Section

House #/ Street/
Sitio/
Purok
Barangay
Municipality/
City
Province
RELIGION
ADDRESS
Grade Level
Father's Name (Last Name,
First Name, Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
AGE as of
1st Friday
June
PARENTS
School ID
Region VIII Division District
School Year
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
LRN
Sex
(M/F)
House #/ Street/
Sitio/
Purok
Barangay
Municipality/
City
Province
RELIGION
ADDRESS
Father's Name (Last Name,
First Name, Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
AGE as of
1st Friday
June
PARENTS
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
LRN
Sex
(M/F)
Indicator Code Required Information Code Required Information
REGISTERED BoSY EoSY
Transferred Out T/O CCT MALE
Transferred IN T/I B/A Name of school last attended & Year FEMALE Name of Public (P) Private (PR) School & Effectivity Date
List and Code of Indicators under REMARKS column
Prepared by:
CCT Control/reference number & Effectivity
Date
(Signature of Adviser over Printed Name)
Name of Public (P) Private (PR) School & Effectivity Date
House #/ Street/
Sitio/
Purok
Barangay
Municipality/
City
Province
RELIGION
ADDRESS
Father's Name (Last Name,
First Name, Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
AGE as of
1st Friday
June
PARENTS
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
LRN
Sex
(M/F)
Dropped DRP LWD Specify
Late Enrollment LE ACL Specify Level & Effectivity Data BoSY Date: EoSYDate:
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
TOTAL
REMARKS
Name Relation-ship
(Please refer to the
legend on last page)
GUARDIAN
(If not Parent)
Contact
Number of
Parent or
Guardian
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
REMARKS
Name Relation-ship
(Please refer to the
legend on last page)
GUARDIAN
(If not Parent)
Contact
Number of
Parent or
Guardian
Prepared by: Certified Correct:
(Signature of Adviser over Printed Name) (Signature of School Head over Printed
Name)
REMARKS
Name Relation-ship
(Please refer to the
legend on last page)
GUARDIAN
(If not Parent)
Contact
Number of
Parent or
Guardian
BoSY Date: EoSYDate: BoSY Date: EoSYDate:
School ID School Year
Name of School
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
Section Grade Level
Report for the Month of
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
MALE | TOTAL Per Day
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the
Month
School Form 2 (SF2) Daily Attendance Report of Learners
(1st row for date)
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
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the
Month
(1st row for date)
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
2. REASONS/CAUSES FOR DROPPING OUT
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
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. 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 & 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)
Attested by:
(Signature of School Head over Printed Name)
No. of Days of
Classes:
Late Enrollment during the month
(beyond cut-off)
School Form 2 : Page ___ of ________
a.
FEMALE | TOTAL Per Day
Registered Learners as of end of the month
* Enrolment as of (1st Friday of June)
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
Combined TOTAL PER DAY
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out.
Average Daily Attendance
x 100
x 100
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
School Form 4. Once signed by the principal, this form should be returned to the adviser.
c.
Total Daily Attendance
Number of School Days in reporting month
Registered Learners as of end of the month
Average Daily Attendance =
Percentage of Enrolment =
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
b.
Registered Learners as of end of the month
Number of students absent for 5 consecutive days:
Percentage of Attendance for the month
Drop out
Enrolment as of 1st Friday of the school year
Average daily attendance
Beginning of School Year cut-off report is every 1st Friday of the School Year
Percentage of Attendance for the month =
Transferred in
Percentage of Enrolment as of end of the month
Transferred out
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School Form 2 (SF2) Daily Attendance Report of Learners
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
M F TOTAL
(Signature of Teacher over Printed Name)
(Signature of School Head over Printed Name)
Summary
School ID School Year
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date
Grade Level
(This replaces Form 1 & Inventory of Textbooks)
School Form 3 (SF3) Books Issued and Returned
Section
NO.
Date Date Date
Subject Area & Title
Date
Subject Area & Title Subject Area & Title
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date
NO.
Date Date Date
Subject Area & Title
Date
Subject Area & Title Subject Area & Title
TOTAL FOR MALE | TOTAL COPIES
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Date Date
NO.
Date Date Date
Subject Area & Title
Date
Subject Area & Title Subject Area & Title
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
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.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
1. Title of Books Issued to each learner must be recorded by the class adviser.
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for 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,
2.2012.
Issued Returned
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Subject Area & Title
(This replaces Form 1 & Inventory of Textbooks)
School Form 3 (SF3) Books Issued and Returned
Date
Issued Returned
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Subject Area & Title
Date
Issued Returned
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
Subject Area & Title
Date
Prepared By:
Date BoSY:____________ Date EoSY: ___________
School Form 3: Page ___ of ________
(Signature over printed name)
School ID
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
ELEMENTARY/SECONDARY:
GUIDELINES: Prepared and Submitted by:
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
(Signature of School Head over Printed Name)
Page _____ of _____ pages
School Name
Region Division District
School Year
(A) Cumulative as
of Previous Month
(B) For the Month
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Percentage for
the Month
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
REGISTERED
LEARNERS
(As of End of the
Month)
ATTENDANCE
GRADE/
YEAR
LEVEL
SECTION NAME OF ADVISER
Daily Average
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(B) For the Month
(A+B)
Cumulative as of
End of the Month
(B) For the Month
Report for the Month of
GRADE 1/GRADE 7
KINDER
TOTAL
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.
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
Region VIII Division District
313521
Curriculum
Grade Level THIRD Section
313521110004
82.34
Promoted
313521110008 87.114 Promoted STATUS MALE
313521110012 82.460 Promoted
313521110014 80.74 Promoted
313521110013 83.04 Promoted
313521110032 79.64 Promoted
313521110036 79.86 Promoted
313521110041 80.99 Promoted
313521110042 Retained
313521110045 82.16 Promoted
313521110048 83.12 Promoted MALE
313521110056 86.387 Promoted
313521110061 77.31 Promoted
305448110246 86.342 Promoted
313521110066 80.36 Promoted
15
301182110015 88.442 Promoted
313521110003 82.31 Promoted ALMA D. LANIOG
313521110005 82.69 Promoted
313521110010 86.722 Promoted
313521110011 90.893 Promoted
Abines, Rhea, Siscar none none
none Acayen, Rosejean, Aner
none
none
none
TOTAL MALE
RETAINED 1
Adorza, Roxanne ,Plata
Amosco, Alexandra Nicole ,Calapano
Alea, Judy anne, Maravilla
none
none none
none
none
none
none
none
none
none
Ocena, Necasio, Bula
Plana, David, Ortillana Jr.
Plana, Joshua ,Ortillana
Tegerero, Aljon Quinn ,Casillano
none
none
none
none
none
none
All subjects in third year
none
Gade, Lemuel ,Lucero
Globio, Roy ,Bula
Guianan, Alvin, Agravante
none
none
none
none none
none
none Logrosa, Rady ,Lomuntad
Agravante, Junmark, Feliciano
BEC
II
none
none
none
none
none
none
none
From previous school years
completed as of end of current
School Year
Baldago, Alfonso,Anire
Beconiado ,Jomar ,Arca
Bula, Nharman,Acaso
Cesista, Angel, Lazarra
Acopio, Ariel, Ladrillo
Cristobal, Leonard,Abique
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
EASTERN SAMAR
SUMMARY TABLE
CHARITY
2013-2014
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
School. Elementary grades level that are still implementing RBEC need
not to fill up these columns)
As of end of current School Year
none
DAPDAP NATIONAL TECHNICAL VOCATIONAL HIGH SCHOOL
none
PROMOTED 15
IRREGULAR 0
LEVEL OF PROFICIENCY
DEVELOPING (D:
75%-79%)
BEGINNNING
(B: 74% and below)
PREPARED BY:
Class Adviser
(Name and Signature)
From previous school years
completed as of end of current
School Year
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
School. Elementary grades level that are still implementing RBEC need
not to fill up these columns)
As of end of current School Year
301322110021 84.22 Promoted CERTIFIED CORRECT & SUBMITTED:
313521110023 81.09 Promoted LYNN T.. ABELLA
313521110030 85.444 Promoted
303620120062 89.135 Promoted
313521110038 89.142 Promoted
313521110059 86.657 Promoted REVIEWED BY:
313521110043 79 Promoted
313521110049 82.75 Promoted
313521110051 88.708 Promoted
303499110444 86.37 Promoted GUIDELINES:
313521110055 87.686 Promoted
303499110501 87.279 Promoted
17 TOTAL FEMALE
32 COMBINED
none
none
none
none
Capito, Dineca Ploma
Bernas, Maryjoy, Ecling
none none
none
Mutia, Ma. Dianne, Candido
Mainete, Dorothy ,Ditalo
Longay, Rhea Fe, Llever
Golondrina, Evelyn ,Gellieno
Frias, Joy, Anacta
Ecao, Maryjoy, Agravante
Padro, Jade, Cesista
Ocena, Jessa, Mosende none
none
none
none none
none
none
none
none
none
none
none
none
none
Caspe, Joy Caraga
Cesista, Marifel Heide, Villareal
none
none
none
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
(Name and Signature)
Division Representative
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)
School Form 5: Page ____ of ________
School Head
(Name and Signature)
1. For All Grade/Year Levels
Checked by:
Rosana C. Villacarillo
FEMALE TOTAL
Joel P. Plana
Nico M. Amos
Airene M. Orsal
FEMALE TOTAL
ALMA D. LANIOG
0 1
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
0 0
SUMMARY TABLE
CHARITY
17 32
LEVEL OF PROFICIENCY
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
LYNN T.. ABELLA
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
(Name and Signature)
Division Representative
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)
School Form 5: Page ____ of ________
School Head
(Name and Signature)
1. For All Grade/Year Levels
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
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.
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
School Name
Region Division
District
SUMMARY TABLE
School ID
Summarized Report on Promotion and Level of Proficiency
GRADE 1 /GRADE 7
PROMOTED
RETAINED
School Year
School Form 6 (SF6)
(This replaces Form 20)
IRREGULAR
TOTAL
BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and above)
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.
FEMALE TOTAL
FEMALE TOTAL
TOTAL
Summarized Report on Promotion and Level of Proficiency
School Form 6 (SF6)
(This replaces Form 20)
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.
Region
Teaching Non-
Teaching
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
(C ) Other Appointments and Funding Sources
Fund Source
(SEF, PTA, NGO's
etc.)
(B) Nationally-Funded Non Teaching Items
Number of
Incumbent
(A) Nationally-Funded Teaching & Teaching Related Items
Number of
Incumbent
Title of Plantilla Position
(as it appears in the appointment
document/PSIPOP)
Number of
Incumbent
Title of Plantilla Position
(as it appears in the appointment
document/PSIPOP)
Title of Designation
(as it appears in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
District
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 Year
School ID
School Name
Division
Minor
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
EDUCATIONAL QUALIFICATION
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignments
Position/
Designation
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Daily Program (time duration)
Major/
Specialization
Nature of
Appointment/
Employment
Status
Name of School Personnel
(Arrange by Position, Descending)
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Sex
Fund
Source
Ave. Minutes per Day
Ave. Minutes per Day
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
Minor
EDUCATIONAL QUALIFICATION
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignments
Position/
Designation
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Daily Program (time duration)
Major/
Specialization
Nature of
Appointment/
Employment
Status
Name of School Personnel
(Arrange by Position, Descending)
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Sex
Fund
Source
GUIDELINES: Submitted by:
(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.
Updated as of: ___________________________
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.
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
4. Daily Program Column is for teaching personnel only.
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 .
Ave. Minutes per Day
Ave. Minutes per Day
School Form 7, Page ___ of ________