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Region

School ID
School Name

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

List and code of Indicators unde


Indicator

Code

Required Information

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)

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

LRN

NAME
(Last Name, First Name, Middle Name)

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

List and code of Indicators unde


Indicator

Code

Required Information

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

DRP

Reason and Effectivity Date

LRN

Late Enrollment

NAME
(Last Name, First Name, Middle Name)

LE

Sex
(M/F)

BIRTH
DATE
(mm/
dd/yy)

AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)

Reason (Enrollment beyond 1st Friday of June)

School Form 1 (SF 1) School Registe

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

Division
School Year

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

s under REMARK column


Indicator

Code

Required Information

CCT Recipient

CCT

CCT Control/reference number & Effectivity Date

Balik-Aral

B/A

Name of school last attended & Year

Learner With Dissabili

LWD

Specify

Accelarated

ACL

Specify Level & Effectivity Data

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

BIRTH
PLACE
(Province)

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

s under REMARK column


Indicator

Code

Required Information

CCT Recipient

CCT

CCT Control/reference number & Effectivity Date

Balik-Aral

B/A

Name of school last attended & Year

Learner With Dissabili

LWD

Specify

BIRTH
PLACE
(Province)

Accelarated

MOTHER
TONGUE

IP
(Specify
Ethnic
Group)

ACL

ADDRESS
RELIGION
House # /
Street/Sitio/
Purok

Barangay

Specify Level & Effectivity Data

chool Register

mily Background and Profile)

District
Grade Level

DDRESS

Municipality/ City

Section
NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

GUARDIAN (If not Parent

Name

DDRESS

Municipality/ City

NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

GUARDIAN (If not Parent

Name

DDRESS

Municipality/ City

NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

GUARDIAN (If not Parent

Name

DDRESS

Municipality/ City

ectivity Date

NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

BoSY
MALE
FEMALE

TOTAL

EoSY

Mother (Maiden)

GUARDIAN (If not Parent

Name

DDRESS

Municipality/ City

NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

GUARDIAN (If not Parent

Name

DDRESS

Municipality/ City

NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

Mother (Maiden)

GUARDIAN (If not Parent

Name

DDRESS

Municipality/ City

ectivity Date

NAME OF PARENTS

Province

Father (1st name only if


family name identical to
learner)

BoSY

EoSY

GUARDIAN (If not Parent

Mother (Maiden)

Name

Prepared by:

MALE
FEMALE
TOTAL

(Signature of Adviser over Printed Name)

DDRESS

Municipality/ City

NAME OF PARENTS

Province
TOTAL

Father (1st name only if


family name identical to
learner)

GUARDIAN (If not Parent

Mother (Maiden)

Name

Date:_________________________________

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

Certified Correct:

(Signature of School Head over Printed Name)

(If not Parent)

REMARK/S
Contact Number
(Parent /Guardian)

Relationshi
p

(Please refer to the legend on last


page)

______________ Date:__________________________________________________

_________

School Form 2 (SF2) Daily Atten

(This cancel Form 1, Form 2 & STS Form 4 - A

School ID

School Year

Name of School

DATE (1st row for date, 2nd row f

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

DATE (1st row for date, 2nd row f

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

MALE | TOTAL Per Day

DATE (1st row for date, 2nd row f

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

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY


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 Learner as of End of the Month


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

4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.

x 100

x 100

DATE (1st row for date, 2nd row f

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

4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
5. 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

School Form 2: Page 2 of ________

ttendance Report for learner

rm 4 - Absenteeism and Dropout Profile)

Month Reporting
Grade Level

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

Section
Total for the
Month
ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason,


please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)

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

Total for the


Month
ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason,


please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)

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

Total for the


Month
ABSENT

TARDY

REMARK/S (If DROPPED OUT, state reason,


please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)

L E G E N D:
1. CODES FOR CHECKING ATTENDANCE
blank- Present; (x)- Absent; Tardy (half shaded=
Upper for Late Comer, Lower for Cutting Classes)

Month:

No. of Days of
Classes:

Enrollment as of (1st Friday of June)

2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors

Late Enrollment (beyond cut-off)

a.1. Had to take care of siblings


a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling

Registered Learner as of end of the month

a.4. Family problem

Percentage of Enrollment as of end of the


month

b. Individual-Related Factors

Average Daily Attendance

b.1. Illness

Percentage of Attendance for the month

Summary for the


Month
M

TOTAL

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

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

Total for the


Month

REMARK/S (If DROPPED OUT, state reason,


please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT
TARDY
School.)
Percentage of Attendance for the month
Number of students with 5 consecutive days of
absences:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.

(Signature of Teacher over Printed Name)


Attested by:
(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Iss

(This replace Form 1 & Inventory

School ID

School Year

School Name

Grade Level

LEARNER'S NAME
NO.

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date

(Last Name,
First Name, Middle Name)

Issued

Returned

Issued

Returned

Issued

Returned

Issued

LEARNER'S NAME
NO.

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date

(Last Name,
First Name, Middle Name)

TOTAL FOR MALE | TOTAL COPIES

Issued

Returned

Issued

Returned

Issued

Returned

Issued

LEARNER'S NAME
NO.

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date

(Last Name,
First Name, Middle Name)

Issued

Returned

Issued

Returned

Issued

Returned

Issued

LEARNER'S NAME
NO.

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date

(Last Name,
First Name, Middle Name)

Issued

Returned

Issued

Returned

Issued

Returned

Issued

0 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.
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be
reflected.

In case of losses/unreturned, please pro

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


B. In Column Remark/Action Taken, codes are
parent/guardian (for code FM), TLTR=Teach
submission to School Property Custodian (for
References: DO#23, s.2001; DO#25 s.20

Books Issued and Returned


1 & Inventory of Text Book)

Section

ct Area &
Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

Subject Area &


Title
REMARK/ACTION TAKEN
Date
Issued

Returned

(Please refer to the code on last


page)

ct Area &
Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

Subject Area &


Title
REMARK/ACTION TAKEN
Date
Issued

Returned

(Please refer to the code on last


page)

ct Area &
Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

Subject Area &


Title
REMARK/ACTION TAKEN
Date
Issued

Returned

(Please refer to the code on last


page)

ct Area &
Title

Subject Area &


Title

Subject Area &


Title

Subject Area &


Title

Date

Date

Date

Date
Returned

Issued

Returned

Issued

Returned

Issued

Returned

d, please provide information with the following code:

codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence


aken, codes are: LLTR=Secured Letter from Learner duly signed by
), TLTR=Teacher prepared letter/report duly noted by School Head for
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG).
1; DO#25 s.2003; DO#14, s.2012.

Subject Area &


Title
REMARK/ACTION TAKEN
Date
Issued

(Please refer to the code on last


page)

Returned

Prepared By:

(Signature over printed name)

School Form 3: Page 2 of ________

School Form 4 (SF4) Monthly Learner's M

(This replace Form 3 & STS Form 4-Absenteeism

School ID

Region

Division

School Name

NAME OF ADVISER

GRADE/
YEAR
LEVEL

SECTION

ELEMENTARY/SECONDARY:

ATTENDANCE

REGISTERED
LEARNER (As
of End of the
Month)
F

Average

DROPPED

Percentage

(A) Cumulative
as of Previous
Month
M

(B) For th
Month
M

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 Form 1 submitted by the teachers/advisers to update figures fo
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, t
accomplish the summary column per grade/year level.

er's Movement and Attendance

enteeism and Dropout Profile)

District
School Year

OPPED OUT

(B) For the


Month
F

Month Reporting
TRANSFERRED OUT

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

(A) Cumulative
as of Previous
Month
M

(B) For the


Month
M

TRANSFERRED IN

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

(A) Cumulative
as of Previous
Month
M

(B) For the


Month
M

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

Prepared and Submitted by:

figures for the month.

Instead, they will only

(Signature of School Head over Printed Name)

School Form 5 (SF 5) Report on Promotion

(This replace Forms 18-E1, 18-E2, 18A

Region

Division

VI

School ID

LRN

2013-2014

School Year

114920

School Name

AKLAN

DONGON ELEMENTARY SCHOOL

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)

INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

remaining RB
implem

Completed as

114920100012

Cabido, AJ Silvestre

79.20

PROMOTED

114920100013

Campos, Renz Anthony Gonzales

79.00

PROMOTED

114920100019

Dequilla, Kurt Jarrence Roldan

80.00

PROMOTED

226502100136

Elizan, Jan Mark Villanueva

80.60

PROMOTED

114920100024

Geraldo, Janley Jun Aguarino

78.20

PROMOTED

114920100030

Kingking, Bien Dave Rocero

79.00

PROMOTED

114920100031

Macahilas, Gales Barey Tropa

78.40

PROMOTED

114920090021

Macahilas, Jhon Harold Cawaling

78.40

PROMOTED

114920090024

Malihan, John Reymond Diola

75.00

PROMOTED

114920090027

Masangya, John Daryl Cawaling

77.20

PROMOTED

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)

INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

Completed as

114920100046

Oczon, Bryan Molato

78.60

PROMOTED

114920100047

Oquendo, Renz Almero

79.20

PROMOTED

114920100052

Patenio, James Carl Almero

79.00

PROMOTED

114920090041

Reyes, Gerard Villanueva

75.00

PROMOTED

114920100065

Teofilo, Kim Borsigue

78.80

PROMOTED

114920100066

Tuazon, Aldin Jun Rubias

79.00

PROMOTED

114920100068

Yamog, Jolly Bautista

79.00

PROMOTED

114920100070

Yerro Jr., Joseph Remecio

79.20

PROMOTED

18

TOTAL MALE

remaining RB
implem

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)

INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

remaining RB
implem

Completed as

114920100002

Albacino, Angel Luz

80.00

PROMOTED

114920090002

Almero, J-Ail Milloroso

79.00

PROMOTED

114920100022

Fernandez, Dafne Franz Isturis

79.20

PROMOTED

114923100084

Ibabao, Aya Loraine Toriaga

79.40

PROMOTED

114920100025

Ibabao, Paulyn Joy

79.00

PROMOTED

114920100029

Iyoro, Mary Joy Impreso

79.00

PROMOTED

114920100033

Magharing, Vea Jean Verano

79.00

PROMOTED

114920100049

Organo, Claudine Ivory Butanero

80.00

PROMOTED

114920100050

Palcon, Apple Joy

79.20

PROMOTED

114916100038

Yerro, Lara Joy Tambong

80.00

PROMOTED

LRN

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

10

TOTAL FEMALE

28

COMBINED

GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)

INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED

remaining RB
implem

Completed as

ion & Level of Proficiency

E2, 18A)

District

NUMANCIA

Curriculum
Grade Level

BEC
THREE

Section

ATIS

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)

ted as of end of current SY

as of End of the current SY

SUMMARY TABLE
MALE

FEMALE

TOTAL

PROMOTED

18

10

28

IRREGULAR

RETAINED

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)

ted as of end of current SY

as of End of the current SY

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

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)

ted as of end of current SY

as of End of the current SY

Prepared by:

KATHERINE D. IGTANLOC
Class Adviser
(Name and Signature)
Certified Correct and Submitted:

RAMIE T. MANSAYON
School Head
(Name and Signature)
Reviewed by:

RITA M. REY
( Name and Signature)
Division Representative

GUIDELINES:
1. For All Grades Level

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)

ted as of end of current SY

as of End of the current SY

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 and the level of proficiency according to
the individual general average
4. Must be tallied with the total enrollment report
as of End of School Year GESP /GSSP (BEIS)

School Form 5: Page 2 of ________

School Form 6 (SF6) Summarized Report on Promotion a


(This cancel Form 20)

School ID

Region

Division

School Name

SUMMARY TABLE

District

GRADE 1 /GRADE 7

GRADE 2 / GRADE 8

GRADE 3 / GRADE 9

GRADE 4 / GRADE 10

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

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
(D: 75%-79%)
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
(P: 85% -89%)
Nos. of ADVANCED
(A: 90% and above)

TOTAL
Prepared and Submitted by:

Reviewed & Validated by:

School Head

Division Planning Officer/


Education Program Supervisor

GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Leve
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
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP.

motion and Level of Proficiency

Division

District

RADE 10

School Year
GRADE 5 / GRADE 11

GRADE 6 / GRADE 12

TOTAL

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

Noted by:

Schools Division Superintendent

or Grade Level in order to reflect the result in each data field.


e by the end of the school year.

School Form 7 (SF7) School Personnel Assignment List a

(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignmen
Form 29-Teacher Program and Form 31-Summary Information of Teachers

School ID
School Name

Region

(A) Nationally-Funded Teaching Related Items

Employee No.

Title of Plantilla Position


(as appeared in the appointment document)

Name of School
Personnel
(Arrange by
Position, Descending)

Division
District

(B) Nationally-Funded Non Teaching Items

Number of Incumbent

Title of Plantilla Position


(as appeared in the appointment document)

Number of
Incumbent

Nature of Appoin
(Contractual, Subs

EDUCATIONAL QUALIFICATION

Sex

Nature of
Fund
Position/
Appointme
Source Designation
nt

Degree / Post
Graduate

Major/
Specialization

Minor

Employee No.

Name of School
Personnel
(Arrange by
Position, Descending)

EDUCATIONAL QUALIFICATION

Sex

Nature of
Fund
Position/
Appointme
Source Designation
nt

Degree / Post
Graduate

Major/
Specialization

Minor

Employee No.

Name of School
Personnel
(Arrange by
Position, Descending)

EDUCATIONAL QUALIFICATION

Sex

Nature of
Fund
Position/
Appointme
Source Designation
nt

Degree / Post
Graduate

Major/
Specialization

Minor

Employee No.

Name of School
Personnel
(Arrange by
Position, Descending)

EDUCATIONAL QUALIFICATION

Sex

Nature of
Fund
Position/
Appointme
Source Designation
nt

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 duri
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
lowest. This form shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only.

ent List and Basic Profile

19-Assignment List,
on of Teachers)

School Year
(C) Other Appointments and Funding Sources
Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)

Fund Source
(SEF, PTA, NGO's etc.)

* Daily Program (time duration)


Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00) (00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)

Ave. Minutes per Day

Number of Incumbent
Teaching

Non-Teaching

Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)

* Daily Program (time duration)


Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00)
(00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)

Ave. Minutes per Day

Ave. Minutes per Day

Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)

* Daily Program (time duration)


Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00)
(00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)

* Daily Program (time duration)


Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00)
(00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)

Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)

Ave. Minutes per Day


Submitted by:

personnel during SY,

est rank down to the

(Signature of School Head over Printed Name)


School Form 7: Page 2 of ________