ATL - Modified School Forms-Long-Rev4 - Final - Provided With Formulas - New

NCR
Section
AGE as of 1st
Friday of June
(no. of years as per
last birthday)
REMARK/S
6/5/2014
House # /
Street/Sitio/
Purok
Barangay
Municipality/
City
Province Name
Relations
hip
(Please refer to the legend
on last page)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
GUARDIAN (If not Parent)
Contact Number
(Parent /Guardian)
MOTHER
TONGUE
NAME
(Last Name, First Name, Middle Name)
Father (1st name only if
family name identical to
learner)
Mother (Maiden)
QUEZON CITY District
School Year
RELIGION
ADDRESS NAME OF PARENTS
Grade Level
IP
(Specify
Ethnic
Group)
School Name
School ID Region Division
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
No. LRN
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
BIRTH
PLACE
(Province)

NCR
Section
AGE as of 1st
Friday of June
last birthday)
REMARK/S
6/5/2014
House # /
Street/Sitio/
Purok
Barangay
Municipality/
City
Province Name
Relations
hip
on last page)
Contact Number
(Parent /Guardian)
MOTHER
TONGUE
NAME
learner)
Mother (Maiden)
School Year
RELIGION
Grade Level
IP
(Specify
Ethnic
Group)
School Name
No. LRN
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
BIRTH
PLACE
(Province)

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
NCR
Section
AGE as of 1st
Friday of June
last birthday)
REMARK/S
6/5/2014
House # /
Street/Sitio/
Purok
Barangay
Municipality/
City
Province Name
Relations
hip
on last page)
Contact Number
(Parent /Guardian)
MOTHER
TONGUE
NAME
learner)
Mother (Maiden)
School Year
RELIGION
Grade Level
IP
(Specify
Ethnic
Group)
School Name
No. LRN
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
BIRTH
PLACE
(Province)

51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
atl
List and code of Indicators under REMARK/S column
Code Required Information Indicator Code Required Information No. of Learners BoSY EoSY
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT MALE 0
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 0
Dropped Dr/O Reason and Effectivity Date Learner With Dissability LWD Specify Date: Date:
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data
Indicator
Certified Correct:
Prepared by:
TOTAL 0 0
CCT Control/reference number & Effectivity Date
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Region Division
School ID School Year
Name of School
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY T/I T/O Dr/O
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 0 0
20 0 0
21 0 0
22 0 0
23 0 0
24 0 0
25 0 0
QUEZON CITY
Section Grade Level
REMARKS*: (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
School Form 2 (SF2) Daily Attendance Report of Learners
(2nd row for date, 1st row for day-count)
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
NCR
SY 2014-2015
LEARNER'S NAME
Report for the Month of
20
Code (for
reason of
Dr/O)
School Name (if Tr/O)
Learner Movement (put a { / } in
the appropriate box)
June 30, 2014
Total for the Month

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30
LEARNER'S NAME
20
Code (for
reason of
Dr/O)
Total for the Month
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
35 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
. 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 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 0 0
20 0 0
21 0 0
22 0 0
23 0 0
24 0 0
25 0 0
MALE | TOTAL Per Day 0
. 0
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30
LEARNER'S NAME
20
Code (for
reason of
Dr/O)
Total for the Month
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
35 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
. 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 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
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
GUIDELINES: 1.CODES FOR CHECKING ATTENDANCE Month:
M F TOTAL
2. REASONS/CAUSES OF DROP OUT
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
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. 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 I certify that this is a true and correct report.
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (tribal wars & clan feuds)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2 : Page of pages f. Others (Specify)
Registered Learners as of end of the month
0
Beginning of School Year cut-off report is every 1st Friday of the School Year
4. 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.
c.
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.
Average Daily Attendance
Percentage of Attendance for the month =
b.
x 100
(Signature of Teacher over Printed Name)
Combined TOTAL PER DAY
Summary
(Signature of School Head over Printed Name)
(/) - Present; (a)- Absent; Tardy = (t)-[black]-Late-Comer, (t)-[red]-
Cutting Classes
0
. 0
0
. 0
0
a.
June 30, 2014
20
Total Daily Attendance
x 100
* Enrolment as of (1st Friday of June)
Using laptop or personal computer
Late Enrollment during the month
(beyond cut-off)
No. of Days of
Classes:
Enrolment as of 1st Friday of the school year
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 columns after Learner's Name.
atl
Average daily attendance
Number of School Days in reporting month
3. To compute the following:
FEMALE | TOTAL Per Day
#DIV/0!
0
0
#DIV/0!
Number of students absent for 5 consecutive
days:
Percentage of Attendance for the month
0
0
0
#DIV/0!
0 0
0
Percentage of Enrolment as of end of the month
0
0 0
#DIV/0!
0 0
Drop out (Dr/O)
0
Transferred out (Tr/O)
#DIV/0! #DIV/0!
Transferred in (Tr/I)
Region NCR Division
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
0 TOTAL FOR MALE | TOTAL COPIES
Grade Level
(This replace Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Section
QUEZON CITY
Subject Area &
Title
Subject Area &
Title
Date
NO.
Date Date
Subject Area &
Title
Subject Area &
Title
LEARNER'S NAME (Last Name,
First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the code on last page)
Date Date Date Date Date
Subject Area &
Title
Subject Area &
Title
Subject Area &
Title
Subject Area &
Title

Region NCR Division
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Grade Level
(This replace Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Section
QUEZON CITY
Subject Area &
Title
Subject Area &
Title
Date
NO.
Date Date
Subject Area &
Title
Subject Area &
Title
LEARNER'S NAME (Last Name,
First Name, Middle Name)
REMARK/ACTION TAKEN
(Please refer to the code on last page)
Date Date Date Date Date
Subject Area &
Title
Subject Area &
Title
Subject Area &
Title
Subject Area &
Title

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
atl
GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected.
School Form 3 : Page of pages
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
(Signature over printed name)
2. The Date of Issuance and the Date of Return shall be reflected. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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, s.2012.
1. Title of Books Issued to each learner must be recorded by the class adviser.
0
School ID Region Division District
School Name School Year Month Reporting
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 T
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14
15
16
DROPPED OUT
1
2
NAME OF ADVISER
Average Percentage
(A) Cumulative
as of Previous
Month
7
TRANSFERRED OUT
REGISTERED
LEARNER (As
of End of the
Month)
5
6
GRADE/
YEAR
LEVEL
NCR QUEZON CITY
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Form 4 (SF4) Monthly Learner's Movement and Attendance
19
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(A+B)
Cumulative as
of End of the
Month
ATTENDANCE
12
13
8
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(B) For the
Month
3
4
9
10
SECTION
(B) For the
Month
TRANSFERRED IN
(B) For the
Month
20
11
17
18
21
22
23
24
25

DROPPED OUT
1
NAME OF ADVISER
Average Percentage
(A) Cumulative
as of Previous
Month
TRANSFERRED OUT
REGISTERED
LEARNER (As
of End of the
Month)
GRADE/
YEAR
LEVEL
NCR QUEZON CITY
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(A+B)
Cumulative as
of End of the
Month
ATTENDANCE
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(B) For the
Month
SECTION
(B) For the
Month
TRANSFERRED IN
(B) For the
Month

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46
47
48
49
50
41
42
43
44
45
33
34
35
36
39
40
26
31
32
27
28
29
30
37
38
DROPPED OUT
1
NAME OF ADVISER
Average Percentage
(A) Cumulative
as of Previous
Month
TRANSFERRED OUT
REGISTERED
LEARNER (As
of End of the
Month)
GRADE/
YEAR
LEVEL
NCR QUEZON CITY
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(A+B)
Cumulative as
of End of the
Month
ATTENDANCE
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(B) For the
Month
SECTION
(B) For the
Month
TRANSFERRED IN
(B) For the
Month

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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58
59
60
57
55
53
51
56
52
67
68
61
62
69
70
71
72
73
74
54
75
63
64
65
66
DROPPED OUT
1
NAME OF ADVISER
Average Percentage
(A) Cumulative
as of Previous
Month
TRANSFERRED OUT
REGISTERED
LEARNER (As
of End of the
Month)
GRADE/
YEAR
LEVEL
NCR QUEZON CITY
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(A+B)
Cumulative as
of End of the
Month
ATTENDANCE
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(B) For the
Month
SECTION
(B) For the
Month
TRANSFERRED IN
(B) For the
Month

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 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 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 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 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 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 0 0 0 0 0 0 0 0
ELEMENTARY/SECONDARY:
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 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 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 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 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 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 0 0 0 0 0 0 0 0 0 0
atl
GUIDELINES: Prepared and Submitted by:
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
School Form 4 : Page of pages
81
82
83
85
84
TOTAL
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".
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.
TOTAL FOR NON-GRADED
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
(Signature of School Head over Printed Name)
KINDER
GRADE 6/GRADE 12
80
76
77
78
79
Region NCR Division District
Curriculum
Grade Level Grade 8 Section
Num. Val. Adj. Rtng
(B) IRREGULAR
(B) IRREGULAR MALE FEMALE TOTAL
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR Adj. Rating MALE FEMALE TOTAL
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
31
33
32
28
29
30
24
25
26
20
21
22
17
35
23
27
34
TOTAL MALE
19
15
16
7
8
1
9
6
10
11
2
12
13
14
18
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 as of End of the current SY
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor
& Descriptive Letter)
School Year
3
4
5
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)
LRN
ACTION
TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
QUEZON CITY
ADVANCED (A:
90% and above)
35
0 0
IRREGULAR
RETAINED
35 35 70
SUMMARY TABLE
0 0 0
PROMOTED 0 0 0
LEVEL OF PROFICIENCY
BEGINNNING
(B: 74%and below)
DEVELOPING (D:
75%-79%)
0
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT (P:
85%-89%)
35 70
0 0
0
0
0
0 0
0 0

School Form5: Page 13 of 21 pages
Num. Val. Adj. Rtng
GENERAL AVERAGE
LRN
ACTION
TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
LEARNER'S NAME
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
Certified Correct and Submitted:
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR GUIDELINES:
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
0
atl
34
31
32
28
29
25
26
9
8
2
6
5
4
1. For All Grades Levels
23
3
13
10
24
27
30
33
14
12
11
22
21
20
19
15
1
7
TOTAL FEMALE
COMBINED
18
17
16
35
Prepared by:
Class Adviser
(Name and Signature)
School Head
(Signature over Printed Name )
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 and the level of proficiency according
to the individual general average
4. Must be tallied with the total enrollment
report as of End of School Year GESP /GSSP
(BEIS)
Region NCR Division District
Curriculum
Grade Level Section
Num. Val. Adj. Rtng
1 (B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR MALE FEMALE TOTAL
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR Num. Rating MALE FEMALE TOTAL
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR 35
TOTAL MALE
33
34
31
32
29
30
27
28
25
26
23
24
21
22
90% and above 0 0 0
19
20
85%-89% 0 0 0
17
18
80%-84% 0 0 0
15
16
13
14
75%-79% 0 0 0
35 35 74%and below
LEVEL OF PROFICIENCY
10
70
11
12
8
9
6
7
RETAINED 0 0 0
35 IRREGULAR
3
35 70
4
5
SUMMARY TABLE
1
PROMOTED 0 0 0
2
School Name
LRN
LEARNER'S NAME
GENERAL AVERAGE
ACTION
TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)
QUEZON CITY

Num. Val. Adj. Rtng
1
LRN
LEARNER'S NAME
GENERAL AVERAGE
ACTION
TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
Certified Correct and Submitted:
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
GUIDELINES:
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
(B) IRREGULAR
0
atl
35
TOTAL FEMALE
34
COMBINED
32
33
30
31
28
29
26
27
24
25
4. Must be tallied with the total enrollment
report as of End of School Year GESP /GSSP
(BEIS)
21
22
23
3. On the summary table, reflect the total
number of learners promoted, retained and
irregular and the level of proficiency according
to the individual general average
18
19
20
16
17
13
1. For All Grades Levels
14
15
11 (Signature over Printed Name )
12
9
10 School Head
7
8
5 Class Adviser
6 (Name and Signature)
Prepared by:
3
4
1
2
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.
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
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
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
atl
Prepared and Submitted by: Reviewed & Validated by: Noted by:
School Head:
(Signature over Printed Name and Position Title)
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 advisers, 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.
Division QUEZON CITY
District
(This cancel Form 20)
GRADE 1 / GRADE 7
PROMOTED
GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
School Name
School ID Region
RETAINED
School Year
NCR
SUMMARY TABLE
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9
0 0
0 0 0
0
0
School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency
IRREGULAR
0
TOTAL
Nos. of BEGINNNING
(B: 74% and below)
0
0
0
0 0
0
0 0
0 0 0
Nos. of DEVELOPING
(D: 75%-79%)
0 0 0 0
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
0
Nos. of PROFICIENT
(P: 85% -89%)
0
0
0
0
0 0
0
0 0
0 0
Nos. of ADVANCED
(A: 90% and above)
0
0 0 0
0 0 0
0 0 0
ARACELI T. LIWANAGAN
Acting Division Planning Officer
Supervising Education Program Specialist
PONCIANO A. MENGUITO, CESO V
Schools Division Superintendent
(Printed Name)
(Position Title)

Region NCR
Teaching
Non-
Teaching
atl
Degree / Post
Graduate
DAY
(M/T/
W/TH/
F)
From
(00:00)
To
(00:00)
Actual
Teaching/
Service
Render
(Mins/Day)
Ave. Minutes per Day :
Math 1 m 8-12nn 1-5pm 480
Math 2 w 8-12nn 1-5pm 480
Math 3 f 8-11nn 2-5pm 360
Eng1 t 8-12nn 1-4pm 420
Eng2 th 8-12nn 1-4pm 420
Clinic f 11-12nn 1-2pm 120
Ave. Minutes per Day : 380
2
3
4
5
6
7
marcoporfirio
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a
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QUEZON CITY School ID
School Name
Division
District School Year
1
2
3
4
5
segundina
carboradoratindahan
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form12-Monthly Status Report for Teachers, Form19-Assignment List,
Form29-Teacher Programand Form31-Summary Information of Teachers)
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's -
Ethnicity )
Number of Incumbent
Minor
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment document)
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
(B) Nationally-Funded Non Teaching Items (C) Other Appointments and Funding Sources
Subject Taught
(include Grade &
Section) & Other
Ancillary Assignment
(Please Specify)
* Daily Program (time duration)
Fund Source
(SEF, PTA, NGO's etc.)
Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)
Name of School
Personnel
(Arrange by Position,
Descending)
Sex
Fund
Source
(A) Nationally-Funded Teaching Related Items
Number of Incumbent
Title of Plantilla Position
(as appeared in the appointment
document)
E
m
p
l
o
y
e
e
N
o
.

p
r
i
n
c
i
p
a
l
i
v
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r
m
a
n
e
n
t
p
h
d
Nature of
Appointment
g
e
n
e
r
a
l

Degree / Post
Graduate
DAY
(M/T/
W/TH/
F)
From
(00:00)
To
(00:00)
Actual
Teaching/
Service
Render
(Mins/Day)
2
3
4
5
6
7
marcoporfirio
manadakilasalahat mn
a
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a
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Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's -
Ethnicity )
Minor
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Subject Taught
(include Grade &
Section) & Other
Ancillary Assignment
(Please Specify)
* Daily Program (time duration)
Name of School
Personnel
(Arrange by Position,
Descending)
Sex
Fund
Source
E
m
p
l
o
y
e
e
N
o
.

p
r
i
n
c
i
p
a
l
i
v
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a
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Nature of
Appointment
atl
Submitted by:
GUIDELINES:
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
School Form 7 : Page of pages 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 .
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.
(Printed Name )
(Printed Position Title)
(Signature of School Head)
Name of School
ABSENT TARDY
Grade Level
Month Reporting
REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name
of School.)
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
Total for the
Month
Section
School Form 2 (SF2) Daily Attendance Report for learner
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
MALE | TOTAL Per Day

ABSENT TARDY
REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name
of School.)
LEARNER'S NAME
Total for the
Month
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
L E G E N D:
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
M F TOTAL
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 problem
b. Individual-Related Factors
b.1. Illness
b.2. Overage
5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period 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 I certify that this is a true and correct report.
d.1. Distance between home and school
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
d.2. Armed conflict (incl. Tribal wars & clan
feuds)
blank- Present; (x)- Absent; Tardy (half shaded=
Upper for Late Comer, Lower for Cutting Classes)
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.
Combined TOTAL PER DAY
a.
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
Enrolment as of 1st Friday of June
No. of Days of
Classes:
Late Enrollment (beyond cut-off)
Registered Learner as of end of the month
Transferred out
Number of students with 5 consecutive days of
absences:
Percentage of Attendance for the month
Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
Percentage of Attendance for the month =
Transferred in
Percentage of Enrollment as of end of the
month
Average Daily Attendance
x 100
Average daily attendance
Drop out
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:
b.
x 100
Enrollment as of (1st Friday of June)
Summary for the
Month
FEMALE | DAILY TOTAL

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