School Form 1 (SF 1) School Register

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

School ID Region Division District

School Name School Year Grade Level Section

AGE as of 1st
ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Friday of June
BIRTH BIRTH IP
NAME Sex DATE PLACE MOTHER (Specify Contact Number
LRN (Last Name, First Name, Middle Name) (M/F) (mm/ TONGUE Ethnic RELIGION (Parent /Guardian)
dd/yy) (Province) Group)
(nos. of years as House # / Father (1st name only if
Municipality/ Relationshi (Please refer to the legend on last
per last Street/Sitio/ Barangay City Province family name identical to Mother (Maiden) Name p page)
birthday) Purok learner)
 AGE as of 1st
Friday of June ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH IP
BIRTH
LRN NAME Sex DATE PLACE MOTHER (Specify RELIGION Contact Number
(Last Name, First Name, Middle Name) (M/F) (mm/ (Province) TONGUE Ethnic (Parent /Guardian)
dd/yy) (nos. of years as Group) House # / Municipality/ Father (1st name only if Relationshi (Please refer to the legend on last
per last Street/Sitio/ Barangay Province family name identical to Mother (Maiden) Name
City p page)
birthday) Purok learner)

List and code of Indicators under REMARK column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE

(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 Balik-Aral B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date Learner With Dissabili LWD Specify
TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data Date:___________________________________ Date:__________________________________________________
_______
 School Form 2 (SF2) Daily Attendance Report for learner
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 112235 School Year 2015-2016 Month Reporting

Name of School MERCEDES ELEMENTARY SCHOOL Grade Level II Section

DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
Month REMARK/S (If DROPPED OUT, state
LEARNER'S NAME reason, please refer to legend number 2.
(Last Name, First Name, Middle Name)
If TRANSFERRED IN/OUT, write the name
ABSENT TARDY of School.)

MALE | TOTAL Per Day

 DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
LEARNER'S NAME Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
(Last Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name
ABSENT TARDY of School.)

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY
L E G E N D:
Summary for the
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. blank- Present; (x)- Absent; Tardy (half M F TOTAL
2. Dates shall be written in the preceding columns beside Learner's Name. shaded= Upper for Late Comer, Lower for Cutting
Classes) Enrollment as of (1st Friday of June)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment (beyond cut-off)
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings Registered Learner as of end of the month
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrollment as of end of the
c. Percentage of Attendance for the month = x 100 month
Registered Learner as of End of the month a.4. Family problem

b. Individual-Related Factors Average Daily Attendance

4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of b.1. Illness
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. Percentage of Attendance for the month
b.2. Overage
5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death Number of students with 5 consecutive days of
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.4. Drug Abuse absences:
b.5. Poor academic performance
Drop out
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out
c. School-Related Factors
c.1. Teacher Factor
Transferred in
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clan
feuds) (Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work GLORIA D. BALEZA
School Form 2: Page 2 of ________ f. Others Principal III
 School Form 3 (SF3) Books Issued and Returned
(This replace Form 1 & Inventory of Text Book)

School ID School Year

School Name Grade Level Section
Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title Title Title
LEARNER'S NAME REMARK/ACTION TAKEN
NO. (Last Name, First Name, Date Date Date Date Date Date Date Date (Please refer to the code on last
Middle Name) page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
MINERVA A. JURIA

TOTAL FOR MALE | TOTAL COPIES

 Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area & Subject Area &
Title Title Title Title Title Title Title Title
LEARNER'S NAME REMARK/ACTION TAKEN
NO. (Last Name, First Name, Date Date Date Date Date Date Date Date (Please refer to the code on last
Middle Name) page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

0 TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
1. Title of Books Issued to each learner must be recorded by the class adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout,
2. The Date of Issuance and the Date of Return shall be reflected. NEG=Negligence
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
reflected. parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for (Signature over printed name)
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; DO#14, s.2012.

School Form 3: Page 2 of ________

 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 112235 Region V Division CAMARINES NORTE District MERCEDES

School Name MERCEDES ELEMENTARY SCHOOL School Year 2020-2021 Month Reporting JULY

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER (As (A+B) (A+B) (A+B)
of End of the (A) Cumulative (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as as of Previous (B) For the Cumulative as
LEVEL Month) Month Month of End of the Month Month of End of the Month Month of End of the
Month Month 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
EMMA P. ALOC 2 Bright 21 14 35 21 14 35 100 100 100 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
JOSEPHINE I. SUNGUAD 2 Neat 17 19 36 17 19 36 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1
CRISTINA G. EVANGELISTA 2 Alert 15 19 34 15 19 34 100 100 100 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
CATHERINE S. RAŇESES 2 Eager 20 13 33 20 13 33 100 100 100 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
MA. LOURDES V. FELOMINO 2 Joyful 20 13 33 20 13 33 100 100 100 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0
REYNALENE A. ESPINA 2 Nice 20 15 35 20 15 35 100 100 100 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
SHIELA D. PADAY 2 Simple 16 15 31 16 15 31 100 100 100 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
AIREEN T. LEAÑO 2 Calm 17 18 35 17 18 35 100 100 100 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
JESYLOU K. SORIANO 2 Bubbly 21 12 33 21 12 33 100 100 100 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
CRISTINE IVY M. GASES 2 Charming 19 18 37 19 18 37 100 100 100 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
JULIE P. CASAG 2 Loving 19 16 35 19 16 35 100 100 100 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
MELISSA P. REVILLA 2 Gentle 19 17 36 19 17 36 100 100 100 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

TOTAL 224 189 413 224 189 413 100 100 100 0 0 0 0 0 0 0 0 0 2 1 3 0 0 0 2 1 3 0 1 1 0 0 0 0 1 1

Prepared and Submitted by:

GUIDELINES:
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month". JOSEPHINE I. SUNGUAD
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31 3 Grade 2 Chairman
3. Teachers who are handling advisory class shall be reported.
4. Small school that has one section per grade/year level are not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only
accomplish the summary column per grade/year level.
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replace Forms 18-E1, 18-E2, 18A)

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
AVERAGE ACTION in High School. Elementary grades level that still implementing
(Numerical Value in TAKEN: RBEC need not to fill up this column)
LEARNER'S NAME
LRN (Last Name, First Name, Middle Name) 3 decimal places for PROMOTED,
honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY as of End of the current SY

SUMMARY TABLE

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
AVERAGE ACTION in High School. Elementary grades level that still implementing
(Numerical Value in TAKEN: RBEC need not to fill up this column)
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name) 3 decimal places for PROMOTED,
honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY as of End of the current SY
ADVANCED
(A: 90% and
TOTAL MALE above)
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE ACTION in High School. Elementary grades level that still implementing
(Numerical Value in TAKEN: RBEC need not to fill up this column)
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name) 3 decimal places for PROMOTED,
honor learner, 2 for IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of current SY as of End of the current SY

Prepared by:

Class Adviser
(Name and Signature)

Certified Correct and Submitted:

School Head
(Name and Signature)

GUIDELINES:

1. For All Grades Level

2. To be prepared by the Adviser. Final rating

per subject area should be taken from the
record of subject teacher. The class adviser
should make the computation of General
Average.

3. On the summary table, reflect the total

number of learners promoted, retained and
irregular and the level of proficiency according
to the individual general average
4. Must be tallied with the total enrollment
report as of End of School Year GESP /GSSP
TOTAL FEMALE (BEIS)

COMBINED

School Form 5: Page 2 of ________

 School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency
(This cancel 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

Nos. of BEGINNNING
(B: 74% and below)

Nos. of DEVELOPING
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:

School Head Division Planning Officer/ Schools Division Superintendent

Education Program Supervisor

GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
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.
 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-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division

School Name District School Year
(A) Nationally-Funded Teaching Related Items (B) Nationally-Funded Non Teaching Items (C) Other Appointments and Funding Sources

Title of Plantilla Position Number of Title of Plantilla Position Number of Nature of Appointment and Designation Fund Source Number of Incumbent
(as appeared in the appointment document) Incumbent (as appeared in the appointment document) Incumbent (Contractual, Substitute, Volunteer & others) (SEF, PTA, NGO's etc.) Non-
Teaching
Teaching

EDUCATIONAL QUALIFICATION * Daily Program (time duration)

Employee No.

Subject Taught
Name of School (include Grade & Remark/s
Personnel Fund Position/ Nature of Section) & Other Actual (For Detailed Items,
Teaching/
(Arrange by Position, Sex Source Designatio
n
Appointme
nt Degree / Post Major/ Ancillary DAY From To Service
Indicate name of
school/office, For IP's
Descending) Minor Assignment (M/T/W
Graduate Specialization (00:00) (00:00) Render -Ethnicity)
/TH/F)
(Please Specify)
(Mins/Day)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 Employee No. EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Subject Taught
Name of School (include Grade & Remark/s
Position/ Nature of Actual (For Detailed Items,
Personnel Fund Section) & Other Teaching/
(Arrange by Position, Sex Source Designatio Appointme Degree / Post Major/ Ancillary DAY
From To Service
Indicate name of
Descending) n nt Minor Assignment (M/T/W school/office, For IP's
Graduate Specialization (00:00) (00:00) Render -Ethnicity)
/TH/F)
(Please Specify)
(Mins/Day)

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 SY,
updated Form 19 must submit 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 (Signature of School Head over Printed Name)
lowest. This form shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties. School Form 7: Page 2 of ________
 Employee No. EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Subject Taught
Name of School (include Grade & Remark/s
Position/ Nature of Actual (For Detailed Items,
Personnel Fund Section) & Other Teaching/
(Arrange by Position, Sex Source Designatio Appointme Degree / Post Major/ Ancillary DAY
From To Service
Indicate name of
Descending) n nt Minor Assignment (M/T/W school/office, For IP's
Graduate Specialization (00:00) (00:00) Render -Ethnicity)
/TH/F)
(Please Specify)
(Mins/Day)

4. * Daily Program Column is for teaching personnel only.