School Form 4 (SF4) M

(This repla

School ID

School Name

Shifting of REGISTERED
Classes( Please LEARNER
NAME OF GRADE/ YEAR (As of End of the
Position Status SECTION indicate
ADVISER LEVEL Month)
-AM,PM,WHOLE
DAY)

M F T
Rowena C. Egay Teacher I Permanent Grade 2 Rose AM
Ralphnel Benis Teacher I Permanent Grade 2 Rose AM
Rachel Lopez Teacher I Permanent Grade 2 Rose AM

IMLEMENTING TEACHERS
Jose Perez
Juan Toledo

Jean Agustin- transferred to Bugsukan ES vice John Lenon

Carlos Garcia-retired effective September 10, 2019
Mariah Carey-On Leave

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 figur
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. All teachers shall be reported. May use additional copy/ies of this form if needed.
rm 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District

School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT

(A+B) Cumulative
Percentage for (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month
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
 Prepared and Submitted by:
eachers/advisers to update figures for the month.
ance

or the Month of

RANSFERRED 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

T M F T M F T M F T M F T
ared and Submitted by:

(Signature of School Head over Printed Name)

 School Form 4 (SF

School ID

School Name

Shifting of
Classes( Please
NAME OF GRADE/ YEAR
Position Status Specialization SECTION indicate
ADVISER LEVEL
-AM,PM,WHOLE
DAY)

Rowena C. Egay Teacher I Permanent Math Grade 2 Rose AM

Ralphnel Benis Teacher I Permanent Grade 2 Rose AM
Rachel Lopez Teacher I Permanent Grade 2 Rose AM

IMLEMENTING TEACHERS( Includes Coordinatorship)

Jose Perez ICT 1
Juan Toledo EPP

Jean Agustin- transferred to Bugsukan ES vice John Lenon

Carlos Garcia-retired effective September 10, 2019
Mariah Carey-On Leave

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 figur
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. All teachers shall be reported. May use additional copy/ies of this form if needed.
l Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District

School Year Report for the M

ATTENDANCE DROPPED OUT TRANSF

REGISTERED
LEARNER
(As of End of the (A+B) Cumulative
Percentage for (A) Cumulative as (A) Cumulative as
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
chers/advisers to update figures for the month.
ndance

Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

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

T 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 4

School ID

School Name

NAME OF MAJOR/SPECI GRADE/ YEAR

Position Status TRACK/STRAND SECTION
ADVISER ALIZATION LEVEL

Rowena C. Egay Teacher I Permanent Math ABM Grade 11 Rose

Ralphnel Benis Teacher I Permanent Grade 2 Rose
Rachel Lopez Teacher I Permanent Grade 2 Rose

IMLEMENTING TEACHERS( Includes Coordinatorship)

Jose Perez ICT 1
Juan Toledo EPP

Jean Agustin- transferred to Bugsukan ES vice John Lenon

Carlos Garcia-retired effective September 10, 2019
Mariah Carey-On Leave

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 figur
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. All teachers shall be reported. May use additional copy/ies of this form if needed.
chool Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division

School Year

ATTENDANCE DROPPED OUT

Shifting of REGISTERED
Classes( Please LEARNER
indicate (As of End of the (A+B) Cumulative
Percentage for (A) Cumulative as
-AM,PM,WHOLE Month) Daily Average (B) For the Month as of End of the
the Month of Previous Month
Month
DAY)

M F T M F T M F T M F T M F T M
AM
AM
AM
chers/advisers to update figures for the month.
nd Attendance

District

School Year Report for the Month of

OUT TRANSFERRED OUT TRANSFERRED IN

(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

F T M F T 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 Fo
(This replace For
Form 29- Te

School ID: Region: Caraga

School Name: District: North Butuan

(B) Nationally-Funded Non Teaching Items

(A) Nationally-Funded Teaching Related Items

Number Title of Plantilla Position (as it

Title of Plantilla Position (as it Title of Designation (as it
of Number of
appears in the appointment Incumben appears in the appointment contract/document:Teach
Incumbent
document/PSIPOP document/PSIPOP Guard,Driver e
t

P-III

HT - III
MT-II
MT-I
T-III
T-II
T-I
T-I
Nature of
appointment EDUCATIONAL QUALIFICATION

Name of School Personnel

Position/
Employee No. (Arrange by Position, Sex Fund Source
Designation
Descending) Major/
Degree/ Post Graduate Specialization
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
Form 29- Teachers Program and Form 31- Summary Information of Teachers)

Region: Caraga
District: North Butuan

(C) Other Appointment and Funding Sources

Title of Designation (as it appears in the

contract/document:Teacher,Clerk,Security Appointment: (Contractual, Substitute, Volunteer, Others Fund Source (SEF,
specify
Guard,Driver etc.)

NAL QUALIFICATION Subject Taught (Include Grade & Section),Advisory Class & Other Ancillary assignment ( NUMBER OF MINUTES PER WE

Total Actual Teaching

MINOR Grade Level English Math Science Filipino Aral Pan MAPEH ESP TLE Minutes per Week
Submitted by:

MARILYN L. PASOK
Principal III
 Division: Butuan City Division
S.Y. 2019-2020

nd Funding Sources

Fund Source (SEF,PTA,NGOs etc. Number of Incumbent

Teaching Non-teaching

ment ( NUMBER OF MINUTES PER WEEK)

Daily Program (time duration)
ANCILLARY SERVICES
Remarks(For Detailed
Items, Indicate name
TOTAL of school/office for
IP’s-Ethnicity
NUMBER OF
TOTAL NUMBER PLS. INDICATE HERE MINUTES
MINUTES ON THE ANCILLARY Day (M-F)
ANCILLARY SERVICES SERVICES
K
 School Form 7
(This replace Form 1
Form 29- Teach

School ID: Region: Caraga

School Name: District: North Butuan

(B) Nationally-Funded Non Teaching Items

(A) Nationally-Funded Teaching Related Items

Number Title of Plantilla Position (as it

Title of Plantilla Position (as it Title of Designation (as it app
of Number of
appears in the appointment Incumben appears in the appointment contract/document:Teacher,C
Incumbent
document/PSIPOP document/PSIPOP Guard,Driver etc.)
t

PRINCIPAL i
Admin Assistant 1

Nature of
appointment EDUCATIONAL QUALIFICATION

Name of School Personnel

Position/
Employee No. (Arrange by Position, Sex Fund Source
Designation
Descending) Major/
Degree/ Post Graduate Specialization
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
Form 29- Teachers Program and Form 31- Summary Information of Teachers)

Region: Caraga
District: North Butuan

(C) Other Appointment and Funding Sources

Title of Designation (as it appears in the

contract/document:Teacher,Clerk,Security Appointment: (Contractual, Substitute, Volunteer, Others Fund Source (SEF,PTA
specify
Guard,Driver etc.)

NAL QUALIFICATION Subject Taught (Include Grade & Section),Advisory Class & Other Ancillary assignment ( NUMBER OF MINUTES PER WEEK)

Total Actual Teaching

MINOR Grade Level English Math Science Filipino Aral Pan MAPEH ESP TLE Minutes per Week
Submitted by:

MARILYN L. PASOK
Principal III
 Division: Butuan City Division
S.Y. 2019-2020

nd Funding Sources

Fund Source (SEF,PTA,NGOs etc. Number of Incumbent

Teaching Non-teaching

ment ( NUMBER OF MINUTES PER WEEK)

Daily Program (time duration)
ANCILLARY SERVICES
Remarks(For Detailed
Items, Indicate name
TOTAL of school/office for
IP’s-Ethnicity
NUMBER OF
TOTAL NUMBER PLS. INDICATE HERE MINUTES
MINUTES ON THE ANCILLARY Day (M-F)
ANCILLARY SERVICES SERVICES
K
School ID: Region: Caraga
School Name: District: North Butuan

(B) Nationally-Funded Non Teaching Items

(A) Nationally-Funded Teaching Related Items

Number Title of Plantilla Position (as it

Title of Plantilla Position (as it of Number of Title of Desi
appears in the appointment Incumben appears in the appointment Incumbent contract/document:Te
document/PSIPOP document/PSIPOP
t

EDUCATIONAL QUALIFICATION

Name of School Personnel Fund Position/ Nature of

.A (Arrange by Position, Sex Source( Nati
Designation appointment
Descending) onal or SEF) Major/
Degree/ Post Graduate Specialization
 School Form 7 (SF7) School
(This replace Form 12- Monthly St
Form 29- Teachers Program an

Region: Caraga
District: North Butuan

Title of Designation (as it appears in the

contract/document:Teacher,Clerk,Security Guard,Driver etc.)

NAL QUALIFICATION

I.A IB
Pagbasa
Komunik at
English for asyon at Pagsusu
MINOR Grade Level TRACK/STRAND Pagsulat
Reading Academic Pananali ri ng
Oral sa
and Practical ksik sa Iba’t
Commu and Filipino
nication Writing Profession Research Wika at Ibang sa Piling
al Kulturan Teksto
Laranga
Purposes g sa n
Pilipino Pananali
ksik
Submitted by:
ool Form 7 (SF7) School Personnel Assignment List and Basic Profile
ce Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
29- Teachers Program and Form 31- Summary Information of Teachers)

(C) Other Appointment and Funding Sources

Appointment: (Contractual, Substitute, Volunteer, Others specify

Subject Taught (Include Grade & Section),Advisory Class & Other Ancillary assignment ( NUMBER OF MINUTES PER WEEK)

IC I4 II III-A III-B VA
21st
Century Account
Introduc
Literatur Contem Underst tion to Media ancy, Researc General Statistics Physical
e from porary anding and Empowe Business Earth Physical Educatio
the and Entrepre hWork
and Mathem and Earth and Personal
the Philippin Culture, Philosop Informa rment Life
e Arts Society hy of the tion Technol Manage neurship Immersi atics Probabili Science Science Science Health
n and Develop
Philippin ment
es and from the and Literacy ogies ment ty
Region Politics Human on
the (ABM)
Person
World
MARILYN L. PASOK
Principal III
 Fund Source (SEF,PTA,NGOs etc.

WEEK)

SPECIALIZED SUBJECTS/APPLIED SUBJECTS ANCILLARY SERVICES

TOTAL
Total Actual Teaching
Minutes per Week NUMBER OF
TOTAL NUMBER PLS. INDICATE HERE MINUTES
DRRM MINUTES ON THE ANCILLARY
ANCILLARY SERVICES SERVICES
 Division: Butuan City Division
S.Y. 2019-2020

Number of Incumbent

Teaching Non-teaching

Daily Program (time duration)

Remarks(For Detailed
Items, Indicate name
of school/office for
IP’s-Ethnicity

Day (M-F)
THIS IS HOW TO WRITE THE POSITION TITLE

Principal I
Principal II
Principal III
Principal IV
Principal V
Master Teacher I
Master Teacher II
Head Teacher I
Head Teacher II
Head Teacher III
Head Teacher I
Head Teacher II
Head Teacher III
Head Teacher IV
Head Teacher V
Teacher I
Teacher II
Teacher III
THIS IS HOW TO WRITE THE POSITION TITLE
 Scho
(This repla
Form

District:

(B) Nationally-Funded Non Teaching Items

(A) Nationally-Funded Teaching Related Items

NAME OF Number Title of Plantilla Position (as it

SCHOOL Title of Plantilla Position (as it of Number of
appears in the appointment Incumben appears in the appointment Incumbent
document/PSIPOP document/PSIPOP
t

Principal V
Agusan Master Teacher I
NHS
Master Teacher II
Head Teacher I
Head Teacher II
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
Form 29- Teachers Program and Form 31- Summary Information of Teachers)

Region: Caraga

(C) Other Appointment and Funding Sources

Title of Designation (as it appears in the

contract/document:Teacher,Clerk,Security Appointment: (Contractual, Substitute, Volunteer, Others
specify
Guard,Driver etc.)
ofile
nment List,
chers)

Division: Butuan City Division

S.Y. 2019-2020

Appointment and Funding Sources

Fund Source (SEF,PTA,NGOs etc. Number of Incumbent

Teaching Non-teaching
 Scho
(This repla
Form

District:

Nature of
appointment EDUCATIONAL QUALIFICATION

NAME OF Employee No. Name of School Personnel

(Arrange by Position, Sex Position/
Fund Source Designation
SCHOOL Descending) Degree/ Post Graduate
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replace Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
Form 29- Teachers Program and Form 31- Summary Information of Teachers)

Region: Caraga

EDUCATIONAL QUALIFICATION Subject Taught (Include Grade & Section),Advisory Class & Other Ancillary assignment ( NUMBER OF MINUTES

Major/ MINOR Grade Level English Math Science Filipino Aral Pan MAPEH ESP TLE
Specialization
Submitted by:

MARILYN L. PASOK
Principal III
ofile
nment List,
chers)

Division: Butuan City Division

her Ancillary assignment ( NUMBER OF MINUTES PER WEEK)

Daily Program (time duration)
ANCILLARY SERVICES
Remarks(For Detailed
Items, Indicate name
TOTAL of school/office for
Total Actual Teaching IP’s-Ethnicity
NUMBER OF
Minutes per Week TOTAL NUMBER PLS. INDICATE HERE MINUTES
MINUTES ON THE ANCILLARY Day (M-F)
ANCILLARY SERVICES SERVICES
YN L. PASOK
ncipal III
 (B) Nationally-Funded Non Teaching Items
(A) Nationally-Funded Teaching Related Items

NAME OF Number Title of Plantilla Position (as it

SCHOOL Title of Plantilla Position (as it of Number of
appears in the appointment Incumben appears in the appointment Incumbent
document/PSIPOP document/PSIPOP
t
 School Form 7 (SF7)
(This replace Form 12- Mont
Form 29- Teachers Prog

Title of Designation (as it appears in the

contract/document:Teacher,Clerk,Security Guard,Driver etc.)
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
s replace Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
Form 29- Teachers Program and Form 31- Summary Information of Teachers)

(C) Other Appointment and Funding Sources

Appointment: (Contractual, Substitute, Volunteer, Others specify

es

Fund Source (SEF,PTA,NGOs etc.

 Division: Butuan City Division
S.Y. 2019-2020

Number of Incumbent

Teaching Non-teaching
 EDUCATIONAL QUALIFICATION

Name of School Personnel Fund

NAME OF Position/ Nature of
SCHOOL (Arrange by Position, Sex Source( Nati
Designation appointment
Descending) onal or SEF) Major/
Degree/ Post Graduate Specialization
 School Form 7 (SF7) School Pe
(This replace Form 12- Monthly Status
Form 29- Teachers Program and F

NAL QUALIFICATION Sub

I.A IB
Pagbasa
Komunik at
English for asyon at Pagsusu
MINOR Grade Level TRACK/STRAND Pagsulat
Reading Academic Pananali ri ng
Oral sa
and Practical ksik sa Iba’t
Commu and Filipino
nication Writing Profession Research Wika at Ibang sa Piling
al Kulturan Teksto
Purposes g sa Laranga
n
Pilipino Pananali
ksik
Submitted by:
ool Form 7 (SF7) School Personnel Assignment List and Basic Profile
ce Form 12- Monthly Status Report for Teachers, Form 19- Assignment List,
29- Teachers Program and Form 31- Summary Information of Teachers)

Subject Taught (Include Grade & Section),Advisory Class & Other Ancillary assignment ( NUMBER OF MINUTES PER WEEK)

IC I4 II III-A III-B VA
21st
Century Account
Introduc Media
Literatur Contem Underst ancy,
tion to Researc General Statistics Physical
e from porary anding and Empowe Business Earth Physical Educatio
the h and Mathem and Earth and Personal
the Philippin Culture, Informa rment and Entrepre Life
Philosop tion Technol Manage neurship Work Science Science Science n and Develop
Philippin e Arts Society atics Probabili
hy of the Literacy ogies Immersi Health ment
es and from the and ment ty
Human on
the Region Politics (ABM)
Person
World
MARILYN L. PASOK
Principal III
WEEK)
Daily Program (tim
SPECIALIZED SUBJECTS/APPLIED SUBJECTS ANCILLARY SERVICES

TOTAL
Total Actual Teaching
Minutes per Week NUMBER OF
TOTAL NUMBER PLS. INDICATE HERE MINUTES
DRRM MINUTES ON THE ANCILLARY Day (M-F
ANCILLARY SERVICES SERVICES
 Division: Butuan City Division
S.Y. 2019-2020

Daily Program (time duration)

Remarks(For Detailed
Items, Indicate name
of school/office for
IP’s-Ethnicity

Day (M-F)