Section

House #/ Street/
Sitio/
Purok
Barangay
Municipality/
City
Name Relation-ship
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School ID
Region VIII Division District
School Year
RELIGION
ADDRESS PARENTS
Grade Level
Father's Name (Last Name,
First Name, Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
GUARDIAN
(If not Parent)
Contact Number
of Parent or
Guardian
AGE as of
1st Friday
June Province
House #/ Street/
Sitio/
Purok
Barangay
Municipality/
City
Name Relation-ship
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS PARENTS
Father's Name (Last Name,
First Name, Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
GUARDIAN
(If not Parent)
Contact Number
of Parent or
Guardian
AGE as of
1st Friday
June Province
List and Code of Indicators under REMARKS column
Prepared by: Certified Correct:
House #/ Street/
Sitio/
Purok
Barangay
Municipality/
City
Name Relation-ship
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS PARENTS
Father's Name (Last Name,
First Name, Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
GUARDIAN
(If not Parent)
Contact Number
of Parent or
Guardian
AGE as of
1st Friday
June Province
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY
Transferred Out T/O CCT MALE
Transferred IN T/I B/A Name of school last attended & Year FEMALE
Dropped DRP LWD Specify
Late Enrollment LE ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
TOTAL
Prepared by: Certified Correct:
CCT Control/reference number & Effectivity Date
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
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)
REMARKS
(Please refer to the
legend on last page)
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
REMARKS
(Please refer to the
legend on last page)
Certified Correct:
REMARKS
(Please refer to the
legend on last page)
BoSY Date: EoSYDate:
Certified Correct:
(Signature of School Head over Printed Name)
School ID School Year
Name of School
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
School Form 2 (SF2) Daily Attendance Report of Learners
(1st row for date)
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
MALE | TOTAL Per Day
Total for the
Month
Section Grade Level
Report for the Month of
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
(1st row for date)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the
Month
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
M F
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
b. Individual-Related Factors
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
Number of students absent for 5 consecutive days:
Percentage of Attendance for the month
Percentage of Enrolment as of end of the month
Late Enrollment during the month
(beyond cut-off) Enrolment as of 1st Friday of the school year
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 columns after Learner's Name.
3. To compute the following:
Average daily attendance
Percentage of Attendance for the month =
b.
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.
c.
Total Daily Attendance
Number of School Days in reporting month
Registered Learners as of end of the month
Registered Learners as of end of the month
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.
Average Daily Attendance
x 100
Registered Learners as of end of the month
* Enrolment as of (1st Friday of June)
FEMALE | TOTAL Per Day
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
Combined TOTAL PER DAY
a.
Summary No. of Days of
Classes:
b.5. Poor academic performance
Number of students absent for 5 consecutive days:
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. 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) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
(Signature of School Head over Printed Name)
Drop out
Transferred out
Number of students absent for 5 consecutive days:
Transferred in
Beginning of School Year cut-off report is every 1st Friday of the School Year
School Form 2 : Page ___ of ________
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TOTAL
Summary
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
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date Date Date
Subject Area & Title
Grade Level
(This replaces Form 1 & Inventory of Textbooks)
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)
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page) Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date Date Date
Subject Area & Title
Date
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page) Date
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:
Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
(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
1. Title of Books Issued to each learner must be recorded by the class adviser.
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.
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
ELEMENTARY/SECONDARY:
GUIDELINES: Prepared and Submitted by:
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
(Signature of School Head over Printed Name)
Page _____ of _____ pages
TOTAL
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 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
GRADE 1/GRADE 7
KINDER
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(B) For the Month
(A+B)
Cumulative as of
End of the Month
(B) For the Month
Report for the Month of
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
REGISTERED
LEARNERS
(As of End of the
Month)
ATTENDANCE
GRADE/
YEAR
LEVEL
SECTION NAME OF ADVISER
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
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Name
Region Division District
School Year
Region VIII Division District
12 1428
Curriculum
Grade Level 6 Section
121428070001
83.61
Promoted
121428070003 84.39 Promoted STATUS MALE FEMALE TOTAL
121428070007 79.30 Promoted
121428070013 Dedace ,Eljay Nopal 81.28 Promoted
121428070014 84.94 Promoted
121428070016 81.75 Prromoted
121428070021 86.613 Promoted
121428070022 87.200 Promoted
121428070023 82.14 Promoted
121428070024 81.98 Promoted
121428070026 81.63 Promoted MALE FEMALE TOTAL
121428070027 88.488 Promoted
121428070030 78.66 Promoted
121428070035 82.45 Promoted
121428070036 88.425 Promoted
PROFICIENT
(P: 85% -89%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
LEVEL OF PROFICIENCY
DEVELOPING (D:
75%-79%)
BEGINNNING
(B: 74% and below)
PROMOTED 15 16 31
IRREGULAR 0 0 0
SUMMARY TABLE
ONE
2013-2014
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
As of end of current School Year
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
Pelicano , Jhon Robert Gallego
Bibat , Maretoni Maldigan
Compendio , Leo Aldrech Gonzales
Dedace , Eljay Nopal
Degorio ,John Lesther Celestino
Degracia , Janrie Pelicano
LEYTE
MALJO-JUBASAN ELEMENTARY SCHOOL
Argallon , Christian Rey Paradanas
GENERAL
INOPACAN
Pelicano , Leandro Piol
Piloto , Jason Denaga
Sumabong Jr. , Romel Degorio
Tagolgol , Mark Jason Omela
Molato , Jeffer Inocente
Nopal , Alvin Polistico
Nopal , Jaymar Molato
Olidan , Romel JV Austria
0 RETAINED 0 0
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
As of end of current School Year
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
15
121428070002 80.03 Promoted
121428070004 88.138 Promoted
121428070005 89.588 Promoted GERBERTA A. SAJOR
121428070006 88.063 Promoted
121428070009 79.83 Promoted
121428070011 79.79 Promoted
121428070015 82.19 Promoted CERTIFIED CORRECT & SUBMITTED:
121428070019 84.26 Promoted JOSE M. LABRADOR
121428070020 88.113 Promoted
121428070025 89.450 Promoted
121428070029 82.50 Promoted
121428070031 87.775 Promoted REVIEWED BY:
121428070032 86.650 Promoted
121428070033 82.20 Promoted
121428070034 90.363 Promoted
121428070037 88.438 Promoted
GUIDELINES:
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)
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grade/Year Levels
(Name and Signature)
Division Representative
GERBERTA A. SAJOR
ADVANCED (A:
90% and above)
Bain , Loreimar Galo
Tagolgol , Rachell Estrera
Reyes , Jenelyn Bisnar
Requila , Layca Castillo
Remellete , Aila Marie Alcantara
Polistico , Nora Mae Dante
Pescadero , Junilyn Dante
Payot , Jeneva Bernales
Chan , Erika Mae Dolar
Galo , Joelyn Requila
Degorio , Rhea Mae Ablanque
Dautil , Rovelyn Dante
Dadula , Linda Lindo
Bisnar , Devine Andrade
Cerbo , Melirose Dautil
TOTAL MALE
Lawag , Angel Dautil
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
As of end of current School Year
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
16 TOTAL FEMALE
31 COMBINED
4. Must tally with the total enrollment report as of End of
School Year GESP /GSSP (EBEIS)
School Form 5: Page ____ of ________
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
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.
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.
ADVANCED
(A: 90% and above)
PROFICIENT
(P: 85% -89%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
DEVELOPING
(D: 75%-79%)
School Form 6 (SF6)
(This replaces Form 20)
IRREGULAR
TOTAL
BEGINNNING
(B: 74% and below)
Summarized Report on Promotion and Level of Proficiency
GRADE 1 /GRADE 7
PROMOTED
RETAINED
School Year School Name
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 ID
4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
Region
Teaching Non-
Teaching
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
Ave. Minutes per Day
Ave. Minutes per Day
Number of
Incumbent
Title of Plantilla Position
(as it appears 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
Position/
Designation
Nature of
Appointment/
Employment
Status
Number of
Incumbent
Minor
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
EDUCATIONAL QUALIFICATION
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignments
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Daily Program (time duration)
Major/
Specialization
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 Year
School ID
School Name
Division
District
(B) Nationally-Funded Non Teaching Items
Title of Designation
(as it appears in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
(A) Nationally-Funded Teaching & Teaching Related Items
Number of
Incumbent
Title of Plantilla Position
(as it appears in the appointment
document/PSIPOP)
(C ) Other Appointments and Funding Sources
Fund Source
(SEF, PTA, NGO's
etc.)
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Minor
EDUCATIONAL QUALIFICATION
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignments
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Daily Program (time duration)
Major/
Specialization
GUIDELINES: Submitted by:
(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: ___________________________
Ave. Minutes per Day
School Form 7, Page ___ of ________
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
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 the school year, an
updated Form 19 must be submitted to the Division Office .
Ave. Minutes per Day
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.