School F

(This replaces Fo

School ID 305205 Region CAR Division

School Name KALINGA NATIONAL HIGH SCHOOL Sc

AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday TONGUE
(Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy)
June Group)

9
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday TONGUE
(Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy)
June Group)

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday TONGUE
(Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy)
June Group)

27

28

29
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday TONGUE
(Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy)
June Group)

10

11

12

13

14

15

16

17
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday TONGUE
(Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy)
June Group)

18

List and Code of Indicators under REMARKS column

Indicator Code Required Information Code
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Da CCT

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Da B/A
Dropped DRP Reason and Effectivity Date LWD
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

KALINGA District SOUTHERN TABUK

School Year 2015-2016 Grade Level VIII Section

ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

lumn
Prepared by:
Required Information REGISTERED BoSY EoSY
CCT Control/reference number & Effectivity MALE
Date MARILYN M . OLYA-ON
(Signature of Adviser over Printed Name)
Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate:
TABUK

JUPITER
GUARDIAN
REMARKS
(If not Parent)
Contact
Number of
Relation- Parent or (Please refer to the
Name Guardian legend on last page)
ship
GUARDIAN
REMARKS
(If not Parent)
Contact
Number of
Relation- Parent or (Please refer to the
Name Guardian legend on last page)
ship
GUARDIAN
REMARKS
(If not Parent)
Contact
Number of
Relation- Parent or (Please refer to the
Name Guardian legend on last page)
ship
GUARDIAN
REMARKS
(If not Parent)
Contact
Number of
Relation- Parent or (Please refer to the
Name Guardian legend on last page)
ship
 GUARDIAN
REMARKS
(If not Parent)
Contact
Number of
Relation- Parent or (Please refer to the
Name Guardian legend on last page)
ship

Certified Correct:

YN M . OLYA-ON JAMES M. DONG-AS

viser over Printed Name) (Signature of School Head over Printed
Name)

EoSYDate: BoSY Date: EoSYDate:

 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 305205 School Year 2015-2016 Report for the Month of SEPTEMBER
Name of School
LEARNER'S NAME KALINGA NATIONAL HIGH SCHOOL Grade Level IX Section
(Last (1st row for date)
1 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30
Name, First Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W
1 AYANGDO, MORRIS K.
2 BALUBAL, RICO YAN G.
3 BANAWAG, LESTER MARK B. X X
4 BERRY, ORDONIO A.
5 CADDUMLAY, CHRIS DAIRUS A.
6 DANGANGAO, JOEY A. X X
7 DAWATON, CHARLES N.
8 GARRINGO, FERDINAND A
9 GAYUMBA, MARLON D. X X
10 GUNDAY, CRISVON L. X X X
11 LANGCAO, JOVEN RAY P. X
12 LATAWAN, JOHN RYAN G.
13 MARTIZANO, JOSHUA B. X
14 SACLIW, JOHN N.
15 PAGA, MARCELO JR B. X X X
16 SALINTO, REGIE L. X X
17 SALLAYA, JOVAN B.
18 SANTOS, JUN JUN M.
17 MALE | TOTAL Per Day 17 17 17 17 16 17 17 17 16 13 16 16 16 16 16 16 16 17 14 17 17
1 AGTULAO, CHARITY MAE L.. X
2 ANGBAO, CHRIZALYN A. X
3 AGYAO, DONALYN K.
4 ALCANZARINE, IVY G.
5 ANSANG, IVY CLAIRE G.
6 ANSANG, VIVA MAE G.
7 AWOY, JAMAICA G.
8 BAGGAY, GINALYN A. X
 9 BAJO, CYNTHIA C.
10 BALOCNIT, RAGILYN S.
11 BANGIT, SUNSHINE MAE S. X X
12 BANNAS, MARIAN G.
13 BIYAO, ROVILYN T.
14 BUBAN, JESSICA C. X X
15 BUMMUSAO, JOYCE L.
16 CABANNAG, GRAYCHEL M.
17 COYOY, CYRINE T.
18 DALUTAG, PRECY A.
19 DEEG, SHIELA MAE C. X
20 DIWAG, ELIZA JANE L.
21 GALLAMOY, RIZALINA A. X X
22 LAMBO, JOVELYN T.
23 MADIGAS, RACHEL G.
24 MAIYAO, MARVELYN M. X
25 MARDIS, JACQUELINE B. X X
26 MELCHOR, APRIL JOY P. X
27 PACYAAN, CONNIE T.
28 RIVERA, JESSA MAE A.
29 SIBLAGAN, LYDIA ANNE T.
30 TUPPIYAC, RODESSA B.
30 FEMALE | TOTAL Per Day 30 30 30 30 29 27 30 30 28 29 30 28 29 30 28 29 30 30 29 30 30
47 Combined TOTAL PER DAY 0 47 47 47 47 45 44 47 47 44 42 46 44 45 46 44 45 46 47 0 43 47
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
 b.1. Illness
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table b.2. Overage
into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
School Form 2 : Page ___ of ________
earners
SEPTEMBER
Section DEIMOS
Total for the REMARKS (If DROPPED OUT, state reason, please refer
Month 21 to legend number 2.
TH F ABSENT TARDY If TRANSFERRED IN/OUT, write the name of School.)
0 0
0 0 No longer in school (July 1, 2015)
2 0
0 0
0 0
1 0
0 0
0 0
2 0
3 0
1 0
0 0
1 0
0 0
3 0
2 0
0 0
0 0
341
1 0
1 0 Transferref In Evelio Javier Memorial NHS
0 0
0 0
0 0
0 0
0 0
1 0
 0 0
0 0
2 0
0 0
0 0
2 0
0 0
0 0
0 0
0 0
1 0
0 0
2 0 Transferred In TCNHS
0 0
0 0
1 0
2 0
1 0
0 0
0 0
0 0
0 0
586
910
Summary
Month: SEPTEMBER No. of Days of Classes: 21
M F TOTAL

* Enrolment as of (1st Friday of June) 18 28 46

Late Enrollment during the month

0 0 0
(beyond cut-off)

Registered Learners as of end of the month 17 30 37

Percentage of Enrolment as of end of the month 94% 107% 80%

 Average Daily Attendance 16 28 43

Percentage of Attendance for the month 96% 93% 117%

Number of students absent for 5 consecutive days: 0 0 0

Drop out 1 0 1

Transferred out 0 0 0

Transferred in 0 2 2

I certify that this is a true and correct report.

MARILYN M. OLYA-ON
(Signature of Teacher over Printed Name)

Attested by:
JAMES M. DONG-AS
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

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

TOTAL FOR MALE | TOTAL COPIES

 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

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

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 copies of this form may be used if needed.
In case of lost/unreturned books, please provide information with the following code:
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.
Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to
Date Date the legend on last page)
Issued Returned Issued Returned
 Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to
Date Date the legend on last page)
Issued Returned Issued Returned

ng code: Prepared By:

out, NEG=Negligence
uly signed by parent/guardian (Signature over printed name)
ubmission to School Property Date BoSY:____________ Date EoSY: ___________
DO#23, s.2001, DO#25, s.2003,

School Form 3: Page ___ of ________

 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 305205 Region CAR Division TABUK CITY District

School Name KALINGA NATIONAL HIGH SCHOOL School Year

ATTENDANCE DROPPED OUT TRANSFERRED OUT

REGISTERED
GRADE LEARNERS (A+B) Cumulative (A) Cumulative
/ YEAR SECTION NAME OF ADVISER (As of End of the (A) Cumulative as
Daily Average Percentage for the Month of Previous Month
(B) For the Month as of End of the as of Previous
LEVEL Month) Month Month

M F T M F T M F T M F T M F T M F T M F
G7 Earth/Sci. Clss Escalo, Lilibeth 7 12 19 6 11 17 85.7% 91.7% 88.7%
G7 Althea Ayyang, Florence 19 17 36 19 17 36 100.0% 100.0% 100.0%
G7 Mercury Palchan, Jocelyn A. 15 24 39 14 23 37 93.3% 95.8% 94.6%
G7 Venus Tagupa, Mercedita P. 17 15 32 15 14 29 88.2% 93.3% 90.8%
G7 Planetoid Magangat, Marilyn L. 16 18 34 16 15 31 100.0% 83.3% 91.7%
G7 Mars Latawan, Sheina S 16 15 31 14 15 29 87.5% 100.0% 93.8%
G7 Asteroid/SPED Deigo, Joyce S. 18 4 22 16 4 20 88.9% 100.0% 94.4%
G8 Neptune/Sci. Cl Bangibang, Jocelyn M. 7 16 23 7 16 23 100.0% 100.0% 100.0%
G8 Pluto Emralino, Erene 18 28 46 16 27 43 88.9% 96.4% 92.7%
G8 Zeus Dela Cruz, Leona C. 24 27 51 21 26 47 87.5% 96.3% 91.9%
G8 Saturn Mina, Renie Janet 18 29 47 18 28 46 100.0% 96.6% 98.3%
G8 Jupiter Lambayong, Evangeline 33 21 54 27 20 47 81.8% 95.2% 88.5%
G8 Uranus/SPED Cawilan, Grace 14 10 24 12 9 21 85.7% 90.0% 87.9%
G9 Dione/Sci.Cl Apaling, Angeline 5 13 18 5 13 18 100.0% 100.0% 100.0%
G9 Deimos Olya-on, Marilyn M. 15 22 37 14 21 35 93.3% 95.5% 94.4%
G9 Europa Tabanganay, Junita P. 22 22 44 20 21 41 90.9% 95.5% 93.2%
G9 Ganymede Pao-iton, Donna 23 22 45 23 22 45 100.0% 100.0% 100.0%
G9 Titan Ignacio, Adelaida 16 19 35 14 17 31 87.5% 89.5% 88.5%
G9 Phobos/SPED Bancilo, Marcelina 12 12 24 12 12 24 100.0% 100.0% 100.0%
IV Uni./Sci.Clss Dumalleg, Brendalyn D. 3 14 17 2.7 13.9 16.6 90.0% 99.3% 94.6%
IV Morning Star Silao, Charlene 24 27 51 20 25 45 83.3% 92.6% 88.0%
IV Galaxy Galingan, Mila 23 23 46 17 18 35 73.9% 78.3% 76.1%
IV Milky Way Alejandro, Jasmine O. 26 26 52 22 25 47 84.6% 96.2% 90.4%
IV Evening Star Sannadan, Dona Joana N. 26 25 51 24 24 48 92.3% 96.0% 94.2%
ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7 108 105 213 100 99 199 92.6% 94.3% 93.4%
GRADE 2/GRADE 8 114 131 245 101 126 227 88.6% 96.2% 92.4%
GRADE 3/GRADE 9 93 110 203 88 106 194 94.6% 96.4% 95.5%
GRADE 4/GRADE 10 102 115 217 86 106 191.6 84.0% 92.1% 88.1%
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL 417 461 878 374.7 436.9 811.6 89.9% 94.8% 92.3%
GUIDELINES:
1. This form 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 the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

d Attendance

SOUTHERN TABUK

2014-2015 Report for the Month of JULY

TRANSFERRED OUT TRANSFERRED IN

A) Cumulative (A+B) Cumulative (A+B) Cumulative

(A) Cumulative as
as of Previous (B) For the Month as of End of the (B) For the Month as of End of the
of Previous Month
Month Month Month

T M F T M F T M F T M F T M F T

1 0 1
 1 0 1

1
Prepared and Submitted by:

JAMES M. DONG-AS
(Signature of School Head over Printed Name)
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year

TOTAL MALE
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remain
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are stil
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School
School Year

TOTAL FEMALE

COMBINED
ficiency

Section

um and remaining
vel that are still
se columns)

current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
um and remaining
vel that are still
se columns)

current School Year

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING (D:
75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED (A:
90% and above)

PREPARED BY:

Class Adviser

(Name and Signature)

um and remaining
vel that are still
se columns)

current School Year

CERTIFIED CORRECT & SUBMITTED:

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 teachers. The class adviser should compute
for the 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.
um and remaining
vel that are still
se columns)

current School Year

4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent

School Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces 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 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE

BEGINNNING
(B: 74% and below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and above)
ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
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 is under the discretion of the Schools Division Superintendent.
 School Year

6 / GRADE 12 TOTAL

TOTAL MALE FEMALE TOTAL

TOTAL MALE FEMALE TOTAL

SUPERINTENDENT
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces 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 School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

Title of Designation Appointment:

Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.)
specify)

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Total Actual
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/ From To Teaching
Number Position, Descending) Minor & Other Ancillary (M/T/W/
-T.I.N.) Status Graduate Specialization (00:00) (00:00) Minutes per
Assignments TH/F)
Week

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Total Actual
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/ From To Teaching
Number Position, Descending) Minor & Other Ancillary (M/T/W/
-T.I.N.) Status Graduate Specialization (00:00) (00:00) Minutes per
Assignments TH/F)
Week

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 the school year, an
updated Form 19 must be submitted 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. (Signature of School Head over Printed Name)
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. Updated as of: ___________________________
School Form 7, Page ___ of ________
rces

Number of
Incumbent

Teaching Non-
Teaching

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

ool Head over Printed Name)

____________________
Form 7, Page ___ of ________