School Form 1 (SF1)School Form 1 (SF 1) School Register(This
replaces Form 1, Master List & STS Form 2-Family Background and
Profile)School IDRegionDivisionDistrictSchool NameSchool YearGrade
LevelSectionLRNNAME(Last Name, First Name, Middle Name) Sex
(M/F)BIRTH DATE (mm/dd/ yyyy)AGE as of 1st Friday JuneMOTHER TONGUE
(Grade 1 to 3 Only)IP (Ethnic Group)RELIGIONADDRESSPARENTSGUARDIAN
(If not Parent)Contact Number of Parent or GuardianREMARKSHouse #/
Street/ Sitio/PurokBarangayMunicipality/ City ProvinceFather's Name
(Last Name, First Name, Middle Name) Mother's Maiden Name (Last
Name, First Name, Middle Name)NameRelation-ship(Please refer to the
legend on last page) List and Code of Indicators under REMARKS
columnPrepared by:Certified Correct:IndicatorCodeRequired
InformationIndicatorCodeRequired
InformationREGISTEREDBoSYEoSYTransferred OutT/OName of Public (P)
Private (PR) School & Effectivity DateCCT RecipientCCTCCT
Control/reference number & Effectivity DateMALETransferred
INT/IName of Public (P) Private (PR) School & Effectivity
DateBalik-AralB/AName of school last attended &
YearFEMALE(Signature of Adviser over Printed Name)(Signature of
School Head over Printed Name)DroppedDRPReason and Effectivity
DateLearner With DissabilityLWDSpecifyTOTALLate EnrollmentLEReason
(Enrollment beyond 1st Friday of June)AccelaratedACLSpecify Level
& Effectivity DataBoSY Date: EoSYDate:BoSY Date:
EoSYDate:
School Form 2 (SF2)School Form 2 (SF2) Daily Attendance Report
of Learners(This replaces Form 1, Form 2 & STS Form 4 -
Absenteeism and Dropout Profile)School IDSchool YearReport for the
Month ofName of SchoolGrade LevelSectionLEARNER'S NAME (Last Name,
First Name, Middle Name) (1st row for date)Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.If TRANSFERRED IN/OUT, write the name of
School.)MTWTHFMTWTHFMTWTHFMTWTHFMTWTHFABSENTTARDYMALE | TOTAL Per
DayFEMALE | TOTAL Per Day Combined TOTAL PER DAYGUIDELINES:1. CODES
FOR CHECKING ATTENDANCEMonth:No. of Days of Classes:Summary1. The
attendance shall be accomplished daily. Refer to the codes for
checking learners' attendance.(blank) - Present; (x)- Absent; Tardy
(half shaded= Upper for Late Commer, Lower for Cutting
Classes)MFTOTAL2. Dates shall be written in the columns after
Learner's Name.* Enrolment as of (1st Friday of June)3. To compute
the following:2. REASONS/CAUSES FOR DROPPING OUTa.Percentage of
Enrolment =Registered Learners as of end of the monthx 100a.
Domestic-Related FactorsLate Enrollment during the month (beyond
cut-off)Enrolment as of 1st Friday of the school yeara.1. Had to
take care of siblingsb.Average Daily Attendance = Total Daily
Attendancea.2. Early marriage/pregnancyRegistered Learners as of
end of the monthNumber of School Days in reporting montha.3.
Parents' attitude toward schoolingc.Percentage of Attendance for
the month =Average daily attendancex 100a.4. Family
problemsPercentage of Enrolment as of end of the monthRegistered
Learners as of end of the monthb. Individual-Related Factorsb.1.
IllnessAverage Daily Attendance4. Every end of the month, the class
adviser will submit this form to the office of the principal for
recording of summary table into School Form 4. Once signed by the
principal, this form should be returned to the adviser.b.2.
Overageb.3. DeathPercentage of Attendance for the month 5. The
adviser will provide neccessary interventions including but not
limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out.b.4. Drug
Abuseb.5. Poor academic performanceNumber of students absent for 5
consecutive days:6. Attendance performance of learners will be
reflected in Form 137 and Form 138 every grading period.b.6. Lack
of interest/Distractions*Beginning of School Year cut-off report is
every 1st Friday of the School Yearb.7. Hunger/MalnutritionDrop
outc. School-Related Factorsc.1. Teacher FactorTransferred outc.2.
Physical condition of classroomc.3. Peer influenceTransferred ind.
Geographic/Environmentald.1. Distance between home and schoold.2.
Armed conflict (incl. Tribal wars & clanfeuds)I certify that
this is a true and correct report.d.3. Calamities/Disasterse.
Financial-Relatede.1. Child labor, work (Signature of Teacher over
Printed Name)f. Others (Specify)School Form 2 : Page ___ of
________Attested by: (Signature of School Head over Printed
Name)
School Form 3 (SF3)School Form 3 (SF3) Books Issued and
Returned(This replaces Form 1 & Inventory of Textbooks)School
IDSchool YearSchool NameGrade LevelSectionNO.LEARNER'S NAME (Last
Name, First Name, Middle Name) Subject Area & TitleSubject Area
& TitleSubject Area & TitleSubject Area & TitleSubject
Area & TitleSubject Area & TitleSubject Area &
TitleSubject Area & TitleREMARKS/ACTION TAKEN (Please refer to
the legend on last
page)DateDateDateDateDateDateDateDateIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturned
TOTAL FOR MALE | TOTAL COPIES TOTAL FOR FEMALE | TOTAL COPIES TOTAL
LEARNERS | TOTAL COPIESGUIDELINES:In case of lost/unreturned books,
please provide information with the following code:Prepared By:1.
Title of Books Issued to each learner must be recorded by the class
adviser.A. In Column Date Returned, codes are: FM=Force Majeure,
TDO: Transferred/Dropout, NEG=Negligence2. 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.B.
In Column Remark/Action Taken, codes are: LLTR=Secured Letter from
Learner duly signed by parent/guardian (for 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, DO#14,
2.2012.(Signature over printed name)4. The Total Number of Copies
of Books Returned at the EoSYshall be reflected in the form. Date
BoSY:____________ Date EoSY: ___________5. All textbooks being used
must be included. Additional copies of this form may be used if
needed.School Form 3: Page ___ of ________
School Form 4 (SF 4)School Form 4 (SF4) Monthly Learner's
Movement and Attendance(This replaces Form 3 & STS Form
4-Absenteeism and Dropout Profile)School
IDRegionDivisionDistrictSchool NameSchool YearReport for the Month
ofGRADE/ YEAR LEVELSECTIONNAME OF ADVISERREGISTERED LEARNERS (As of
End of the Month)ATTENDANCEDROPPED OUTTRANSFERRED OUTTRANSFERRED
INDaily Average Percentage 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(B) For the Month (A+B)
Cumulative as of End of the Month(A) Cumulative as of Previous
Month(B) For the Month (A+B) Cumulative as of End of the
MonthMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTELEMENTARY/SECONDARY:KINDERGRADE
1/GRADE 7GRADE 2/GRADE 8GRADE 3/GRADE 9GRADE 4/GRADE 10GRADE
5/GRADE 11GRADE 6/GRADE 12TOTAL FOR
NON-GRADEDTOTALGUIDELINES:Prepared and Submitted by:1. This form
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 the Division Office with a copy a week after June
30, October 30 & March 31 (Signature of School Head over
Printed Name)Page _____ of _____ pages
School Form 5 (SF5)School Form 5 (SF 5) Report on Promotion
& Level of Proficiency(This replaces Forms 18-E1, 18-E2, 18A
and List of Graduates)RegionDivisionDistrictSchool IDSchool
YearCurriculumSchool NameGrade LevelSectionLRN LEARNER'S NAME (Last
Name, First Name, Middle Name) GENERAL AVERAGE (Numerical Value in
2 decimal places and 3 decimal places for honor learners, and
Descriptive Letter)ACTION TAKEN: PROMOTED, IRREGULAR or RETAINED
INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and
remaining RBEC in High School. Elementary grades level that are
still implementing RBEC need not to fill up these columns)From
previous school years completed as of end of current School YearAs
of end of current School YearSUMMARY TABLESTATUS
MALEFEMALETOTALPROMOTEDIRREGULAR RETAINEDLEVEL OF PROFICIENCY (K to
12 Only)MALEFEMALETOTALBEGINNNING (B: 74% and below)DEVELOPING (D:
75%-79%)APPROACHING PROFICIENCY (AP: 80%-84%)PROFICIENT (P: 85%
-89%)ADVANCED (A: 90% and above) TOTAL MALEPREPARED BY:Class
Adviser(Name and Signature)CERTIFIED CORRECT & SUBMITTED:School
Head(Name and Signature)REVIEWED BY:(Name and Signature)Division
RepresentativeGUIDELINES:1. For All Grade/Year Levels2. To be
prepared by the Adviser. Final rating per subject area should be
taken from the record of subject teachers. The class adviser should
compute for the 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 tally with the total
enrollment report as of End of School Year GESP /GSSP (EBEIS)5.
Protocols of validation & submission is under the discretion of
the Schools Division Superintendent TOTAL FEMALE COMBINEDSchool
Form 5: Page ____ of ________
School Form 6 (SF6)School Form 6 (SF6)Summarized Report on
Promotion and Level of Proficiency(This replaces Form 20) School
IDRegionDivisionSchool NameDistrictSchool YearSUMMARY TABLEGRADE 1
/GRADE 7GRADE 2 / GRADE 8GRADE 3 / GRADE 9GRADE 4 / GRADE 10GRADE 5
/ GRADE 11GRADE 6 / GRADE
12TOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALPROMOTEDIRREGULAR
(Grade 7 onwards only)RETAINEDLEVEL OF PROFICIENCY (K to 12
Only)MALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALBEGINNNING
(B: 74% and below)DEVELOPING (D: 75%-79%)APPROACHING PROFICIENCY
(AP: 80%-84%)PROFICIENT (P: 85% -89%)ADVANCED (A: 90% and
above)TOTALPrepared and Submitted by: Reviewed & Validated
by:Noted by:SCHOOL HEADDIVISION REPRESENTATIVESCHOOLS DIVISION
SUPERINTENDENTGUIDELINES:1. After receiving and validating the
Report for Promotion submitted by the class adviser, the School
Head shall compute the grade level total and school total.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 is under the discretion of
the Schools Division Superintendent.
School Form 7 (SF7)School Form 7 (SF7) School Personnel
Assignment List and Basic Profile(This replaces Form 12-Monthly
Status Report for Teachers, Form 19-Assignment List,Form 29-Teacher
Program and Form 31-Summary Information of Teachers)School
ID123334RegionVIIIDivisionSAMARSchool NameCALBANG ELEMENTARY
SCHOOLDistrictBASEY IISchool Year2015-2016(A) Nationally-Funded
Teaching & Teaching Related Items(B) Nationally-Funded Non
Teaching Items(C ) Other Appointments and Funding SourcesTitle of
Plantilla Position (as it appears in the appointment
document/PSIPOP)Number of IncumbentTitle of Plantilla Position (as
it appears in the appointment document/PSIPOP)Number of
IncumbentTitle of Designation (as it appears in the
contract/document: Teacher, Clerk, Security Guard, Driver etc.)
Appointment: (Contractual, Substitute, Volunteer, others
specify)Fund Source (SEF, PTA, NGO's etc.)Number of
IncumbentTeachingNon-TeachingElementary Grade Teacher I3Employee
No. (or Tax Identification Number -T.I.N.)Name of School Personnel
(Arrange by Position, Descending) SexFund SourcePosition/
DesignationNature of Appointment/ Employment StatusEDUCATIONAL
QUALIFICATIONSubject Taught (include Grade & Section), Advisory
Class & Other Ancillary AssignmentsDaily Program (time
duration)Remarks (For Detailed Items, Indicate name of
school/office, For IP's -Ethnicity)Degree / Post GraduateMajor/
SpecializationMinorDAY (M/T/W/TH/F)From (00:00)To (00:00)Total
Actual Teaching Minutes per Week428826396Jennifer R.
LlemosFNationalEGT-IPermanentBEEDGEN. EDN/AFlag Raising
CeremonyM/T/W/TH/F7:157:3015Meeting Time 1
KindergartenM/T/W/TH/F7:307:5020Work Period 1
KinderM/T/W/TH/F7:508:4550Meeting Time 2
KinderM/T/W/TH/F8:459:0520Rest/Story Time
KinderM/T/W/TH/F9:259:4520Work Period 2
KinderM/T/W/TH/F9:4510:3045Indoor/Outdoor Activity
KinderM/T/W/TH/F10:3010:5020Meeting Time 3
KinderM/T/W/TH/F10:5011:0010Arrival/Opening Prayer
KinderM/T/W/TH/F1:001:1010Meeting Time 1
KinderM/T/W/TH/F1:101:2515Work Period 1
KinderM/T/W/TH/F1:252:1550Rest/Story Time
KinderM/T/W/TH/F2:302:4515Meeting Time 2
KinderM/T/W/TH/F2:453:3045Indoor/Outdoor
ActivitiesM/T/W/TH/F3:303:5020Meeting Time 3
KinderM/T/W/TH/F3:504:0010Ave. Minutes per Day365Educ. Sa
Pagpapakatao I-IIM/T/W/TH/F7:408:1030Mother Tongue
I-IIM/T/W/TH/F8:109:0050English Oral Fluency
I-IIM/T/W/TH/F9:2010:1050Numeracy Skills/Math
I-IIM/T/W/TH/F10:1011:0050Araling Panlipunan
I-IIM/T/W/TH/F11:0011:4040Filipino I-IIM/T/W/TH/F1:302:2050MAPEH
I-IIM/T/W/TH/F2:203:0040Science I-IIM/T/W/TH/F3:003:5050Ave.
Minutes per Day360401456132Cristina P.
LayosFNationalEGT-I/TICPermanentBEEDENGLISHN/AEduk. Sa Pagpapakatao
III-IVM/T/W/TH/F7:408:1030M.T.M/T/W/TH/F8:109:0050English Oral
Fluency III-IVM/T/W/TH/F9:2010:1050Mathematics
III-IVM/T/W/TH/F10:1011:0050Araling Panlipunan
III-IVM/T/W/TH/F11:0011:4040Filipino
III-IVM/T/W/TH/F1:302:2050MAPEH III-IVM/T/W/TH/F2:203:0040SCIENCE
III-IVM/T/W/TH/F3:003:5050Ave. Minutes per Day360294754620Adrian O.
DobleMNationalEGT-IPermanentBEEDGEN. EDN/ACharac. Educ.
V-VIM/T/W/TH/F7:307:5020English V-VIM/T/W/TH/F7:509:1080HEKASI
V-VIM/T/W/TH/F9:109:5040MATH V-VIM/T/W/TH/F10:0510:5550FILIPINO
V-VIM/T/W/TH/F10:5511:5560SCIENCE & HEALTH
V-VIM/T/W/TH/F1:302:3060MSEP V-VIM/T/W/TH/F2:303:1040EPP
V-VIM/T/W/TH/F3:103:5040Ave. Minutes per Day390GUIDELINES: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 the school year, an updated Form 19 must be
submitted to the Division Office .GRACE ACILDO EPIS2. 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. (Signature of School Head over Printed Name)3.
Please reflect subjects being taught and if teacher handling
advisory class or Ancillary Assignment. Other administrative duties
must also reported.4. Daily Program Column is for teaching
personnel only.Updated as of: June 30, 2015School Form 7, Page ___
of ________