School Form 1 (SF 1) School Register (This replaced Form 1, Master List & STS Form 2-Family Background
and Profile)
School ID School Name AGE as of 1st Friday of BIRTH June DATE
(mm/ dd/yy)
(nos. of years as per last birthday)
Region
Division School Year
District Grade Level Section GUARDIAN (If not Parent)
Name
Relationship
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH MOTHER PLACE TONGUE (Province)
IP (Specify Ethnic Group)
ADDRESS RELIGION
House # / Street/Sitio/ Purok Barangay Municipality/ City Province
NAME OF PARENTS
Father
(1st name only if family name identical to learner)
Mother
(Maiden: 1st Name, Middle & Last Name)
Contact Number (Parent /Guardian)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Indicator Transferred Out Transferred IN Dropped Code T/O T/I DRP List and code of Indicators under REMARK column Indicator Required Information Name of Public (P) Private (PR) School & CCT Recipient Effectivity Date Name of Public (P) Private (PR) School & Balik-Aral Effectivity Date Learner With Reason and Effectivity Date Dissability Code Required Information CCT Control/reference number & CCT Effectivity Date B/A Name of school last attended & Year LWD Specify
TOTAL
BoSY EoSY
MALE FEMALE
Prepared by:
Certified Correct:
(Signature of Adviser over Printed Name)
(Signature of Adviser over Printed Name)
(mm/ dd/yy)
(nos. of years as per last birthday)
House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father
(1st name only if family name identical to learner)
Mother
(Maiden: 1st Name, Middle & Last Name)
Name
Late Enrollment
LE
Reason (Enrollment beyond 1st Friday of Accelarated June)
TOTAL
ACL Specify Level & Effectivity Data
BoSY Date: ______
EoSY Date: _______
Relationship
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
AGE as of 1st Friday of BIRTH June DATE
BIRTH MOTHER PLACE TONGUE (Province)
IP (Specify Ethnic Group)
ADDRESS RELIGION
NAME OF PARENTS
GUARDIAN (If not Parent)
Contact Number (Parent /Guardian)
BoSY Date: _______
REMARK/S
(Please refer to the legend on last page)
Certified Correct:
(Signature of Adviser over Printed Name)
REMARK/S
(Please refer to the legend on last page)
EoSY Date: _______
EoSY Date: _______
School Form 1 (SF 1) School Register (This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
School ID 122018 Region VIII Division School Year District Grade Level Section GUARDIAN (If not Parent)
Relationship
School Name Sampongon MG Elementary School AGE as of 1st Friday of June BIRTH DATE
(mm/ dd/yy)
(nos. of years as per last birthday)
ADDRESS BIRTH MOTHER PLACE TONGUE (Province)
IP (Specify Ethnic Group)
NAME OF PARENTS
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
RELIGION
House # / Street/Sitio/ Purok Barangay Municipality/ City Province Father
(1st name only if family name identical to learner)
Mother
(Maiden: 1st Name, Middle & Last Name)
Name
Contact Number (Parent /Guardian)
1 2 3 4 5 6 7 8 9 10 11 12 13
List and code of Indicators under REMARK column Indicator Transferred Out Transferred IN Dropped Code T/O T/I DRP Required Information Name of Public (P) Private (PR) School & Effectivity Date Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date Indicator CCT Recipient Balik-Aral Learner With Dissability Code Required Information CCT Control/reference number & CCT Effectivity Date B/A Name of school last attended & Year LWD Specify BoSY
MALE FEMALE TOTAL
EoSY
Prepared by:
Certified Correct:
(Signature of Adviser over Printed Name)
(Signature of Adviser over Printed Name)
(mm/ dd/yy)
(nos. of years as per last birthday)
House # / Street/Sitio/ Purok
Barangay
Municipality/ City
Province
Father
(1st name only if family name identical to learner)
Mother
(Maiden: 1st Name, Middle & Last Name)
Name
TOTAL
Late Enrollment
LE
Reason (Enrollment beyond 1st Friday of Accelarated
ACL Specify Level & Effectivity Data
BoSY Date: ______
EoSY Date: _______
Relationship
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
AGE as of 1st Friday of June BIRTH DATE
ADDRESS BIRTH MOTHER PLACE TONGUE (Province)
IP (Specify Ethnic Group)
NAME OF PARENTS
GUARDIAN (If not Parent)
RELIGION
Contact Number (Parent /Guardian)
BoSY Date: _______
REMARK/S
(Please refer to the legend on last page)
Certified Correct:
(Signature of Adviser over Printed Name)
REMARK/S
(Please refer to the legend on last page)
EoSY Date: _______
EoSY Date: _______
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID Name of School LEARNER'S NAME (Last Name, First Name, Middle Name)
School Year
Report for the Month of Grade Level
(1st row for date, 2nd row for Day: M,T,W,TH,F)
Section
Total for the Month ABSENT TARDY REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2. If TRANSFERRED IN/OUT, write the name of School.)
MALE | TOTAL Per Day
LEARNER'S NAME (Last Name, First Name, Middle Name)
(1st row for date, 2nd row for Day: 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.)
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 FOR CHECKING ATTENDANCE blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes) Month: No. of Days of Classes:
Summary for the Month
M F TOTAL
* 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 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.
x 100
2. REASONS/CAUSES OF DROP-OUTS a. Domestic-Related Factors a.1. Had to take care of siblings a.2. Early marriage/pregnancy a.3. Parents' attitude toward schooling a.4. Family problems b. Individual-Related Factors
x 100
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.1. Illness b.2. Overage b.3. Death b.4. Drug Abuse b.5. Poor academic performance b.6. Lack of interest/Distractions b.7. Hunger/Malnutrition c. School-Related Factors c.1. Teacher Factor c.2. Physical condition of classroom c.3. Peer influence d. Geographic/Environmental d.1. Distance between home and school d.2. Armed conflict (incl. Tribal wars & clanfeuds) d.3. Calamities/Disasters e. Financial-Related e.1. Child labor, work f. Others
(Signature of Teacher over Printed Name) Attested by: (Signature of School Head over Printed Name)
School Form 2: Page 2 of ________
School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)
School ID School Name
Subject Area & Title NO. LEARNER'S NAME (Last Name, First Name, Middle Name) Issued Subject Area & Title
School Year Grade Level
Subject Area & Title Subject Area & Title
Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title REMARK/ACTION TAKEN (Please refer to the legend on last page)
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned
TOTAL FOR MALE | TOTAL COPIES
Subject Area & Title NO. LEARNER'S NAME (Last Name, First Name, Middle Name) Issued
Subject Area & Title
Subject Area & Title
Subject Area & Title
Subject Area & Title
Subject Area & Title
Subject Area & Title
Subject Area & Title REMARK/ACTION TAKEN (Please refer to the legend on last page)
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date Returned Issued
Date 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 copy/ies of this form may use if needed. In case of losses/unreturned, 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. 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 Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Region School ID School Name
REGISTERED LEARNER (As of End of the Month) M F T ATTENDANCE
Division
District
School Year
DROPPED OUT TRANSFERRED OUT
Report for the Month of
TRANSFERRED IN
NAME OF ADVISER
GRADE/ YEAR LEVEL
SECTION
Daily Average
M F T
Percentage for (A) Cumulative as (B) For the Month of Previous Month the Month
M F T M F T M F T
(A+B) Cumulative (A+B) Cumulative (A+B) (A) Cumulative as (A) Cumulative as as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of of Previous Month of Previous Month Month Month End of the 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: 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. 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 School ID School Name
Division School Year
District Curriculum Grade Level
GENERAL AVERAGE (Numerical Value in 3 decimal places for honor learner, 2 for non-honor & Descriptive Letter)
Section
LRN
LEARNER'S NAME (Last Name, First Name, Middle Name)
ACTION TAKEN: PROMOTED, *IRREGULAR or RETAINED
INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that still implementing RBEC need not to fill up this column) Completed as of end of current SY as of End of the current SY
SUMMARY TABLE STATUS
PROMOTED
MALE FEMALE TOTAL
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
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 MALE
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 RBEC in High School. Elementary grades level that still implementing RBEC need not to fill up this column) Completed as of end of current SY as of End 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 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 ________
TOTAL FEMALE COMBINED
School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency
(This replaced Form 20)
School ID School Name
Region
Division District School Year
SUMMARY TABLE MALE PROMOTED IRREGULAR RETAINED LEVEL OF PROFICIENCY MALE
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
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
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: SCHOOL HEAD
Reviewed & Validated by: DIVISION REPRESENTATIVE
Noted by:
SCHOOLS DIVISION SUPERINTENDENT 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 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 School Name
(A) Nationally-Funded Teaching & Teaching Related Items Title of Plantilla Position (as appeared in the appointment document/PSIPOP) Number of Incumbent
Region
Division District School Year
(C ) Other Appointments and Funding Sources Title of Designation (Designation as appeared in the contract/document: Teacher, Clerk, Security Guard, Driver etc.)
Appointment: (Contractual, Substitute, Volunteer, others specify)
(B) Nationally-Funded Non Teaching Items Title of Plantilla Position (as appeared in the appointment document/PSIPOP) Number of Incumbent
Fund Source (SEF, PTA, NGO's etc.)
Number of Incumbent NonTeaching Teaching
EDUCATIONAL QUALIFICATION Employee No. (or Tax
Identification Number T.I.N.)
Name of School Personnel Sex (Arrange by Position, Descending)
Fund Source
Position/ Designation
Nature of Appointment/ Employment Status
Degree / Post Graduate
Major/ Specialization
Minor
* Daily Program (time duration) Subject Taught (include Grade & Total Actual Section), Advisory Class DAY Teaching From To & Other Ancillary (M/T/W/ Minutes (00:00) (00:00) Assignment TH/F) Assignment per Week
Remark/s (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
EDUCATIONAL QUALIFICATION Employee No. (or Tax
Identification Number T.I.N.)
Name of School Personnel Sex (Arrange by Position, Descending)
Fund Source
Position/ Designation
Nature of Appointment/ Employment Status
Degree / Post Graduate
Major/ Specialization
Minor
* Daily Program (time duration) Subject Taught (include Grade & Total Actual Section), Advisory Class DAY Teaching From To & Other Ancillary (M/T/W/ Minutes (00:00) (00:00) Assignment TH/F) Assignment per Week
Remark/s (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day 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 school 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. Submitted by:
(Signature of School Head over Printed Name) Updated as of: ___________________________ School Form 7, Page 2 of ________