Grade 3 Atis

Region
School ID
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
List and code of Indicators unde

Indicator
Code
Required Information
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
Transferred IN
T/I
Dropped
Late Enrollment
DRP
LE
Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of June)
LRN
NAME
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
LRN
NAME
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
List and code of Indicators unde

Indicator
Code
Transferred Out
T/O
Transferred IN
T/I
Dropped
DRP
Reason and Effectivity Date
LRN
Late Enrollment
NAME
LE
Sex
(M/F)
BIRTH
DATE
(mm/
dd/yy)
AGE as of 1st
Friday of June
(nos. of years
as per last
birthday)
Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Registe
(This replace Form 1, Master List & STS Form 2-Family Background and Profile
Division
School Year
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
s under REMARK column

Indicator
Code
CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
Balik-Aral
B/A
Name of school last attended & Year
Learner With Dissabili
LWD
Specify
Accelarated
ACL
Specify Level & Effectivity Data
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
s under REMARK column

Indicator
Code
CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
Balik-Aral
B/A
Name of school last attended & Year
Learner With Dissabili
LWD
Specify
BIRTH
PLACE
(Province)
Accelarated
MOTHER
TONGUE
IP
(Specify
Ethnic
Group)
ACL
ADDRESS
RELIGION
House # /
Street/Sitio/
Purok
Barangay
Specify Level & Effectivity Data
chool Register
mily Background and Profile)
District
Grade Level
DDRESS
Municipality/ City
Section
NAME OF PARENTS
Province
Father (1st name only if

family name identical to
learner)
Mother (Maiden)
GUARDIAN (If not Parent
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province

learner)
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province

learner)
Mother (Maiden)
Name
DDRESS
Municipality/ City
ectivity Date
NAME OF PARENTS
Province

learner)
BoSY
MALE
FEMALE
TOTAL
EoSY
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province

learner)
Mother (Maiden)
Name
DDRESS
Municipality/ City
NAME OF PARENTS
Province

learner)
Mother (Maiden)
Name
DDRESS
Municipality/ City
ectivity Date
NAME OF PARENTS
Province

learner)
BoSY
EoSY
Mother (Maiden)
Name
Prepared by:
MALE
FEMALE
TOTAL
(Signature of Adviser over Printed Name)
DDRESS
Municipality/ City
NAME OF PARENTS
Province
TOTAL

learner)
Mother (Maiden)
Name
Date:_________________________________
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p
(Please refer to the legend on last

page)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
Certified Correct:
(Signature of School Head over Printed Name)
(If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
Relationshi
p

page)
______________ Date:__________________________________________________
_________
School Form 2 (SF2) Daily Atten
(This cancel Form 1, Form 2 & STS Form 4 - A
School ID
School Year
Name of School
DATE (1st row for date, 2nd row f
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
LEARNER'S NAME
Name)
MALE | TOTAL Per Day
LEARNER'S NAME
Name)
FEMALE | DAILY TOTAL
Combined TOTAL PER DAY

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:
a. Percentage of Enrolment =
b. Average Daily Attendance =
c. Percentage of Attendance for the month =
Registered Learner as of End of the Month

Enrolment as of 1st Friday of June
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
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.
x 100
x 100
LEARNER'S NAME
Name)
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
School Form 2: Page 2 of ________
ttendance Report for learner
rm 4 - Absenteeism and Dropout Profile)
Month Reporting
Grade Level
d 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.)
Total for the

Month
ABSENT
TARDY

School.)
Total for the

Month
ABSENT
TARDY

School.)
L E G E N D:
1. CODES FOR CHECKING ATTENDANCE
blank- Present; (x)- Absent; Tardy (half shaded=
Upper for Late Comer, Lower for Cutting Classes)
Month:
No. of Days of
Classes:
Enrollment as of (1st Friday of June)
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
Late Enrollment (beyond cut-off)
a.1. Had to take care of siblings

a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
Registered Learner as of end of the month
a.4. Family problem
Percentage of Enrollment as of end of the

month
b. Individual-Related Factors
Average Daily Attendance
b.1. Illness
Percentage of Attendance for the month
Summary for the

Month
M
TOTAL
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
e. Financial-Related
e.1. Child labor, work
f. Others
Total for the

Month

ABSENT
TARDY
School.)
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.
(Signature of Teacher over Printed Name)

Attested by:
School Form 3 (SF3) Books Iss
(This replace Form 1 & Inventory
School ID
School Year
School Name
Grade Level
LEARNER'S NAME
NO.
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
(Last Name,
First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
(Last Name,
TOTAL FOR MALE | TOTAL COPIES
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
(Last Name,
Issued
Returned
Issued
Returned
Issued
Returned
Issued
LEARNER'S NAME
NO.
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
(Last Name,
Issued
Returned
Issued
Returned
Issued
Returned
Issued
0 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.
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be
reflected.
In case of losses/unreturned, please pro
A. In Column Date Returned, codes are: FM=

B. In Column Remark/Action Taken, codes are
parent/guardian (for code FM), TLTR=Teach
submission to School Property Custodian (for
References: DO#23, s.2001; DO#25 s.20
Books Issued and Returned

1 & Inventory of Text Book)
Section
ct Area &
Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Subject Area &

Title
REMARK/ACTION TAKEN
Date
Issued
Returned
(Please refer to the code on last

page)
ct Area &
Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Subject Area &

Title
REMARK/ACTION TAKEN
Date
Issued
Returned

page)
ct Area &
Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Subject Area &

Title
REMARK/ACTION TAKEN
Date
Issued
Returned

page)
ct Area &
Title
Subject Area &

Title
Subject Area &

Title
Subject Area &

Title
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
Returned
d, please provide information with the following code:
codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

aken, codes are: LLTR=Secured Letter from Learner duly signed by
), TLTR=Teacher prepared letter/report duly noted by School Head for
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG).
1; DO#25 s.2003; DO#14, s.2012.
Subject Area &

Title
REMARK/ACTION TAKEN
Date
Issued

page)
Returned
Prepared By:
(Signature over printed name)
School Form 4 (SF4) Monthly Learner's M
(This replace Form 3 & STS Form 4-Absenteeism
School ID
Region
Division
School Name
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
ELEMENTARY/SECONDARY:
ATTENDANCE
REGISTERED
LEARNER (As
of End of the
Month)
F
Average
DROPPED
Percentage
(A) Cumulative
as of Previous
Month
M
(B) For th
Month
M
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:
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 fo
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 June 30, October 31 & 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, t
accomplish the summary column per grade/year level.
er's Movement and Attendance
enteeism and Dropout Profile)
District
School Year
OPPED OUT
(B) For the

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

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

Month
M
(A+B)
Cumulative as
of End of the
Month
M
Prepared and Submitted by:
figures for the month.
Instead, they will only
School Form 5 (SF 5) Report on Promotion
(This replace Forms 18-E1, 18-E2, 18A
Region
Division
VI
School ID
LRN
2013-2014
School Year
114920
School Name
AKLAN
DONGON ELEMENTARY SCHOOL
LEARNER'S NAME
GENERAL
AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
114920100012
Cabido, AJ Silvestre
79.20
PROMOTED
114920100013
Campos, Renz Anthony Gonzales
79.00
PROMOTED
114920100019
Dequilla, Kurt Jarrence Roldan
80.00
PROMOTED
226502100136
Elizan, Jan Mark Villanueva
80.60
PROMOTED
114920100024
Geraldo, Janley Jun Aguarino
78.20
PROMOTED
114920100030
Kingking, Bien Dave Rocero
79.00
PROMOTED
114920100031
Macahilas, Gales Barey Tropa
78.40
PROMOTED
114920090021
Macahilas, Jhon Harold Cawaling
78.40
PROMOTED
114920090024
Malihan, John Reymond Diola
75.00
PROMOTED
114920090027
Masangya, John Daryl Cawaling
77.20
PROMOTED
LRN
LEARNER'S NAME
GENERAL
AVERAGE
decimal places for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Completed as
114920100046
Oczon, Bryan Molato
78.60
PROMOTED
114920100047
Oquendo, Renz Almero
79.20
PROMOTED
114920100052
Patenio, James Carl Almero
79.00
PROMOTED
114920090041
Reyes, Gerard Villanueva
75.00
PROMOTED
114920100065
Teofilo, Kim Borsigue
78.80
PROMOTED
114920100066
Tuazon, Aldin Jun Rubias
79.00
PROMOTED
114920100068
Yamog, Jolly Bautista
79.00
PROMOTED
114920100070
Yerro Jr., Joseph Remecio
79.20
PROMOTED
18
TOTAL MALE
remaining RB
implem
LRN
LEARNER'S NAME
GENERAL
AVERAGE
decimal places for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
114920100002
Albacino, Angel Luz
80.00
PROMOTED
114920090002
Almero, J-Ail Milloroso
79.00
PROMOTED
114920100022
Fernandez, Dafne Franz Isturis
79.20
PROMOTED
114923100084
Ibabao, Aya Loraine Toriaga
79.40
PROMOTED
114920100025
Ibabao, Paulyn Joy
79.00
PROMOTED
114920100029
Iyoro, Mary Joy Impreso
79.00
PROMOTED
114920100033
Magharing, Vea Jean Verano
79.00
PROMOTED
114920100049
Organo, Claudine Ivory Butanero
80.00
PROMOTED
114920100050
Palcon, Apple Joy
79.20
PROMOTED
114916100038
Yerro, Lara Joy Tambong
80.00
PROMOTED
LRN
LEARNER'S NAME
10
TOTAL FEMALE
28
COMBINED
GENERAL
AVERAGE
decimal places for
non-honor &
Descriptive Letter)
INCOMPLETE
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
remaining RB
implem
Completed as
ion & Level of Proficiency
E2, 18A)
District
NUMANCIA
Curriculum
Grade Level
BEC
THREE
Section
ATIS
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and
ing RBEC in High School. Elementary grades level that still
implementing RBEC need not to fill up this column)
ted as of end of current SY
as of End of the current SY
SUMMARY TABLE
MALE
FEMALE
TOTAL
PROMOTED
18
10
28
IRREGULAR
RETAINED
PLETE SUBJECT/S
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and
below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP:
80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and
above)
FEMALE
TOTAL
PLETE SUBJECT/S
Prepared by:
KATHERINE D. IGTANLOC
Class Adviser
(Name and Signature)
Certified Correct and Submitted:
RAMIE T. MANSAYON
School Head
(Name and Signature)
Reviewed by:
RITA M. REY
( Name and Signature)
Division Representative
GUIDELINES:
1. For All Grades Level
PLETE SUBJECT/S
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)
School Form 6 (SF6) Summarized Report on Promotion a

(This cancel Form 20)
School ID
Region
Division
School Name
SUMMARY TABLE
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
(D: 75%-79%)
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:
Reviewed & Validated by:
School Head
Division Planning Officer/

Education Program Supervisor
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Leve
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
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP.
motion and Level of Proficiency
Division
District
RADE 10
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
Noted by:
Schools Division Superintendent
or Grade Level in order to reflect the result in each data field.

e by the end of the school year.
School Form 7 (SF7) School Personnel Assignment List a
(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignmen
Form 29-Teacher Program and Form 31-Summary Information of Teachers
School ID
School Name
Region
(A) Nationally-Funded Teaching Related Items
Employee No.
Title of Plantilla Position

(as appeared in the appointment document)
Name of School
Personnel
(Arrange by
Position, Descending)
Division
District
(B) Nationally-Funded Non Teaching Items
Number of Incumbent
Title of Plantilla Position

(as appeared in the appointment document)
Number of
Incumbent
Nature of Appoin
(Contractual, Subs
EDUCATIONAL QUALIFICATION
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
Employee No.
Name of School
Personnel
(Arrange by
Sex
Nature of
Fund
Position/
Appointme
Source Designation
nt
Degree / Post
Graduate
Major/
Specialization
Minor
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 duri
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
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.
ent List and Basic Profile
19-Assignment List,
on of Teachers)
School Year
(C) Other Appointments and Funding Sources
Nature of Appointment and Designation
(Contractual, Substitute, Volunteer & others)
Fund Source
(SEF, PTA, NGO's etc.)
* Daily Program (time duration)

Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00) (00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)
Ave. Minutes per Day
Number of Incumbent
Teaching
Non-Teaching
Remark/s
(For Detailed Items,
Indicate name of
school/office, For IP's
-Ethnicity)

Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00)
(00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)
Remark/s
Indicate name of
-Ethnicity)

Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00)
(00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)
Remark/s
Indicate name of
-Ethnicity)

Subject Taught
(include Grade &
Actual
Section) & Other
DAY
Teaching/
Ancillary
From
To
(M/T/W/T
Service Render
(00:00)
(00:00)
Assignment (Please
H/F)
Specify)
(Mins/Day)
Remark/s
Indicate name of
-Ethnicity)

Submitted by:
personnel during SY,
est rank down to the


Grade 3 Atis

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Grade 3 Atis

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Region

List and code of Indicators unde

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

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

Reason and Effectivity Date

List and code of Indicators unde

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)

School Form 1 (SF 1) School Registe

s under REMARK column

CCT Control/reference number & Effectivity Date

Name of school last attended & Year

Learner With Dissabili

Specify Level & Effectivity Data

s under REMARK column

CCT Control/reference number & Effectivity Date

Name of school last attended & Year

Learner With Dissabili

Specify Level & Effectivity Data

mily Background and Profile)

Father (1st name only if

GUARDIAN (If not Parent

Father (1st name only if

GUARDIAN (If not Parent

Father (1st name only if

GUARDIAN (If not Parent

Father (1st name only if

GUARDIAN (If not Parent

Father (1st name only if

GUARDIAN (If not Parent

Father (1st name only if

GUARDIAN (If not Parent

Father (1st name only if

GUARDIAN (If not Parent

(Signature of Adviser over Printed Name)

Father (1st name only if

GUARDIAN (If not Parent

(If not Parent)

(Please refer to the legend on last

(If not Parent)

(Please refer to the legend on last

(If not Parent)

(Please refer to the legend on last

(If not Parent)

(Please refer to the legend on last

(If not Parent)

(Please refer to the legend on last

(If not Parent)

(Please refer to the legend on last

(If not Parent)

(Please refer to the legend on last

(Signature of School Head over Printed Name)

(If not Parent)

(Please refer to the legend on last

School Form 2 (SF2) Daily Atten

(This cancel Form 1, Form 2 & STS Form 4 - A

DATE (1st row for date, 2nd row f

DATE (1st row for date, 2nd row f

MALE | TOTAL Per Day

DATE (1st row for date, 2nd row f

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY