School Forms Grade III 014 - Copy

8/9/2019 School Forms Grade III 014 - Copy

1/87


2/87


3/87

LRNNAME

(Last Name, First Name, Middle Name) Sex

(M/F)

1$ 10713011000 ESTE%AN, &A%"IEL DELOS "E!ES#

13 1071301$0$$0 ELA"CA, "AAEL #

1) 1071301$0$$$ GARCIA, LAWRENCE

#

1* 107130110073 &"E&O"IO, 'E"O#E "!AN A%ALA!AN#

1 1071)1100088 'I#ENE. '", A"IEL -ATINO#

17 1071301001)7 LA&"I#AS, LIAN &A%"INO#

18 1071301$0$*7 LON&&A, C"ISTIAN 'A! "ODASTE

#

1+ 1071371$01$* #ACA"ONSIN&, 'ALIL -A#-A#


4/87


5/87

LRNNAME


(M/F)

GIRLS

11071$3100013 ALANTE, 'ENN!L!N TATO!

$13*811$0$7 ALI%U!O&, "AC(ELLE /I"A!

3107130110013 A#AD, AN&ELICA E"NANDE.

)107130110018 A-OSTOL, EUSES %EA DI.ON

*

1070100+0017 A"UILLO, 'U/IL!N LA%A'AN

1071301$0$* ATC(I/A", #A"I/IC CA%E


6/87

LRNNAME


(M/F)

71071301$0$)+ %ANSIL, -"INCESS 'OECIEN SOLA

81071301100$) %ENA/IDE., A!E DELA C"U.

+1071301100)+ DELA C"U., AS(LE! NICOLE "ANCAS

10107130110083 LA&%AS, 'AS#IN %ALINTOS

111071301$0$+ #ACASLAN&, #ADI(A( #ANO&AN&CA"

1$10713011010 "A#OS, 'ANE "OC(ELLE ANNE #ADE'A

13

10)7771$00+8 "IN&O", AN&ELA "AINE A%A!

1)1071$+1$0)07 "ODILLAS, S(ANE 'E!USON


7/87

LRNNAME


(M/F)

1*1071301$0$)1 SILAO, #A"!LON NA%O"

110713011011+ TE--AN&, E"ICA #AE DA/ID

1710713013000) T"INIDAD, SAC(I AND"EA O%E"E.

181071301$0$+* !USON, #A!A A%ITONA

List and ode o! Indicators "n


8/87

LRNNAME


(M/F)

Indicator ode Re$"ired In!ormation

%rans!erred &"t %/& Name o! '"lic (') 'riate ('R) School * E!!

%rans!erred IN %/I Name o! '"lic (') 'riate ('R) School * E!!

ro--ed R' Reason and E!!ectiit+ ate

Late Enrollment LE Reason (Enrollment e+ond 1st Frida+ o! ."n


9/87


10/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)

AGE as o! 1stFrida+ ."ne

M&%0ER%&NGE

I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/

'"ro3

73$007 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta

3$00 8 Ta2alo2 Chr5tanty 1))8 Tabacuhan "9: Sta: "ta

11$*$00*8 Ta2alo2 Chr5tanty 1)78 Tabacuhan "9: Sta: "ta

30$007 Ta2alo2 Chr5tanty Sta: "ta

8$0$007 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta

8)$007 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta

103$00

7 Ta2alo2 Chr5tanty 1*1 Tabacuhan "9: Sta: "ta

$1$008 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta

)0 (oly S6rtTabacuhan "9:


11/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)


M&%0ER%&NGE


'"ro3

1$1$00*8 Ta2alo2 Chr5tanty 13)) Tabacuhan "9: Sta: "ta

810$00 7 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta

+$00+ Ta2alo2 Chr5tanty 1))8 Tabacuhan "9: Sta: "ta

8$1$00*8 Ta2alo2 Chr5tanty 1*3+ Tabacuhan "9: Sta: "ta

+1$00*8 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta

)$$$00*+ Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta

107$00*

8 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta

103$00)+ Ta2alo2 I5lam Tabacuhan "9: Sta: "ta


12/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)


M&%0ER%&NGE


'"ro3

11$008 Ta2alo2 I5lam Sta: "ta

31$00 8 Ta2alo2 Chr5tanty 1)7$ Tabacuhan "9: Sta: "ta

18$00*8

Ta2alo2Chr5tanty 1)78 Tabacuhan "9: Sta: "ta

+$*$007 Ta2alo2 Chr5tanty 1)+$ Tabacuhan "9: Sta: "ta

$1$$008 Ta2alo2 Chr5tanty 1)7 Tabacuhan "9: Sta: "ta

713$00)+ Ta2alo2 Chr5tanty Sta: "ta

10 (oly S6rtTabacuhan "9:


13/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)


M&%0ER%&NGE


'"ro3

$0*8 Ta2alo2 Chr5tanty 5ta: "ta

5/2/2006


9/3/2006

7 Ta2alo2 Chr5tanty 1**1 Tabacuhan "9: Sta: "ta

9/11/2006


7/1/2003

10 Ta2alo2 Chr5tanty Sta: "ta

1/1/2002

1$ Ta2alo2 Chr5tanty 1**1 Tabacuhan "9: Sta: "ta

(oly S6rt Tabacuhan"9:

(oly S6rt Tabacuhan

"9:


14/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)


M&%0ER%&NGE


'"ro3

9/5/2006

7 Ta2alo2 Chr5tanty 1*$7 Tabacuhan "9: Sta: "ta

2/7/2006 8 Ta2alo2 Chr5tanty 1)7$ Tabacuhan "9: Sta: "ta

7/19/2006

7 Ta2alo2 Chr5tanty 1)$ Tabacuhan "9: Sta: "ta

4/3/2006

8 Ta2alo2 Chr5tanty 138 Tabacuhan "9: Sta: "ta

8/4/2006

7 Ta2alo2 I5lam Sta: "ta

9/8/2006

7 Ta2alo2 Chr5tanty 1)*+ Tabacuhan "9: Sta: "ta

4/27/2006


9/20/2005


+ (oly S6rtTabacuhan "9:


15/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)


M&%0ER%&NGE


'"ro3

12/5/2005

8 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta

12/27/2005 8 Ta2alo2 Chr5tanty 1)+* Tabacuhan "9: Sta: "ta

8/6/2006

7 Ta2alo2 Chr5tanty 1))8 Tabacuhan "9: Sta: "ta

5/17/2004

10 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta

r REMAR#S col"mn


16/87

RELIGI&N

A

aranga+

IR%0 A%E(mm/dd/ ++++)


M&%0ER%&NGE


'"ro3

ode Re$"ired In!ormation

tiit+ ate % % ontrol/re!erence n"mer * E!!ectiit+ ate

tiit+ ate /A Name o! school last attended * 4ear

L5 S-eci!+

AL S-eci!+ Leel * E!!ectiit+ ata


17/87

rro!ile"

D5trct II

$01* &ra9e Le4el III Secton

RESS 'AREN%S

M"nici-alit+/ it+ 'roince Name

Olon2a6o .ambale5'OEL A ANASTACIO (ELEN - "UNDINA

Olon2a6o .ambale5"ANNIE % %ALA&A &I"LIE /ILLE&AS %ESA

Olon2a6o .ambale5ANTONIO E %A"TOLO#E '" #A"I/IO ' "E!ES

GARIAN(I! n

Father6s Name (Last Name, FirstName, Middle Name)

Mother6s Maiden Name (Last Name, FirstName, Middle Name)


18/87

RESS 'AREN%S


GARIAN(I! n



Olon2a6o .ambale5AND"E; SANTOS %ASA #E".A S SATO""E

Olon2a6o .ambale5 E""OL SO"IA CALLOS NENITA L CALLOSOlon2a6o .ambale5

'ASON COLLADO CANA-ATI 'ENEL!N A"IOLA "A#ATOlon2a6o .ambale5

CA"LOS (E""E"A CASCO "AUEL CASCOOlon2a6o .ambale5

-E-ITO '" &ETES CA!ANON& #A"ILOU CA!ANON&Olon2a6o .ambale5

ALE< CE"E.O LO"IE ANN .A#O"AOlon2a6o .ambale5

CELEDONIO SENANO CIELO ELEONO" A CA#-O#A"ESOlon2a6o .ambale5(EN"! %ACALIN& ESCA#ILIAN 'ENNIE" A ADOL


19/87

RESS 'AREN%S


GARIAN(I! n



Olon2a6o .ambale5ANTONIO A"" ESTE%AN DI/INIA 'A%ONNETTE DELOS "E!ES

Olon2a6o .ambale5 #INE"/A - ELA"CAOlon2a6o .ambale5

NA.A"ENO ATIEN.A SANTOS #I"ADEL AND"ES &A"CIAOlon2a6o .ambale5

"O#EL -E"E. &"E&O"IO S(E"IL A A%ALA!ANOlon2a6o .ambale5

A"IEL -ATINO 'I#ENE. S" NO/A .A"A&O.A -ATINOOlon2a6o .ambale5

SUL-ICIO %ONIAO LA&"I#AS '" #A"! &"ACE & LA&"I#ASOlon2a6o .ambale5

"O%E"TO CA%ALTE"A LON&&A C"ISTINA "ODASTEOlon2a6o .ambale5E"#INA C -A#-A

-ACO"AC %O"OCA#ACA"ONSIN&


20/87


21/87

RESS 'AREN%S


GARIAN(I! n



Olon2a6o .ambale5A&A-ITO ALANTE "O;NL!N TAT!O

Olon2a6o .ambale5"IC(A"D I ALI%U!O& "E


22/87

RESS 'AREN%S


GARIAN(I! n



Olon2a6o .ambale5'ASON "A#OS %ANSIL 'A!SON %ANSIL

Olon2a6o .ambale5 C"IS-IN CA"INO %ENA/IDE. NO"A DELA C"U.Olon2a6o .ambale5

'ASON L DELA C"U. C"IST! % "ANCASOlon2a6o .ambale5

'OSE-( &A%O"NE LA&%AS ELINETA %ALINTOSOlon2a6o .ambale5

DAOSA"! A#-ASO #ACASLAN& #AI"A SA"I- #ANO&AN&CA"Olon2a6o .ambale5

'UNE DONADILLO "A#OS #A"! ANN #ADE'AOlon2a6o .ambale5

"AEL SALO "IN&O" /ICL!N SIE&O A%A!Olon2a6o .ambale5%E"NA"D #E"CU"IO "ODILLAS 'ESSICA E#-ESTAN 'E!USON


23/87

RESS 'AREN%S


GARIAN(I! n



Olon2a6o .ambale5A"SENIO # SILAO #!LA % NA%O"

Olon2a6o .ambale5 E"ICSON %A"LET TE--AN& #AE ANN DA/IDOlon2a6o .ambale5

'OEL SA&U# T"INIDAD LOIDA ESTEL O%E"E.Olon2a6o .ambale5

"OLAND !USON LOIDA A%ITONA


24/87

RESS 'AREN%S


GARIAN(I! n



REGIS%ERE %oS! EoS!

MALE 78MARI%ES G9 RI:ER&

FEMALE 1;

?S2nature o@ A945er o4er -rnte9 Name

%&%AL EoS!Date>


25/87

-earl

REMAR#S

elation>shi-

'arent)

ontact N"mer o!'arent or G"ardian ('lease re!er to the

legend on last -age)


26/87

REMAR#S

elation>shi-

'arent)




27/87

REMAR#S

elation>shi-

'arent)




28/87


29/87

REMAR#S

elation>shi-

'arent)




30/87

REMAR#S

elation>shi-

'arent)




31/87

REMAR#S

elation>shi-

'arent)




32/87

REMAR#S

elation>shi-

'arent)



?S2nature o@ School (ea9 o4er -rnte9 Name

%oS! Date> EoS!Date>


33/87


34/87

7 = < 8 B 1@ 11 17 1=

M % 5 %0 F M % 5 %0 F

LEARNER6S NAME(Last Name, First Name, Middle Name)

12 Enrue, ;ncel %ermeFo13 lore5, Troy E56na14 (arr5on, ABntola OlaGale %co15 I59ro, 'ohn #chael %aFar16 'alan9on , 'u5tne %eltran17 #anabat, /hon 'u5tne S:18 #2uel , "eymart Sabatn19 #onton, #attran Ace (ermo5a20 -an2anban, 'onathan #:21 -arco, SherGn Llenare522 uFano, 'ohn &abrel23 "e9on9o, Samuel A9ona24 Sar6, Saa9 %:

25 Uon, er9nan926 /9allon, #chael' Ol2an27 Uon, er9nan928 !a6, 'an "haymon9 "omual9o

GIRLS


35/87

7 = < 8 B 1@ 11 17 1=

M % 5 %0 F M % 5 %0 F


1%urlan, An2ela Lou5e Tun26alan$Celo, Danca E5mar3Cru, Aalyah 'oy elarca)Daro, 'oann #e5a*Danac, 'ahel Le Ac5onDe -e9ro, Shela 'ane De Oro7De6u5oy , Thea AleHanne Abalo58Da, #arel Ncole A:+&abrel, /eronca A:

10&rFal4o, 'enalyn ":11'aner , 'oyce Anne &:1$#a2tbay , -rnce55 Nathale /:13-otaGan, Norhan Ibrahm

1)uFano, &Genael TGla1*"o5cano, 'ean "o5e1Talen2co, An9rea Lu2to17/ar9e, #a: Cr5tna Laban9lo

FEMALE C %&%AL 'er a+

omined %&%AL 'ER A4


36/87


37/87

7 = < 8 B 1@ 11 17 1=

M % 5 %0 F M % 5 %0 F


School orm $ > -a2e KKK o@ KKKKKKKK


38/87


39/87


40/87

."ne? 7@1<

1 1; 1B 7@ 7= 7< 78 7 7 =@

% 5 %0 F M % 5 %0 F M % 5 %0 F A%SENT TA"D!

%otal !or the Month REMAR#S ?I@ R&''E &%, 5tate rea56lea5e re@er to le2en9 number $:

I@ %RANSFERRE IN/&%, Grte the namSchool:


41/87

."ne? 7@1<

1 1; 1B 7@ 7= 7< 78 7 7 =@

% 5 %0 F M % 5 %0 F M % 5 %0 F A%SENT TA"D!



19 &ES F&R 0E#ING A%%ENANE MonthDNo9 o! a+s o! lassesD

S"mm

M

* 'nrolment as o! (1st Friday o! +une"79 REAS&NS/ASES F&R R&''ING &%

a9 omestic>Related Factors

a:1: (a9 to taBe care o@ 5bln25

a:$: Early marra2e6re2nancy

a:3: -arent5 atttu9e toGar9 5chooln2a:): amly 6roblem5

9 Indiid"al>Related Factors

b:1: Illne55 $)erage aily $ttendance

b:$: O4era2e

b:3: Deathercentage o! $ttendance !or the month

b:): Dru2 Abu5e

b:*: -oor aca9emc 6er@ormanceum%er o! students a%sent !or consecuti)e days.

b:: LacB o@ ntere5tD5tracton5b:7: (un2er#alnutrton

ro- o"tc9 School>Related Factors

c:1: Teacher actor%rans!erred o"t

c:$: -hy5cal con9ton o@ cla55room

c:3: -eer n@luence%rans!erred in

d9 Geogra-hic/Enironmental

9:1: D5tance betGeen home an9 5chool

9:$: Arme9 con@lct ?ncl: Trbal Gar5 clan@eu95 / certi!y that this is a true and correct report0

9:3: Calamte5D5a5ter5

?blanB > -re5entM ?H Ab5entM Tar9y ?hal@ 5ha9e9 U66er @or Late Commer, LoGer@or Cuttn2 Cla55e5

Late 'nrollment during the month

(%eyond cut-o!!"

egistered Learners as o! end of the month

ercentage o! 'nrolment as o! end of the month


42/87

."ne? 7@1<

1 1; 1B 7@ 7= 7< 78 7 7 =@

% 5 %0 F M % 5 %0 F M % 5 %0 F A%SENT TA"D!



e9 Financial>Related

e:1: Chl9 labor, GorB (Signature o! Teacher o)er rinted ame"

!9 &thers (S-eci!+)

Atte5te9 by>

(Signature o! School ead o)er rinted ame"


43/87

School Form = (SF=) oo(This replaces Form 1 & /n

School ID 145164 School !ear

School Name Ta%acuhan 'lementary School &ra9e Le4el

O:

Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $r

Date Date Date D

I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9

1Alonto, Amera Ace (u55e Um6a9

2Am6unn, #arB 'o5hua %altaar

3Arbo, "omeo 'r: La9no

4%arne5, 'o5hua elarca

5%ueno, loy9 Allen %aula

6

Con5tantno, #arB 'erco Coloma7Corte, &enron %on@aco

8De #e5a , 'ohn Lloy9 Dabon

9Der9er, De5mon9 Clay E56nel

10Duterte, I4an 'ay #e9na

11E9aol, yle Lu5

12Enrue, ;ncel %ermeFo



44/87

O:


Date Date Date D



13lore5, Troy E56na

14(arr5on, ABntola OlaGale %co

15 I59ro, 'ohn #chael %aFar

16'alan9on , 'u5tne %eltran

17#anabat, /hon 'u5tne S:

18#2uel , "eymart Sabatn

19#onton, #attran Ace (ermo5a

20-an2anban, 'onathan #:

21-arco, SherGn Llenare5

22uFano, 'ohn &abrel

23"e9on9o, Samuel A9ona

24Sar6, Saa9 %:

25Uon, er9nan926/9allon, #chael' Ol2an

27Uon, er9nan9

28!a6, 'an "haymon9 "omual9o

GIRLS


45/87

O:


Date Date Date D



1 %urlan, An2ela Lou5e Tun26alan

$Celo, Danca E5mar

3Cru, Aalyah 'oy elarca

) Daro, 'oann #e5a

*Danac, 'ahel Le Ac5on

De -e9ro, Shela 'ane De Oro

7De6u5oy , Thea AleHanne Abalo5

8Da, #arel Ncole A:

+&abrel, /eronca A:

10&rFal4o, 'enalyn ":

11'aner , 'oyce Anne &:

1$#a2tbay , -rnce55 Nathale /:

13-otaGan, Norhan Ibrahm1)uFano, &Genael TGla

1*"o5cano, 'ean "o5e

1Talen2co, An9rea Lu2to

17/ar9e, #a: Cr5tna Laban9lo


46/87

O:

Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $

Date Date Date D



TOTAL O" E#ALE TOTAL CO-IES

TOTAL LEA"NE"S TOTAL CO-IES

ELINESD In case o! lost/"nret"rned oo3s, -lease -

tle o@ %ooB5 I55ue9 to each learner mu5t be recor9e9 by the cla55 a945er:he Date o@ I55uance an9 the Date o@ "eturn 5hall be re@lecte9 n the @orm:

he Total Number o@ Co6e5 55ue9 at %oS! 5hall be re@lecte9 n the @orm:

he Total Number o@ Co6e5 o@ %ooB5 "eturne9 at the EoS!5hall be re@lecte9 n the @orm:

l teHtbooB5 ben2 u5e9 mu5t be nclu9e9: A99tonal co6e5 o@ th5 @orm may be u5e9 @ nee9e9:

A9 In Column Date "eturne9, co9e5 are> FM9 In Column "emarBActon TaBen, co9e5 ar6re6are9 letterre6ort 9uly note9 by School (NE&: "e@erence5> DOP$3, 5:$001, DOP$*,


47/87

Iss"ed and Ret"rnedory o! Te3t%ooks"

$013$01)

Secton O6al

Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title

Date Date Date Date

eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9

"E#A"SACTION TAEN(lease re!er to the legend on last page"


48/87

& Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title

Date Date Date Date




49/87


Date Date Date Date




50/87


Date Date Date Date



de in!ormation ith the !olloing codeD 're-ared +D

?S2nature o4er 6rnte9 name

Date %oS!>KKKKKKKKKKKK Date EoS!> KKKKKKKKKKK

e #aFeure, %&> Tran5@erre9Dro6out, NEGNe2l2ence%RSecure9 Letter @rom Learner 9uly 52ne9 by 6arent2uar9an ?@or co9e #, %L%RTeacheror 5ubm55on to School -ro6erty Cu5to9an ?@or co9e TDO, '%L-a9 by the Learner ?@or co9e03, DOP1), $:$01$:


51/87

School Form < (SF


52/87

MEN%AR4/SE&NAR4D

INDE"

&"ADE 1&"ADE 7

&"ADE $&"ADE 8

&"ADE 3&"ADE +

&"ADE )&"ADE 10

&"ADE *&"ADE 11

&"ADE &"ADE 1$

TOTAL O" NON&"ADED

TOTAL

DELINES>

h5 @orm 5hall be accom6l5he9 e4ery en9 o@ the month u5n2 the 5ummary boH o@ S$ 5ubmtte9 by the teacher5a945er5 to u69ate @2ure5 @or the month:

urn5h the D45on O@@ce Gth a co6y a GeeB a@ter 'une 30, October 30 #arch 31

e KKKKK o@ KKKKK 6a2e5


53/87

6s Moement and Attendanceteeism and ropout ro!ile"

D5trct

School !ear "e6ort @or the #onth o@

E &% %RANSFERRE &% %RANSFERRE IN

e #onth ?% or the #onth ?% or the #onth

T # T # T # T # T # T # T # T

?AQ% Cumulat4e a5 o@En9 o@ the #onth

?A Cumulat4e a5 o@-re4ou5 #onth

?AQ% Cumulat4e a5 o@En9 o@ the #onth

?A Cumulat4e a5 o@-re4ou5 #onth

?AQ% Cumulat4e a5o@ En9 o@ the #onth


54/87

're-ared and S"mitted +D



55/87

School Form 8 (SF 8) Re-ort on 'r(This replaces Forms 18-'1, 18-'2

"e2on III D45on Olon2a6o Cty

School ID145164

School !ear $013$01

School Name Tabacuhan Elementary School

LRN

1 107130100001Aba5, 'ohn #chael : -romote9

$ 107130100010 Alabata, CromGell 'ay A: -romote9

3 107130100017 Am6unn, "obert 'ohn 'r: %: -romote9

) 107130100058 Cayanon2, 'ohn -aul T: -romote9

* 107130100059 Cayo5a, "anel I: -romote9

107130100077 Del Carmen, Ace !: -romote9

7 107126100127 E9aol, 'erc A: -romote9

8 107130100101 2ueroa, 'u5tn Ol4er %: -romote9

+ 107130100129 I2naco, Chr5tan Earl %: -romote9

10 107130100133 'alan9on, 'ohn Le5ter ': -romote9

LEARNER6S NAME (Last Name,First Name, Middle Name)

GENERAL A:ERAGE ?Numercal /alue n $9ecmal 6lace5 an9 3

9ecmal 6lace5 @or honorlearner5, an9 De5cr6t4e

Letter

A%I&N %A#END'R&M&%E,

IRREGLAR orRE%AINE


56/87

LRN LEARNER6S NAME (Last Name,

First Name, Middle Name)



Letter


IRREGLAR orRE%AINE

11 107130100138 a6l, Da49 "amon %: -romote9

1$ 107130100143 La2ba5, 'a56er %: -romote9

13

107130100161 #a6a, 'he@@er5on &: -romote9

1) 107130100182 Ora5, An2el A: -romote9

1* 107130100187 -anaraa2, 'amel D: -romote9

1 107130100190 -an2catan, Al ": -romote9

17 107130100216 "o5cano, 'hon An9re L: -romote9

18 107125100251 San 'o5e, arlo Eury -romote9

1+ 107129100267 Sarmento, 'ohn /ncent #: -romote9

$0 107130100239 Solomon, &an : -romote9

$1 107130100241 Sun2a, Alcel %ene9ct A: -romote9

$$ 107130100247 T5mo, 'ohn LaGrence I: -romote9

$3 107130100250 Turno, "an A: -romote9

$3 TOTAL #ALE

1 107130100035 %aut5ta, %ea Camel S: -romote9

$ 107130100039 %ellone5, 'omara L: -romote9

3 Calma, 'oelFen &: -romote9


57/87





Letter


IRREGLAR orRE%AINE

) 107124100263D9aa2un, "aca S: -romote9

* 107130100102lore5, "oanne A: -romote9

105144100245

&aluyo, An9rea Lee #: -romote9

7 107130100114 &lora, Sarah A: -romote9

8 107130100126 (6olto, Lette -romote9

+ 107130100158 #a29amt, #hee Anne E: -romote9

10 106940090048#a2no, "uby &enn C: -romote9

11 107130100160#ana2o, Norlyn #: -romote9

1$ 107130100177No2ala9a, An2ela D: -romote9

13 107130100188 -anaraa2, Na5hannah A: -romote9

1) 136658100287 -eroo, rancne &ayle AyeBa -romote9

1* 107130100208 "ocero, "achelle Anne #: -romote9

1 107130100220 Sabatn, Cooln 'a5mn D: -romote9

17 107130100230 Sar6, Sumaya %: -romote9

18 107130100237 Sol5, NBB -romote9

1+ 107130100238 Solomon, Alyah 'oy A: -romote9

$0 107130100259 !a6, -recou5 Lo4e #: -romote9


58/87





Letter


IRREGLAR orRE%AINE

$0 TOTAL E#ALE

)3 CO#%INED


59/87

motion * Leel o! 'ro!icienc+$ and List o! 9raduates"

D5trct II

Currculum %a5c E9ucaton

&ra9e Le4el Three Secton Sa66hre

A5 o@ en9 o@ current School !ear

SMMAR4 %ALE

S%A%S MALE FEMALE %&%AL

-"O#OTED $3 $0 )3

I""E&ULA" 0 0 0

"ETAINED 0 0 0

N&M'LE%E S.E%/S ?Th5mn 5 @or to 1$ Currculum an9 remann2 "%EC n (2h School: Elementary 2ra9e5

le4el that are 5tll m6lementn2 "%EC nee9 not to @ll u6 the5e column5

om 6re4ou5 5chool year5 com6lete9 a5o@ en9 o@ current School !ear


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61/87

A5 o@ en9 o@ current School !ear

N&M'LE%E S.E%/S ?Th5mn 5 @or to 1$ Currculum an9 remann2 "%EC n (2h School: Elementary 2ra9e5

le4el that are 5tll m6lementn2 "%EC nee9 not to @ll u6 the5e column5

om 6re4ou5 5chool year5 com6lete9 a5o@ en9 o@ current School !ear

Cla55 A945er

?Name an9 S2nature

CE"TIIED CO""ECT SU%#ITTED>

EL/I"A S: CO"-U.

School (ea9

?Name an9 S2nature

"E/IE;ED %!>

?Name an9 S2nature

D45on "e6re5entat4e

GIELINESD

1: or All &ra9e!ear Le4el5

$: To be 6re6are9 by the A945er: nal ratn2 6er 5ubFect area 5houl9be taBen @rom the recor9 o@ 5ubFect teacher5: The cla55 a945er 5houl9com6ute @or the &eneral A4era2e:


62/87


63/87

School Form (SF)S"mmaried Re-ort on 'romotion and Leel

(This replaces Form 24"

School ID "e2on D4

School Name D

SMMAR4 %ALEGRAE 1 /GRAE GRAE 7 / GRAE ; GRAE = / GRAE B GRAE < / GRAE 1@

#ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TO

&M&%E

EGLAR

%AINE

:EL &F 'R&FIIEN4 #ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TO

E&INNNIN& ?%>7)R an9 beloG

DE/ELO-IN& ?D>7*R7+R

-"OAC(IN& -"OICIENC!?A-> 80R8)R

OICIENT ?-> 8*R8+R

D/ANCED ?A>+0R an9 abo4e


64/87

%&%AL

6are9 an9 Submtte9 by> "e4eGe9 /al9ate9 by> N

SC(OOL (EAD DI/ISION "E-"ESENTATI/E

ELINESD

1: A@ter rece4n2 an9 4al9atn2 the "e6ort @or -romoton 5ubmtte9 by the cla55 a945er, the School (ea9 5hall com6ute the 2ra9e le4el total an9 5chool total:

$: Th5 re6ort to2ether Gth the co6y o@ "e6ort @or -romoton 5ubmtte9 by the cla55 a945er 5hall be @orGar9e9 to the D45on O@@ce by the en9 o@ the 5chool year:

3: The "e6ort on -romoton 6er 2ra9e le4el 5 re@lecte9 n the En9 o@ School !ear "e6ort o@ &ES-&SS-:

): -rotocol5 o@ 4al9aton 5ubm55on 5 un9er the 95creton o@ the School5 D45on Su6ernten9ent:


65/87

o!icienc+

School !ear

GRAE 8 / GRAE 11 GRAE / GRAE 17 %&%AL

ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL

ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL


66/87

SC(OOLS DI/ISION SU-E"INTENDENT


67/87

School Form (SF) School 'ersonnel Assignment L(This replaces Form 12-Monthly Status eport !or Teachers, Form 1:-$ssign

Form 2:-Teacher rogram and Form 61-Summary /n!ormation o! Teach

School ID "e2on D45on

School Name D5trct

(A) Nationall+>F"nded %eaching * %eaching Related Items () Nationall+>F"nded Non %eaching Items

Number o@ Incumbent

SeH un9 Source

EA%I&NAL HALIFIA%I&N

#aFor S6ecalaton #nor

Ttle o@ -lantlla -o5ton ?a5 ta66ear5 n the a66ontment 9ocument-SI-O-

Ttle o@ -lantlla -o5ton ?a5 ta66ear5 n the a66ontment 9ocument-SI-O-

Number o@Incumbent

Ttle o@ De52na

contract9oc&uar9, D

Em6loyee No:?or TaH

I9ent@catonNumber T:I:N:

Name o@ School -er5onnel?Arran2e by -o5ton, De5cen9n2

-o5tonDe52naton

Nature o@A66ontment

Em6loyment Statu5 De2ree -o5t&ra9uate


68/87

SeH un9 Source


#aFor S6ecalaton #

Em6loyee No:?or TaH



-o5tonDe52naton

Nature o@A66ontment



69/87

SeH un9 Source


#aFor S6ecalaton #n

Em6loyee No:?or TaH



-o5tonDe52naton

Nature o@A66ontment


GIELINESD

$: All 5chool 6er5onnel, re2ar9le55 o@ 6o5tonnature o@ a66ontment 5houl9 be nclu9e9 n th5 @orm an9 5houl9 be l5te9 @rom the h2he5t ranB 9oGn to the loGe5t:

3: -lea5e re@lect 5ubFect5 ben2 tau2ht an9 @ teacher han9ln2 a945ory cla55 or Ancllary A552nment: Other a9mn5trat4e 9ute5 mu5t al5o re6orte9:): Daly -ro2ram Column 5 @or teachn2 6er5onnel only:

1: Th5 @orm 5hall be accom6l5he9 at the be2nnn2 o@ the 5chool year by the 5chool hea9: In ca5e o@ mo4ement o@ teacher5 an9 other 6er5onnel 9urn2 the 5chool year, an u69ate9 orO@@ce :


70/87

t and asic 'ro!ilent List,

s"

School !ear

( ) &ther A--ointments and F"nding So"rces

Number o@ Incumbent

Teachn2

Daly -ro2ram ?tme 9uraton

To ?00>00

A4e: #nute5 6er Day

n?a5 t a66ear5 n the

ent> Teacher, ClerB, Securtyer etc:

A66ontment>?Contractual, Sub5ttute,

/olunteer, other556ec@y

un9 Source?SE, -TA, N&O5 etc:

NonTeachn2

S"ect %a"ght ?nclu9e&ra9e Secton, A945ory

Cla55 &ther Ancillar+Assignments

"emarB5 ?or Detale9Item5, In9cate name o@5choolo@@ce, or I-5

Ethncty

DA!?#T;T(

rom?00>00

Total ActualTeachn2 #nute5

6er ;eeB


71/87


To ?00>00




Ethncty

DA!?#T;T(

rom?00>00


6er ;eeB

A4e: #nute5 6er Day

A4e: #nute5 6er Day

A4e: #nute5 6er Day

A4e: #nute5 6er Day


72/87


To ?00>00




Ethncty

DA!?#T;T(

rom?00>00


6er ;eeB

A4e: #nute5 6er Day

A4e: #nute5 6er Day

Submtte9 by>


U69ate9 a5 o@> KKKKKKKKKKKKKKKKKKKKKKKKKKK

School orm 7, -a2e KKK o@ KKKKKKKK

u5t be 5ubmtte9 to the D45on


73/87

School ID School !ea

Name o@ School

M % 5 %0 F

MALE C %&%AL 'er a+

(Last Name,



74/87

FEMALE C %&%AL 'er a+

omined %&%AL 'ER A4

GIELINESD

1: The atten9ance 5hall be accom6l5he9 9aly: "e@er to the co9e5 @or checBn2 learner5 atten9ance:$: Date5 5hall be Grtten n the column5 a@ter Learner5 Name:

3: To com6ute the @olloGn2>

a: ercentage o"e25tere9 Learner5

Enrolment a5 o@ 15t r

b:Total Daly

Number o@ School Da

c: ercentage o! $ttendance ! A4era2e 9al

"e25tere9 Learner5

*: The a945er Gll 6ro49e necce55ary nter4enton5 nclu9n2 but not lmte9 to home 45taton to learner5 Gh

: Atten9ance 6er@ormance o@ learner5 Gll be re@lecte9 n orm 137 an9 orm 138 e4ery 2ra9n2 6ero9:

J %e2nnn2 o@ School !ear cuto@@ re6ort 5 e4ery 15t r9ay o@ the School !ear

$)erageaily $ttendance

): E4ery en9 o@ the month, the cla55 a945er Gll 5ubmt th5 @orm to the o@@ce o@ the 6rnc6al @or recor9n2 o@ 5ube returne9 to the a945er:


75/87

orm $ > -a2e KKK o@ K


76/87

School Form 7(This replace

r

(1st ro !or dat

M % 5 %0 F M % 5


77/87

5 o@ en9 o@ the monthH 100

9ay o@ the 5chool yeartten9ance

y5 n re6ortn2 month

atten9anceH 100

5 o@ en9 o@ the month

Gere ab5ent @or * con5ecut4e 9ay5 an9or tho5e at r5B o@ 9ro66n2 out:

mmary table nto School orm ): Once 52ne9 by the 6rnc6al, th5 @orm 5houl9


78/87


79/87

(SF7) ail+ Attendance Re-ort o! Learnerss Form 1, Form 2 & STS Form # - $%senteeism and ropout ro!ile"

"e6ort @or the #onth o@

&ra9e Le4el

e)

%0 F M % 5 %0 F M


80/87

19 &ES F&R 0E#ING A%%ENANE

79 REAS&NS/ASES F&R R&''ING &%

a9 omestic>Related Factors

a:1: (a9 to taBe care o@ 5bln25

a:$: Early marra2e6re2nancy

a:3: -arent5 atttu9e toGar9 5chooln2

a:): amly 6roblem5

9 Indiid"al>Related Factors

b:1: Illne55b:$: O4era2e

b:3: Death

b:): Dru2 Abu5e

b:*: -oor aca9emc 6er@ormance

b:: LacB o@ ntere5tD5tracton5

b:7: (un2er#alnutrton

c9 School>Related Factors

?blanB > -re5entM ?H Ab5entM Tar9y ?hal@ 5ha9e9 U66er @or Late Commer, LoGer @or Cuttn2 Cla


81/87

c:1: Teacher actor

c:$: -hy5cal con9ton o@ cla55room

c:3: -eer n@luence

d9 Geogra-hic/Enironmental

9:1: D5tance betGeen home an9 5chool

9:$: Arme9 con@lct ?ncl: Trbal Gar5 clan@eu95

9:3: Calamte5D5a5ter5

e9 Financial>Related

e:1: Chl9 labor, GorB

!9 &thers (S-eci!+)


82/87

Secton

% 5 %0 F A%SENT TA"D!

%otal !or the MonthREMAR#S ?I@ R&''E

I@ %RANSFE


83/87


84/87

%rans!erred o"t

%rans!erred in

/ certi!y that this is a true and correct report0

(Signature o! Teacher o)er rinted ame"

Atte5te9 by>

(Signature o! School ead o)e


85/87

&%, 5tate rea5on, 6lea5e re@er to le2en9 number $:RE IN/&%, Grte the name o@ School:


86/87

S"mmar+

M F %&%AL

ond cut-o!!"


87/87

r rinted ame"

Documents

School Forms Grade III 014 - Copy