Grade 5 Rombang Es

School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Region
School ID 122922
Division
District
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
School Year
BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
Section
Grade Level
NAME OF PARENTS
GUARDIAN (If not Parent)

Contact Number
(Parent
/Guardian)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if

family name identical to
learner)
Mother (Maiden: 1st Name,

Middle & Last Name)
Name
Relationship
LRN
NAME
BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME OF PARENTS
Code
Required Information
Indicator
Code
Contact Number
(Parent
/Guardian)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province

learner)
List and code of Indicators under REMARK column

Indicator
Required Information
BoSY
EoSY

Middle & Last Name)
Prepared by:
Name
Relationship
Certified Correct:
LRN
NAME
BIRTH
Sex
DATE (mm/
(M/F)
dd/yy)
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
ADDRESS
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME OF PARENTS

Contact Number
(Parent
/Guardian)
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Transferred Out T/O
Name of Public (P) Private (PR) School & Effectivity Date

CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
MALE
Transferred IN T/I
Dropped
DRP
Late Enrollment LE
Name of Public (P) Private (PR) School & Effectivity Date

Balik-Aral
Reason and Effectivity Date
Learner With Dissability
Reason (Enrollment beyond 1st Friday of June)
Accelarated
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
FEMALE
TOTAL

learner)

Middle & Last Name)
Name
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
Relationship
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
REMARK/S
(Please refer to the

legend on last page)
REMARK/S

Certified Correct:
REMARK/S

BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
122944
2014 - 2015
School Year
Report for the Month of

V
Section
29
30
31
F
28
TH
27
24
23
22
21
TH
20
17
16
15
TH
14
13
10
9
TH
8
W
TH
1
W
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
OCTOBER
Grade Level
Name of School ROMBANG ELEMENTARY SCHOOL
School ID
1
Total for the
Month
ABSENT TARDY
1 ACEDERA, ARDION PARANE
2 ACEDERA, JOHN RICK BERSANO
3 ACUIN, DANIL BALUYA
4 BALUYOT, REDIN BALANQUIT

0
6 SEHIYO, RICO VELEZ
7 TURLA, ROEL BALUYOT
8 VELEZ, RINO BALUYA
MALE | TOTAL Per Day
1 BALUYA, ARIANE MAE VILLOCILLO
2 BALUYOT, PASENCIA BALUYOT
3 BALUYOT, SARAH VELEZ
4 CERBITO, ELIZIL DULAY
5 GUAREA, ELIONA DULAY
6 MERCADER, MARIANNE MAE ADORA
7 MERCADER, RICALYN PINCA
8 PIGAR, YISSHI ADORA
9 PINCA, MARIAN JANE GIRAY
10 PINCA, REMA BALUYOT
TRANSFERRED IN
TRANSFERRED OUT
5 GUERERO, MARK ANGELO BALANLAY
177
REMARK/S (If DROPPED OUT, state reaso

please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name
School.)
Total for the

Month
30
31
F
29
TH
28
27
24
23
22
TH
21
20
17
16
15
TH
14
13
10
9
TH
8
W
TH
1
W
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
ABSENT TARDY
11 VELEZ, ELIA MARIE BALUYOT
12 VELEZ, MA. ANGELA BALANLAY
272
449
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
12
20
12
20
11
17
11
19
12
20
11
18
12
18
12
20
12
20
12
19
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
Total Daily Attendance
b.
Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learner as of End of the month
x 100
x 100
12
19
12
20
11
19
12
20
12
20
12
20
12
20
12
20
12
20
12
20
12
20
12
20
12
20
1. CODES FOR CHECKING ATTENDANCE
Month:
blank- Present; (x)- Absent; Tardy (half shaded= Upper

for Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June)
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
No. of Days of
Classes:
Late Enrollment during the month

(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month
a.4. Family problems
Average Daily Attendance
b. Individual-Related Factors
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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
6. 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
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
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.
CHIARA MAYE I. NOTARTE
(Signature of Teacher over Printed Name)
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
School Form 2: Page 2 of ________
REMARK/S (If DROPPED OUT, state reaso

please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name
School.)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
Attested by:
FRANCIS C. ACEDERA
OPPED OUT, state reason,

to legend number 2.
D IN/OUT, write the name of
School.)
NSFERRED IN
SFERRED OUT
OPPED OUT, state reason,

to legend number 2.
D IN/OUT, write the name of
School.)
Summary for the

Month
M
TOTAL
12
19
12
19
100
100
100
110%
98.3
102.63
0.0%
19.5
0%
11.8
0.0%
7.7
. NOTARTE
rinted Name)
EDERA
er Printed Name)
School Form 3 (SF3) Books Issued and Returned

(This replaced Form 1 & Inventory of Text Book)
School ID
School Year
School Name
Subject Area & Title
NO.
LEARNER'S NAME
Date
Issued
TOTAL FOR MALE | TOTAL COPIES
Section
Grade Level
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)

NO.
LEARNER'S NAME
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)
Date
Issued
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 copy/ies of this form may use if needed.
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,
2.2012.
Prepared By:
(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's Movement and Attendance

(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Region
Division
District
School ID
School Name
NAME OF ADVISER
School Year
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As of End of the
Month)
M
ATTENDANCE
DROPPED OUT
Daily Average
Percentage for (A) Cumulative as

(B) For the Month
of Previous Month
the Month
Report for the Month of
TRANSFERRED OUT
TRANSFERRED IN
(A+B) Cumulative
(A+B) Cumulative
(A+B)
(A) Cumulative as
(A) Cumulative as
as of End of the
(B) For the Month as of End of the
(B) For the Month Cumulative as of
of Previous Month
of Previous Month
Month
Month
End of the Month
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 forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is 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.
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
Region
Division
School ID
District
School Year
Curriculum
School Name
LRN
Grade Level
LEARNER'S NAME
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
Section
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

SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
TOTAL MALE
ADVANCED
(A:
90% and above)
FEMALE
TOTAL
LRN
LEARNER'S NAME
GENERAL
AVERAGE
(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
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:

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
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 ( *for grade 7
onwards only) and the level of proficiency according to
the individual general average
4. Must tallied with the total enrollment report as of End

of School Year GESP /GSSP (BEIS)
TOTAL FEMALE
COMBINED
5. Protocols of validation & submission will remain

under the discretion of the Schools Division
Superintendent
School Form 6 (SF6) Summarized Report on Promotion

and Level of Proficiency
(This replaced Form 20)
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
SUMMARY TABLE
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
School Year
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
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
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:

SCHOOL HEAD
Noted by:
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 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
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
Division
Region
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items

Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Number of
Incumbent
School Year
(B) Nationally-Funded Non Teaching Items

Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Number of
Incumbent
(C ) Other Appointments and Funding Sources

Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk,
Security Guard, Driver 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
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
Fund Source
(SEF, PTA, NGO's
etc.)
* Daily Program (time duration)

Subject Taught
(include Grade &
Total Actual
Section), Advisory Class DAY
Teaching
From
To
& Other Ancillary
(M/T/W/
Minutes
(00:00) (00:00)
Assignment
TH/F)
Assignment
per Week
Ave. Minutes per Day
Number of
Incumbent
NonTeaching Teaching
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
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
Teaching
From
To
& Other Ancillary
(M/T/W/
Minutes
(00:00) (00:00)
Assignment
TH/F)
Assignment
per Week
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)

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. 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:

Updated as of: ___________________________
School Form 7, Page 2 of ________

Grade 5 Rombang Es

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Grade 5 Rombang Es

Uploaded by

Copyright:

Available Formats

School Form 1 (SF 1) School Register

GUARDIAN (If not Parent)

Father (1st name only if

Mother (Maiden: 1st Name,

Father (1st name only if

List and code of Indicators under REMARK column

GUARDIAN (If not Parent)

Mother (Maiden: 1st Name,

GUARDIAN (If not Parent)

Transferred Out T/O

Name of Public (P) Private (PR) School & Effectivity Date

CCT Control/reference number & Effectivity Date

Name of Public (P) Private (PR) School & Effectivity Date

Name of school last attended & Year

Father (1st name only if

Mother (Maiden: 1st Name,

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name)

(Please refer to the

(Please refer to the

(Please refer to the

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report of Learners

Report for the Month of

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

Name of School ROMBANG ELEMENTARY SCHOOL

1 ACEDERA, ARDION PARANE

2 ACEDERA, JOHN RICK BERSANO

3 ACUIN, DANIL BALUYA

4 BALUYOT, REDIN BALANQUIT

6 SEHIYO, RICO VELEZ

7 TURLA, ROEL BALUYOT

8 VELEZ, RINO BALUYA

MALE | TOTAL Per Day

1 BALUYA, ARIANE MAE VILLOCILLO

2 BALUYOT, PASENCIA BALUYOT

3 BALUYOT, SARAH VELEZ

4 CERBITO, ELIZIL DULAY

5 GUAREA, ELIONA DULAY

6 MERCADER, MARIANNE MAE ADORA

7 MERCADER, RICALYN PINCA

8 PIGAR, YISSHI ADORA

9 PINCA, MARIAN JANE GIRAY

10 PINCA, REMA BALUYOT

5 GUERERO, MARK ANGELO BALANLAY

REMARK/S (If DROPPED OUT, state reaso

Total for the

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

11 VELEZ, ELIA MARIE BALUYOT

12 VELEZ, MA. ANGELA BALANLAY

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

1. CODES FOR CHECKING ATTENDANCE

blank- Present; (x)- Absent; Tardy (half shaded= Upper

* Enrolment as of (1st Friday of June)

Late Enrollment during the month

a.4. Family problems

Average Daily Attendance

Percentage of Attendance for the month

d.2. Armed conflict (incl. Tribal wars & clanfeuds)

School Form 2: Page 2 of ________

REMARK/S (If DROPPED OUT, state reaso

OPPED OUT, state reason,