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Region

School ID
School Name

AGE as of 1st
Friday of June
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)

AGE as of 1st
Friday of June
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)

AGE as of 1st
Friday of June
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)

AGE as of 1st
Friday of June
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)

AGE as of 1st
Friday of June
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)

AGE as of 1st
Friday of June
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)

AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/ dd/yy)

(nos. of years
as per last
birthday)

BIRTH PLACE
(Province)

List and code of Indicators under REMARK column


Indicator

Code

Required Information

Indicator

Transferred Out

T/O

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

CCT Recipient

Transferred IN
Dropped
Late Enrollment

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

School Form 1 (SF 1) School Register


(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

Division
School Year

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

IP
(Specify Ethnic
Group)

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER
TONGUE

ith Dissability

IP
(Specify Ethnic
Group)

Code

RELIGION
House # / Street/Sitio/
Purok

Barangay

Municipality/ City

Province

Required Information

CCT

CCT Control/reference number & Effectivity Date

MALE

B/A
LWD
ACL

Name of school last attended & Year


Specify
Specify Level & Effectivity Data

FEMALE
TOTAL

District
Section

Grade Level

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Relationship

NAME OF PARENTS

GUARDIAN (If not Parent)


Contact Number
(Parent /Guardian)

Father (1st name only if family


name identical to learner)

BoSY

EoSY

Mother (Maiden: 1st Name, Middle &


Last Name)

Name

Prepared by:

Certified Correct:

(Signature of Adviser over Printed Name)

BoSY Date:

Relationship

EoSYDate:

(Signature of School Head

BoSY Date:

Eo

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

REMARK/S

(Please refer to the legend on


last page)

ect:

of School Head over Printed Name)

EoSYDate:

School Form 2 (SF2) Daily Attenda

(This replaced Form 1, Form 2 & STS Form 4 - Abs

School ID

School Year

Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)

(1st row for date, 2nd row for Day: M,T

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

MALE | TOTAL Per Day

(1st row for date, 2nd row for Day: M,T

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

(1st row for date, 2nd row for Day: M,T

FEMALE | TOTAL Per Day

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:
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

1. CODES F

blank- Prese
Commer, Lo

x 100

x 100

2. REASON
a. Domestic

a.1. Had to t
a.2. Early m
a.3. Parents

a.4. Family p

b. Individua

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.

b.1. Illness

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

(1st row for date, 2nd row for Day: M,T

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
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

b.2. Overage
b.3. Death
b.4. Drug Ab
b.5. Poor ac
b.6. Lack of
b.7. Hunger/
c. School-R
c.1. Teacher
c.2. Physica
c.3. Peer inf
d. Geograph
d.1. Distance

d.2. Armed c

School Form 2: Page 2 of ________

d.3. Calamit
e. Financial
e.1. Child lab
f. Others

endance Report of Learners

4 - Absenteeism and Dropout Profile)

Report for the Month of

ay: M,T,W,TH,F)

Grade Level

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.)

ay: M,T,W,TH,F)

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

ay: M,T,W,TH,F)

ODES FOR CHECKING ATTENDANCE

k- Present; (x)- Absent; Tardy (half shaded= Upper for Late


mer, Lower for Cutting Classes)

EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors

Had to take care of siblings


Early marriage/pregnancy
Parents' attitude toward schooling

ABSENT

Month:

TARDY

REMARK/S (If DROPPED OUT, state reason, please refer to


legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)

No. of Days of Classes:

* Enrolment as of (1st Friday of June)


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

Family problems

dividual-Related Factors

Illness

Summary for the Month

Average Daily Attendance


Percentage of Attendance for the month

TOTAL

ay: M,T,W,TH,F)

Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to


legend number 2.
If
TRANSFERRED
IN/OUT, write the name of School.)
ABSENT
TARDY
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.

Armed conflict (incl. Tribal wars & clanfeuds)

Calamities/Disasters
nancial-Related
Child labor, work
hers

(Signature of Teacher over Printed Name)


Attested by:
(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued

(This replaced Form 1 & Inventory of Text B

School ID

School Year

School Name

NO.

Grade Level
Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

TOTAL FOR MALE | TOTAL COPIES

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

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

Returned

Issued

Returned

Issued

Returned

Issued

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.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.

In case of losses/unreturned, please provide information w

A. In Column Date Returned, codes are: FM=Force Majeure,


B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2

oks Issued and Returned

& Inventory of Text Book)

Section

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARK/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

ovide information with the following code:

FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence


are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
25, s.2003, DO#14, 2.2012.

Issued

Returned

Prepared By:

(Signature over printed name)


Date BoSY:____________ Date EoSY: ___________
School Form 3: Page 2 of ________

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


(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region

Division

School ID
School Name
ATTENDANCE
NAME OF ADVISER

GRADE/
YEAR
LEVEL

SECTION

REGISTERED
LEARNER
(As
of End of the Month)

Daily Average
M

DROPPED OUT

Percentage for 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

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:
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.
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.

Movement and Attendance

nd Dropout Profile)

District

School Year

Report for the Month of


TRANSFERRED OUT

(A+B) Cumulative as of (A) Cumulative as of


End of the Month
Previous Month
F

(B) For the Month


M

TRANSFERRED IN

(A+B) Cumulative as of (A) Cumulative as of


End of the Month
Previous Month
M

(B) For the Month


M

(A+B) Cumulative as
of End of the Month
M

ear level.

Prepared and Submitted by:

(Signature of School Head over Printed Name)

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


(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region

III

School ID

Division
106030

School Name

LRN

PAMPANGA
School Year

District
2013 - 2014

SAN MIGUEL ELEMENTARY SCHOOL

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

Curriculum
Grade Level

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBE
Elementary grades level that still implementing RBEC nee
column)
Completed as of end of current SY

106030120002

ALVARADO, LEXTER BARCIA

80.43

PROMOTED

106030120004

CHAVEZ, ENROVIE DIMACALI

80.46

PROMOTED

106030120008

GO, XEDRICK ANTHONY DEL CASTILLO

78.05

PROMOTED

106030120030

KABILING, GIAN TROY NA

80.39

PROMOTED

106030120011

LINGAD, DRIX NARZOLES

76.23

PROMOTED

106030120013

MADLAMBAYAN, EZEKIEL JAY ALQUERO

83.08

PROMOTED

106030120014

MALLARI, MARCKY RENZIEL PINEDA

80.1

PROMOTED

106030120022

MENDOZA, AJ MARK DABU

80.17

PROMOTED

106030120017

OCAMPO, RAFAEL JOSHUA RODRIGUEZ

76.29

PROMOTED

106030120019

PAULE, MARK ALEXIS GATCHALIAN

80.67

PROMOTED

106030120021

REGALA, SEAN NERRY KABILING

82.96

PROMOTED

106030120017

REYES, FRANCIS JIMENEZ

76.58

PROMOTED

LRN

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)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBE
Elementary grades level that still implementing RBEC nee
column)
Completed as of end of current SY

106030120021

REYES, JAMES MYCO OCAMPO

80.07

PROMOTED

106030120023

REYES, JUSTINE LUKE TRAZO

76.39

PROMOTED

TOTAL MALE

106030120018

CALING, STEPHANIE PAM BELTRAN

76.42

PROMOTED

106030120029

CHAVEZ, KAYCEE DIMARUCUT

82.64

PROMOTED

106030120031

GRAJO, SHIELA MAE LAXAMANA

77.39

PROMOTED

LRN

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)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBE
Elementary grades level that still implementing RBEC nee
column)
Completed as of end of current SY

106030120032

IGNACIO, EINJEL RIVERA

82.11

PROMOTED

106030130019

LUGTU, LEI JHOAN GUTIERREZ

80.05

PROMOTED

106030120035

MANANSALA, SAM NICOLE ISIP

84.86

PROMOTED

106030120036

PUSUNG, ANGELICA CHAVEZ

80.05

PROMOTED

106030120037

RONQUILLO, ALYSSA KIM KABILING

82.4

PROMOTED

106030120039

SANTOS, DAINELLE TALA

84.36

PROMOTED

106030120042

SERRANO, JEWEL JOY VITUG

75.99

PROMOTED

106030120040

TOLENTINO, GERLY ERPELO

85.64

PROMOTED

106030120041

VICENTE, ALYSSA YABUT

85.75

PROMOTED

106030130020

VITUG, GLIMEIRA MIGUEL

77.27

PROMOTED

LRN

LEARNER'S NAME

(Last Name,
First Name, Middle Name)

TOTAL FEMALE
COMBINED

GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)

ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBE
Elementary grades level that still implementing RBEC nee
column)
Completed as of end of current SY

Proficiency
LUBAO EAST
K to 12 RBEC
ONE

Section

m and remaining RBEC in High School.


lementing RBEC need not to fill up this
umn)
as of End of the current SY
SUMMARY TABLE
STATUS

MALE

FEMALE

14

PROMOTED

13

TOTAL

27

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE

BEGINNNING
(B: 74% and below)

FEMALE

TOTAL

m and remaining RBEC in High School.


lementing RBEC need not to fill up this
umn)
as of End of the current SY
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

15

PROFICIENT
(P:
85% -89%)

ADVANCED
(A: 90%
and above)

PREPARED BY:
DIVINA G. CALING

m and remaining RBEC in High School.


lementing RBEC need not to fill up this
umn)
as of End of the current SY
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:


ELENITA S. MESINA
School Head
(Name and Signature)

REVIEWED BY:

(Name and Signature)


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

m and remaining RBEC in High School.


lementing RBEC need not to fill up this
umn)
as of End of the current SY

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)
5. Protocols of validation & submission will remain under the discretion
of the Schools Division Superintendent
School Form 5: Page 2 of ________

School Form 6 (SF6) Summarized Report on Prom


and Level of Proficiency
(This replaced Form 20)

School ID

Region

Division

School Name

District

GRADE 1 /GRADE 7

GRADE 2 / GRADE 8

GRADE 3 / GRADE 9

GRADE 4 / GRADE 10

SUMMARY TABLE
MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY

Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)

(B:
(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:

Reviewed & Validated by:


SCHOOL HEAD

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
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent

Promotion

School Year

GRADE 5 / GRADE 11

GRADE 6 / GRADE 12

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

MALE

FEMALE

TOTAL

d.

SCHOOLS DIVISION SUPERINTENDENT

School Form 7 (SF7) School Personnel Assignment List and Basic P


(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
appeared in the appointment document/PSIPOP)

Number of Incumbent

(B) Nationally-Funded Non Teaching Items

Title of Plantilla Position


(as
appeared in the appointment document/PSIPOP)

Number of
Incumbent

Title of Designation
(Designation as ap
contract/document: Teacher, C
Guard, Driver etc.)

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

Minor

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

Minor

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

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 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
personnel.
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.

and Basic Profile

ent List,
s)

School Year
(C ) Other Appointments and Funding Sources

ation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)

Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)

Number of Incumbent
Teaching

NonTeaching

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items,
Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

* Daily Program (time duration)


Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment

DAY
(M/T/W/TH/
F)

From
(00:00)

Remark/s (For Detailed


Items, Indicate name of
Total Actual
Teaching Minutes school/office, For IP's
To (00:00)
-Ethnicity)
Assignment per
Week

Ave. Minutes per Day

Ave. Minutes per Day


Submitted by:

o the Division Office .


as inventory list of school

(Signature of School Head over Printed Name)


Updated as of: ___________________________
School Form 7, Page 2 of ________

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