Anda di halaman 1dari 62

S

(Thi

School ID Region Division

School Name

AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER
LRN DATE PLACE (Specify
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Ethnic Group)
years as
per last
birthday)
[Lastname, [Firstname], [MI.]

List and code of Indicators under REMARK column


Indicator Code Required Information Indicator Code
Transferred Ou T/O Name of Public (P) Private (PR) School & EffectivCCT Recipient CCT

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

District

School Year Grade Level Section

ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

olumn
Prepared by:
Required Information BoSY EoSY

CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Prin


Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYD
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

Certified Correct:

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

EoSYDate: BoSY Date: EoSYDate:


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

School ID School Year Report for the Month of

Name of School Grade Level

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

MALE | TOTAL Per Day


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


[Lastname, [Firstname], [MI.]
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

FEMALE | TOTAL Per Day


Combined TOTAL PER DAY

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= Uppe
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 b.3. Death
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days 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 & clanfeuds)

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others
earners

Section

Total for the


REMARK/S (If DROPPED OUT, state reason,
Month
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Total for the
REMARK/S (If DROPPED OUT, state reason,
Month
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Total for the
REMARK/S (If DROPPED OUT, state reason,
Month
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)

Summary for the


Month: No. of Days of
Month
Classes:
M F TOTAL
d= Upper
* Enrolment as of (1st Friday of June)

Late Enrollment during the month


(beyond cut-off)

Registered Learner as of end of the month


Total for the
REMARK/S (If DROPPED OUT, state reason,
Month
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month

Average Daily Attendance

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.

s)
(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)


School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

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
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


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
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

TOTAL FOR MALE | TOTAL COPIES


[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


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
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]


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
[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

[Lastname, [Firstname], [MI.]

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES


GUIDELINES: In case of losses/unreturned, please provide information with the following code:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NE
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
ned

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

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

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

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

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

ing code: Prepared By:

ed/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property
ces: DO#23, s.2001, DO#25, s.2003, 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 District


School ID

School Name School Year

ATTENDANCE DROPPED OUT TRAN


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

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
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.
nd Attendance

Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)


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

M F T M F T M F T M F T M F T
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 Division District

School ID School Year Curriculum

School Name Grade Level

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]


INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]


0 [Lastname, [Firstname], [MI.]
0 [Lastname, [Firstname], [MI.]
0 [Lastname, [Firstname], [MI.]
0 [Lastname, [Firstname], [MI.]
0 [Lastname, [Firstname], [MI.]

TOTAL MALE

0 [Lastname, [Firstname], [MI.]


INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]


INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

0 [Lastname, [Firstname], [MI.]

TOTAL FEMALE

COMBINED
iciency

Section

Curriculum and
grades level that
p this column)

of the current SY

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
Curriculum and
grades level that
p this column)

of the current SY

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)
Curriculum and
grades level that
p this column)

of the current SY

PREPARED BY:

Class Adviser

(Name and Signature)

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 teacher. The class adviser should make the
Curriculum and
grades level that
p this column)

of the current SY
2. To be prepared by the Adviser. Final rating per
subject area should be taken from the record of
subject teacher. The class adviser should make the
computation of General Average.

3. On the summary table, reflect the total number of


learners promoted, retained and irregular ( *for grade
7 onwards only) and the level of proficiency according
to the individual general average

4. Must tallied with the total enrollment report as of


End of School Year GESP /GSSP (BEIS)

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 Promotion
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 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCYMALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

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: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERI
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
School Year

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL


SION SUPERINTENDENT

eld.
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division


School Name District Scho

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sou
Title of Designation
(Designation Appointment:
Title of Plantilla Position Title of Plantilla Position (Contractual, Fund Source
Number of Number of as appeared in the
(as appeared in the appointment (as appeared in the appointment Substitute, (SE
Incumbent Incumbent contract/document: Teacher, Clerk, Volunteer, others
document/PSIPOP) document/PSIPOP) NGO's
Security Guard, Driver etc.) specify)

EDUCATIONAL QUALIFICATION * Daily Program (time durat


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

Ave. Minutes per Day


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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day


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

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 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 (Signature of Sch
shall also serve as inventory list of school personnel.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: _______
4. * Daily Program Column is for teaching personnel only.
Scho
School Year

ing Sources

Number of
Source Incumbent
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching

me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week
me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week
me duration)
Remark/s (For
Total Actual Detailed Items,
Teaching Indicate name of
Minutes school/office, For
Assignment IP's -Ethnicity)
per Week

e of School Head over Printed Name)

___________________________

School Form 7, Page 2 of ________