Form1,2,3 (Blank)

School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)
School ID School Name
136438
Region NCR
Division
MANILA
School Year
District
(1) ONE
SECTION
GUARDIAN (If not Parent)
Magat Salamat Elementary School

AGE as of BIRTH DATE (mm/ (nos. of dd/yy) years as per last birthday) BIRTH PLACE (Province) IP (Specify Ethnic Group)
2013-2014
ADDRESS
Grade Level
NAME OF PARENTS Father (1st name only if family name identical to learner)
LRN
NAME (Last Name, First Name, Middle Name)
Sex (M/F)
MOTHER TONGUE
RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province
Mother (Maiden)
Name
Relations hip
Contact Number
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
AGE as of ADDRESS LRN NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ (nos. of dd/yy) years as per last birthday) BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province NAME OF PARENTS Father (1st name only if family name identical to learner) GUARDIAN (If not Parent)
Mother (Maiden)
Name
Relations hip
Contact Number
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
List and code of Indicators under REMARK column

Indicator
Transferred Out
Code
T/O
Required Information
Name of Public (P) Private (PR) School & Effectivity Date
Indicator
CCT Recipient
Code
CCT
Required Information
CCT Control/reference number & Effectivity Date
MALE
BoSY
EoSY
Prepared by:
Certified Correct:
AGE as of ADDRESS LRN NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ (nos. of dd/yy) years as per last birthday) BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province NAME OF PARENTS Father (1st name only if family name identical to learner) GUARDIAN (If not Parent)
Mother (Maiden)
Name
Relations hip
Contact Number
Transferred IN Dropped
T/I DRP
Name of Public (P) Private (PR) School & Effectivity Date Reason and Effectivity Date
Balik-Aral Learner With Dissability Accelarated
B/A LWD ACL
Name of school last attended & Year
FEMALE TOTAL 0 0
(Signature of Adviser over Printed Name)
(Signature of School Head over Printed Name)
Date:
Date:
REMARK/S (Please refer to the legend on last page)
Certified Correct:

School Form 2 (SF2) Daily Attendance Report for learner

(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID Name of School
136438
School Year
2013-2014
Month Reporting
Grade Level FIVE Section
Total for the Month
Thur Thur Wed Wed Mon Tue Fri Fri
Thur
Thur
Thur
Wed
Wed
Wed
Mon
Mon
Mon
Mon
Tue
Tue
Tue
Tue
Fri
Fri
Fri
*LEARNER'S NAME (Last Name, First Name, Middle Name)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
ABSENT TARDY
REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2. If TRANSFERRED IN/OUT, write the name of School.)
Thur
Thur
Thur
Thur
Thur
Wed
Wed
Wed
Wed
Wed
Mon
Mon
Mon
Mon
Mon
Tue
Tue
Tue
Tue
Tue
Fri
Fri
Fri
Fri
Fri

MALE | TOTAL Per Day
Total for the Month ABSENT TARDY
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
FEMALE | DAILY TOTAL
Combined TOTAL PER DAY
Thur
Thur
Thur
Thur
Thur
Wed
Wed
Wed
Wed
Wed
Mon
Mon
Mon
Mon
Mon
Tue
Tue
Tue
Tue
Tue
Fri
Fri
Fri
Fri
Fri
* Automatic Generation thru LIS
GUIDELINES: 1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. 2. Dates shall be written in the preceding columns beside Learner's Name. 3. To compute the following: Registered Learner as of End of the Month a. Percentage of Enrolment = Enrolment as of July Total Daily Attendance b. Average Daily Attendance = Number of School Days Average daily attendance Percentage of Attendance for the month = c. Registered Learner as of End of the month
1. CODES FOR CHECKING ATTENDANCE blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)
Month:
No. of Days of Classes:
Summary for the Month

M
* Enrolment as of Registered Learner as of end of the month *Percentage of Enrolment as of
x 100
x 100
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. 5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period * Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
School Form 2: Page 2 of ________
2. REASONS/CAUSES OF DROP-OUTS a. Domestic-Related Factors a.1. Had to take care of siblings a.2. Early marriage/pregnancy a.3. Parents' attitude toward schooling a.4. Family problems b. Individual-Related Factors b.1. Illness b.2. Overage b.3. Death b.4. Drug Abuse b.5. Poor academic performance b.6. Lack of interest/Distractions b.7. Hunger/Malnutrition c. School-Related Factors c.1. Teacher Factor c.2. Physical condition of classroom c.3. Peer influence d. Geographic/Environmental d.1. Distance between home and school d.2. Armed conflict (incl. Tribal wars & clan feuds) d.3. Calamities/Disasters e. Financial-Related e.1. Child labor, work f. Others
Average Daily Attendance Percentage of Attendance for the month Number of students with 5 consecutive days of absences:
Drop out Transferred out Transferred in I certify that this is a true and correct report.
(Signature of Teacher over Printed Name) Attested by: (Signature of School Head over Printed Name)
ROPPED OUT, state reason, er to legend number 2. D IN/OUT, write the name of School.)

F T
ver Printed Name)
d over Printed Name)
School Form 2 (SF2) Daily Attendance Report for learner

(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID Name of School
136438
School Year
2013-2014
Month Reporting
Grade Level FIVE
August
Section
28
Wed

1
Thur Wed Mon Tue
Thur
Thur
Thur
Thur
Wed
Wed
Wed
Mon
Mon
Mon
Mon
Tue
Tue
Tue
Tue
Fri
Fri
Fri
Fri
Fri

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 29 30
Thur
Thur
Thur
Thur
Thur
Wed
Wed
Wed
Wed
Wed
Mon
Mon
Mon
Mon
Mon
Tue
Tue
Tue
Tue
Tue
Fri
Fri
Fri
Fri
Fri

MALE | TOTAL Per Day
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
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
FEMALE | DAILY TOTAL
Combined TOTAL PER DAY
Thur
Thur
Thur
Thur
Thur
Wed
Wed
Wed
Wed
Wed
Mon
Mon
Mon
Mon
Mon
Tue
Tue
Tue
Tue
Tue
Fri
Fri
Fri
Fri
Fri
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F) 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
* Automatic Generation thru LIS
GUIDELINES: 1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. 2. Dates shall be written in the preceding columns beside Learner's Name. 3. To compute the following: Registered Learner as of End of the Month a. Percentage of Enrolment = Enrolment as of July Total Daily Attendance b. Average Daily Attendance = Number of School Days Average daily attendance Percentage of Attendance for the month = c. Registered Learner as of End of the month
1. CODES FOR CHECKING ATTENDANCE blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)
Month:
No. of Days of Classes:

M
* Enrolment as of Registered Learner as of end of the month *Percentage of Enrolment as of
x 100
x 100
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. 5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period * Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
2. REASONS/CAUSES OF DROP-OUTS a. Domestic-Related Factors a.1. Had to take care of siblings a.2. Early marriage/pregnancy a.3. Parents' attitude toward schooling a.4. Family problems b. Individual-Related Factors b.1. Illness b.2. Overage b.3. Death b.4. Drug Abuse b.5. Poor academic performance b.6. Lack of interest/Distractions b.7. Hunger/Malnutrition c. School-Related Factors c.1. Teacher Factor c.2. Physical condition of classroom c.3. Peer influence d. Geographic/Environmental d.1. Distance between home and school d.2. Armed conflict (incl. Tribal wars & clan feuds) d.3. Calamities/Disasters e. Financial-Related e.1. Child labor, work f. Others
Average Daily Attendance Percentage of Attendance for the month Number of students with 5 consecutive days of absences:
Drop out Transferred out Transferred in I certify that this is a true and correct report. Ms. Rezel C. Gutierrez (Signature of Teacher over Printed Name) Attested by: (Signature of School Head over Printed Name)

F T
Gutierrez ver Printed Name)
d over Printed Name)
School Form 3 (SF3) Books Issued and Returned

(This replace Form 1 & Inventory of Text Book)
136438 MAGAT SALAMAT ELEMENTARY SCHOOL

Subject Area & Title Subject Area & Title
School Year Grade Level

Subject Area & Title
2013-2014
Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
NO.
*LEARNER'S NAME (Last Name, First Name, Middle Name) Date Issued Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date Returned Issued Date
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
NO.
TOTAL FOR MALE
TOTAL COPIES
NO.
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 TOTAL FOR FEMALE TOTAL LEARNERS * Automatic Generation thru LIS GUIDELINES: | | TOTAL COPIES TOTAL COPIES Prepared By:
NO.
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. 3. The Total Number of Copies issued at BoSY shall be reflected in the form. 4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
(Signature over printed name) School Form 3: Page 2 of ________
Date Returned
Date Returned
Date Returned
Date Returned
Region:
Division:
District
School Form 4 (SF4) Monthly Learner's Movement and Attendance

(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile) Region Division District

REGISTERED LEARNER (As of End of the Month) M F T M ATTENDANCE DROPPED OUT (A) Cumulative as (B) For the Month of Previous Month T M F T M F T
School Year
TRANSFERRED OUT
Month Reporting
TRANSFERRED IN
NAME OF ADVISER
GRADE/ YEAR LEVEL
SECTION
Average
F T
Percentage M F
(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 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 # Need home visitation as per DECS Service Manual (page, section) 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". 2. Furnish copy to Division Office: a week after July 31, October 30 & March 31 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. Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replace Forms 18-E1, 18-E2, 18A)
Region
Division School Year
District Curriculum
Grade Level Section
LRN
LEARNER'S NAME (Last Name, First Name, Middle Name)
GENERAL AVERAGE (Numerical Value in 3 decimal places)
ACTION TAKEN: PROMOTED or RETAINED (RBEC only)
INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that still implementing RBEC need not to fill up this column) Completed as of end of current SY as of End of the current SY
SUMMARY TABLE
MALE FEMALE TOTAL
PROMOTED
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)
LRN
TOTAL MALE
PREPARED BY:
DANALYN V. SERVILLON Class Adviser (Name and Signature)
CERTIFIED CORRECT & 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. 2. On the summary table, reflect the total number of learners promoted, retained and the level of proficiency according to the individual general average TOTAL FEMALE COMBINED 3. Must tallied with the total enrollment report as of End of School Year GESP /GSSP (BEIS)
LRN
* May generate thru Learner's Information System or may lift from Master List of Learners.
School Form 6 (SF6) Summarized Report on Promotion and Level of Proficiency

(This cancel Form 20)

GRADE 1 / GRADE 7 GRADE 2 / GRADE 8
Region
Division District
School Year
GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
MALE PROMOTED RETAINED (RBEC) LEVEL OF PROFICIENCY MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE FEMALE
TOTAL MALE FEMALE
TOTAL
MALE
FEMALE TOTAL
MALE
FEMALE
TOTAL
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: SCHOOL HEAD
Reviewed & Validated by: DPO/EPS
Noted by: SCHOOLS DIVISION SUPERINTENDENT
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

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School Form 1 (SF 1) School Register

School ID School Name

Magat Salamat Elementary School

NAME (Last Name, First Name, Middle Name)

RELIGION House # / Street/Sitio/ Purok Barangay Municipality/ City Province

List and code of Indicators under REMARK column

Balik-Aral Learner With Dissability Accelarated

B/A LWD ACL

Name of school last attended & Year

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name)

REMARK/S (Please refer to the legend on last page)

REMARK/S (Please refer to the legend on last page)

REMARK/S (Please refer to the legend on last page)

School Form 2 (SF2) Daily Attendance Report for learner

School ID Name of School

Magat Salamat Elementary School

*LEARNER'S NAME (Last Name, First Name, Middle Name)

*LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month ABSENT TARDY

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY

*LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month ABSENT TARDY

* Automatic Generation thru LIS

No. of Days of Classes:

Summary for the Month

* Enrolment as of Registered Learner as of end of the month *Percentage of Enrolment as of

School Form 2: Page 2 of ________

Summary for the Month

ver Printed Name)

d over Printed Name)

School Form 2 (SF2) Daily Attendance Report for learner

School ID Name of School

Magat Salamat Elementary School

*LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month ABSENT TARDY

*LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month ABSENT TARDY

FEMALE | DAILY TOTAL

Combined TOTAL PER DAY

*LEARNER'S NAME (Last Name, First Name, Middle Name)

Total for the Month ABSENT TARDY

* Automatic Generation thru LIS

No. of Days of Classes:

Summary for the Month

* Enrolment as of Registered Learner as of end of the month *Percentage of Enrolment as of

School Form 2: Page 2 of ________

Summary for the Month

Gutierrez ver Printed Name)

d over Printed Name)

School Form 3 (SF3) Books Issued and Returned

School ID School Name

136438 MAGAT SALAMAT ELEMENTARY SCHOOL

School Year Grade Level

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title