________

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 & clan feuds) d.3. Calamities/Disasters e. Financial-Related e.1. Child labor, work f. Others

(Signature of Teacher over Printed Name) Attested by: (Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued and Returned

(This replace Form 1 & Inventory of Text Book)

School ID School Name

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

School Year Grade Level

Subject Area & Title
Date Issued Returned

Section
Subject Area & Title
Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

REMARK/ACTION TAKEN
(Please refer to the code on last page)

TOTAL FOR MALE | TOTAL COPIES

NO.

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

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

Subject Area & Title

Date Issued Returned

REMARK/ACTION TAKEN
(Please refer to the code on last page)

0 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. 3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected. In case of losses/unreturned, please provide information with the following code: A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence B. 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, s.2012. Prepared By:

(Signature over printed name)

School Form 3: Page 2 of ________

School Form 4 (SF4) Monthly Learner's Movement and Attendance

(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID School Name

Region

Division

District School Year Month Reporting

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

NAME OF ADVISER

REGISTERED LEARNER (As GRADE/ YEAR SECTION of End of the Month) LEVEL
M F T M

ATTENDANCE
Average Percentage

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

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

(A+B) (A) Cumulative Cumulative as as of Previous of End of the Month Month 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 Prepared and Submitted by: GUIDELINES:

1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month. Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month". 2. Furnish copy to Division Office: a week after June 30, October 31 & March 31 3. Teachers who are handling advisory class shall be reported. 4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the summary column per grade/year level.

(Signature of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replace Forms 18-E1, 18-E2, 18A)

Region School ID School Name

IX 125970

Division

Dipolog City

District

East

School Year
Turno Elementary School

2013-2014

Curriculum
Grade Level
II

K-12

Section

Maya

GENERAL AVERAGE LRN LEARNER'S NAME (Last Name, First Name, Middle Name)
(Numerical Value in 3 decimal places for honor learner, 2 for non-honor & 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 still implementing RBEC need not to fill up this column)

Completed as of end of current SY

as of End of the current SY

125970110003 125970110007 125970110008 125970110100 125970110010 125970130035 125970110037 125970110039 125970110047 125970110049 124531120101 125970110054 125970110061 125970110062 125970110064 125970110065 125449100048 124389100044 125970110075 125970110081 125970110088 125970120178 125970110092 125970110093 125970110098 22

1. Acopiado, Saint Francis Ensoy

2. Agapay, John Harold Lansang 3. Alistado, Ronibie 4. Ampoloquio, Clark Narrel 5. Ando, Shane Ronald Gadayan 6. Baes, Marion Dave Cabasag 7. Dagayloan, Ronniel Elentorio 8. Dangin, Lance Catahan 9. Encabo, Joshua 10. Esnane, Rylan Gumapit 11. General, Vaness Magtuba 12. Gumela, Grandeur Ace Maghinay 13. Labadlabad, Gerard Tayanes 14. Lapar, Rommel Gampas 15. Laranjo, Justin Olmoguez 16. Legados, Julius Caete 17. Medado, Eddrian Cyber Arian 18. Minerales, Joemar Lapa 19. Ocupe, Nathaniel Casiong 20. Paracuelles, Joros Padua 21. Salonoy, Winchester Anggoy 22. Simacas, Richie Garvy Mejasco 23. Timbolique, John Rix Paer 24. Tuban, John Mack Regaon 25. Yano, Anzelm Jhas Ocupe TOTAL MALE

AP (80.00) AP (80.86) D (78.71) P (86.429) P (85.714) D (77.57) D (75.43) D (77.86) AP (80.14) D (79.14) AP (80.71) D (79.14) AP (84.571) AP (82.000) D (77.43) AP (82.143) P (85.000) P (86.000) D (78.57) D (76.14) D (78.71) D (76.57) D (79.00) D (77.43) D (79.57)

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

SUMMARY TABLE
MALE FEMALE TOTAL

25

33

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

14

16

12

GENERAL AVERAGE LRN LEARNER'S NAME (Last Name, First Name, Middle Name)
(Numerical Value in 3 decimal places for honor learner, 2 for non-honor & 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 still implementing RBEC need not to fill up this column)

Completed as of end of current SY

as of End of the current SY

125970110002 125617120334 125970110071 125970100076 125963120064 125970110083 125970110085 125970110091

1. Acopiado, Acopiado, Dianne Saint Francis 1. EnsoyEnsoy 2. Mabanta, Emelia Sumalpong 3. Miao, Quincy Althea Ensoy 4. Ocupe, Princess Donna 5. Piero, Jeanne Cilo-cilo 6. Proceso, Michelle Fernandez 7. Sabala, Lyra Deloraso 8. Tacliad, Rio Tiwanac

AP (81.29) AP (82.286) D (78.14) AP (86.857) D (79.86) AP (80.29) AP (80.86) P (86.857)

PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED JOEMER TEEDO Prepared by:

Class Adviser
(Name and Signature)

Certified Correct and Submitted:

LISA I. NAZARIO School Head

(Name and Signature)

GUIDELINES: 1. For All Grades Level 2. To be prepared by the Adviser. Final rating per subject area should be taken from the record of subject teacher. The class adviser should make the computation of General Average. 3. On the summary table, reflect the total number of learners promoted, retained and irregular and the level of proficiency according to the individual general average 4. Must be tallied with the total enrollment report as of End of School Year GESP /GSSP (BEIS)

8 33

TOTAL FEMALE COMBINED

School Form 5: Page 2 of ________

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

(This cancel Form 20)

School ID School Name

GRADE 1 /GRADE 7
MALE FEMALE TOTAL

Region

Division District
School Year
GRADE 6 / GRADE 12
MALE FEMALE TOTAL MALE

SUMMARY TABLE

GRADE 2 / GRADE 8
MALE FEMALE TOTAL

GRADE 3 / GRADE 9
MALE FEMALE TOTAL

GRADE 4 / GRADE 10 GRADE 5 / GRADE 11

MALE FEMALE TOTAL MALE FEMALE TOTAL

TOTAL
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

Nos. of BEGINNNING (B: 74% and below) Nos. of DEVELOPING (D: 75%-79%) Nos. of APPROACHING PROFICIENCY (AP: 80%-84%) Nos. of PROFICIENT (P: 85% -89%) Nos. of ADVANCED (A: 90% and above)
TOTAL Prepared and Submitted by: Reviewed & Validated by: Noted by:

School Head

Division Planning Officer/ Education Program Supervisor

Schools Division Superintendent

GUIDELINES: 1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field. 2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year. 3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP.

School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace 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 Related Items Title of Plantilla Position (as appeared in the appointment document) Number of Incumbent

Region

Division District
Number of Incumbent Nature of Appointment and Designation (Contractual, Substitute, Volunteer & others)

School Year
(C) Other Appointments and Funding Sources Fund Source (SEF, PTA, NGO's etc.) Number of Incumbent NonTeaching Teaching

(B) Nationally-Funded Non Teaching Items Title of Plantilla Position (as appeared in the appointment document)

Employee No.

EDUCATIONAL QUALIFICATION

Name of School Personnel (Arrange by Position, Descending)

Sex

Position/ Nature of Fund Designatio Appointme Degree / Post Source n nt Graduate

Major/ Specialization

Minor

Subject Taught (include Grade & Section) & Other Ancillary Assignment (Please Specify)

* Daily Program (time duration)

DAY (M/T/ From To W/TH/ (00:00) (00:00) F) Actual Teaching/ Service Render (Mins/Day)

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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Employee No.

EDUCATIONAL QUALIFICATION

Name of School Personnel (Arrange by Position, Descending)

Sex

Position/ Nature of Fund Designatio Appointme Degree / Post Source n nt Graduate

Major/ Specialization

Minor

Subject Taught (include Grade & Section) & Other Ancillary Assignment (Please Specify)

* Daily Program (time duration)

DAY (M/T/ From To W/TH/ (00:00) (00:00) F) Actual Teaching/ Service Render (Mins/Day)

Remark/s
(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 SY, updated Form 19 must submit to the Division Office . 2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall also serve as inventory list of school personnel. 3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties. 4. * Daily Program Column is for teaching personnel only.

Ave. Minutes per Day Submitted by:

(Signature of School Head over Printed Name) School Form 7: Page 2 of ________