JUNESF

School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
Region IV - A
109745
School Name
Division
LUCENA WEST IV ELEM. SCHOOL
School Year
AGE as of 1st
Friday of June
LRN
109745140013
109745140014
109745140015
NAME
(Last Name, First Name, Middle Name)
BALMACEDA LOISE WAYNE B

BALMEO, LANCE P.
COPIA, JOMARI J.
CLAVENCILLA JR., NINO M.
LUCENA CITY
Sex
(M/F)
M
M
M
M
BIRTH DATE
(mm/ dd/yy)
2/6/09
6/19/08
7/7/09
8/30/09
(nos. of years
as per last
birthday)
District
2014 - 2015
Grade Level
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
WEST
KINDER
Section
GFA
NAME OF PARENTS
GUARDIAN (If not Parent)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if family

name identical to learner)
Mother (Maiden: 1st Name, Middle &

Last Name)
Name
Relationship
LUCENA CITY
TAGALOG
CATHOLIC
BARCELONA
BRGY 1
LUCENA CITY
QUEZON
ROMMEL
MARYANN
MARYANN
MOTHER
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ALDIN
SARAH JOY
SARAH JOY
MOTHER
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
JOSE
MARISSA
MARISSA
MOTHER
LUCENA CITY
TAGALOG
CATHOLIC
76 OSMENA
BRGY 3
LUCENA CITY
QUEZON
NINO
ANGELICA
ANGELICA
MOTHER
109745140016
FERNANDEZ, KIM LAWRENCE
9/5/09
LUCENA CITY
TAGALOG
IGLESIA
MALVAR
BRGY 5
LUCENA CITY
QUEZON
LORENZO
MELANIE
MELANIE
MOTHER
109745140017
FLORES, JEMUEL B.
6/2/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
FEDERICO
LORNA
LORNA
MOTHER
109745140018
KATIGBAK, RAMON R.
3/20/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ROBERT
FATIMA
FATIMA
MOTHER
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
RONNIE SR.
MERLY
MERLY
MOTHER
109745140019
LUMIBAO, RONNIE JR. G.
12/9/08
LUCENA CITY
109745140020
PANGILINAN, AJ C.
1/29/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ALDRIN
JEAN
JONNA
MOTHER
109745140021
PEREZ, ALJON D.
12/4/08
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ALVIN
JONNA
JONNA
MOTHER
BRGY 5
LUCENA CITY
QUEZON
LINO
JENNY
JENNY
MOTHER
109745140022
TADIOSA, ZAIJAN KARLO R.
4/30/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
109745140023
VALDELLON, CHARLTONE JOSEPH P.
1/3/09
LUCENA CITY
TAGALOG
CATHOLIC
STEPHEN
IBABANG IYAM
LUCENA CITY
QUEZON
EDGAR
MARY ANN
MARY ANN
MOTHER
109745140035
AURELLANA,JECHEL MAE A.
4/28/09
LUCENA CITY
TAGALOG
CATHOLIC
DALEON COMP
BRGY XI
LUCENA CITY
QUEZON
JOEY
JENNYLYN
JENNYLYN
MOTHER
109745140036
CAPISTRANO, RHIANN CRYSTEL F.
2/13/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
RENAN
CHRISTINE
CHRISTINE
MOTHER
109745140037
DE LA CRUZ, CRISTINE KATE M.
12/12/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ARNEL
ARLENE
ARLENE
MOTHER
109745140038
MANIGBAS GIEZEL ANN O.
1/31/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
SANDRO
ANGELINE
ANGELINE
MOTHER
109745140039
MARQUINA, RHEA SHANE P.
9/6/08
LUCENA CITY
TAGALOG
CATHOLIC
ZOLETA
IBABANG IYAM
LUCENA CITY
QUEZON
RONNIE
ANALYN
ANALYN
MOTHER
109745140040
MURILLO, GIENIELA R.
12/21/08
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
DANIEL
VIRGINIA
VIRGINIA
MOTHER
109745140041
OBIS, DANIELA ERICKA L.
3/18/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
EDWIN
MAYBEL
MAYBEL
MOTHER
109745140042
ORIGENES, JOLYN ABEGAIL L.
3/1/09
LUCENA CITY
TAGALOG
CATHOLIC
98 VILLA SAN PABLO
IBAABANG IYAM
LUCENA CITY
QUEZON
JOEL
JENNYLYN GRACE
JENNYLYN GRACE
MOTHER
109745140043
PAHINTE, JHANA MAE G.
8/15/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
JERRY
ANALISA
ANALISA
MOTHER
109745140044
POGADO, LEANNE G.
8/30/09
LUCENA CITY
TAGALOG
CATHOLIC
ILANG-ILANG
ZABALLERO
LUCENA CITY
QUEZON
ALLAN
LEA
LEA
MOTHER
109745140045
PRAXIDIO, PRINCESS ANN I.
3/27/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
RODEL
MARY ANN
MARY ANN
MOTHER
109745140046
SEBUC, CHESKA REIANA S.
12/1/08
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ESTELITO
OFELIA
OFELIA
MOTHER
109745140047
SEPRIOTO, JASMINE F.
6/1/08
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ROGELIO
MA. MERCY
MA.MERCY
MOTHER
109745140048
YAGO, JANNA E.
1/31/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ARMANDO
JANNY
JANNY
MOTHER
109745140049
VALENCIA, FAITH D.
2/26/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
JERWIN
RODALYN
RODALYN
MOTHER
AGE as of 1st
Friday of June
NAME
LRN
109745140050
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
ADDRESS
BIRTH PLACE
(Province)
(nos. of years
as per last
birthday)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME OF PARENTS
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if family

name identical to learner)
Mother (Maiden: 1st Name, Middle &

Last Name)
Name
Relationship
VALENCIA, PRINCES
9/7/09
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
N/A
ALFA ANGELICA
ALFA ANGELICA
MOTHER
VALDEMOR, KATYANA, SHAINE M.
12/3/08
LUCENA CITY
TAGALOG
CATHOLIC
MALVAR
BRGY 5
LUCENA CITY
QUEZON
ISMAEL
RITCHELLE
RITCHELLE
MOTHER
List and code of Indicators under REMARK column

Code
GUARDIAN (If not Parent)
Required Information
Indicator
Code
Required Information
T/O
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
MALE
T/I
DRP
LE
Name of Public (P) Private (PR) School & Effectivity Date

Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
Balik-Aral
Learner With Dissability
Accelarated
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
FEMALE
BoSY
TOTAL
EoSY
Prepared by:
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
GFA
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
Certified Correct:
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID
109745
School Year
2015 - 2016
Report for the Month of
Name of School LUCENA WEST IV ELEMENTARY SCHOOL
Grade Level
JUNE
FIVE
Section
Total for the Month
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
1
M
2
T
3
W
4
TH
5
F
8
M
9
T
10
W
11
TH
12
F
15
M
16
T
17
W
18
TH
19
F
22
M
SUNFLOWER
23
T
24
W
25
TH
26
29
30
ABSENT
TARDY
ATENTAR , RUSSEL F
DANEZ , JOHN LOUIE
GADON,JOHN PAUL M.
GUINTO- JAY-R
GUINTO , JOHN MARK
GUINTO,RENIEL T.
JUCAGAN,DEXTER
LAZONA,ROMMEL II
LUCABA , JOSHUA
10
MARILAG ,PHILLIP JOSSHUA
11
MENCHERO,JAY-R
12
OBLIFIAS,JOHN MARK
13
ORTIZ,JEROME A.
14
VALENCIA,DIEGO JR.
MALE | TOTAL Per Day
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
1 AMORIN , MERZIEL JOY
2 BANAAG,RICA MAE
3 CANA , DENROSE M.
4 CLAVECILLA , NICA ELLA M.
5 ESPENILLA , HAZLYN MAE P.
6 FLORES , NICKOLE P.
7 FLORES, SHEENA
8 GUINTO , CHERRY ANN T.
9 GUINTO , GRACE ANN
10 GUINTO , TUESDAY ANN D.
11 JAYAG , STEPHANIE
12 PARAN , JULIE A.
13 PAHENTE , RUDILYN
14 RAMIENTO , FRANCINE R.
15 RAMOS , CHLOE T.
16 SERENILLA , GRAZIELLE
17 VELUZ , AIMEE Y.
18 VERGARA , CHARMAINE
19 VERGARA , CHARLOTTE
20 YAGO , JENJEN E.
FEMALE | TOTAL Per Day
18
18
18
18
18
18
18
18
18
18
18
18
18
TRANSFERRED IN FROM BICOL
T- IN FROM WEST I ELEM. SCHO
T-IN FROM SOUTH I ELEM. SCH

0
18
T-IN FROM ISABANG I ELEM. SC
T-IN FROM SOUTH I ELEM. SCH
E
18
REMARK/S (If DROPPED OUT, state reason

legend number 2.
If TRANSFERRED IN/OUT, write the name
20
20
20
20
20
20
20
1
M
Combined TOTAL PER DAY
Total for the Month
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
2
T
32
3
W
32
4
TH
32
5
F
32
8
M
32
9
T
32
10
W
32
11
TH
32
32
12
F
15
M
32
16
T
32
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
x 100
x 100
17
W
32
18
TH
32
32
19
F
22
M
32
23
T
34
24
W
34
25
TH
34
34
26
29
30
34
34
34
ABSENT
1. CODES FOR CHECKING ATTENDANCE
Month:
blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June)
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
No. of Days of Classes:
Late Enrollment during the month

(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month
a.4. Family problems
Average Daily Attendance
b. Individual-Related Factors
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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of absences or those with
0
0
potentials of dropping out
6. 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
TARDY
REMARK/S (If DROPPED OUT, state reason

legend number 2.
If TRANSFERRED IN/OUT, write the name
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
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.
d.1. Distance between home and school

DIANA R. GOMEZ
(Signature of Teacher over Printed Name)
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
School Form 2: Page 2 of ________
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
Attested by:
TERESITA M. QUERUBIN
OUT, state reason, please refer to

nd number 2.
OUT, write the name of School.)
ABANG I ELEM. SCH
RED IN FROM BICOL
EST I ELEM. SCHOOL
SOUTH I ELEM. SCH
SOUTH I ELEM. SCH
OUT, state reason, please refer to

nd number 2.
OUT, write the name of School.)
Summary for the Month

M
TOTAL
14
18
32
14
20
34
14
20
34
14
20
34
14
19
33
100
100
100
nted Name)
School Form 3 (SF3) Books Issued and Returned

(This replaced Form 1 & Inventory of Text Book)
School ID
School Year
School Name
NO.
Section
Grade Level
Subject Area & Title
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
NO.
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & T
Date
Returned
Issued
TOTAL FOR MALE | TOTAL COPIES
TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES
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.
In case of losses/unreturned, please provide information with the following code:
Prepared By:
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, 2.2012.
Date BoSY:_____
NO.
Date
Date
LEARNER'S NAME
Issued
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
Returned
Issued
Returned
Date
Date
B. In ColumnDate
Remark/Action Taken, codes Date
are: LLTR=Secured Letter fromDate
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
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NEG).
References:
DO#23, s.2001,
DO#25, s.2003,
DO#14, 2.2012.
Subject Area & T
Date
Issued
ect Area & Title

REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
ect Area & Title

REMARK/ACTION TAKEN
Date
Returned
(Signature over printed name)
BoSY:____________ Date EoSY: ___________
ect Area & Title

REMARK/ACTION TAKEN
Date
Returned
School Form 4 (SF4) Monthly Learner's Movement and Attendance

(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Region
Division
District
School ID
School Name
School Year
ATTENDANCE
GRADE/
YEAR
LEVEL
NAME OF ADVISER
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Percentage for the

Month
M
Re
(A) Cumulative as of
Previous Month
M
(B) For the Month

M
TRANSFERRED OUT
(A+B) Cumulative as
of End of the Month
M
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
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
GUIDELINES:
Prepared and Submitted by:
1. This forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
(Signature of
4. Small school that has one section per grade/year level is 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.
Report for the Month of

TRANSFERRED IN
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
Region
IV -A
109745
School ID
School Name
LRN
Division
LUCENA CITY
School Year
District
2013 - 2014
LUCENA WEST IV ELEMENTARY SCHOOL
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
Curriculum
Grade Level SIX
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
Amido , Jay-Jay , Quintana
80.40
Promoted
109745070006
Amorin , Erwin Ray , Aclan
76.80
Promoted
109745070008
Atentar , Mark Christian , Franco
78.00
promoted
109745070009
Avellano , Aaron ,Jesoro
77.20
Promoted
109745070010
Bactol , Xairoe Arellano
77.80
Promoted
109745070012
Barbastro , Joseph Victor , Llaneta
87.800
Promoted
109745070014
Calaguyo, Samuel , Lagar
77.80
Promoted
109745070016
Danez , John Joshua , Hilario
77.80
Promoted
109745070017
De Guzman , Eugene Anthony , Red
76.80
Promoted
109708070029
Flores , Norvel ,Paran
75.80
Promoted
109745070019
Galit , Val Angelo , Delgado
77.00
Promoted
109745070020
Guinto , Jherreco , Enriquez
76.20
Promoted
109745070021
Guinto,John Vickers,Salced
75.40
Promoted
109745070024
Ilagan. Jaypee ,Pelobelo
76.80
Promoted
109738070028
Ilagan,Jovit,Ebreo
77.80
Promoted
109745070025
Isleta, Joshua Laurenz, Basanes
83.050
Promoted
109745060031
Katigbak, Robert Jr. ,Repaso
75.00
Promoted
109745070029
Magbayao, Franz Denmark ,Mabunga
76.60
Promoted
109745070030
Malasmas, Mark Robie,Defante
78.20
Promoted
109745070031
Maranan, Alvin
78.00
Promoted
GENERAL
Section
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
109745120096
WEST
as of End of the current SY
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
109745070033
Masangkay, Jouzas, Obis
77.40
Promoted
109745120097
Naag, Mark Ellly, De los Reyes
79.20
Promoted
109745070038
Par, Danilo Jr. , Narito
86.800
Promoted
109745070037
Par , Daniel , Narito
81.40
Promoted
109745070039
Parga, Raymark , Estocado
76.60
Promoted
109745070041
Pinon, Derex
75.60
Promoted
109745070043
Sidamon, Jhon Michael , Gallardo
77.00
Promoted
109745070044
Umali, Riardo Javier
75.80
Promoted
TOTAL MALE
column)
78.216
109745070001
Abrigo, Allysa Kaith
81.20
Promoted
107333070001
Adoptante , Clarisse , Cario
80.80
Promoted
109745070003
Aguilan, Merinizza, Baylan
87.500
Promoted
109745070004
Albino, Gizelle, Yago
79.40
Promoted
109708120124
Almendras,Micaela Katricia,Chavez
85.250
Promoted
109810070005
Andaya, Charlemagne
79.80
Promoted
109745070007
Angcana, Princess,Labitigan
75.80
Promoted
109745070011
Balero, Jonna Marie,Centino
80.40
Promoted
109745070013
Basanes, Jhudiel Beatrice, Ipa
88.850
Promoted
109721070022
Cadavid, Angela
80.80
Promoted
109745070015
Conti,Haika Nicole
82.20
Promoted
109745070018
De Guzman,Justene Gutierrez
78.00
Promoted
109744070059
Dy, Mary Grace, Comedia
79.00
Promoted
109745070022
Guinto , Rezza May , Mapakpak
80.00
Promoted
109745070023
Guinto , Krissa Mae , Teleb
79.00
Promoted
109745070026
Javelosa, Nicol Cabrera
79.20
Promoted
109745070028
Llera, Erika Shene, Dungan
81.80
Promoted
109745070032
Maranan, Carmela
79.60
Promoted
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
109745070034
Mercado, Khristine , Merilo
79.20
Promoted
109709070092
Oraye, Charlotte Kate, Boongaling
79.20
Promoted
109745070036
Paguya, Hericca Isabel, Caponpon
79.80
Promoted
109745070040
Peras, Jan Kyla, Guinto
82.350
Promoted
109745070042
Regenio, Kailah, Mosqueda
82.800
Promoted
109745120095
109745070045
Romobio, Elaiza, Reyes

Villabroza, Dayzel, De Rosas
83.20
86.600
Promoted
Promoted
109745070046
Villatuya, Ricca Joy, Grapa
77.80
108767070300
Yonzaga, Angel,Villoria
85.250
Promoted
Promoted
TOTAL FEMALE
COMBINED
81.289
79.752
column)
CAMELLIA
SUMMARY TABLE
STATUS
MALE
PROMOTED
FEMALE
TOTAL
28
27
55
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
FEMALE
TOTAL
ADVANCED
(A: 90%
and above)
PREPARED BY:
MILDRED C. ARANAS
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:

School Head
REVIEWED BY:

Division Representative
GUIDELINES:
1. For All Grade/Year Levels
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 ( *for grade 7 onwards only) and the
level of proficiency according to the individual general average
4. Must tallied with the total enrollment report as of End of School

Year GESP /GSSP (BEIS)
4. Must tallied with the total enrollment report as of End of School

Year GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under the
discretion of the Schools Division Superintendent
School Form 6 (SF6) Summarized Report on Promotion

and Level of Proficiency
(This replaced Form 20)
School ID
Region
109745
School Name
IV-A
LUCENA WEST IV ELEMENTARY SCHOOL
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
Division
LUCENA CITY
District
WEST
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
SUMMARY TABLE
MALE
MALE
FEMALE
PROMOTED
28
27
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
FEMALE
FEMALE
TOTAL
TOTAL
MALE
MALE
FEMALE
FEMALE
TOTAL
TOTAL
MALE
MALE
FEMALE
FEMALE
TOTAL
TOTAL
MALE
MALE
FEMALE
FEMALE
TOTAL
MALE
TOTAL
MALE
FEMALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
75%-79%)
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
90% and above)
(A:
TOTAL
Prepared and Submitted by:
SCHOOL HEAD
Reviewed & Validated by:
DR.EPIFANIA F. CARANDANG,ED.D.
Noted by:
DIVISION REPRESENTATIVE
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
DR.ANIANO M. OGAYON, CESO V

SCHOOLS DIVISION SUPERINTENDENT
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
School Year
GRADE 12
2013 -2014
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
55
0
0
TOTAL
NDENT
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
Title of Plantilla Position

(as
Number of Incumbent
appeared in the appointment document/PSIPOP)
(B) Nationally-Funded Non Teaching Items
Title of Plantilla Position

(as
appeared in the appointment document/PSIPOP)
(C ) Other Appointments and Funding Sou
Number of
Incumbent
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
Appointment:
(Contractual, Substitute,
Volunteer, others specify)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
* Daily Program (time du
Minor
Subject Taught (include

Grade & Section), Advisory
Class & Other Ancillary
Assignment
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes per Day
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Minor

Assignment
DAY
(M/T/W/TH
/F)
From
(00:00)

GUIDELINES:
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 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.
(Signature
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
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.
Minor

Assignment
DAY
(M/T/W/TH
/F)
From
(00:00)
Updated as of: ______
School Year
d Funding Sources
Fund Source
(SEF, PTA, NGO's etc.)
Number of Incumbent
Teaching
NonTeaching
rogram (time duration)

Total Actual
Teaching
Minutes
To (00:00)
Assignment per
Week
Minutes per Day
Minutes per Day
Remark/s (For Detailed

Items, Indicate name of
school/office, For IP's
-Ethnicity)

Total Actual
Teaching
Minutes
To (00:00)
Assignment per
Week

-Ethnicity)
Minutes per Day
Minutes per Day
Minutes per Day
Minutes per Day
Minutes per Day
ed by:

Total Actual
Teaching
Minutes
To (00:00)
Assignment per
Week

-Ethnicity)
d as of: ___________________________
School Form 7, Page 2 of ________

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School Form 1 (SF 1) School Register

LUCENA WEST IV ELEM. SCHOOL

BALMACEDA LOISE WAYNE B

GUARDIAN (If not Parent)

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

FERNANDEZ, KIM LAWRENCE

LUMIBAO, RONNIE JR. G.

TADIOSA, ZAIJAN KARLO R.

VALDELLON, CHARLTONE JOSEPH P.

CAPISTRANO, RHIANN CRYSTEL F.

DE LA CRUZ, CRISTINE KATE M.

MANIGBAS GIEZEL ANN O.

MARQUINA, RHEA SHANE P.

OBIS, DANIELA ERICKA L.

ORIGENES, JOLYN ABEGAIL L.

98 VILLA SAN PABLO

PAHINTE, JHANA MAE G.

PRAXIDIO, PRINCESS ANN I.

SEBUC, CHESKA REIANA S.

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

VALDEMOR, KATYANA, SHAINE M.

List and code of Indicators under REMARK column

GUARDIAN (If not Parent)

Name of Public (P) Private (PR) School & Effectivity Date

CCT Control/reference number & Effectivity Date

Name of Public (P) Private (PR) School & Effectivity Date

Name of school last attended & Year

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report of Learners

Report for the Month of

Name of School LUCENA WEST IV ELEMENTARY SCHOOL

(1st row for date, 2nd row for Day: M,T,W,TH,F)

DANEZ , JOHN LOUIE

GUINTO , JOHN MARK

MARILAG ,PHILLIP JOSSHUA

MALE | TOTAL Per Day

1 AMORIN , MERZIEL JOY

4 CLAVECILLA , NICA ELLA M.

5 ESPENILLA , HAZLYN MAE P.

8 GUINTO , CHERRY ANN T.

9 GUINTO , GRACE ANN

10 GUINTO , TUESDAY ANN D.

FEMALE | TOTAL Per Day

TRANSFERRED IN FROM BICOL

T- IN FROM WEST I ELEM. SCHO

T-IN FROM SOUTH I ELEM. SCH

T-IN FROM ISABANG I ELEM. SC

T-IN FROM SOUTH I ELEM. SCH

REMARK/S (If DROPPED OUT, state reason

Combined TOTAL PER DAY

Total for the Month

(1st row for date, 2nd row for Day: M,T,W,TH,F)

1. CODES FOR CHECKING ATTENDANCE

* Enrolment as of (1st Friday of June)

No. of Days of Classes:

Late Enrollment during the month

a.4. Family problems

Average Daily Attendance

REMARK/S (If DROPPED OUT, state reason

Percentage of Attendance for the month

BoSY:__ Date EoSY: _