120636

VII
Section
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
House # /
Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
CEBUANO ROMAN
VALLEHERMOSO
Father (1st name only if
family name identical to
learner)
Mother (Maiden: 1st Name,
Middle & Last Name)
GUARDIAN (If not Parent)
Contact Number
(Parent
/Guardian)
School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
LRN
Sex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School ID
PALIRAN ELEMENTARY SCHOOL
Region Division NEGROS ORIENTAL District
School Year 2013-2014
RELIGION
ADDRESS NAME OF PARENTS
Grade Level

AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
House # /
Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
Father (1st name only if
family name identical to
learner)
Mother (Maiden: 1st Name,
Middle & Last Name)
GUARDIAN (If not Parent)
Contact Number
(Parent
/Guardian)
LRN
Sex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS NAME OF PARENTS
Indicator Code Required Information Indicator Code Required Information BoSY EoSY
List and code of Indicators under REMARK column
Prepared by: Certified Correct:
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
House # /
Street/Sitio/
Purok
Barangay Municipality/ City Province Name Relationship
Father (1st name only if
family name identical to
learner)
Mother (Maiden: 1st Name,
Middle & Last Name)
GUARDIAN (If not Parent)
Contact Number
(Parent
/Guardian)
LRN
Sex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS NAME OF PARENTS
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT MALE
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE
Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
TOTAL
CCT Control/reference number & Effectivity Date
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
REMARK/S
(Please refer to the
legend on last page)
School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

REMARK/S
(Please refer to the
legend on last page)
Certified Correct:
REMARK/S
(Please refer to the
legend on last page)
BoSY Date: EoSYDate:
(Signature of School Head over Printed Name)
School ID School Year
Name of School PALIRAN ELEMENTARY SCHOOL
x
x x
Section Grade Level
Report for the Month of
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
School Form 2 (SF2) Daily Attendance Report of Learners
(1st row for date, 2nd row for Day: M,T,W,TH,F)
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
120636 2013-2014
Total for the
Month
MALE | TOTAL Per Day

ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the
Month
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
M F TOTAL
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 problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
FEMALE | TOTAL Per Day
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
a.
b.
c.
Total Daily Attendance
Number of School Days in reporting month
Registered Learner as of End of the month
Registered Learner as of End of the Month
x 100
x 100
Registered Learner as of end of the month
blank- Present; (x)- Absent; Tardy (half shaded= Upper
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
Summary for the
Month
No. of Days of
Classes:
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.
Combined TOTAL PER DAY
Percentage of Enrolment as of end of the month
Average Daily Attendance
Late Enrollment during the month
(beyond cut-off) Enrolment as of 1st Friday of June
Average Daily Attendance =
Percentage of Enrolment =
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:
Average daily attendance
Percentage of Attendance for the month =
Number of students with 5 consecutive days of
absences:
Percentage of Attendance for the month
b.3. Death 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
Number of students with 5 consecutive days of
absences: b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period 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 I certify that this is a true and correct report.
d.1. Distance between home and school
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
f. Others (Signature of School Head over Printed Name)
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
School Form 2: Page 2 of ________
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
Transferred in
Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
Drop out
Transferred out
Number of students with 5 consecutive days of
absences:
School ID School Year
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR MALE | TOTAL COPIES
Grade Level
(This replaced Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Date
Section
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page) Date Date Date Date Date
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Date
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page) Date Date Date Date Date
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
(Signature over printed name)
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.
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.
1. Title of Books Issued to each learner must be recorded by the class adviser.
Region Division District
Curriculum
Grade Level Section
STATUS MALE FEMALE TOTAL
MALE FEMALE TOTAL
TOTAL MALE
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
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
PROMOTED
*IRREGULAR
SUMMARY TABLE
LEVEL OF PROFICIENCY
DEVELOPING (D:
75%-79%)
BEGINNNING
(B: 74% and below)
PROFICIENT
(P: 85% -89%)
ADVANCED (A:
90% and above)
APPROACHING
PROFICIENCY
(AP: 80%-84%)

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
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
CERTIFIED CORRECT & SUBMITTED:
REVIEWED BY:
GUIDELINES:
TOTAL FEMALE
COMBINED
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)
School Form 5: Page 2 of ________
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grade/Year Levels
5. Protocols of validation & submission will remain
under the discretion of the Schools Division
Superintendent
(Name and Signature)
Division Representative
VALLEHERMOSO
School ID
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
K
I DAISY
I ROSE
II LERIO
II SANTAN
III CALLA LILY
III VANDA
IV DAHLIA
IV GUMAMELA
V SAMPAGUITA
VI ASTERS
SP1
ELEMENTARY/SECONDARY:
GUIDELINES: Prepared and Submitted by:
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. (Signature of School Head over Printed Name)
VII NEGROS ORIENTAL
120636
MARCH,2014 2013-2014 PALIRAN ELEMENTARY SCHOOL
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Name
Region Division District
School Year Report for the Month of
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.
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
Daily Average
Percentage for
the Month
(A) Cumulative as
of Previous Month
(B) For the Month
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
TEOFILO AQUINO LAYUG JR.
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(B) For the Month
DIANA ROSE SUMILAO ENCABO
DUX CINDY CO DIAMANTE
ESTRELLITA RODELA SEVILLA
KAREN ABIGAEL YU MALUSAY
VIRGILIA MALAAY ESTIOCA
(A+B)
Cumulative as of
End of the Month
GLECILDA PONTING OGHAYON
JOJIE MAE BONGANCISO FERNANDEZ
NAME OF ADVISER
GRADE
/ YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As of End of the
Month)
ATTENDANCE
(B) For the Month
GRADE 1/GRADE 7
JOHN JAYPHRAN C.GEMILGA
RUEL ALBINA JABAGAT
MARK MARIS BARCELON MARCIAL
SISINIA CUEVAS BARTIANA
KINDER
TOTAL
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.
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
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
PROMOTED
RETAINED
School Year School Name
School ID Region Division
District
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE
School Form 6 (SF6) Summarized Report on Promotion
(This replaced Form 20)
IRREGULAR
TOTAL
Nos. of BEGINNNING
(B: 74% and below)
and Level of Proficiency
GRADE 1 /GRADE 7
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of DEVELOPING
(D: 75%-79%)
Nos. of PROFICIENT
(P: 85% -89%)
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.
Nos. of ADVANCED
(A: 90% and above)

Region VII
Teaching
1
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes
Assignment
per Week
MTB 8:00 9:20
FILIPINO 9:35 9:55
MATHEMATICS 9:55 10:30
MTB 1:30 2:30
FILIPINO 2:30 3:00
MATHEMATICS 3:00 3:30
255
PUAN PRIMARY SCHOOL District VALLEHERMOSO
KVP
(B) Nationally-Funded Non Teaching Items
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
(A) Nationally-Funded Teaching & Teaching Related Items
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 Year 2014-2015
NEGROS ORIENTAL School ID
School Name
189517 Division
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
(C ) Other Appointments and Funding Sources
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignment
Ave. Minutes per Day
Ave. Minutes per Day
* Daily Program (time duration)
Fund Source
(SEF, PTA, NGO's
etc.)
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Number of
Incumbent
Minor
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
BEED
G
E
N
.
E
D
MARY JOY ROTAQUIO
CORDOVEZ
NONE F
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment document/PSIPOP)
Employee No. (or
Tax Identification
Number -T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
K
V
P
Ave. Minutes per Day

Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes
Assignment
per Week
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignment
* Daily Program (time duration)
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Minor
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
BEED
G
E
N
.
E
D
MARY JOY ROTAQUIO
CORDOVEZ
NONE F
Employee No. (or
Tax Identification
Number -T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
K
V
P
GUIDELINES: Submitted by:
SISINIA CUEVAS BARTIANA
(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. Updated as of: ___________________________ SEPT.17,2014
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.
4. * Daily Program Column is for teaching personnel only.
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 .
Ave. Minutes per Day
Ave. Minutes per Day
School Form 7, Page 2 of ________
Ave. Minutes per Day
Ave. Minutes per Day
Non-
Teaching
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)
2014-2015
(C ) Other Appointments and Funding Sources
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Number of
Incumbent

Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
(Signature of School Head over Printed Name)
School Form 7, Page 2 of ________