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Region VIII

School ID
School Name

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

List and Code of Indicators under REMARKS column


Indicator

Code

Required Information

AGE as of 1st
Friday June

NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

Transferred Out

T/O

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

Transferred IN

T/I

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

Dropped
Late Enrollment

DRP
LE

Reason and Effectivity Date


Reason (Enrollment beyond 1st Friday of June)

AGE as of 1st
Friday June

School Form 1 (SF 1) School Register


(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Division

Dis
School Year

Grade L
ADDRESS

MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

Code

RELIGION

House #/ Street/
Sitio/
Purok

Required Information

Barangay

Municipality/ City

Province

REGISTERED

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

CCT

CCT Control/reference number & Effectivity Date

B/A

Name of school last attended & Year

LWD
ACL

Specify
Specify Level & Effectivity Data

Municipality/ City

Province

MALE

FEMALE

TOTAL

District
Section

Grade Level
PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

BoSY

EoSY

Mother's Maiden Name (Last Name,


First Name, Middle Name)

Prepared by:

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

Certified Correct:

GUARDIAN

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

(If
not Parent)

Mother's Maiden Name (Last Name,


First Name, Middle Name)

Name

(Signature of Adviser over Printed Name)

BoSY Date:

EoSYDate:

Relation-ship

Contact Number of
Parent or Guardian

(Signature of School Head over Printed Nam

BoSY Date:

EoSYDate:

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

ect:

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

School Head over Printed Name)

EoSYDate:

School Form 2 (SF2) Daily

(This replaces Form 1, Form 2 & S

School ID

100893

School Year

Name of School
LEARNER'S NAME
Name, Middle Name)
1

Aberin, Christian Lloyd Monis

Agas, Adrian Gyle Martinez

Bonagua, Felix Mayo

Braganza, Jonathan Dino Valenzuela

Cabradilla, Marc James Lopez

Contaoi, Stephen James Cabanit

Dela Cruz, Jerico Nisco

Fabian, Kenneth Macuroy

Failano, Jovani Noces

10 Laurena, Renzjan Alexander Sabas


11 Lopez, Charles Darwin Acosta

(Last Name, First

2014-2015

Bangar Central School

(1st row for date, 2nd row for Day: M

10

11

12

13

16

17

18

TH

TH

I
N
D
E
P
E
N
D
E
N
C

LEARNER'S NAME
Name, Middle Name)
12 Magpali, Van Halen Macanas

(Last Name, First

(1st row for date, 2nd row for Day: M

10

11

12

13

16

17

18

TH

TH

13
14 Monis, Lyle Angelo Mastrili
15 Morta, Jr. Alberto Natividad
16 Mosuela, John Owen Mantilla
17 Murao, Ernest Von Maracha
18 Olar, Donnel Ray Marias
19 Oracion, Victor
20 Pinzon, Jordan Charles Olpindo
21 Victoria Jerald Esquejo
22 Villas, Kidd Estoque

22

MALE | TOTAL Per Day

Acido, Elisse Vienne Moster

Arellano, Lovely Pearl Dapney Adarna

Bagtas, Irish Clea Bonostro

Ballesteros, Khaye Valera

Coloma, Sacrie Christie Moskito

Corpuz, Yzha Feliza Santos

D
A
Y

LEARNER'S NAME
Name, Middle Name)
7

Dabalos, Krichelle Crisvy Manzano

Dingle, Alexia Narciso

Espaola, Rei Rose Nagano

10 Fiocca, Lyka Gallardo


11 Lucina, Wrhecelle Mosuela
12 Maqui, Joana Sherluv Milliet
13 Mejia, Aren Kate Honrado
14 Merin, Mary Rose Galupe
15 Moralaes, Valerie Mae Manzano
16 Natividad, Xyla Louise Bajo
17 Noto, Jamaica Murao
18 Quinto, Kyla Mae Vidaa
19 Ramirez, Jasmin Zerimar Gayyed
20 Ramos, Francheska Marie Sabran
21 Sibayan, Mary Lorraine Morillo

21
43

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

(Last Name, First

(1st row for date, 2nd row for Day: M

10

11

12

13

16

17

18

TH

TH

LEARNER'S NAME
Name, Middle Name)

(Last Name, First

(1st row for date, 2nd row for Day: M

10

11

12

13

16

17

18

TH

TH

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:
a.

Percentage of Enrolment =

b.

Average Daily Attendance =

c.

Percentage of Attendance for the month =

Registered Learners as of End of the Month


Enrolment as of 1st Friday June
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
Registered Learners as of End of the month

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 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 the School Calendar Days

LEARNER'S NAME
Name, Middle Name)

School Form 2 : Page 2 of ____

(Last Name, First

(1st row for date, 2nd row for Day: M

10

11

12

13

16

17

18

TH

TH

2) Daily Attendance Report of Learners

1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

Report for the Month of

June 2014

Grade Level

Six

Section

A
Total for the Month

nd row for Day: M,T,W,TH,F)

19

20

23

24

25

26

27

30

TH

TH

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to l


If TRANSFERRED IN/OUT, write the name of Sch

Total for the Month

nd row for Day: M,T,W,TH,F)

19

20

23

24

25

26

27

30

TH

TH

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to l


If TRANSFERRED IN/OUT, write the name of Sch

Total for the Month

nd row for Day: M,T,W,TH,F)

19

20

23

24

25

26

27

30

TH

TH

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to l


If TRANSFERRED IN/OUT, write the name of Sch

Total for the Month

nd row for Day: M,T,W,TH,F)

19

20

23

24

25

26

27

30

TH

TH

1. CODES FOR CHECKING ATTENDANCE

(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
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
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
d.2.Armed conflict (incl.Tribal wars & clanfeuds)

TH

ABSENT

TARDY

Month:

REMARKS (If DROPPED OUT, state reason, please refer to l


If TRANSFERRED IN/OUT, write the name of Sch

Summary for th

No. of Days of Classes:

June

20
* Enrolment as of (1st Friday of June)
Late Enrollment during the month

(beyond cut-off)

Registered Learners as of end of the month


Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students absent for 5 consecutive days of absences:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.

Total for the Month

nd row for Day: M,T,W,TH,F)

19

20

23

24

25

26

27

30

TH

TH

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to l


If TRANSFERRED IN/OUT, write the name of Sch

MARILYN D. MORILLO
(Signature of Teacher over Printed Name)
Attested by:
ROSARIO M. MAGPALI
(Signature of School Head over Printed Name)

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.)

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.)
Summary for the Month
TOTAL

REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

School Form 3 (SF3) Books Issued

(This replaces Form 1 & Inventory of Textb

School ID

School Year

School Name

NO.

Grade Level
Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

TOTAL FOR MALE | TOTAL COPIES

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

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 copies of this form may be used if needed.

In case of lost/unreturned books, please provide informatio

A. In Column Date Returned, codes are: FM=Force Majeure, T


B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2

oks Issued and Returned

& Inventory of Textbooks)

Section

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

e provide information with the following code:

M=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence


are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
25, s.2003, DO#14, 2.2012.

Issued

Returned

Prepared By:

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________

School Form 4 (SF4) Monthly Learner's M

(This replaces Form 3 & STS Form 4-Absenteeism

School ID

Region

Division

School Name

GRADE/
YEAR LEVEL

SECTION

NAME OF ADVISER

REGISTERED
LEARNERS
(As of End of the
Month)
M

ATTENDANCE

Daily Average
M

DROPPED OU

Percentage for the


Month
M

(A) Cumulative as of
Previous Month
M

(B) For the Mon


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 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.
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
Page _____ of _____ pages

rner's Movement and Attendance

-Absenteeism and Dropout Profile)

District
School Year

Report for the Month of

DROPPED OUT

B) For the Month


F

TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
M

(B) For the Month


M

TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
M

(B) For the Month


M

(A+B) Cumulative as
of End of the Month
M

Prepared and Submitted by:

(Signature of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion & Level of Proficiency


(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region
School ID

Division
101116

School Name

LRN

LEARNER'S NAME
(Last Name, First Name, Middle Name)

LA UNION
School Year

District
2013-2014

BANGAR CENTRAL SCHOOL

GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)

Curriculum
Grade Level

ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

BANGA

2002 BASIC E
VI

INCOMPLETE SUBJECT/S
column is for K to 12 Curriculum and remaining RBEC in High School. E
level that are still implementing RBEC need not to fill up these

From previous school years completed as


of end of current School Year

As of end of current

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
column is for K to 12 Curriculum and remaining RBEC in High School. E
level that are still implementing RBEC need not to fill up these

From previous school years completed as


of end of current School Year

As of end of current

LRN

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

INCOMPLETE SUBJECT/S
column is for K to 12 Curriculum and remaining RBEC in High School. E
level that are still implementing RBEC need not to fill up these

From previous school years completed as


of end of current School Year

As of end of current

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
column is for K to 12 Curriculum and remaining RBEC in High School. E
level that are still implementing RBEC need not to fill up these

From previous school years completed as


of end of current School Year

As of end of current

oficiency
BANGAR
2002 BASIC EDUCATION CURRICULUM
Section

(This
C in High School. Elementary grades
not to fill up these columns)

s of end of current School Year


SUMMARY TABLE
STATUS

MALE

FEMALE

TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE

FEMALE

TOTAL

(This
C in High School. Elementary grades
not to fill up these columns)

s of end of current School Year

BEGINNNING
(B: 74% and below)

DEVELOPING (D: 75%79%)


APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)

ADVANCED
(A: 90%
and above)

PREPARED BY:
VENUS B. FLORES
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:


SALLY L. DE CASTRO

(This
C in High School. Elementary grades
not to fill up these columns)

s of end of current School Year


School Head
(Name and Signature)

REVIEWED BY:
EDDY Z. MOYANO,ED.D.
(Name and Signature)
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 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

(This
C in High School. Elementary grades
not to fill up these columns)

s of end of current School Year


5. Protocols of validation & submission is under the discretion of the
Schools Division Superintendent
School Form 5: Page ___2_ of ____2____

School Form 6 (SF6)

Summarized Report on Promotion and Level of Prof


(This replaces Form 20)

School ID

Region

101116

School Name

Division

AMALLAPAY ELEMENTARY SCHOOL

GRADE 1 /GRADE 7

GRADE 2 / GRADE 8

District

GRADE 3 / GRADE 9

GRADE 4 / GRADE 10

SUMMARY TABLE
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

BEGINNNING
74% and below)
DEVELOPING
75%-79%)

(B:
(D:

APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT

(P: 85%
-89%)

ADVANCED
90% and above)

(A:

TOTAL

Prepared and Submitted by:

SALLY L. DE CASTRO
SCHOOL HEAD

Reviewed & Validated by:

EDDY Z. MOYANO, ED.D.


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.

Noted by:

f Proficiency
LA UNION
TUBAO

School Year

GRADE 5 / GRADE 11

GRADE 6 / GRADE 12

2013-2014

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

ROWENA C. BANZON, CESO V


SCHOOLS DIVISION SUPERINTENDENT

School Form 7 (SF7) School Personnel Assignment List and


(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 ID

Region

Division

School Name

District

(A) Nationally-Funded Teaching & Teaching Related Items

(B) Nationally-Funded Non Teaching Items


Title of Designation

Title of Plantilla Position


(as it
Number of Incumbent
appears in the appointment document/PSIPOP)

Title of Plantilla Position


(as it
appears in the appointment document/PSIPOP)

Number of
Incumbent

(as it ap
contract/document: Teach
Guard, Driver etc.)

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

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

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

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 the school year, an updated Form 19 must be subm
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.
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.

t List and Basic Profile

Assignment List,
Teachers)

School Year
(C ) Other Appointments and Funding Sources

esignation

(as it appears in the


ct/document: Teacher, Clerk, Security
uard, Driver etc.)

Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO's etc.)
specify)

Number of Incumbent

Teaching

NonTeaching

Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments

DAY
(M/T/W/TH/
F)

From
(00:00)

Remarks (For Detailed


Items, Indicate name of
Total Actual
school/office, For IP's
To (00:00) Teaching Minutes
-Ethnicity)
per Week

Ave. Minutes per Day

Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments

DAY
(M/T/W/TH/
F)

From
(00:00)

Remarks (For Detailed


Items, Indicate name of
Total Actual
school/office, For IP's
To (00:00) Teaching Minutes
-Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments

DAY
(M/T/W/TH/
F)

From
(00:00)

Remarks (For Detailed


Items, Indicate name of
Total Actual
school/office, For IP's
To (00:00) Teaching Minutes
-Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

rm 19 must be submitted to the Division


(Signature of School Head over Printed Name)
Updated as of: ___________________________
School Form 7, Page ___ of ________

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