School Form 1 (SF 1) School Register

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

School ID Region VIII Division RIZAL District II-B

School Name NAZARENE VILLE ELEMENTARY SCHOOL School Year 2018-2019 Grade Level V Section 6 ( OSTRICH )
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic RELIGION House #/ Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE Municipality/
June Group) Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
City
Purok Middle Name) Middle Name) page)

BALBEDINA, CHARLES DOLINDO SAN AGUSTINE SAN ROQUE ANTIPOLO RIZAL ISABEL D. BALBEDINA
109401140068 M 05/21/2008 10 TAGALOG CATHOLIC

BALBERAN, JOHN CARL MARQUEZ P32 DULONG CRASHERS ANTIPOLO RIZAL REYNALDO DC. BALBERAN ROSEMARIE O. MARQUEZ
136688110044 M 05/21/2009 12 TAGALOG CATHOLIC

BASIT, MARFIE KHANIL DOLOHUIN DON ENRIQUE HE DOLORES TAYTAY RIZAL MARIA FE DOLOGUIN
111392140051 M 05/21/2010 10 TAGALOG CATHOLIC

DEL CASTILLO, JEROME ZAPA NAZARENE VILLE SAN ROQUE ANTIPOLO RIZAL WILFREDO N. DEL CASTILLO THERESE JANE DEL CASTILLO
109333130089 M 05/21/2011 10 TAGALOG CATHOLIC

DE LARA, MARCUS LEY

1215031130031 M 05/21/2012

DEVES, RICHARD ELOSENDO

M 05/21/2013

109333140097 FLORES, ALVIN GALVAN

M 05/21/2014 11

GARCIA, JOSHUA BALOIS

HOJELLA, JEREMIAH MARINAS

JOSE, JHERALDINE ASHLY MANZANILLA

MANUEL, JOHN MICHAEL

MAQUILAN, RAIN CYRUS MADERAZO

1093333130008

OLIVAR, JOHNVIC

RIOS, CEDRIC FARANAL

ROSALES, JOMARI TOBIAS

SORAINO, RAINIER ANDREI AGUNOD

TAPANG. MARK EUGENE ESGUERRA

URSAL, DANILO BICALDO

BONIFACIO, ADRIAN JAMES D.

MORANTO, KEVEN JAY A.

ALOVERA, APRYLLE

ARCAMO, SHAINA

CAGURUNGAN, DANICA RAZON

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

CAMUS, ZHAMILLE ROXANNE S.

COMBATE, EDEN PEPITO

1095543140467 F 12/17/2007 10 TAGALOG CATHOLIC

COSEP, FENNIE LYN LLARENA

1093333130155

DALUT, MA FAITH DIAZ

DIAZ, MARY ANN PANGANIBAN

LEGASPINA, NICOLE IBBARIENTOS

LOPEZ, PRINCESS SOPHIA CARMILA Z.

OLIVAR, JELYN MINGO

RICAFRENTE, RACHELLE ANN TOME

113407130053 ROXAS, ALEXI LETADA

F

TARUG, MICAELLA HUBAHIB

FELECIA, DARYL FAITH L.

ECOL, RAESHA M

FULGAR, MARIELLE S.

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

Transferred IN T/OName of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE

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

Late Enrollment DRPReason and Effectivity Date LWD Specify

TOTAL
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 School Year 2018-2019 Report for the Month of JUNE

Name of School NAZARENE VILLE ELEMENTARY SCHOOL Grade Level V Section 6 (OSTRICH)
LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
1 BALBEDINA, CHARLES DOLINDO E A I E
2 BALBERAN, JOHN CARL MARQUEZ E R N I X X 2 0
3 BASIT, MARFIE KHANIL DOLOHUIN E X A D D 1 0
4 CRUZ, JOHN MICHAEL F. E W E L 0
5 DEL CASTILLO, JEROME ZAPA E N P 0
6 DEVES, RICHARD ELOSENDO E G E F X 1 0
7 DATOON, AJ M. E N I X 1 0
8 DEVES, RICHARD ELOSENDO E X X L D T 2 0
9 FLORES, ALVIN GALVAN E A E R 0
10 GARCIA, JOSHUA BALOIS E L N 0
11 HOJELLA, JEREMIAH MARINAS E X A C 1 0
12 JOSE, JHERALDINE ASHLY E X W E X 2 0
MANZANILLA
13 MAGUILADO, MARK EDRIAN M. E I 0

14 MANUEL, JOHN MICHAEL E X X G D 2 0

15 MAQUILAN, RAIN CYRUS MADERAZO E X X A A 2 0
16 MORANTO, KEVEN JAY A. E N Y 0
17 OLIVAR, JOHNVIC E X 1 0
18 RIOS, CEDRIC FARANAL E N 0
19 ROSALES, JOMARI TOBIAS E G 0
20 SORAINO, RAINIER ANDREI AGUNOD E 0
21 TAPANG. MARK EUGENE ESGUERRA E X R 1 0
22 URSAL, DANILO BICALDO E X X I 2 0
Z 2 0
A
L

MALE | TOTAL Per Day

20 ALOVERA, APRYLLE E 0
21 ARCAMO, SHAINA E X X 2 0
22 CAGURUNGAN, DANICA RAZON E X 1 0

23 CAMUS, ZHAMILLE ROXANNE S. E X 1 0

24 COMBATE, EDEN PEPITO E 0
25 COSEP, FENNIE LYN LLARENA E 0
LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
26 DALUT, MA FAITH DIAZ E 0
27 DIAZ, MARY ANN PANGANIBAN E 0
28 LEGASPINA, NICOLE IBBARIENTOS E 0
29 LOPEZ, PRINCESS SOPHIA CARMILA Z. E X X 2 0
30 OLIVAR, JELYN MINGO E 0
31 RICAFRENTE, RACHELLE ANN TOME E X X 2 0
32 ROXAS, ALEXI LETADA E X X 2 0
33 TARUG, MICAELLA HUBAHIB E

33
32

37 0

FEMALE | TOTAL Per Day 0 3 1 0 0 0 0 0 0 0 1 0 0 0 0 2 4 0 0 0 Late No. of Days of Summary

Enro Classes:
Combined TOTAL PER DAY M F TOTAL
llme
nt
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
duri
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for ng
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes) * Enrolment as ofRegi
the(1st Friday of June)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT mon
stere
Perc
th d
Registered Learners as of end of the month a. Domestic-Related Factors enta
a. Percentage of Enrolment = x 100 Lear
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings ge
ners of
Total Daily Attendance a.2. Early marriage/pregnancy Enro
as of
b. Average Daily Attendance = lmen
end
number of school days in reporting mongth a.3. Parents' attitude toward schooling
t of
as
Average daily attendance a.4. Family problems Perc
c. Percentage of Attendance for the month = x 100 of
(bey
the
Num
Registered Learners as of end of the month b. Individual-Related Factors enta
end
ond
mon
berof
ge
Average Daily
b.1. Illness
of Attendance
of
cut-
th
Atte
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 the
off)
stud
School Form 4. Once signed by the principal, this form should be returned to the adviser. ndan
b.3. Death mon
ents
ce
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 abseth
for
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance nt
the
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions for 5
mont
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition cons
Drop h out 0
c. School-Related Factors ecuti
ve
c.1. Teacher Factor Transferred out 0
days
c.2. Physical condition of classroom :
c.3. Peer influence Transferred in 2
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
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify) (Signature of School Head over Printed Name)
Attested by:
School Form 2 : Page ___ of ________
LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
School Form 2 : Page ___ of ________
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section

ENGLISH FILIPINO MATH SCIENCE MAPEH ESP AP APP

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
6/19/18 Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
BALBEDINA, CHARLES DOLINDO

BALBERAN, JOHN CARL MARQUEZ

BASIT, MARFIE KHANIL DOLOHUIN

CRUZ, JOHN MICHAEL F.

DEL CASTILLO, JEROME ZAPA

DEVES, RICHARD ELOSENDO

DATOON, AJ M.

DEVES, RICHARD ELOSENDO

FLORES, ALVIN GALVAN

GARCIA, JOSHUA BALOIS

HOJELLA, JEREMIAH MARINAS

JOSE, JHERALDINE ASHLY MANZANILLA

MAGUILADO, MARK EDRIAN M.

MANUEL, JOHN MICHAEL

MAQUILAN, RAIN CYRUS MADERAZO

MORANTO, KEVEN JAY A.

OLIVAR, JOHNVIC

RIOS, CEDRIC FARANAL

ROSALES, JOMARI TOBIAS

SORAINO, RAINIER ANDREI AGUNOD

TAPANG. MARK EUGENE ESGUERRA

URSAL, DANILO BICALDO

 ENGLISH FILIPINO MATH SCIENCE MAPEH ESP AP APP

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
6/19/18 Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

ALOVERA, APRYLLE

ARCAMO, SHAINA

CAGURUNGAN, DANICA RAZON

CAMUS, ZHAMILLE ROXANNE S.

COMBATE, EDEN PEPITO

COSEP, FENNIE LYN LLARENA

DALUT, MA FAITH DIAZ

DIAZ, MARY ANN PANGANIBAN

LEGASPINA, NICOLE IBBARIENTOS

LOPEZ, PRINCESS SOPHIA CARMILA Z.

OLIVAR, JELYN MINGO

RICAFRENTE, RACHELLE ANN TOME

ROXAS, ALEXI LETADA

TARUG, MICAELLA HUBAHIB

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:
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, NEG=Negligence
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 by parent/guardian (for (Signature over printed name)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. 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 Region Division District

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

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

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(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 Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

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)
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(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 Year
School Year ADVANCED
(A: 90% and
TOTAL MALE above)

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
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.

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
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(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 Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE

COMBINED 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 School Year

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 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

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.
 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

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________