School Form 4 July

8/11/2019 School Form 4 July

1/21

AGE as of 1st

Friday of June

(nos. of years as

per last birthday)

House # / Street/Sitio/

PurokBarangay Municipa li

School Form 1 (SF 1) School R(This replaced Form 1, Master List & STS Form 2-Family Backgr

LRN Sex (M/F)BIRTH DATE

(mm/ dd/yy)

BIRTH PLACE

(Province)

MOTHER

TONGUE

IP

(Specify Ethnic

Group)

NAME

(Last Name, First Name, Middle Name)

School Name

School ID Region Division

School Year

RELIGION

ADDRESS


2/21

AGE as of 1st

Friday of June

(nos. of years as

per last birthday)


PurokBarangay Muni ci pa lity / City


(mm/ dd/yy)

BIRTH PLACE

(Province)

MOTHER

TONGUE

IP(Specify Ethnic

Group)

NAME

(Last Name, First Name, Middle Name)RELIGION

ADDRESS


3/21

AGE as of 1st

Friday of June

(nos. of years as

per last birthday)


PurokBarangay Munic ipal ity/ C ity Province


(mm/ dd/yy)

BIRTH PLACE

(Province)

MOTHER

TONGUE

IP

(Specify EthnicGroup)

NAME

(Last Name, First Name, Middle Name) RELIGION

ADDRESS

Fath

Transferred Ou T/O Name of Public (P) Private (PR) School & Effectivity CCT Recipient CCT MALE

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Balik-Aral B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date Learner With Dissabil LWD Specify

Late Enrollmen LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity DataTOTAL

CCT Control/reference number & EffectivityDate


4/21

School ID School Year

Name of School

MALE | TOTAL Per Day

Total for the

Month

School Form 2 SF2 Dail Attendance Re ort of Learners

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

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

LEARNER'S NAME


SectionGrade Level

Report for the Month of

ABSENT TARDY

REMARK/S(IfDROPPED OUT,state reason,

please refer to legend number 2.

If TRANSFERRED IN/OUT, write the name of

School.)


5/21

Total for the

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

LEARNER'S NAME

(Last Name, First Name, Middle Name)ABSENT TARDY

REMARK

ple

If TRANS

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:

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

Number of students with 5 consecutabsences:

Percentage of Attendance for the4. 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.

Combined TOTAL PER DAY

Percentage of Enrolment as ofend o

Average Daily Attendanc

Late Enrollment during the m(beyond cut-off)Enrolment as of 1st Friday of June

Average Daily Attendance =

Percentage of Enrolment =

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:

Average daily attendancePercentage of Attendance for the month =

a.

b.

c.

Total Daily Attendance

Number of School Days in reporting month

Registered Learner as of End of the month

Registered Learner as of End of the Month

x 100

x 100

Registered Learner as of end of th

blank- Present; (x)- Absent; Tardy (half shaded= Upper

for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)

No. of D

C

FEMALE | TOTAL Per Day

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutivedays of absences or those with potentials of dropping out

b.3. Death Number of students with 5 consecutabsences:

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutivedays 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

* 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

Drop out

Transferred out

Number of students with 5 consecutabsences:

Transferred in

Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutivedays of absences or those with potentials of dropping out


6/21

Total for the

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

LEARNER'S NAME

(Last Name, First Name, Middle Name)ABSENT TARDY

REMARK/S(IfDROPPED

please refer to lege

If TRANSFERRED IN/OU

Schood.1. Distance between home and school

(Signature of Teacher over Printed N

d.3. Calamities/Disasters

e. Financial-Related Attested by:

e.1. Child labor, work

f. Others (Signature of School Head over PrintSchool Form 2: Page 2 of ________

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


7/21


School Name

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

Subject Area & TitleSubject Area & TitleSubject Area & Tit le Subject Area & Tit le Subject Area & Tit le

Date Date Date Date

Subject Area & Title

Grade Level

(This replaced Form 1 & Inventory of Text Book)

School Form 3 (SF3) Books Issued and Returned

Date

Section

NO.Date Date

Subject Area & Title Subject Area & Title

LEARNER'S NAME


RE

(PleasDate


8/21

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

SubjecSubject Area & TitleSubject Area & Title Subject Area & Title Subject Area & Title

Date Date Date Date


NO.Date Date


LEARNER'S NAME

(Last Name, First Name, Middle Name)Date

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepare

1. Title of Books Issued to each learner must be recorded by the class adviser.


9/21

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

SubjecSubject Area & TitleSubject Area & Title Subject Area & Title Subject Area & Title

Date Date Date Date


NO.Date Date


LEARNER'S NAME

(Last Name, First Name, Middle Name)Date

5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.

2.2012.


10/21

PILILLASchool ID

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

KINDER 1 16 21 37 16 21 37 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 1 0 1 1 0

2 19 16 35 18 16 34 95 100 98 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 1 2 0 0 0 0 1 1 0 1

20 19 39 19 18 37 95 95 95 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0

55 56 111 53 55 108 96 98 97 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 2 2 4 0 0 0 1 1 2 1 1

GRADE I 1 15 20 35 15 20 35 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 22 13 35 22 13 35 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 22 16 38 22 16 38 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

59 49 108 59 49 108 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

GRADE II 1 20 31 51 20 31 51 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 25 31 56 24 28 52 96 90 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

45 62 107 44 59 103 98 95 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

GRADE III 1 MRS. EVELYN C. GUINTO 24 23 47 23 23 46 96 100 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 MRS. DOROTEA C. ENCIO 24 19 43 23 18 41 96 95 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 MRS. AURALYN V. CRUZ 30 12 42 29 11 40 97 92 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

78 54 132 75 52 127 96 96 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

GRADE IV 1 29 25 54 27 24 51 93 96 94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 MRS. LIWANAG A. GUINTO 35 21 56 34 21 55 97 100 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

64 46 110 61 45 106 95 98 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

GRADE V 1 22 19 41 21 18 39 95 95 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 19 20 39 18 19 37 95 95 95 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0

3 19 18 37 17 17 34 89 94 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

60 57 117 56 54 110 93 95 94 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0

GRADE VI 1 18 22 40 18 22 40 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 19 19 38 19 19 38 100 100 100 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0

2 19 19 38 18 19 37 95 100 97 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

56 60 116 55 60 115 98 100 99 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0

MRS. CYNTHIA DC. FERRERA

MRS. RASCHELLN. PEREZ

MRS. GLEREZA-AN D. FELICIANO

MRS. NEULANI B. MONJE

TOTAL

MRS. MARY ANN A. PENDON

REGISTERED

LEARNER (As

of End of the Month)

ATTENDANCE

(B) For the

Month

MRS. LEONARDA B. TEJADA

MRS. MARIFA C. CANTORNA

School Year Report for the Month of

School Form 4 (SF4) Monthly Learner's Movement and Attendance

DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

Daily AveragePercentage for the

Month

(A) Cumulative

as of Previous

Month

(B) For the

Month

(A+B) Cumulative

as of End of the

Month

(A) Cumulative as

of Previous Month

(A+B) Cumulative

as of End of the

Month

(A) Cumulative as

of Previous Month(B) For the Month

IV-A RIZAL109453

JULY2014-2015NIOGAN ELEMENTARY SCHOOL

(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School Name

Region Division District

GRADE

LEVELNAME OF ADVISER

MRS. JENALYN DC. HEBRON

MRS. TEODORA S. GAROVILLAS

MR. KIM ALVIN C. DELARA

MRS. RHODORA V. PEROLINA

MISS. SARAH JANE A. PENAMORA

MRS. GRACE B. ROCERO

(A+B

Cumulativ

End of the

SECTI

ON


11/21

ELEMENTARY/SECONDARY:

55 56 111 53 55 108 96 98 97 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 2 2 4 0 0 0 1 1 2 1 1 2

59 49 108 59 49 108 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

45 62 107 44 59 103 98 95 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 078 54 132 75 52 127 96 96 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

64 46 110 61 45 106 95 98 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

60 57 117 56 54 110 93 95 94 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0

56 60 116 55 60 115 98 100 99 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0

417 384 801 403 374 777 97 97 97 0 0 0 0 0 0 0 0 0 1 0 1 2 3 5 3 3 6 0 0 0 1 1 2 1 1 2

GUIDELINES: Prepared and Submitted by:

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 School Head over Printed Name)

MRS. MARY ANN A. RUBIO

KINDER

TOTAL

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

GRADE 2/GRADE 8GRADE 3/GRADE 9

GRADE 4/GRADE 10

GRADE 5/GRADE 11

GRADE 6/GRADE 12

TOTAL FOR NON-GRADED

GRADE 1/GRADE 7

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.


12/21


13/21

Region IV - A Division District

Curriculum

Grade Level SIX (6) Section

109456070007 90.700 PROMOTED

109456070022 87.800 PROMOTED STATUS MALE FEMALE TOTAL

109456120218 86.900 PROMOTED

109456070055 84.300 PROMOTED

109457070055 84.400 PROMOTED

109456070088 84.350 PROMOTED

109456070096 92.350 PROMOTED

109456070113 86.250 PROMOTED

109456070130 83.500 PROMOTED

109456070141 85.650 PROMOTED

109456070142 86.250 PROMOTED MALE FEMALE TOTAL

109456070150 83.850 PROMOTED

109456070154 84.400 PROMOTED

109456070178 85.250 PROMOTED

109456070184 83.650 PROMOTED

109456070192 Pilapil, Frank Joshua, Nieves 85.500 PROMOTED

109456070213 89.400 PROMOTED

109456070237 Tendilla, Mart Deniel, Martinez 83.550 PROMOTED

109456070239 Tibay, Adrian Allan, Bartolome 85.250 PROMOTED

165503070090 84.750 PROMOTED

20

PROFICIENT

(P: 85% -89%)

ADVANCED (A:

90% and above)

APPROACHING

PROFICIENCY

(AP: 80%-84%)

LEVEL OF PROFICIENCY

DEVELOPING (D:

75%-79%)

BEGINNNING

(B: 74% and below)

PROMOTED

*IRREGULAR

SUMMARY TABLE

2013-2014

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)

From Previous School YearCompleted as of end of

current SY

as of End of the current SY

School Form 5 SF 5 Re ort on Promotion & Level of Proficienc(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

LRN

GENERAL

AVERAGE

(Numerical Value in

3 decimal places for

honor learner, 2 for

non-honor &Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

School Name


RIZAL

PILILLA ELEMENTARY SCHOOL CENTRAL RIZAL


LEARNER'S NAME

Albis, Rigel Lance, Patea (Second Honorable Mention)

RBEC

PILILLA

109456

Ferrer, Jasper Vince, Banda (First Honors)Jesuitas, Benny Ravel, MartinezLopez, Mark Angelo, Gelaga

Maranan, Brynt Augustin, VidanesMaranan, Emanuelle Christian, Sta. Maria

Aragon, Gene Alfred, BrionesAtencia, Andre, GarcenesCandelaria, Allen, AvecillaCervantes, John Clyde, Patag

Endoma, Charles John, Balentong

Matienzo, Jann Vic, BocoMillendez, John Owen, EnriquezPajadan, Jim Beryl, Cereno

Paz, King Belshazzar, Jayme

Retuerma, John Adrian, Cillan (Third Honorable Mention)

RETAINED

Villarin, Stephen Lloyd, Gonzales TOTAL MALE


14/21





From Previous School Year

Completed as of end of

current SY


LRN

GENERAL

AVERAGE

(Numerical Value in

3 decimal places forhonor learner, 2 for

non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED(Last Name, First Name, Middle Name)

LEARNER'S NAME

CERTIFIED CORRECT & SUBMITTED:

REVIEWED BY:

GUIDELINES:

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)

School Form 5: Page 2 of 3

PREPARED BY:

Class Adviser

(Name and Signature)

School Head


1. For All Grade/Year Levels

5. Protocols of validation & submission will remain underthe discretion of the Schools Division Superintendent


Division Representative

MRS. FIDELA F. BENDANA

MRS. LYN P. SANCHEZ

MRS. TERESITA PAREDES


15/21







current SY


LRN

GENERAL

AVERAGE

(Numerical Value in


honor learner, 2 fornon-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

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



16/21

Region IV -A Division District

Curriculum

Grade Level TWO ( 2 ) Section

STATUS MALE FEMALE TOTAL

109453120014 84.000 ( AP)PROMOTED

109453110002 82.000(AP) PROMOTED

109453110005 86.000 (P) PROMOTED

109364120375 85.000 (P) PROMOTED

112444110018 81.000 ( AP) PROMOTED

109453110013 84.000 ( AP) PROMOTED109453110014 82.000 ( AP) PROMOTED

109453120041 82.000 ( AP) PROMOTED

109453110016 86.000 (P) PROMOTED MALE FEMALE TOTAL

109453120100 82.000( AP) PROMOTED

109453110020 83.000 ( AP) PROMOTED

109453110021 83.000 ( AP) PROMOTED

109453120021 84.000 ( AP) PROMOTED

88.000(P) PROMOTED

109453110024 82.000 ( AP) PROMOTED

109453120012 85.000 (P) PROMOTED

109453110027 83.000 ( AP) PROMOTED

109453110030 82.000 ( AP) PROMOTED

109453110032 84.000 ( AP) PROMOTED

109453120044 82.000( AP) PROMOTED

Castelo, Emmanuel John, Precilla


DEVELOPING

(D: 75%-79%)

*IRREGULAR

Abao, Christopher

SUMMARY TABLE

Abria,Jhosua, Hidalgo

School Name NIOGAN ELEMENTARY SCHOOL

LRN

GENERAL

AVERAGE

(Numerical Value in


honor learner, 2 for

non-honor &Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED





From Previous School YearCompleted as of end of

current SY


RIZAL

LEARNER'S NAME


PROMOTED

School Form 5 SF 5 Re ort on Promotion & Level of Proficienc(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

RIZAL PILILLA

School ID 109453 School Year 2013-2014 K-12 BEC

Lomabas, Bernice, Francisco

Allague,Nehemiah, Garcia

Arancel, Gil, Adia

Cario, John Kenneth, Nacario

Cebrero,Ronnie, Agana

Clavecilla, Kim, Buagas

Crespo, Jaryl, Caranza

Cultura, KN Bryne, Macasaet

Dario, John Michael Vincent, Requioma

Dasco, Jetro Aerowin, Aguirre

Del Valle, Charles Edward, Datay

Ferrera, Ron Kaisser Ven, Dela Cruz

Gacula, Fernand, Ogena

Garovillas, Ryle Jaydee, Solmerano

Gomonit, Mack Andrei, Matuba

Joyosa, Kennard, Villarojas

Libao, Justine, Aguirre

BEGINNNING

(B: 74% and

below)

LEVEL OF PROFICIENCY

RETAINED

PROFICIENT

(P: 85% -89%)

APPROACHING

PROFICIENCY(AP: 80%-84%)

ADVANCED

(A: 90% and

above)


17/21

STATUS MALE FEMALE TOTAL

SUMMARY TABLE

LRN

GENERAL

AVERAGE

(Numerical Value in


honor learner, 2 fornon-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







current SY


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


18/21

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

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:

SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT

GUIDELINES:

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

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.

Nos. of ADVANCED

(A: 90% and above)

Nos. of PROFICIENT

(P: 85% -89%)

Nos. of APPROACHINGPROFICIENCY

(AP: 80%-84%)

Nos. of DEVELOPING

(D: 75%-79%)

School Form 6 (SF6) Summarized Report on Promotion

(This replaced Form 20)

IRREGULAR

TOTAL

Nos. of BEGINNNING

(B: 74% and below)

and Level of Proficiency

GRADE 1 /GRADE 7

PROMOTED

RETAINED

School YearSchool Name

School ID Region Division

District

GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTALSUMMARY TABLE


19/21

4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent


20/21

Region

TeachingNon-

Teaching

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

Ave. Minutes per Day

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

Employee

No. (or TaxIdentification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

(C ) Other Appointments and Funding Sources

Subject Taught

(include Grade &

Section), Advisory Class

&Other Ancillary

Assignment



* Daily Program (time duration)

Fund Source

(SEF, PTA, NGO's

etc.)

Remark/s (For

Detailed Items,

Indicate name of

school/office, For

IP's -Ethnicity)

Number of

Incumbent

Minor

Appointment:

(Contractual,

Substitute,

Volunteer, others

specify)

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

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 Year

School ID

School Name

Division

District

(B) Nationally-Funded Non Teaching Items

Title of Designation

(Designation as appeared in the

contract/document: Teacher, Clerk,

Security Guard, Driver etc.)

(A) Nationally-Funded Teaching & Teaching Related Items


21/21

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignmentper Week

Employee

No. (or TaxIdentification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source

Subject Taught

(include Grade &

Section), Advisory Class

&Other Ancillary

Assignment

* Daily Program (time duration)Remark/s (For

Detailed Items,

Indicate name of

school/office, For

IP's -Ethnicity)

Minor

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

GUIDELINES: Submitted by:

(Signature of School Head over Printed Name)

3. Please reflect subjects being taught and i f teacher handl ing advisory c lass or Anci llary Assignment. Other administrative duties must a lso repor ted. Updated as of: ___________________________

School Form 7, Page 2 of ________




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.

4. * Daily Program Column is for teaching personnel only.

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 .


Documents

School Form 4 July