School Form 1 (SF 1) School Register

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

School ID 433579 Region VIII Division Camarines Sur District Bula

School Name
Chamsomang Christian School of Balaogan.INC School Year 2018-2019 Grade Level Grade 1 Section GRADE 1
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)

112427170124 ACBANG, KIM XANDER, BELMONTE M 7/31/12 5 Bikol, Rinconada Christianity BALAOGAN BULA CAMARINES SUR ACBANG, HOMER BELMONTE, MA. RYNIZA, T/I DATE:2018-06-
VILLAGRACIA UVERO 04
112816170030 MORILLO, LIAN EMMANUEL,- M 11/3/11 6 Bikol, Rinconada Christianity LA OPINION BULA CAMARINES SUR MORILLO, MARI AN,
REGASPI,
433579170005 PADER, HURIE, BALDERAS M 8/4/11 6 Bikol, Rinconada Others CASUGAD BULA CAMARINES SUR PADER, EDGAR BALDERAS,
SALVINO MARICEL,MORADA
433579170001 PLOTADO, JOHN CARLO, BRIÑA M 7/7/11 6 Bikol, Rinconada Others LUBGAN BULA CAMARINES SUR PLOTADO, DOLPHY BRIÑA, CRISTEL,-,
BALDERAS
112444170026 SINAG, JOHN-RON, ASTEJADA M 1/1/12 6 Bikol, Rinconada Christianity PALSONG BULA CAMARINES SUR SINAG,RONNIE ASTEJADA, LENY, Pending TI
ABABAO VILLANUEVA
FOR APPROVAL SOTTO, EMAN JOSH, JULIANES M 9/15/12 5 Bikol, Rinconada Others BALAOGAN BULA CAMARINES SUR SOTTO, JOKER OLIVER JULIANES, MEDY ANN,,

433579170003 TAJO, KEAN, TOMAQUIN M 1/21/12 6 Bikol, Rinconada Others LUBGAN BULA CAMARINES SUR TAJO, DANILO REPATO TAMAQUIN, MARGIE,
NOTORIO
7 ˂=== TOTAL MALE

433579170002 BASAGRE, KHATE, SARDOMA 6 9/15/11 Tagalog Others LUBGAN BULA CAMARINES SUR BASAGRE, RODEL SARDOMA, MARIANITA,-,
BAJADO
433579160015 ESPALMADO, SAMANTHA, SORETA 8 5/7/10 Bikol, Rinconada Others BALAOGAN BULA CAMARINES SUR ESPALMADO, EFREN SORETA, GINA, BALENDA
RAZON
FOR APPROVAL FOLLERO, ALYZA MAE, EÑOLA 5 8/2/12 Bikol, Rinconada Others LUBGAN BULA CAMARINES SUR FOLLERO, AVELINO EÑOLA, AIZA,,
GALUNO
433579170004 FRANCO, ALIYAH, BONA 6 5/16/12 Bikol, Rinconada Others BALAOGAN BULA CAMARINES SUR FRANCO, ALAN BONA, ZYRA, LUZON
BELCHES
433579170006 FULLEDO, PRINCESS RHIANA, PARAISO 5 7/29/12 Bikol, Rinconada Others BALAOGAN BULA CAMARINES SUR FULLEDO, PERFECTO PARAISO, ANGIE,
TOMBADO JR. LEDAMA
FOR APPROVAL MICALLER, PRECIOUS JHANE, OBRERO 6 1/2/12 Bikol, Rinconada Others PALSONG BULA CAMARINES SUR MICALLER, RAYMOND OBRERO, GENEGEN,
S DOLLANO
112426170089 QUINTANA, CAELEY, BARBOSA 5 7/17/12 Bikol, Rinconada Christianity BALAOGAN BULA CAMARINES SUR QUINTANA, MELECIO BARBOSA, GLORIA, Pending TI
BERGADO BARBOSAS
7 ˂=== TOTAL FEMALE

14 ˂=== COMBINED
 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)

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 7
MICHAELA ANDRIANA GARLANDO FE LUZON JEONG
 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)

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE 7

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL 14
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 (This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 433579 School Year 2018 - 2019 Report for the Month of SEPTEMBER

Name of School CHAMSOMANG CHRISTIAN SCHOOL OF BALAOGAN INC. Grade Level 1 Section

3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28
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 ABSENTTARDY
1 Acbang, Kim Xander 0
2 Morillo, Lian Emmanuel 0
3 Pader, Hurie B. 2
4 Plotado, John Carlo 0
5 Sinag, John Ron A. 0
6 Sotto, Eman Josh J. 0
7 Tajo, Kean 0
MALE | TOTAL Per Day 7 7 7 7 7 7 7 6 6 7 7 7 7 6.5 7 7 7 6.5 7 7 137.0
1 Basagre, Khate S. 0
2 Espalmado, Samantha 0
3 Follero, Alyza Mae 0
4 Franco, Aliyah 0
5 Fulledo, Princess Rhiana P. 0
6 Micaller, Precious Jhaine 4
7 Quintana, Caelly B. 2
FEMALE | TOTAL Per Day 7 7 7 7 7 7 6.5 7 6 7 7 7 7 7 7 5 6.5 7 6.5 6 134.5
Combined TOTAL PER DAY 14 14 14 14 14 14 13.5 14 13 14 14 14 14 14 14 12 14 14 14 13 274.0
No. of
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
Days of
Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Classes: F TOTAL
2. Dates shall be written in the columns after Learner's Name. Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
* Enrolment as of (1st Friday of June) 7 14
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolmen x 100 0 0
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Average Daily Total Daily Attendance a.2. Early marriage/pregnancy Registered Learners as of end of the
b.
month 7 14
Attendance = Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems Percentage of Enrolment as of end of 100% 100%
c. Percentage of Attendance for the x 100
Registered Learners as of end of the month b. Individual-Related Factors the month
b.1. Illness 6.7 14
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
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 96 97
 LEARNER'S NAME REMARKS (If DROPPED OUT, state
(Last 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 Total for the
reason, please refer to legend number 2.
Month
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 TH F ABSENTTARDY If TRANSFERRED IN/OUT, write the
name of96
Percentage of Attendance for the month School.) 97
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 Number of students absent for 5
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions consecutive days: 0 0
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
c. School-Related Factors
Drop out 0 0
c.1. Teacher Factor
c.2. Physical condition of classroom
Transferred out 0 0
c.3. Peer influence
d. Geographic/Environmental
Transferred in 0 0
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 Michaela Andriana Garlando

e.1. Child labor, work (Signature of Teacher over Printed Name)

f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ MA. JANICE V. BONA
(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 Subject Area & Title Subject Area & Title

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)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

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)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

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 ________