School Form 1 (SF 1) School Register

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

School ID Region Division District

School Name School Year Grade Level Section

AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH of June
BIRTH IP Contact Number
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION (Parent
(Last Name, First Name, Middle Name) (M/F) (mm/ (nos. of TONGUE
( Province) Ethnic Group) House # / Father (1st name only if /Guardian)
dd/yy) years as Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
per last Middle & Last Name) legend on last page)
Purok learner)
birthday)
 AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH of June BIRTH IP Contact Number
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION (Parent
(Last Name, First Name, Middle Name) (M/F) (mm/ (nos. of TONGUE
( Province) Ethnic Group) House # / Father (1st name only if /Guardian)
dd/yy) years as Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
per last Middle & Last Name) legend on last page)
Purok learner)
birthday)

List and code of Indicators under REMARK column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivi CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivi Balik-Aral B/A Name of school last attended & Year FEMALE
 AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH of June BIRTH IP Contact Number
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION (Parent
(Last Name, First Name, Middle Name) (M/F) (mm/ (nos. of TONGUE
( Province) Ethnic Group) House # / Father (1st name only if /Guardian)
dd/yy) years as Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province family name identical to Name Relationship
per last Middle & Last Name) legend on last page)
Purok learner)
birthday)
Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD Specify
TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Report for the Month of

Name of School Grade Level Section

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)

MALE | TOTAL Per Day

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
Summary for the
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of
Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors Average Daily Attendance

4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
Percentage of Attendance for the month
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive b.3. Death Number of students with 5 consecutive days of
days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
Drop out
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out
c. School-Related Factors
c.1. Teacher Factor
Transferred in
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

d.2. Armed conflict (incl. Tribal wars & clanfeuds)

(Signature of Teacher over Printed Name)
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID School Year

School Name Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
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 Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

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.
In case of losses/unreturned, please provide information with the following code: 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 (Signature over printed name)
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, Date BoSY:____________ Date EoSY: ___________
DO#14, 2.2012.
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date DateRemark/Action Taken,
B. In Column Date Date Letter from LearnerDate
codes are: LLTR=Secured Date
duly signed by parent/guardian (for Date legend on last page)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
Issued Returned Issued Returned Custodian
Issued (forReturned
code TDO), Issued
PTL=PaidReturned Issued
by the Learner (for codeReturned Issued DO#23,
NEG). References: Returned
s.2001,Issued Returned
DO#25, s.2003, Issued Returned
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region VIII Division CALBAYOG CITY District TINAMBACAN I

School ID 124046

School Name SALHAG ELEMENTARY SCHOOL School Year 2015-2016 Report for the Month of SEPTEMBER

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative (A+B) Cumulative (A+B)
(A) Cumulative as (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average Percentage for the Month (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month of Previous Month of Previous Month
Month Month End of the Month

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
IMELDA L. IMPERIAL K 1 8 7 15 8 7 15 100% 100% 100%
RUSSEL A. BELIZAR I 1 8 4 12 8 4 12 100% 100% 100%
II 1 9 8 17 9 8 17 100% 100% 100% 0 0 0 1 0 1 1 0 1 0 0 0 0 1 1 0 1 1
MONALYN G. SARMIENTO III 1 7 7 14 7 7 14 100% 100% 100%
IV 1 7 11 18 7 11 18 100% 100% 100%
FLORDELIZA J. DIN V 1 9 6 15 9 6 15 100.00% 100% 100.00%
VI 1 10 9 19 10 9 19 100% 100% 100% 0 0 0 0 1 1 0 1 1

ELEMENTARY K-VI 58 52 110 58 52 110 ### 100.00% 100.00% 0 0 0 1 0 1 1 0 1 0 0 0 0 2 2 0 2 2

KINDER 8 7 15 8 7 15 100% 100% 100%
GRADE 1 8 4 12 8 4 12 100% 100% 100%
GRADE 2 9 8 17 9 8 17 100% 100% 100%
GRADE 3 7 7 14 7 7 14 100% 100% 100%
GRADE 4 7 11 18 7 11 18 100% 100% 100%
GRADE 5 9 6 15 9 6 15 100% 100% 100%
GRADE 6 10 9 19 10 9 19 100% 100% 100%
TOTAL FOR NON-GRADED
TOTAL K-VI 58 52 110 58 52 110 100% 100% 100%
GUIDELINES: Prepared and Submitted by:
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 NOVA S. GASPAN
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)
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 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and
above)
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY ADVANCED
(A: 90% and
TOTAL MALE above)

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

REVIEWED BY:

(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
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)

5. Protocols of validation & submission will remain

under the discretion of the Schools Division
Superintendent
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY 5. Protocols of validation & submission will remain
under the discretion of the Schools Division
TOTAL FEMALE Superintendent

COMBINED School Form 5: Page 2 of ________

 School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced Form 20)

School ID Region Division

School Name District School Year

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
SUMMARY TABLE

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 MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

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: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
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 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 School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Title of Designation Appointment: Number of
Title of Plantilla Position Title of Plantilla Position (Designation (Contractual, Fund Source Incumbent
Number of Number of
(as appeared in the appointment (as appeared in the appointment as appeared in the contract/document: Substitute, (SEF, PTA,
Incumbent Incumbent Non-
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, Driver Volunteer, others NGO's etc.) Teaching
etc.) specify) Teaching

EDUCATIONAL QUALIFICATION * Daily Program (time duration)

Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: 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 (Signature of School Head over Printed Name)
shall also serve as inventory list of school personnel.
 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: ___________________________
4. * Daily Program Column is for teaching personnel only.
School Form 7, Page 2 of ________