School Form 1 (SF 1) School Register

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

CARAGA Division SURIGAO DEL SUR District LINGIG

School ID 304895

School Name LINGIG NATIONAL HIGH SCHOOL School Year 2017-2018 Grade Level 12 Section HUMSS

GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
Contact
IP
NAME Sex BIRTH DATE AGE as of 1st MOTHER Number of
LRN (Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday June TONGUE House #/ Street/ Mother's Maiden Name (Last Parent or (Please refer to
BIRTH PLACE Group) Municipality/ Father's Name (Last Name, First
Sitio/ Barangay Province Name, First Name, Middle Name Relation-ship Guardian the legend on last
(Province City Name, Middle Name)
Purok Name) page)

132817050002 Abelgas, Ronan Monteza M 8/19/99 16 Lingig, SDS Kamayo Roman Catholic P2-A Sabang Lingig S.D.S Abelgas, Rudolfo Enriquez Monteza, Glenna Linaza

132796050013 Angca , Reniel Lascay M 11/16/99 16 Bislig City SDS Kamayo Iglesia Ni Cristo P2-B Poblacion Lingig S.D.S Angca, Reneboy, Cerna Lascay, Meraflor Linaza

30489560003 Cuacoy, Rodel Balingan M 12/2/94 21 Lingig, SDS Kamayo Roman Catholic P3-B POblacion Lingig S.D.S Cuacoy, Zozimo Sanchez Balingan, Natividad Quinampay

304895090104 Garcia, Carlito Jr. Permilan M 5/31/95 21 Lingig, SDS Kamayo Roman Catholic Mahabo Mahayahay Lingig S.D.S Garcia, Carlito Sr. Bordias Permilan, Dioscora Borongoy

304895120052 Magno, Jemark Baloro M 3/4/99 17 Lingig, SDS Kamayo Roman Catholic P6-A Poblacion Lingig S.D.S Magno, Rolando Jr. A. Baloro, Arcile B.

304895110222 Sacnanas, Jeson Daomelas M 12/9/98 17 Bacolod, LDN Kamayo Roman Catholic P6-A Hinipaan Lingig S.D.S Sacnanas, Vicente Curaza Daomelas, Nancy Ocay

132794050027 Sarsali, Alfred Banog M 7/20/00 15 Lingig, SDS Kamayo Church Of God P6-A Hinipaan Lingig S.D.S Sarsali, Alfredo Maraganias Banog, Norita Maganyan

132793050009 Tangcaag, Loegie Marindoque M 5/18/98 18 Lingig, SDS Kamayo Roman Catholic P1 Salvacion Lingig S.D.S Tangcaag, Joemel Mahinay Marindoque, Virgencita Quitoga

132796050035 Boton, Shaira Mae Largadas F 7/8/99 16 Lingig, SDS Kamayo Roman Catholic P3-A Poblacion Lingig S.D.S Boton, David Jr. Ambus Largadas, Ermelita Payac

132796050146 Tagadiad, Judy Ann Plaza F 7/17/99 16 Lingig, SDS Kamayo Roman Catholic P3-C Poblacion Lingig S.D.S Tagadiad, Diogenes Naupan Plaza, Narma Balugo

132797050034 Tandogon, Rosemarie Angca F 9/30/99 16 Lingig, SDS Kamayo Roman Catholic Mahabo Mahayahay Lingig S.D.S Tandogon, Ramiel Ticod Angca, Josephine Geli

304356131099 Toroba, Mary Grace Quizada F 5/3/00 16 Lingig, SDS Kamayo Roman Catholic P1-B Sabang Lingig S.D.S Toroba Jr., Agapito Mangyao Quizada, Nieva Orillo

132794050022 Plaza, Ana Rose Tajale F 7/7/99 16 Lingig, SDS Kamayo Roman Catholic P6-A Hinipaan Lingig S.D.S Plaza, Raymundo Ando Tajale, Arlyn Madanguit
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
Contact
IP
NAME Sex BIRTH DATE AGE as of 1st MOTHER Number of
LRN (Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday June TONGUE House #/ Street/ Mother's Maiden Name (Last Parent or (Please refer to
BIRTH PLACE Group) Municipality/ Father's Name (Last Name, First
Sitio/ Barangay Province Name, First Name, Middle Name Relation-ship Guardian the legend on last
(Province City Name, Middle Name)
Purok Name) page)

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 8 8

(Signature of Adviser over Printed Name) (Signature of School Head over Printed
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE 5 5 Name)

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL 13 13
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: 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 304895 School Year 2016-2017 Report for the Month of NOVEMBER Schoo

Name of School LINGIG NATIONAL HIGH SCHOOL Grade Level II Section HUMSS Name of Sc
LEARNE
LEARNER'S NAME (1st row for date) Total for the
REMARKS (If DROPPED OUT, state reason, please
(Last 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30
Month
refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
W TH F M T W TH F M T W TH F M T W TH F M T W ABSENT TARDY First Nam
1 Abelgas , Ronan M. 19 1 0 1

2 Angca , Reniel L. 20 0 1 2
3 Cuacoy , Rodel B. H 20 0 0 3
4 Garcia , Carlito Jr. P. O 20 0 0 4

5 Gutierrez , Roel D. L 20 0 0 5
6 Magno , Jemark B. I 20 0 0 6
7 Sacnanas , Jeson D. D 19 1 0 7

8 Sara-osos , Liovee D. A 20 0 0 8
9 Sarsali , Alfred B. Y 20 0 0 9

10 Tangcaag , Loegie M. 20 0 0 10
11 Tandugon , Joseph 20 0 0 11

MALE | TOTAL Per Day 11 11 11 10 10 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 0 218 218 MA

1 Boton , Shaira Mae B. 19 1 0 1
2 Manambit , Nica Marie D. 20 0 0 2

3 Marquizo , Anariz V. 20 0 0 3

4 Tagadiad , Judy Ann P. 20 0 0 4

5 Tandogon , Rosemarie A. 20 0 0 5
6 Toroba , Mary Grace Q. 20 0 0 6

7 Plaza , Anna Rose T. 20 0 0 7

FEMALE | TOTAL Per Day 6 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 0 139 139 FEM

Combined TOTAL PER DAY 17 18 18 17 17 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 0 357 Comb
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary GUIDELINES
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for November Classes: 20 M F TOTAL 1. The attend
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes) 2. Dates shall
* Enrolment as of (1st Friday of June) 12 7 19
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT 3. To compute
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100 0 0 0 a.
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 10 6 16 b.
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems 83% 86% 85%
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month c.
Registered Learners as of end of the month b. Individual-Related Factors
 LEARNE
LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
W TH F M T W TH F M T W TH F M T W TH F M T W ABSENT TARDY First Nam
b.1. Illness 10 6 16
Average Daily Attendance
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 b.2. Overage 4. Every end
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death summary tabl
Percentage of Attendance for the month 100% 100% 100%
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 5. The advise
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance absent for 5 c
Number of students absent for 5 consecutive days: 0 0 0
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions 6. Attendance
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition *
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 0 0 0
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related ROVIE G. SAZ
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ LOURDES O. ORCULLO, ED.D School Form 2 : Page _
(Signature of School Head over Printed Name)
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 304895 School Year 2016-2017 Report for the Month of NOVEMBER

me of School LINGIG NATIONAL HIGH SCHOOL Grade Level II Section HUMSS

LEARNER'S NAME
(1st row for date) Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to legend
(Last Name, 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 number 2.
If TRANSFERRED IN/OUT, write the name of School.)
First Name, Middle Name) W TH F M T W TH F M T W TH F M T W TH F M T W ABSENT TARDY
Abelgas , Ronan M. 19 1 0
Angca , Reniel L. 20 0 1
Cuacoy , Rodel B. H 20 0 0
Garcia , Carlito Jr. P. O 20 0 0
Gutierrez , Roel D. L 20 0 0
Magno , Jemark B. I 20 0 0
Sacnanas , Jeson D. D 19 1 0
Sara-osos , Liovee D. A 20 0 0
Sarsali , Alfred B. Y 20 0 0
Tangcaag , Loegie M. 20 0 0
Tandugon , Joseph 20 0 0

MALE | TOTAL Per Day 11 11 11 10 10 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 0 218 218

Boton , Shaira Mae B. 19 1 0
Manambit , Nica Marie D. 20 0 0
Marquizo , Anariz V. 20 0 0
Tagadiad , Judy Ann P. 20 0 0
Tandogon , Rosemarie A. 20 0 0
Toroba , Mary Grace Q. 20 0 0
Plaza , Anna Rose T. 20 0 0

FEMALE | TOTAL Per Day 6 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 0 139 139

Combined TOTAL PER DAY 17 18 18 17 17 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 0 357

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary

No. of Days of Classes:
. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for November 20 M F TOTAL
. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 12 7 19
. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
Percentage o x 100 0 0 0
Average Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Daily Total Daily Attendance a.2. Early marriage/pregnancy
Registered Learners as of end of the month 10 6 16
Attendance Number of School Days in reporting month a.3. Parents' attitude toward schooling
= Average daily attendance a.4. Family problems 83% 86% 85%
Percentage of Attendance for the month x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
LEARNER'S NAME
(1st row for date) Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to legend
(Last Name, 2 3 4 7 8 9 10 11 14 15 16 17 18 21 22 23 24 25 28 29 30 number 2.
If TRANSFERRED IN/OUT, write the name of School.)
First Name, Middle Name) W TH F M T W TH F M T W TH F M T W TH F M T W ABSENT TARDY
b.1. Illness 10 6 16
Average Daily Attendance
. Every end of the month, the class adviser will submit this form to the office of the principal for recording of b.2. Overage
ummary table into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 100% 100% 100%
. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.4. Drug Abuse
bsent for 5 consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days: 0 0 0
. 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
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 0 0 0
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related ROVIE G. SAZ
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
2 : Page ___ of ________ LOURDES O. ORCULLO, ED.D
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 304895 School Year 2016-2017

School Name LINGIG NATIONAL HIGH SCHOOL Grade Level II Section HUMSS
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
REMARKS/ACTION TAKEN
LEARNER'S NAME
NO. (Last Name, First Name,
(Please refer to the legend
Middle Name) Date Date Date Date Date Date Date Date
on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

10

11

12

13

14
TOTAL FOR FEMALE | 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: 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 (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
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.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 304895 Region CARAGA Division SURIGAO DEL SUR District LINGIG

School Name School Year 2016-2017 Report for the Month of OCTOBER

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS
YEAR SECTION NAME OF ADVISER (A+B) Cumulative (A+B) Cumulative (A+B)
(As of End of Percentage for (A) Cumulative as (B) For the (A) Cumulative as (A) Cumulative as
LEVEL (G- (HUMSS) (ROVIE G. SAZ) Daily Average as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
the Month) the Month of Previous Month Month
Month
of Previous Month
Month
of Previous Month
End of the Month
11)

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

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 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 ROVIE G. SAZ
(Signature of School Head over Printed Name)
Page _____ of _____ pages
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region CARAGA DivisionSURIGAO DEL SUR District LINGIG

School ID 304895 2016-2017 rriculum K t 12 BEC

School Name LINGIG NATIONAL HIGH SCHOOL rade Level 11 Section HUMSS

INCOMPLETE SUBJECT/S (This

column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades
LEARNER'S NAME ACTION TAKEN: level that are still implementing RBEC need not to fill up these columns)
PROMOTED,
LRN (Last Name, First Name, IRREGULAR or
Middle Name) RETAINED From previous school
years completed as of
As of end of current School Year
end of current School
Year

132817050002 ABELGAS RONAN MONTEZA SUMMARY TABLE

132796050013 ANGCA RENIEL LASCAY STATUS MALE FEMALE TOTAL

CUACOY RODEL BALINGAN

PROMOTED
304895090104 GARCIA CARLITO JR. PERMILAN
304895140003 GUTIERREZ ROEL DAVILA
IRREGULAR
304895120052 MAGNO JEMARK BALORO
304895110222 SACNANAS JESON DAOMELAS
RETAINED
132794050027 SARSALI ALFRED BANOG
132793050009 TANGCAAG LOEGIE MARINDOQUE
TANDUGON JOSEPH LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and below)
TOTAL MALE

132796050035 BOTON SHAIRA MAE LARGADAS

132794050014 MARQUIZO ANARIZ VELASQUEZ PREPARED BY:

132796050146 TAGADIAD JUDY ANN PLAZA ROVIE G. SAZ

132797050034 TANDOGON ROSEMARIE ANGCA Class Adviser

304356131099 TOROBA MARY GRACE QUIZADA (Name and Signature)

132794050022 PLAZA ANA ROSE TAJALE

CERTIFIED CORRECT & SUBMITTED:
 INCOMPLETE SUBJECT/S (This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades
LEARNER'S NAME ACTION TAKEN: level that are still implementing RBEC need not to fill up these columns)
PROMOTED,
LRN (Last Name, First Name, IRREGULAR or
Middle Name) RETAINED From previous school
years completed as of
As of end of current School Year
end of current School
Year

COMBINED School Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)

School ID 304895 Region CARAGA Division SURIGAO DEL SUR

School Name LINGIG NATIONAL HIGH SCHOOL District LINGIG School Year 2016-2017

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
SUMMARY TABLE

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 MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL 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)

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 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 304895 Region CARAGA Division SURIGAO DEL SUR

School Name LINGIG NATIONAL HIGH SCHOOL District LINGIG School Year 2016-2017

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

Number of
Title of Designation Appointment:
Incumbent
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.) Teaching
specify) Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

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 ________