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 District

School Name School Year Grade Level Section

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

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

(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

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment 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 123093 School Year 2014-2015 Report for the Month of

Name of School MAGSAYASAAY ELEMENTARY SCHOOL Grade Level Five Section MG

(1st row for date) Total for the Month

LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
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 ABSENT TARDY
1 Bonayog, Elmer O.

2 Capales, James S.

3 Cardenas,Nolamar James F.

4 De Asis, Gerald B.

5 Dizon, Jason D.

6 Geriente, Gary M.
7 Geriente, Joaquin M.
8 Macabidang, Domingo D.

9 Macabidang, Marlon S.

10 Magbutay, Joneel M.

11 Permejo, Brayan Jay B.

12 Balazar, Valentino S.
13 Yabao, Albert L.

MALE | TOTAL Per Day

1 Espedilla, Jamaica F.

2 Espedilla, Juanna L.
3 Flores, Maria Rose S.

4 Juanerio, Jessica M.

5 Loyugoy, Ursula S.

6 Macabidang, Regine D.
7 Serrano, Paula Mae M.
 (1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
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 ABSENT TARDY

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
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
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 consecutive days:
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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)
 (1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
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 ABSENT TARDY
Attested by:
School Form 2 : Page ___ of ________
(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 Name, Middle Name) (Please refer to the
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 Name, Middle Name) (Please refer to the
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 Custodian Date BoSY:____________ Date EoSY: ___________
(for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed. 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 123102 Region VIII Division NORTHERN SAMAR District LOPE DE VEGA

School Name SAN MIGUEL ELEMENTARY SCHOOL School Year 2018-2019 Report for the Month of NOVEMBER

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
LEARNERS (A) Cumulative (A+B) Cumulative (A+B) Cumulative (A+B)
GRADE/ (As of End of the Daily Average Percentage for (A) Cumulative as (A) Cumulative as
SECTION NAME OF ADVISER as of Previous (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
YEAR LEVEL Month) the Month of Previous Month of Previous Month
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 H T M F T M F T M F T M F T M F T
KINDER JESSA L. ALMASCO 6 5 11 6 5 11 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ONE JESSA L. ALMASCO
5 3 8 5 3 8 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
TWO ALYSSA MARIE M. BASIERTO
5 6 11 4.4 5.6 10 88 93 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
THREE ALYSSA MARIE M. BASIERTO
4 10 14 4 10 14 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FOUR JENNIFER E. ESCASINAS
7 2 9 7 2 9 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FIVE JENNIFER E. ESCASINAS
7 5 12 7 5 12 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIX MARIDELL A. EITO
5 2 7 4 2 6 80 100 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL
39 33 72 37.4 32.6 70 95.43 99 97.14 1 0 1

ELEMENTARY/SECONDARY:
KINDER 6 5 11 6 5 11 100 100 100
GRADE 1/GRADE 7 5 3 8 5 3 8 100 100 100
GRADE 2/GRADE 8 5 6 11 4.4 5.6 10 88 93 90
GRADE 3/GRADE 9 4 10 14 4 10 14 100 100 100
GRADE 4/GRADE 10 7 2 9 7 2 9 100 100 100
GRADE 5/GRADE 11 7 5 12 7 5 12 100 100 100
GRADE 6/GRADE 12 5 2 7 4 2 6 80 100 90
TOTAL FOR NON-GRADED 39 33 72 37.4 32.6 70 95.43 99 97.14
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 LAURA S. ANO
(Signature of School Head over Printed Name)
Page 1 of 1 pages
Y
 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 RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing RBEC
(Numerical Value in 2
LEARNER'S NAME PROMOTED, 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 RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing RBEC
(Numerical Value in 2
LEARNER'S NAME PROMOTED, 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 above)
TOTAL MALE

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 RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing RBEC
(Numerical Value in 2
LEARNER'S NAME PROMOTED, 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 in (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment the contract/document: Teacher, Clerk, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Employee Remarks (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section),
Detailed Items,
Total Actual Indicate name of
(Arrange by Sex
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To Teaching school/office, For IP's
Number Position, Descending) Minor
-T.I.N.) Status Graduate Specialization Ancillary Assignments (M/T/W/T (00:00) (00:00) Minutes per
H/F) -Ethnicity)
Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Employee Remarks (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section),
Detailed Items,
Total Actual Indicate name of
(Arrange by Sex
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To Teaching school/office, For IP's
Number Position, Descending) Minor (M/T/W/T
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
H/F) -Ethnicity)
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)
Employee Remarks (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section),
Detailed Items,
Total Actual Indicate name of
(Arrange by Sex
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To Teaching school/office, For IP's
Number Position, Descending) Minor (M/T/W/T
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
H/F) -Ethnicity)
Week

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