Professional Documents
Culture Documents
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
107489
School Name
Division
LRN
School Year
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
District
BATANGAS
2014 - 2015
Grade Level
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
MATA
One
NAME OF PARENTS
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Mother (Maiden: 1
Last N
109680130006
10-14-2007
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Arnoldo
Michelle Pan
107489130009
06-29-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Warren
Lea De Vi
107489130010
12-17-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Dave
Maryann
107489130011
05-06-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Pedro
107489130016
05-23-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Noel
107489130012
12-31-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Jake
Donabelle
107489130013
04-29-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Joel
Maredeth Ma
107489130014
11-13-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Dexter
Mary Anne B
107489130015
12-17-2007
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Renato
Ligaya Men
10
107489130017
08-17-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Edwin
Chona Rol
11
107489130018
01-08-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Ramil
Gigie Dimayu
12
107489130019
01-16-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Oliver
Melanie God
13
107489130020
10-30-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Rene
Aileen Cagu
14
107489130021
08-25-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Richmond
Jenica MarieD
15
107489130022
09-23-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Richard
16
107489130023
10-20-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Harry
17
107489130025
06-08-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Melchor
18
107481130018
10-30-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Dario
Aisa Pedro
19
107489130024
09-29-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Nario
Novabell Ma
20
107489130026
05-02-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Arnold
Rizza Ber
21
107489130027
08-22-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Dionard
Glaiza De Oca
Rossel Rig
Beverlyn Mae L
Maricel Pa
Rosemarie P
Janet Orense
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
LRN
22
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
ADDRESS
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME OF PARENTS
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Mother (Maiden: 1
Last N
10-24-2008
Cavite
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Ramil
06-19-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Antonio
Marilyn Gonz
107489130030
03-30-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Rocky
Rose Ann D
107489130031
11-16-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Antonio
Shirley Or
107487130030
09-03-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Angelito
Roselyn G
107489140016
06-27-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Eduardo
Katherine L
107489130034
12-25-2007
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Antonino
Shirley Reye
107489130035
03-08-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Russel
Rosie Bue
107489140020
08-27-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Homer
Marilyn Mari
107489130036
04-06-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
107489130038
10-31-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Julius
107489130039
ORENSE,ZHASSNAYQWYNCYPANGANIBAN
05-14-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Amando
107489130041
04-22-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Adrian
107489130040
11-12-2007
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Marvin
107489130042
08-21-2008
Batangas
Tagalog
Christianity
Nangkaan
Mataasnakahoy
Batangas
Martin
14
36
<=== COMBINED
107489130028
22
107489130029
Vilma Bala
Annalyn De
Joana Malicd
Marilou Cadac
Normelinda Cari
Michella L
Emerlyn Ma
Code
Required Information
Indicator
Code
Required Information
Transferred Out
T/O
CCT Recipient
CCT
Transferred IN
T/I
Balik-Aral
B/A
LWD
Specify
Accelarated
ACL
Dropped
Late Enrollment
DRP
LE
BoSY
EoSY
MALE
22
22
FEMALE
14
14
TOTAL
36
36
MATAASNAKAHOY
Section
NAME OF PARENTS
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
NAME OF PARENTS
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Prepared by:
Certified Correct:
NANCY R. MANALO
CORAZON S. VERGARA
Class Adviser
Principal
02 June 2014
BoSY Date:
27 March 2015
EoSYDate:
02 June 2014
BoSY Date:
27 March 2015
EoSYDate:
107489
10
11
12
13
14
15
Babadilla, Jazen
Grade Level
March
Six
Section
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
31
Fri
Mon
Tues
Wed
Thurs
Fri
Mon
Tues
Wed
Thurs
Fri
Mon
Tues
Wed
Thurs
Fri
Mon
Tues
Thurs
Wed
Thurs
Wed
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2014 - 2015
Tues
Name of School
School Year
Mon
School ID
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 problems
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
Wed
31
Thurs
21
30
Tues
27
Mon
20
26
Fri
25
Thurs
19
24
Wed
23
Tues
18
20
Mon
17
19
Fri
18
Thurs
16
17
Wed
16
Tues
15
13
Mon
12
Fri
14
11
Thurs
10
Wed
13
Tues
Mon
12
Fri
Thurs
11
Wed
Tues
10
LEARNER'S NAME
(Last Name, First Name, Middle Name)
18
Wed
Thurs
Fri
Mon
Tues
Wed
Thurs
Fri
Mon
Tues
Wed
19
20
23
24
25
26
27
30
31
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
Thurs
17
Wed
16
Tues
13
Mon
12
Fri
11
Thurs
10
Wed
Tues
Mon
Fri
Thurs
3
Tues
LEARNER'S NAME
(Last Name, First Name, Middle Name)
March
Section
row for Day: M,T,W,TH,F)
Fri
TARDY
ABSENT
Month:
TARDY
TOTAL
Fri
TARDY
Attested by:
CORAZON S. VERGARA
Principal
School ID
School Year
School Name
NO.
Section
Grade Level
Subject Area & Title
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Date
Returned
Issued
NO.
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Date
Returned
Issued
Prepared By:
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.
Date BoSY:_____
NO.
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
Returned
Issued
Returned
Date
Date
B. In ColumnDate
Remark/Action Taken, codes Date
are: LLTR=Secured Letter fromDate
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
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NEG).
References:
DO#23, s.2001,
DO#25, s.2003,
DO#14, 2.2012.
Date
Issued
Date
Returned
Date
Returned
Date
Returned
Region
Division
District
School ID
School Name
School Year
ATTENDANCE
GRADE/
YEAR
LEVEL
NAME OF ADVISER
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Re
(A) Cumulative as of
Previous Month
M
TRANSFERRED OUT
(A+B) Cumulative as
of End of the Month
M
(A) Cumulative as of
Previous Month
M
(A+B) Cumulative as
of 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.
(Signature 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.
(A) Cumulative as of
Previous Month
M
(A+B) Cumulative as
of End of the Month
M
Region
Division
IV - CALABARZON
School ID
School Name
LRN
School Year
107489
District
BATANGAS
2013 - 2014
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
Curriculum
Grade Level
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
81.57 AP
PROMOTED
107489120001
75.71 D
PROMOTED
107489120024
75.71 D
PROMOTED
107489120002
86.667 P
PROMOTED
107489130001
82.71 AP
PROMOTED
107489120025
81.00 AP
PROMOTED
107489120003
77.71 D
PROMOTED
107489110019
81.71 AP
PROMOTED
107489120026
78.43 D
PROMOTED
107489120005
75.00 D
PROMOTED
107489120007
79.29 D
PROMOTED
107489120027
77.29 D
PROMOTED
107489120006
74.86 B
PROMOTED
107489120028
82.14 AP
PROMOTED
107489120029
75.43 D
PROMOTED
107489110035
86.654 P
PROMOTED
107489120030
78.57 D
PROMOTED
107489120031
76.29 D
PROMOTED
1074891120008
76.86 D
PROMOTED
107489120032
82.00 AP
PROMOTED
K TO 12
One
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
107489120023
MATAASNAKAHOY
LRN
20
LEARNER'S NAME
(Last Name,
First Name, Middle 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
TOTAL MALE
107489120033
79.43 D
PROMOTED
107489130005
80.43 AP
PROMOTED
107489120034
77.00 D
PROMOTED
107489120035
76.29 D
PROMOTED
107489120009
81.29 AP
PROMOTED
107489120010
82.14 AP
PROMOTED
107489120011
78.71 D
PROMOTED
107489120012
81.29 AP
PROMOTED
107489130003
79.29 D
PROMOTED
107489120013
82.00 AP
PROMOTED
107489120036
81.29 AP
PROMOTED
107489120037
82.14 AP
PROMOTED
107489120014
76.86 D
PROMOTED
107489120015
81.43 AP
PROMOTED
107489120016
81.86 AP
PROMOTED
107489120017
79.29 D
PROMOTED
107489120038
87.917 P
PROMOTED
107489110031
83.14 AP
PROMOTED
107489120039
82.14 AP
PROMOTED
107489120018
83.14 AP
PROMOTED
107489130004
82.86 AP
PROMOTED
107489120044
78.00 D
PROMOTED
107489120040
81.86 AP
PROMOTED
107489120019
82.29 AP
PROMOTED
107489120021
85.489 P
PROMOTED
107489110046
77.00 D
PROMOTED
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL FEMALE
COMBINED
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
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
20
28
48
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
FEMALE
TOTAL
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
11
11
22
APPROACHING
PROFICIENCY
(AP: 80%-84%)
15
21
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
ADVANCED
(A: 90%
and above)
PREPARED BY:
NANCY R. MANALO
Class Adviser
(Name and Signature)
REVIEWED BY:
Region
School ID
Division
IV - CALABARZON
School Name
LRN
School Year
107489
District
BATANGAS
2013 - 2014
Grade Level
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
Curriculum
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
MATAASNAKAHOY
One
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
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle 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
TOTAL MALE
107489120020
78.43 D
PROMOTED
107489130022
76.29 D
PROMOTED
LRN
28
48
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL FEMALE
COMBINED
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
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:
NANCY R. MANALO
Class Adviser
(Name and Signature)
REVIEWED BY:
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
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
75%-79%)
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of 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 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 Year
GRADE 12
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
NDENT
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
Region
Division
School Name
District
Number of
Incumbent
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
Appointment:
(Contractual, Substitute,
Volunteer, others specify)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
Submitted by:
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.
(Signature
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
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.
Major/ Specialization
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
School Year
d Funding Sources
Fund Source
(SEF, PTA, NGO's etc.)
Number of Incumbent
Teaching
NonTeaching
ed by:
d as of: ___________________________
School Form 7, Page 2 of ________