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School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
School ID School Name
Region
Division School Year
District
Grade Level
ADDRESS NAME OF PARENTS
SECTION
AGE as of NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ dd/yy) (nos. of years as per last birthday) BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group)
GUARDIAN (If not Pare
LRN
RELIGION
House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father (1st name only if family name identical to learner)
Mother (Maiden)
Name
AGE as of ADDRESS LRN NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ dd/yy) (nos. of years as per last birthday) BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) RELIGION NAME OF PARENTS
Barangay
Municipality/ City
Province
Mother (Maiden)
Name
AGE as of ADDRESS LRN NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ dd/yy) (nos. of years as per last birthday) BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) RELIGION NAME OF PARENTS
Barangay
Municipality/ City
Province
Mother (Maiden)
Name
List and code of Indicators under REMARK column

Indicator
Transferred Out Transferred IN Dropped Late Enrollment
Code
T/O T/I DRP LE
Required Information
Name of Public (P) Private (PR) School & Effectivity Date Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date Reason (Enrollment beyond 1st Friday of June)
Indicator
CCT Recipient Balik-Aral Learner With Dissability Accelarated
Code
CCT B/A LWD ACL
Required Information
CCT Control/reference number & Effectivity Date Name of school last attended & Year Specify Specify Level & Effectivity Data
MALE FEMALE TOTAL
BoSY
EoSY
Prepared by:
(Signature of Adviser over Printed Name)
Date:
GUARDIAN (If not Parent)
REMARK/S
Relationship
Contact Number
(Please refer to the legend on last page)
REMARK/S
Relationship
Contact Number
REMARK/S
Relationship
Contact Number
Certified Correct:
(Signature of School Head over Printed Name)
Date:
School Form 2 (SF2) Daily Attendance Report for learner

(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID Name of School

*LEARNER'S NAME (Last Name, First Name, Middle Name)
School Year
Month Reporting
Grade Level
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
Section
Total for the Month ABSENT TARDY REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2. If TRANSFERRED IN/OUT, write the name of School.)
MALE | TOTAL Per Day
Total for the Month ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2. If TRANSFERRED IN/OUT, write the name of School.)
FEMALE | DAILY TOTAL
Combined TOTAL PER DAY

* Automatic Generation thru LIS
GUIDELINES: 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: Registered Learner as of End of the Month a. Percentage of Enrolment = Enrolment as of 1st Friday of June Total Daily Attendance b. Average Daily Attendance = Number of School Days in reporting month Average daily attendance c. Percentage of Attendance for the month = Registered Learner as of End of the month 4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. 5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period * Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
1. CODES FOR CHECKING ATTENDANCE blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes) 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 b.3. Death b.4. Drug Abuse 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 d. Geographic/Environmental d.1. Distance between home and school d.2. Armed conflict (incl. Tribal wars & clan feuds) d.3. Calamities/Disasters
Month:
No. of Days of Classes:
Summary for the Month

M F TOTAL
* Enrolment as of (1st Friday of June) Late Enrollment (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:
Drop out Transferred out Transferred in I certify that this is a true and correct report.
x 100
x 100
(Signature of Teacher over Printed Name)

School Form 2: Page 2 of ________
Total for the Month ABSENT TARDY
e. Financial-Related e.1. Child labor, work f. Others
Attested by:
REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2. If TRANSFERRED IN/OUT, write the name of School.)
School Form 3 (SF3) Books Issued and Returned

(This replace Form 1 & Inventory of Text Book)

Subject Area & Title Subject Area & Title
School Year Grade Level

Subject Area & Title Subject Area & Title
Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
NO.
*LEARNER'S NAME (Last Name, First Name, Middle Name) Date Issued Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned
TOTAL FOR MALE
TOTAL COPIES
Subject Area & Title
NO.
*LEARNER'S NAME (Last Name, First Name, Middle Name) Date Issued Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned
TOTAL FOR FEMALE TOTAL LEARNERS
| |
TOTAL COPIES TOTAL COPIES Prepared By:
* Automatic Generation thru LIS 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.
(Signature over printed name) School Form 3: Page 2 of ________
Region:
Division:
District
School Form 4 (SF4) Monthly Learner's Movement and Attendance

(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile) Region Division District

REGISTERED LEARNER (As of End of the Month) M F T M ATTENDANCE DROPPED OUT (A) Cumulative as (B) For the Month of Previous Month T M F T M F T
School Year
TRANSFERRED OUT
Month Reporting
TRANSFERRED IN
NAME OF ADVISER
GRADE/ YEAR LEVEL
SECTION
Average
F T
Percentage M F
(A+B) (A+B) Cumulative (A+B) Cumulative (A) Cumulative as (A) Cumulative as Cumulative as of as of End of the (B) For the Month as of End of the (B) For the Month of Previous Month of Previous Month End of the Month Month Month M F T M F T M F T M F T M F T M F T M F
ELEMENTARY/SECONDARY: KINDER 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 FOR NON-GRADED TOTAL # Need home visitation as per DECS Service Manual (page, section) GUIDELINES: 1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month. Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month". 2. Furnish copy to Division Office: a week after July 31, October 30 & March 31 3. Teachers who are handling advisory class shall be reported. 4. Small school that has one section per grade/year level are 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. Prepared and Submitted by:
4. Small school that has one section per grade/year level are 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.
(A+B) umulative as of End of the Month T
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replace Forms 18-E1, 18-E2, 18A)
Region
Division School Year
District Curriculum
Grade Level
GENERAL AVERAGE (Numerical Value in (Last 3 decimal places for honor learner,2 for non-honor & Descriptive Letter)
Section
LRN
LEARNER'S NAME Name, First Name, Middle Name)
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 still implementing RBEC need not to fill up this column) Completed as of end of current SY
SUMMARY TABLE
as of End of the current SY

MALE FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE FEMALE
BEGINNNING (B: 74% and below) DEVELOPING (D: 75%-79%)
APPROACHING PROFICIENCY (AP: 80%-84%)
PROFICIENT (P: 85% -89%) ADVANCED (A: 90% and above)
LRN
SUMMARY TABLE

MALE FEMALE
TOTAL MALE
PREPARED BY:
Class Adviser (Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head (Name and Signature)
GUIDELINES: 1. For All Grades Level 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. 2. On the summary table, reflect the total number of learners promoted, retained and irreular and the level of proficiency according to the individual general average TOTAL FEMALE COMBINED 3. Must tallied with the total enrollment report as of End of School Year GESP /GSSP (BEIS)
LRN
SUMMARY TABLE

MALE FEMALE
School Form 5: Page 2 of ________
LE
TOTAL
ENCY
TOTAL
LE
TOTAL
ure)
MITTED:
ure)
ser. Final rating en from the e class adviser of General
ct the total , retained and ciency neral average
nrollment r GESP /GSSP
LE
TOTAL
Page 2 of ________
School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency

(This cancel Form 20)

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8
Region
Division District
School Year
GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE MALE PROMOTED IRREGULAR RETAINED LEVEL OF PROFICIENCY MALE
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
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 75%-79%) (D:
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: SCHOOL HEAD
Reviewed & Validated by: DPO/EPS
Noted by: 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
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignment List, Form 29-Teacher Program and Form 31-Summary Information of Teachers)

(A) Nationally-Funded Teaching Related Items Title of Plantilla Position (as appeared in the appointment document) Number of Incumbent
Region
Division District
Number of Incumbent Nature of Appointment and Designation (Contractual , Substitute, Volunteer & others)
School Year
(C ) Other Appointments and Funding Sources Funded by (SEF, PTA, NGO's etc.) Number of Incumbent Teaching
(B) Nationally-Funded Non Teaching Items Title of Plantilla Position (as appeared in the appointment document)
EDUCATIONAL QUALIFICATION Name of School Personnel No. Sex (Arrange by Position, Descending) Fund Source Position/ Designation Nature of Appointment
Degree / Post Graduate
Major/ Specialization
Minor
* Daily Program (time duration) Subject Taught (include Grade & Section) & Actual Other Ancillary DAY Teaching/ From To Assignment (Please (M/T/W/ Service (00:00) (00:00) Specify) TH/F) Render (Mins/Day)
Remark/s (For Detailed Items, Indicate name of school/office, For IP's Ethnicity)
Ave. Minutes per Day
Minor
Ave. Minutes per Day GUIDELINES: 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 . Submitted by:
Minor
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. 3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties. 4. * Daily Program Column is for teaching personnel only.
(Signature of School Head over Printed Name) School Form 7, Page 2 of ________
mber of Incumbent NonTeaching
mark/s (For Detailed ms, Indicate name of ool/office, For IP's Ethnicity)
Printed Name)
7, Page 2 of ________
Republic of the Philippines Department of Education Region: _____________________________ Division : ____________________________ School: _______________________________ LEARNER DATA SHEET Pls. Check: ( ) Transferee ( ) Balik-Aral ( ) Private ( ) Public Name of Previous School: _________________________________________________________ Division: ______________________________ Province/Region : ______________________________ A. PERSONAL DATA (to be accomplished by the parent/pupil during enrolment) Name of Learner: ______________________________________ LRN: __________________ Date of Birth : _________________________________ Place of Birth : ____________________ Sex: ___________ Current Address/Residence: SY House #/Street Barangay SY SY SY SY SY Nationality: __________________________ Religion: ______________ Name of Father: _______________________________ Occupation : ___________________ Highest Educational Attainment of Father: ______________________________ Name of Mother: _______________________________ Occupation : ______________________ Highest Educational Attainment of Mother: ______________________________ Name of Guardian (if Guardian is not the parent): ______________________________________ Relationship to Guardian: ________________________________ Contact Number of Parents/Guardian: _________________________________ Currently living with at least one of the parents : ( ) yes ( ) no Dialect use to communicate within the family: ______________________ Recipient of 4P's* : Yes/ No SY SY SY SY *Programang Pantawid ng Pamilyang Pilipino SY SY B. MEDICAL / HEALTH RECORD (annual updating by the health officer/teacher) b.1 Nutritional Status SY_____ SY_____ SY_____ SY_____ SY_____ Weight (kg) Height (m) Body Mass Index (BMI) Nutritional Status (e.g.Normal,Below Normal,Above Normal,Severely Wasted) b.2 Learner's record of ailments: (pls. check) (to be examined by the nurse) SY_____ SY_____ SY_____ SY_____ SY_____ ( ) Pediculosis ( ) Tinea Flava ( ) Scabies ( ) Eye infection ( ) Squinting eyes ( ) Otitis Media ( ) Impacted Cerumen ( ) Colds/Cough ( ) Sinusitis ( ) Ringworm ( ) Nosebleed ( ) Decayed Tooth ( ) defective speech ( ) Sore Throat ( ) Tonsilitis ( ) Asthma
( ) Allergy ( ) Bronchitis ( ) Primary Complex ( ) Convulsions ( ) Frequent headache ( ) Heart problem ( ) Frequent Stomach Ache Other illness(specify): b.3 Immunization Learner's immunization shots are complete and current: yes /no SY b.4 Physical Fitness and Sports Talent Test (PFSTT) SY_____ SY_____ SY_____ b.4.1. Muscular Fitness Partial: Curl Ups Trunk: Lift (cm) 90-Degrees push- ups b.4.2. Flexibility Fitness Sit and Reach Left leg bent (cm) Right leg bent (cm) Shoulder Flexibility Right arm up (cm) Left arm up (cm) b.4.3. Physiological Fitness 1km run - Time: (min/sec) b.5. Sports Talents b.5.1 Anthropometrics Sitting Height (cm) Arm Span (cm) b.5.2. Muscular Power Standing Long Jump (m) Basketball Pass (m) b.5.3 Speed 40-meter sprint (sec.) C. FAMILY& COMMUNITY PROFILE Type of community ( ) Residential ( ) Commercial ( )Agricultural ( ) Industrial ( ) Fishing Disaster Prone/ Armmed Conflict ( ) Yes ( ) No Identified as IP Community? If yes, specify: _____________________________________________ With electrical services (Home) ( ) Yes ( ) No With water services (Home) ( ) Yes ( ) No Distance of Home from/to school: ___________ (km) Estimated time in going to school : ______ (hour) Means of going to school: ( ) walking ( ) by boat ( ) vehicles D. EDUCATIONAL PROFILE (see attached Form 137)
SY SY_____
SY_____
( )M
GUIDELINE: The Learner Data Sheet shall be accomplish by the parent/pupil during enrolment. While, the medical/health record
Municipality/Province
SY_____
SY_____
SY_____
SY_____
*Orderof ailments (eyes, ears, etc.)
SY_____
SY_____
*to be commented by PE Teachers
Industrial
( ) Fishing
( ) Mining
hool : ______ (hour)
. While, the medical/health record shall be accomplish by

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School Form 1 (SF 1) School Register

School ID School Name

Division School Year

GUARDIAN (If not Pare

House # / Street/Sitio/ Purok

Father (1st name only if family name identical to learner)

GUARDIAN (If not Pare

House # / Street/Sitio/ Purok

Father (1st name only if family name identical to learner)

GUARDIAN (If not Pare

House # / Street/Sitio/ Purok

Father (1st name only if family name identical to learner)

List and code of Indicators under REMARK column

(Signature of Adviser over Printed Name)

GUARDIAN (If not Parent)

(Please refer to the legend on last page)

GUARDIAN (If not Parent)

(Please refer to the legend on last page)

GUARDIAN (If not Parent)

(Please refer to the legend on last page)

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report for learner

School ID Name of School

MALE | TOTAL Per Day

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

Total for the Month ABSENT TARDY

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY

No. of Days of Classes:

Summary for the Month

(Signature of Teacher over Printed Name)

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

Total for the Month ABSENT TARDY

e. Financial-Related e.1. Child labor, work f. Others

(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued and Returned

School ID School Name

School Year Grade Level

TOTAL FOR MALE

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

TOTAL FOR FEMALE TOTAL LEARNERS

TOTAL COPIES TOTAL COPIES Prepared By:

(Signature over printed name) School Form 3: Page 2 of ________

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

School ID School Name

GRADE/ YEAR LEVEL

(Signature of School Head over Printed Name)

(A+B) umulative as of End of the Month T

School Form 5 (SF 5) Report on Promotion & Level of Proficiency

Division School Year

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

ACTION TAKEN: PROMOTED, IRREGULAR or RETAINED

as of End of the current SY

BEGINNNING (B: 74% and below) DEVELOPING (D: 75%-79%)

APPROACHING PROFICIENCY (AP: 80%-84%)