DEPED School Forms
DEPED School Forms
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
26 26 <=== TOTAL MALE
ADDRESS PARENTS GUARDIAN (If Not parent) REMARKS
AGE as Contact
BIRTH DATE IP Father's Name
NAME Sex of 1st MOTHER House #/ Street/ Mother's Maiden Name (Last Number of (Please refer to the
LRN (mm/dd/ (Ethnic RELIGION Municipality/ (Last Name,
(Last Name, First Name, Middle Name) (M/F) Friday TONGUE Sitio/ Barangay Province Name, First Name, Middle Name Relationship Parent or legend on last
yyyy) Group) City First Name, Middle
June Purok Name) Guardian page)
Name)
10
11
12
13
14
15
16
17
18
44 44 <=== COMBINED
School ID 304145 School Year 2019 - 2020 Report for the Month of
Name of School Iligan City National High School Grade Level Section
LEARNER'S NAME Total for the REMARKS (If DROPPED OUT, state reason,
(Last 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
Month
F Month please refer to legend number 2.
First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
1
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
School ID 304145 School Year 2019 - 2020 Report for the Month of JUNE
Name of School Iligan City National High School Grade Level VII Section FORTITUDE
LEARNER'S NAME (1st row for data) Total for the REMARKS (If DROPPED OUT, state reason,
(Last 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
Month
F Month 20 please refer to legend number 2.
First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 ABSENT TARDY School.)
1 ABALAYAN, JOHN RYAN D.
3 AMIROL, MINALANG H.
4 ANGGOT, ALVIN W.
7 DELORIA, HARRELL C.
9 CAAYAMAN, LOUIE G.
14 FAJARDO, DANIEL C.
20 PATILAN, ALDRED M.
22 SACAL, JHORZALD S.
23 SAIDAMEN, BARANI M.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
22 TOTAL FOR MALE | TOTAL COPIES
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
TOTAL FOR FEMALE | TOTAL COPIES
COMBINED TOTAL
GUIDELINES: In case of lost/unreturned books, 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, 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
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (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,
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
Subject Area & Title
REMARKS/ACTION TAKEN
(Please
Date refer to the legend on last
page)
Issued Returned
Prepared By:
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 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
M F T M F T M F T M F T M F T
epared and Submitted by:
School Name ILIGAN CITY NATIONAL HIGH SCHOOL Grade Level Section
INCOMPLETE SUBJECT/S
(This column is for K to 12
Curriculum and remaining RBEC in High School.
ACTION TAKEN: Elementary grades level that are still implementing RBEC
LEARNER'S NAME
LRN GENERAL AVERAGE PROMOTED, IRREGULAR need not to fill up these columns)
(Last Name, First Name, Middle Name)
or RETAINED
From previous school years
As of end of current
completed as of end of current
School Year
School Year
SUMMARY TABLE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
BEGINNNING
(B: 74% and
below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-
84%)
PROFICIENT
(P: 85% -89%)
ADVANCED (A:
90% and above)
19 TOTAL MALE
INCOMPLETE SUBJECT/S
(This column is for K to 12
Curriculum and remaining RBEC in High School.
ACTION TAKEN: Elementary grades level that are still implementing RBEC
LEARNER'S NAME
LRN GENERAL AVERAGE PROMOTED, IRREGULAR need not to fill up these columns)
(Last Name, First Name, Middle Name)
or RETAINED
From previous school years
As of end of current
completed as of end of current
School Year
School Year
PREPARED BY:
Class Adviser
REX L. RAZO
(Name and Signature)
School Head
REVIEWED BY:
VIRGINIA N. NADAYAG
(Name and Signature)
Division Representative
GUIDELINES:
4. Must tally with the total enrollment report as of End of School Year
GESP /GSSP (EBEIS)
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 PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
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 SUPER
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 Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding
School Year
Number of
Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching
Submitted by: