Professional Documents
Culture Documents
(This replaces Form 1, Master List & STS Form 2-Family Background
Region VIII
School ID
School Name
Division
School Year
2016 - 2017
ADDRESS
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
IP
(Ethnic Group)
RELIGION
Barangay
4/25/06
10
TAGALOG
CATHOLIC
SAN ISIDRO
7/22/06
TAGALOG
CATHOLIC
OSMENA STREET
POB. J
4/13/06
10
TAGALOG
CATHOLIC
DON MAURICIO
NAMBALAN
3/29/06
10
TAGALOG
CATHOLIC
MALACAMPA
5/24/05
10
TAGALOG
CATHOLIC
ROTROTTOOC
4/20/06
10
TAGALOG
CATHOLIC
10/11/05
10
TAGALOG
CATHOLIC
10/13/06
TAGALOG
INC
252
CACANORTE
4/25/06
10
TAGALOG
INC
BALTAZAR ST.
POB. D
6/3/06
10
TAGALOG
CATHOLIC
TAMBUGAN
6/27/06
10
ILOCANO
CATHOLIC
CAOCAOAYAN
5/12/06
10
TAGALOG
CATHOLIC
CAMARTINEZAN
MAYANTOC
12/1/05
10
TAGALOG
CRUSSADERS
TARIN
MALACAMPA
6/12/06
10
TAGALOG
CATHOLIC
2/3/06
10
ILOCANO
10/31/05
10
TAGALOG
SEVENTH DAY
ADVENTIST
CATHOLIC
8/3/06
TAGALOG
INDEPENDIENTE
CATAGUIDINGAN
4/16/06
10
TAGALOG
CATHOLIC
POB. NORTE
6/1/06
10
TAGALOG
CATHOLIC
SAN CLEMENTE
12/7/05
10
TAGALOG
CHRISTIAN
PITOMBAYOG
2/21/06
10
TAGALOG
CATHOLIC
5/18/06
10
TAGALOG
CATHOLIC
CABANABAAN
1/6/06
10
TAGALOG
INC
MAPANDA
STA. MARIA
CACA NORTE
SAN FRANCISCO
PUROK GUMAMELA ST.
BOBON 2ND
LINGLINGAY
MALACAMPA
CACA SUR
ADDRESS
NAME
(Last Name, First Name, Middle Name)
LRN
Code
Indicator
Transferred Out
Required Information
Sex (M/F)
IP
(Ethnic Group)
RELIGION
Code
Required Information
T/O
CCT
T/I
B/A
LWD
Specify
DRP
Barangay
ADDRESS
NAME
(Last Name, First Name, Middle Name)
LRN
Transferred IN
Dropped
Late Enrollment
LE
Sex (M/F)
IP
(Ethnic Group)
ACL
RELIGION
Barangay
places Form 1, Master List & STS Form 2-Family Background and Profile)
District
2016 - 2017
Grade Level
Grade 5
ADDRESS
Section
FORTITUDE
PARENTS
Municipality/ City
Province
GUARDIAN
Name
TARLAC
BALAOING, MARICEL
CAMILING
TARLAC
09434076074
STA. IGNACIA
TARLAC
BONDOC, CECILIO
BONDOC, LANIE T.
09163636943
CAMILING
TARLAC
09267945403
MAYANTOC
TARLAC
BUMANLAG, ELMER
BUMANLAG, MARIA
09054670093
CAMILING
TARLAC
09163716069
CAMILING
TARLAC
09273767829/09175302379
CAMILING
TARLAC
CAMILING
TARLAC
CAMILING
TARLAC
MAYANTOC
TARLAC
099013213217619
CAMILING
TARLAC
ESPINO, RENE
ESPINO, ROWENA
09077407898
CAMILING
TARLAC
09279872539
CAMILING
TARLAC
09213475352
CAMILING
TARLAC
09297122774
CAMILING
TARLAC
09127571607
SAN CLEMENTE
TARLAC
QUINTOS, NELSON
QUINTOS, GLENDA
09399300420/09399141652
MAYANTOC
TARLAC
09994908627
CAMILING
TARLAC
MAYANTOC
TARLAC
CAMILING
TARLAC
CAMILING
TARLAC
MAYANTOC
TARLAC
MAGTUTO, MELBA
GRANDFATHER
CAMILING
BALAOING, ANTHONY
Relation-ship
REMARKS
GRANDMOTHER
09300229757
934-032
0922288117
VILLAR, LUZ
GRANDMOTHER
09286995523
VILLALON, EVANGELINE
09178497992
09985468994
09369105897
ADDRESS
PARENTS
Municipality/ City
Province
REGISTERED
BoSY
EoSY
GUARDIAN
Prepared by:
Name
Relation-ship
REMARKS
Contact Number of Parent or
Guardian
Certified Correct:
MALE
FEMALE
TOTAL
ADDRESS
PARENTS
Municipality/ City
Province
GUARDIAN
Name
Relation-ship
REMARKS
Contact Number of Parent or
Guardian
TOTAL
BoSY Date:
EoSYDate:
BoSY Date:
EoSYDate:
School ID
School Year
Name of School
2016-2017
JUNE
Grade Level
Section
TH
TH
TH
FORTIT
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
TH
TH
ABSENT
TARDY
LEARNER'S NAME
(Last Name, First Name, Middle Name)
M
TH
TH
TH
TH
TH
ABSENT
TARDY
x 100
x 100
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
Month:
(Signature of Teacher o
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of
FORTITUDE
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
Summary
M
TOTAL
Region
Division
School ID
District
School Year
Curriculum
School Name
LRN
Grade Level
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
Section
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
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL MALE
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
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL FEMALE
COMBINED
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
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%)
ADVANCED
(A: 90%
and above)
FEMALE
TOTAL
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
REVIEWED BY:
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 ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
85% -89%)
(P:
ADVANCED
90% and above)
(A:
TOTAL
Noted by:
DIVISION REPRESENTATIVE
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 Year
GRADE 12
NDENT
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL