Republic of the Philippines Department of Education a Region X — Northern Mindanao DepED DIVISION OF MISAMIS ORIENTAL " Del Pilar-Velez St., Cagayan de Oro City February 4, 2014 DIVISION MEMORANDUM No. 2s, 2014 ADOPTION OF THE MODIFIED SCHOOL FORMS (SFs) FOR PUBLIC ELEMENTARY AND SECONDARY SCHOOLS EFFECTIVE END OF SCHOOL YEAR 2013-2014 To: Education Program Supervisors Public Schools District Supervisors! In Charge Elementary and Secondary School Heads This Division 1. Pursuant to DepEd Order No. 4, series 2014, re Adoption of the Modified Schoo! Forms (SFs) for Public Elementary and Secondary Schools Effective End of School Year 2013-2014, the Department of Education adopts and utilizes the modified SFs, as follows: FORMS TO BE REPLACED. MODIFIED SCHOOL FORMS Cote ‘Name of Forms Code Name of Forms ca? Sehuol Regia ae Master List of Leamare SEA Sehoo! Form I: Schoo! Reiter STS Form 2 | Family Background wd Profle Form [| School Regisier— Daily Atendance Fold Teacher's Monthly Roport of Eoroimentand —] $F-2 | School Form 2: Daily Attendance Report for Leamer oe Attendance School Register — Book aswod and Returned Shai Reais akc ans ba Form a SF3 ‘School Form 3: Books Issod and Rowrtod Fons. | Pieelpale Roport-on Bneokpae ae School Form 4: Monthly Leamer’s Movement and Attendance Sa aah feos ‘STS Fomt | Absontooism and Dropout Profile Forms 18-£1 | Report on Promotions (Grades 1-5 nelusie) Ferme IED | Repor on Promodens (Grades 6 Tasiuave) | $B Forms 16-4 | Report on Secondary Promotions Farm20 | Summarized Report on Promotions ‘see Se | Tana 12] Meni Stans Repo Tor Teaohors Form 19 | Assigament List ‘9p-7__| _ Sshoot Form 7: School Personnel Assignment Last, Form 29 _| Tensher Program and Bask Profile Farm 31 | Summary of Information of Teachers 2. For school year 2013-2014, only SF-5 and SF-6 will be adopted in piace of Forms 18-E1, 18-E2, 18A and Form 20. The rest of the forms shall be adopted starting school year 2014-2015. (Please see highlighted portion of the table presented above.)3. _ Details relative to this Memorandum shall be discussed during the scheduled ManCom Meeting 4, School heads are advised to download the said DepEd Order and provide necessary information to the teachers the soonest possible time 5. Immediate dissemination of this Memorandum to all concerned is enjoined. cLUjgv Incl: SF-5 and SF-6 Reference: DepEd Order No. 4, 8. 2014 To be indicated in the Perpetual Index under the following subjects: CHANGE DATA FORMS REPORTS{n30NaLNRaANS NOS 8700K08 -SALVINSS AY NOISING Weouenatdng UoaiNg Stews oy) LIRR 8 pu USSU LORNA 0 SDI F ear | soe Sen aor [Sora “wan | savas [srw | win | svn [sre | wion | swras | sia | TiO | swvasa | aw viol | ames | Sw | awn “wan | arewas [snen | ion | Srna [stun | wo | sywnes | aww [wo | sens | aw wiot aro /9301H0 Haqworsaovis | orsqvwoyyzavve | saavwo/ezavo | szomo/zaqwve 129, pong hours uorsing Juobey og wo. seceyday sei/) Aaue19YO1g JO [8A97] Puke UOYOUOL UO Podey pezueWwUINS (94s) 9 uo, jooysspty swe e005 csenoo rrnamnenvya nee aan emene awe wiol espana nacnenyy ag amie =N sini 60 (satis pn ay) sean (enmibg pe auey) peaynes ‘cauunens 9123409 GaN (oneits pu au) evo 5590 s80: a8) (ouse) Ue PaaS er) ees warm | meer] om neon w=+ BA PORS Sejm 0 pu¥ jo sy | RUN pL Jem proruCe uno poyes opesdwory | GENRE sownoa oun oxppan wen ays “owny 97) (wimps eons dh wou pos ‘aOee SORA ten 23a Bsus om poem awe Oe=D | Seve None OH u aety Buses pow wungrogung 24 9 20561 BUNIOD SH) eae, ‘8u93rens 315TENOON eco ener ope. ouoy owes urna [ 964 ours ores tse esi WON (eeyerptu jo 917 pue ve} ‘23-91 ‘42-91 muvo, ss0mpdes On) ADUBLIYOId JO [BAI] *B UONOWOId UO POdey (¢ 4S) G UCI |OOYIg -@Code and Name: SF5 Report on Promotion & Level of Proficiency ‘Schedule: End of School Year Other instruction: This will used for all gradetyear levels regardless of curriculum program. Specific instructions shall be observed in harmony with the implementation of K to 12 program, DATA ELEMENT DESCRIPTION ‘Schoo! ID ‘Aix (6) digit number assigned to a school recognized in EBEIS Curriculum Systematic group of experiences or sequences of courses cor subject required for graduation or cerfication in each Jevel of education, For Grade levels implementing K to 12, Basic Education Curriculum, *K tot2 BEC’ will be reflected. For the remaining gradelyear level, “Restuctured BEC" wil be written. School Year The prescribed period of me when schools offer daily instruction. It covers10 months of regular schooling staring ‘month of June (Beginning of School Year) up to the month cof March (End of School Year) o the folowing year 4| School Name Official name of school as registered in DepED and EBEIS 5 | Grade Level ‘Adegreelstage of aleamer classified according to age and progress. Section ‘A group of pupilsistudents convened together to receive instruction in a given course or subject. Teamner Reference Number (URN) “Twelve (12}-digt number which the pupil, student or leamer shall keep while completing the basic education program, regardless of transfer to another school or learning center in the public or private sector, and promotion/moving up to te secondary evel. (0022, s.2012) | Name of an individual as reflected in birth certficate or equivalent document. The average rating of a student in all subject areas taken in a given school year writen in a numerical value of 3 decimal places for honor students and two for non-hanors. Equivalent Descriptive Letter Value should be writen in close parenthesis. Leave this column blank for inegular learners or learners with subject deficiencies. | 10 ‘Action Taken Status of Leamer as of End of School Year using the following categories: Promoted: Satisfied requirements in all subject areas irregular with incomplete subjects. This category implies that the learner is promoted to the next level but wth deficiencies in one or more subject areals, AS per 0.0. # 73,8, 2012 section G page 5, “Ifby the end of the school year, the students are stil atthe Beginning level, they shall be required to take summer classes." Special instruction for grade 1 children under the K to 12 Basic Education Program was issued on March 2013 (D.M. 46, 5, 2013) Retained: Learner who was not able to complete even one Subject area.11 Incomplete Subjects (Completed as of end of current SY) ‘The subject area from the previous level taken by the student in the current school year because of previous subject deficiency that he/she has passed in the current sy. This column is for K To 12 Curriculum and remaining RBEC in-high school 2 incomplete Subjects ‘The subject's currently undertaken by the learner for the as of End of the current SY ‘current Schaol Year but failed to pass. This column is for K To 12 Curriculum and remaining RBEC in high school 73 | Summary Table - Promoted The no. of eamers (male/female/grand total) who are (Male/Female/Grand Total) promoted to the next grade level for the next school year 14 | Summary Table - Irregular The no. of learners (male/female/grand total) who are (Male/Female/Grand Total) promoted to the next grade level for the next school year butwith deficiency in some subjects. (Applicable only to K to 12 Curriculum) a 16 | Summary Table - Retained The no. of learners (male/female/grand total) retained in the __| (MaleiFemalerGrand Total same grade level for the next school year. 16 | Level of Profciency- Beginning ‘The no, of learners (male/female/grand total) who are atthe (MaleiFemale/Grand Total) beginning level or whose numerical grade is 74% and below. 17 | Level of Proficiency- Developing | The no. of earners (male/lemale/arand total) who are atthe (MalelFemale/Grand Total) developing level of proficiency or has numerical grade ranges from 75% to 79% 18 | Level of Proficiency- Approaching | The no. of learners (male/female/grand total) who are atthe (Male/Female/Grand Total) ‘approaching level of proficiency or whose numerical grade ranges from 80% to 84%. < 18 | Level of Proficiency- The no. of learners (male/female/arand total) who are atthe Proficient (Male/FemalelGrand Total) | proficient level of proficiency or whose numerical grade ranges from 85% to 8%. 20 | Level of Proficiency- Advanced The no, of earners (male/female/grand total) who are atthe (Male(Femaie/Grand Total) advance level of proficiency or whose numerical grade is, ‘90% and above 27 | Neme and signature of he Class | The name and signature of the teacher who prepared this Adviser form. 22 | Name and signature of the School | The name and signature of the schoo! head attesting the Head veracity ofthis form,Code and Name: SF6 — Summarized Report on Promotion and Level of Proficiency ‘Schedule: End of School Year (Other instruction: This will used for all gradelyear levels regardiess of curriculum program. Specific instructions shall be observed in harmony with the implementation of K to 12 program, Name of Data Element DESCRIPTION 1 | School ID A six (6) digit-number assigned to a schoo! recognized in EBEIS 2 | School Year The prescribed period of me when schools ofer dally instruction. tcovers10 months of regular schooling startng month of June (Beginning of School Year) up tothe month _ | of March (End of School Year) ofthe following year. 3 | School Name | Official name of school as registered in DepED and EBEIS 4 | Promoted Total no of learners (male/female/grand total) ina certain (MaleiFemale/Grand Total) grade level who are promoted forthe next grade level for the next schoo! year ee 5 | imeguiar The no. ofearners (malelfemalelgrand total) who are (Male/Female/Grand Total) promoted to the next grade level for the next school year but with deficiency in some subjects. (Applicable only to K 3 t0 12 Curriculum) 6 | Retained (RBEC) Total no. of learners (malelfemmale/grand total) in a certain (Male/Female/Grand Total) rade level retained in the same grade level for the current school year. 2 7 | Level of Proficiency Total no of earners (malelfemialelgrand total) in a certain Beginning grade level who are inthe beginning level of proficiency, |__| (Male/Female!Grand Total) se 8 | Level of Proficiency Total no. of learners (maleMemalelgrand total in a certain Developing ‘rade level who are in the developing level of proficiency (Male/Female/Grand Total) 9 | Level of Proficiency ‘Total no, of leamers (male/female/grand total) na certain Approaching rade level who ere in the approaching level of proficiency. (alelFemale/Grand Total) bis 10 | Level of Proficiency Total no. ofleamers (malevfemale/grand total) ina certain Proficient sade level who are inthe proficient level of proficiency (Wale/Female/Grand Total) ls Es 11 | Level of Proficiency Total no. of learrers (malefemale/grand total) in a certain Advanced ‘grade level who are in the advanced level of proficiency. (Male, Female, Grand Total) _ ‘ = 12 Name and Signature of School Head_| The name and signature ofthe school head who prepared this form, 13 | Name and Signature of DPO/EPS The name and signature of the Division's Planning Officer | _ = oF EPS who reviewed and validated ths form. 14 | Name and Signature of Schools The name and signature of the Schools Division Division Superintendent Superintendent attesting the veracity of this form.