Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of batangas
DISTRICT OF MATAASNASKAHOY
Mataasnakahoy

SCHOOL REPORT ON ENROLMENT AND ASSIGNMENT OF TEACHERS

SY 2010 - 2011
AS OF __________________________
Name of School: ______________________________
School Personnel as per Current Plantilla:

Principal Teacher Otherm Items:

Voc'l Admin. GC:
Asst. Principal: Librarian
Head Teacher Clerk: Locally Paid Teachers:
Master Teacher Janitor (Please Specify = (PSB/LSB)

Source of Fund
Date of Grade & ENROLMENT Subject Taught /
Name of Teacher Sex Birth
Position Title Major Minor
Section Assignment
(Local/Nation
al) Male Female Total

PRE-ELEMENTARY

ELEMENTARY

NAME OF SCHOOL HEAD

GRAND TOTAL 0 0 0
Other Information:

Total Number of Instructional Rooms Total No. of Desk (Usable)

Total. No. of Sets of Tables and Chair Total No. of Armchairs (Usable)

Note: Actual number of teachers should be reflected in the form. Specify if they are detailed borrowed from other schools. Also, please include teachers
who are locally funded and Enrolment in SPED class. Use additional sheet if necessary.

I hereby certify that the data in this report are true, complete and correct to the best of my knowledge

Principal

SUBSCRIBED AND SWORN TO before me this ____ day of _____________________ affiant exhibiting to me her residence Certificate Number
____________________ issued on ___________________________ at ______________________________

HON. DANILO M. SOMBRANO

NOTARY PUBLIC Municipal Mayor