SF

School Form 1 (SF 1) School
(This replaced Form 1, Master List & STS Form 2-Family Bac
School ID Region Division
School Name School Year
AGE as of 1st
AD
Friday of June
IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER
LRN (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) ( Province) TONGUE
Group)
(nos. of years House # /
as per last Street/Sitio/
birthday) Purok
AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
List and code of Indicators under REMARK column

AGE as of 1st
AD
Friday of June
IP
Group)
birthday) Purok
Indicator Code Required Information Indicator Code Required Information
Transferre T/O Name of Public (P) Private (PR) School & Effectivity D CCT Recipient CCT CCT Control/reference number &
Transferred T/I Name of Public (P) Private (PR) School & Effectivity D Balik-Aral B/A Name of school last attended & Y
Dropped DRP Reason and Effectivity Date Learner With Dissabili LWD Specify
Late Enrol LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data
) School Register
rm 2-Family Background and Profile)
District
Grade Level Section
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact
Number (Parent
/Guardian)
Father (1st name only if
Mother (Maiden: 1st Name, Relationshi (Please refer to the
Barangay Municipality/ City Province family name identical to Name
Middle & Last Name) p legend on last page)
learner)
Contact
Number (Parent
/Guardian)
learner)
Contact
Number (Parent
/Guardian)
learner)
Contact
Number (Parent
/Guardian)
learner)
Contact
Number (Parent
/Guardian)
learner)
Contact
Number (Parent
/Guardian)
learner)
Contact
Number (Parent
/Guardian)
learner)
n
Prepared by: Certified Correct:
Contact
Number (Parent
/Guardian)
learner)
Prepared by: Certified Correct:

BoSY EoSY
ce number & Effectivity Date MALE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
attended & Year FEMALE
TOTAL
ctivity 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
(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME for FEMALE
(Last Name, First Name, Middle
Name)
Name)
| TOTAL Per Day

Name)
| TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
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)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
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
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
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 days of absences or those b.3. Death
with potentials of dropping out
5. The adviser will extendName)
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 b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* 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
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)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others
ers
Section
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.)
Total for the Month
Total for the Month
Month: No. of Days of Summary for the Month

Classes:
M F TOTAL
ed= Upper
* Enrolment as of (1st Friday of June)
Late Enrollment during the month

(beyond cut-off)
Registered Learner 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 with 5 consecutive days of

absences:
Total for the Month
ABSENT
Number TARDY
of students with 5 consecutive days of School.)
absences:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
ds)
(Signature of Teacher over Printed Name)
Attested by:
(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 & T

NO. (Last Name, First Name, Middle
Name) Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES



| TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with the following code:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardia
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Propert
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.20
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
ct Area & Title Subject Area & Title
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date Date
Returned Issued Returned
REMARK/ACTION TAKEN
Date Date
REMARK/ACTION TAKEN
Date Date
REMARK/ACTION TAKEN
Date Date
Prepared By:
gence
ent/guardian (Signature over printed name)
ol Property
O#25, s.2003, Date BoSY:____________ Date EoSY: ___________
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 Division District

School ID
School Name School Year
ATTENDANCE DROPPED OUT TRANSFERRED OUT

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative (A+B) Cum
Percentage for (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average (B) For the Month as of End of the (B) For the Month as of End
the Month of Previous Month
Month
of Previous Month
Mon
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
ELEMENTARY:
KINDER
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
TOTAL FOR NON-GRADED
TOTAL
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
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (S
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.
Report for the Month of
OUT TRANSFERRED IN
(A+B) Cumulative (A+B)

(A) Cumulative as
as of End of the (B) For the Month Cumulative as of
of Previous Month
Month End of the Month
F T M F T M F T M F T
(Signature of School Head over Printed Name)
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
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
AVERAGE
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
SY
TOTAL MALE
AVERAGE
*IRREGULAR or
RETAINED
SY
AVERAGE
*IRREGULAR or
RETAINED
SY
TOTAL FEMALE
COMBINED
iciency
Section
Curriculum and
grades level that
p this column)
of the current SY
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Curriculum and
grades level that
p this column)
of the current SY
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)
PREPARED BY:
Class Adviser
(Name and Signature)

Curriculum and
grades level that
p this column)
of the current SY
CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:
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
Curriculum and
grades level that
p this column)
of the current SY
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
School Form 5: Page 2 of ________

School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced Form 20)
School ID 126244 Region IX Division ZAMBOANGA CITY
School Name SIBULAO ELEMENTARY SCHOOL District VITALI
GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
PROMOTED 42 31 73 45 43 88 45 22 67 26 29 54 20 23 43 24
IRREGULAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RETAINED 0 0 0 0 0 0 12 3 15 3 3 6 2 0 2 0
LEVEL OF PROFICIENCYMALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
Nos. of BEGINNNING
8 3 10 6 1 7 0 0 0 0 0 0 0 0 0 0
(B: 74% and below)
Nos. of DEVELOPING
21 11 32 20 23 46 0 0 0 0 0 0 0 0 0 0
(D: 75%-79%)
Nos. of APPROACHING
PROFICIENCY 7 13 20 16 17 33 0 0 0 0 0 0 0 0 0 0
(AP: 80%-84%)
Nos. of PROFICIENT
6 4 11 3 2 5 0 0 0 0 0 0 0 0 0 0
(P: 85% -89%)
Nos. of ADVANCED
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(A: 90% and above)
TOTAL 42 31 73 45 43 88 57 25 82 29 32 61 22 23 45 24
Prepared and Submitted by: VERJAR M. ISMAEL Reviewed & Validated by: JULIETO H. FERNANDEZ Noted by: PEDRO MELCHOR M. N
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SU
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
Y
School Year 2013-2014
RADE 6 / GRADE 12 TOTAL
FEMALE TOTAL MALE FEMALE TOTAL
23 47 202 171 373
0 0 0 0 0
0 0 17 6 23
FEMALE TOTAL MALE FEMALE TOTAL
0 0 14 4 18
0 0 41 34 75
0 0 23 37 60
0 0 9 6 15
0 0 0 0 0
23 47 219 177 396
LCHOR M. NATIVIDAD, CSEE

DIVISION SUPERINTENDENT
eld.
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 Scho
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sou
Title of Designation
(Designation Appointment:
Title of Plantilla Position Title of Plantilla Position (Contractual, Fund Source
Number of Number of as appeared in the
(as appeared in the appointment (as appeared in the appointment Substitute, (SE
Incumbent Incumbent contract/document: Teacher, Clerk, Volunteer, others
document/PSIPOP) document/PSIPOP) NGO's
Security Guard, Driver etc.) specify)
EDUCATIONAL QUALIFICATION * Daily Program (time durat

Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From To
-T.I.N.) Status Graduate Specialization (00:00) (00:00)
Assignment TH/F)
Ave. Minutes per Day

Nature of
(include Grade &
Assignment TH/F)

Nature of
(include Grade &
Assignment TH/F)
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 Sch
shall also serve as inventory list of school personnel.
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.
Scho
School Year
ing Sources
Number of
Source Incumbent
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching
me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week
me duration)
Remark/s (For
per Week
me duration)
Remark/s (For
per Week
e of School Head over Printed Name)
___________________________
School Form 7, Page 2 of ________

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School Form 1 (SF 1) School

School ID Region Division

School Name School Year

List and code of Indicators under REMARK column

Indicator Code Required Information Indicator Code Required Information

Grade Level Section

ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S

Prepared by: Certified Correct:

ce number & Effectivity Date MALE

School ID School Year Report for the Month of

Name of School Grade Level

(1st row for date, 2nd row for Day: M,T,W,TH,F)

| TOTAL Per Day

| TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

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

Total for the Month

Month: No. of Days of Summary for the Month

Late Enrollment during the month

Registered Learner as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

Number of students with 5 consecutive days of

I certify that this is a true and correct report.

(Signature of School Head over Printed Name)

School ID School Year

School Name Grade Level Section

LEARNER'S NAME for FEMALE

LEARNER'S NAME for FEMALE

TOTAL FOR FEMALE | TOTAL COPIES

LEARNER'S NAME for FEMALE

LEARNER'S NAME for FEMALE

TOTAL LEARNERS | TOTAL COPIES

School Form 3: Page 2 of ________

Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRANSFERRED OUT

(A+B) Cumulative (A+B)

Region Division District

School ID School Year Curriculum

School Name Grade Level

STATUS MALE FEMALE TOTAL

MALE FEMALE TOTAL

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)

(Name and Signature)

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per

3. On the summary table, reflect the total number of

4. Must tallied with the total enrollment report as of

5. Protocols of validation & submission will remain

School Form 5: Page 2 of ________

School ID 126244 Region IX Division ZAMBOANGA CITY

School Name SIBULAO ELEMENTARY SCHOOL District VITALI

School Year 2013-2014

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

23 47 202 171 373

FEMALE TOTAL MALE FEMALE TOTAL

LCHOR M. NATIVIDAD, CSEE

School ID Region Division

EDUCATIONAL QUALIFICATION * Daily Program (time durat