Bagbag Forms Neasdasdw...

Region VIII
School Name
LRN
NAME
(Last Name, First Name, Middle Name)
Bagbag Elementary School
Sex (M/F)
BIRTH DATE (mm/dd/

yyyy)
AGE
as of
1st
Friday
June
136541100031
Adayo, Joseph
12/17/2002
11
136520120196
Agustin, Cliff Andrew Villnor
3/15/2006
136520120232
Almeria, Justine lee Bubungan
3/27/2006
136520120277
Alvior, Harold Dela Cruz
8/18/2005
136520120796
Atienza, Raniel Ermer
1/30/2006
LRN
NAME
Sex (M/F)
BIRTH DATE (mm/dd/

yyyy)
AGE
as of
1st
Friday
June
136520140601
Barbosa, Romar Espolon
10/6/1984
136520110032
Bejucos, Jon Vincent Pon-Ann
12/16/2005
136520120798
Cadiao, Kenneth Abres
6/4/2006
136520100164
Cruz, John Loyd San Jose
10/3/2006
10 136520100181
Del Castillo, Archie
6/2/2000
14
11 136520100413
Fabay, Luis Audrey Pable
3/12/2000
14
12 136520120237
Jose, John Poul Ducante
7/27/2005
13 105372110046
Lim, Cyncar Ambojia
11/18/2005
14 136520120688
Malicse, John Juarez
2/14/2006
LRN
NAME
Sex (M/F)
BIRTH DATE (mm/dd/

yyyy)
AGE
as of
1st
Friday
June
15 13652012091
Maloloy-on, Jonyl Edrina
11/20/2004
16 136520120638
Mariano, John Lloyd Mahinay
8/25/2005
17 136520120445
Mendez, John Christopher

Mariposque
18 136520110138
Migue, John Allen Salas
2/12/2006
12/1/2005
10/19/2006
19 136520121012
Montilla, Mark Jordan Vidal
20 136520120131
Nalasa, John Lyster Macua
21 136520120954
Nicdao, Gifterdle Von allen Sabado M
22 136520120240
Pederoa, Christian Llorin
6/24/2006
11/7/2005
3/4/2006
8
9
LRN
NAME
Sex (M/F)
23 136520120991
Salandanan, Bernard John Sabanal
24 136520120695
Tapere, Jan Steve Agustin
25
Taruc, Joshua Japzon
26 136520120814
Toston, Jemmy Boy
27 136520120986
1
BIRTH DATE (mm/dd/

yyyy)
7/13/2006
AGE
as of
1st
Friday
June
1/4/2006
12/23/2005
Viscayno, Ricardo
7/26/2006
103152120008
Agcaoili, Allysa
4/21/2006
136520120314
Bulig, Princess Shana
6/12/2006
136520120776
Cruz, Suzanne Kri
7/12/2006
136520120777
Damasco, Hazel
10/16/2006
LRN
NAME
Sex (M/F)
BIRTH DATE (mm/dd/

yyyy)
AGE
as of
1st
Friday
June
13652012080
Delgado, Claire
2/23/2005
136520100306
Lebantino, Yesha Mae
12/23/2003
136520100306
Longasa, Mary Rose
1/10/2005
136520120784
Loyola, Alexandra
1/28/2006
136520120785
Luis, Yasmien Kempis
1/16/2006
10 136523100272
Magat, Michelle S.
9/6/2001
11 136520120786
Majometano, Raycy
7/24/2006
12 136520120456
Mogol, Hazel Ann
10/17/2006
13 136520120742
Naranjo, Lady Han
1/31/2006
11
12
NAME
Sex (M/F)
14 136639080637
Nataba, Joanna Marie
5/29/2002
12
15 136520120976
Palabay Kate, Kristine
7/22/2006
16 136520121056
Paniel, Edrilyn May
3/2/2006
17 136520110165
Penazo, Angel
12/7/2005
18 136520120462
Salvador, Sherryl B.
8/27/2006
Trazo, Jeralyn
20 136520110221
Villareal, Ma. Leah Daisy
3/12/2006
21 136520130679
Viloria, Lorraine
7/21/2005
LRN
19
BIRTH DATE (mm/dd/

yyyy)
AGE
as of
1st
Friday
June
11
List and Code of Indicators under REMARKS column
NAME
LRN
Indicator
Sex (M/F)
BIRTH DATE (mm/dd/

yyyy)
AGE
as of
1st
Friday
June
Code
Transferred Out
T/O
Name of Public (P) Private (PR) Scho
Transferred IN
T/I
Name of Public (P) Private (PR) Scho
DRP
LE
Reason and Effectivity Date

Reason (Enrollment beyond 1st Frid
Dropped
Late Enrollment
School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Division
Quezon City
ary School
School Year
Distric
2014-2015
Grade Lev
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION
House #/ Street/ Sitio/

Purok
Barangay
Municipality/ City
Tagalog
Tagalog
Catholic 439 Camp GressaBagbag
Tagalog
Tagalog
Catholic 29 Ibayo II
Bagbag
Quezon
Tagalog
Tagalog
Catholic 595 Int.
Bagbag
Quezon
Tagalog
Tagalog
Catholic E-20 Abay road Bagbag
Quezon
Tagalog
Tagalog
Catholic 20 Chico St. Ibay Bagbag
Quezon
Province
Antipolo Antipolo
Metro
Manila
Metro
Manila
Metro
Manila
Metro
Manila
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION

Purok
Barangay
Tagalog
Ilonggo
Catholic 0150 A Maligaya Sauyo
Tagalog
Tagalog
Catholic II 23 Coronel Co Bagbag
Tagalog
Tagalog
Catholic 79 Sauyo Road
Bagbag
Tagalog
Tagalog
Catholic Sauyo Road
Bagbag
Tagalog
Tagalog
Catholic 135 Sauyo Road Bagbag
Tagalog
Tagalog
Catholic E 603 Abbey Rd.
Tagalog
Tagalog
Catholic 10-14 Don Julio Gr

Bagbag
Tagalog
Tagalog
Catholic E-2 Sauyo Road Bagbag
Tagalog
Tagalog
Catholic Richland V
Bagbag
Bagbag
Municipality/ City
Province
Metro
Manila
Metro
Quezon
Manila
Metro
Caloocan
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Caloocan
Manila
Quezon
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION

Purok
Barangay
Municipality/ City
Province
Metro
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Caloocan
Manila
Tagalog
Tagalog
Catholic Mozart Ext.
Sauyo
Quezon
Tagalog
Tagalog
Catholic 137 Sauyo Rd.
Bagbag
Tagalog
Tagalog
Catholic C-8 Wings CompoBagbag
Tagalog
Tagalog
Catholic II 594 Maridez C Bagbag
Tagalog
Tagalog
Catholic B2 El 47 GK SantoBagbag
Tagalog
Tagalog
Catholic 169 Maligaya St. Bagbag
Jagna
Tagalog
Tagalog
Catholic
55 Victoria St.
Bagbag
Quezon
Tagalog
Tagalog
Catholic E-74 Abbei Rd.
Bagbag
Bohol
Metro
Manila
Metro
Caloocan
Manila
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION

Purok
Barangay
Tagalog
Tagalog
Catholic E19 Richland V
Bagbag
Tagalog
Tagalog
Catholic 29 Ibayo II
Bagbag
Tagalog
Tagalog
Catholic
Bagbag
Tagalog
Tagalog
Catholic 150 Dulo MaligayBagbag
Tagalog
Tagalog
Catholic Ibayo II
Tagalog
Tagalog
Catholic E-27 Abbey Rd. Bagbag
Tagalog
Tagalog
Catholic 381 Quirino HwayBagbag
Tagalog
Tagalog
Catholic B1 L2 GK Sto NinBagbag
Tagalog
Tagalog
Born Agai 20 Pascual St.
Bagbag
Bagbag
Municipality/ City
Province
Metro
valenzuela
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Quezon
Manila
Metro
Paranaque
Manila
Masbate CiMasbate
Metro
Caloocan C
Manila
Metro
Quezon
Manila
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION

Purok
Barangay
Municipality/ City
San Isidro
Tagalog
Tagalog
Catholic B3 L3 Sto Nino StBagbag
Tagalog
Tagalog
Catholic B2 L6 Sto. Nino Bagbag
Tagalog
Tagalog
Catholic Mozart Ext. GreenBagbag
Tagalog
Tagalog
Catholic E222 Spazio BernBagbag
Tagalog
Tagalog
Catholic 25 Nathan Subd. Bagbag
Tagalog
Tagalog
Catholic Maligaya st. IbayoBagbag
Tagalog
Tagalog
Catholic 85 Goding
Tagalog
Tagalog
Catholic Mozart Ext. Lipto Sauyo
Tagalog
Tagalog
Catholic Rd. 99 Sauyo rd. Bagbag
Sauyo
Province
Davao del
Norte
Metro
Caloocan
Manila
Metro
Valenzuela
Manila
Metro
Manila
Manila
Metro
Manila
Manila
Metro
Quezon Ci
Manila
Metro
Quezon Ci
Manila
Metro
Caloocan C
Manila
Agusan
Butuan Cit
del Norte
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION

Purok
Barangay
Tagalog
Tagalog
ProtestantPhase VIII B Blk. Bagbag
Tagalog
Tagalog
Catholic 9C Narra st
Tagalog
Tagalog
Catholic D6 Don Julio Grego

Bagbag
Tagalog
Tagalog
Catholic 598 Maridez st. Bagbag
Tagalog
Tagalog
Catholic 135 Sauyo rd.
Bagbag
Tagalog
Tagalog
Catholic 135 Sauyo rd.
Bagbag
Tagalog
Tagalog
Catholic B6L5 Richland SuBagbag
Tagalog
Tagalog
Catholic B9 Sauyo Rd. 2 Bagbag
Sauyo.
Municipality/ City
Province
Metro
Caloocan C
Manila
Metro
Manila
Manila
Metro
Quezon Ci
Manila
Metro
Paranaque
Manila
Metro
Quezon Ci
Manila
Metro
Quezon Ci
Manila
Metro
Quezon Ci
Manila
Pangasina
Umingan
n
ADDRESS
MOTHER TONGUE
IP
(Ethnic Group)
RELIGION

Purok
Barangay
Code
Required Information
CCT
CCT Control/reference number & Effectivity Date
B/A
Name of school last attended & Year
LWD
ACL
Specify
Specify Level & Effectivity Data
Municipality/ City
Province
REGISTERED
MALE
FEMALE
TOTAL
District
Grade Level III
Section
CHICO
PARENTS
Contact Number of
Father's Name (Last Mother's Maiden Name (Last Parent or Guardian
Name, First Name,
Name, First Name, MiddleName
Middle Name)
Name)
Paragas Jr., Adayo, Marita

9302363197
Ignacio T
Blanco
Agustine, Vilnor
9087146494
NA
Billedo
Almeria,
Bubungan,
9476969253
Juan
Mericol Celeste
Alvior,
Tumenis
De la Cruz, Emily
9335128773
Leonardo
Diaz
Atienza,
Placincia
Esmer, Nora
9309062415
Revelino
Millan
Coliz
REMARKS
(Please refer to the legend on last
page)
PARENTS
REMARKS
Contact Number of
Name, First Name,
Middle Name)
Name)
Barbosa, Rodrigo
Rosemarie, Espolon
Bejucos,
Pon-an, Jonalyn
Vicente F. O.
Cadiao,
Abres, Rosel
Guadencio
N/A
9166239481
Cruz, Julieta
Del Castillo,
Marites
Fable,
Pable,
Rolando
Evangeline P.
Jose,
Ducante,
Rolando
Andresa Ulidan
Daus
Lim, Oscar Ambujis, Maria
Sarmiento
Imelda Garilo
Malicse,
Juares, Erlinda
Reynaldo
Cado
Marbadillo
N/A
9995567650
9487887105
9123251158
(
I
f9391429048
n9292691695
o
t
9093210097
P
a
r

page)
PARENTS
REMARKS
Contact Number of
Name, First Name,
Middle Name)
Name)
Maloloyon,
Marisa
Mariano,
Marinay, Eden
Jimmy Elod Villegas
Mendez,
Mariposque,
Carl John
Marinel
Migue,
Salas, Mylene
Allan
Rivas
Montilla,
Samonte
Vidal, Julie
Celestino Jr.
Asunan
Nalasa,
Santos
Macua, Marites
Samuel
Galorio
Taculod
Nicdao,
Sabado, Girlie
Albino
Pascua
Clarin
Pederoa,
Llorin, Mary ann
Arnold
Baliwag
Narra
N/A
9232707856
9463319779
(9498311879
I
f
9322104430
n
o
t9472071962
P
a
r

page)
PARENTS
REMARKS
Contact Number of
Name, First Name,
Middle Name)
Name)
Salandanan
Sabanal, Manin
9107264457
, Bernardo
Mae
Plana
Tapere,
Agustin, Eleonor 9391940783
Jerome D.
Toston, Maria
Lourdes
Viscayno
Sanchez,
Sr., Ricardo Rizalina G.
Agcaoli,
Achacoso, Joan
Felix
N/A
Bulig, Alex Amaro, Eva A.

Cruz, Jan
Carlo D
Damasco,
Alex
Peralta , Lirio D.
Delos Reyes,
Excel
9997557939
9472161248
(9993015256
I
f
9462237308
n
o9202792230
t
P9983712602
a
r

page)
PARENTS
REMARKS
Contact Number of
Name, First Name,
Middle Name)
Name)
Delgado,
Claro
Lausa ,
Magdalena
N/A
Lebantino, Lorna 9461485457
Longasa,
Jesus
Loyola ,
Ferdinand
N/A
9468206407
Anon, Imelda
9398096937
Asis, Beverly R.
9423559929
Luis, Hyasmina
9462529192
Magat,
Sarion, Milagros
(
Napolion
S.
I
Majometan
Ermino, Nancy E. f9103354152
o, Bryan S.
Mogol,
Antonio,
n9103354152
o
Adrian P.
Rosely M.
Makinano,Ma t
9093472828
Naranjo,Losindo
rydith
P
a
r

page)
PARENTS
REMARKS
Contact Number of
Name, First Name,
Middle Name)
Name)
Nataba.
Sonon,
9994177391
Jayson
Maxilyn
Palabay,
Dayna, Grace
9174257053
Ronaldo S.
A.
Paniel, Rowena
N/A
D.
Penazo,
Ladlada, Annalie
Rico
E.
Salvador, Bautista,
9498235422
Antonio A. Elizabeth A.
Trazo, Julius Adap, Jacqueline
(
M.
A.
I
Villareal,
Laguerta,
f9053340998
Fedelino
Rowena
Viloria Jr.,
n9204728017
Pande Marilyn
o
Martin
t
Prepared by:
P
a
rCertified
Correct:

page)
PARENTS
REMARKS
Contact Number of
Name, First Name,
Middle Name)
Name)
BoSY
EoSY
Prepared by:
Certified Correct:
ARLENE CATHERINE T. ASIA
Susana R. De Jesus
(Signature of Adviser over Printed Name)
BoSY Date:
(Signature of School Head over Printed Name)
BoSY Date:
(
I
f
n
o
t
P
a
r

page)
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
136520
School Year
Name of School
2014-2015
Report for the Month of
Grade Level
1
M W
1.Adayo, Joseph
2.Agustine, Cliff Andrew V.
3.Almeria, Justine Lee B.
4.Alvior, Harold DC.
5.Atienza, Raniel E.
6.Barbosa, Romar E.
7.Bejucos, Jon Vincent P.
8.Cadiao, Kenneth A.
9.Cruz, John Loyd SJ.
10.Del Castillo, Archie
11.Fabay, Luis Audrey P.
12.Jose, John Poul D.
13.Lim, Cyncar A.
14. Malicse, John Rey J.
15.Maloloy-on, Jonyl E.
16.Mariano,
John Christopher
Lloyd M.
17.Mendez, John
M.
18.Migue, John Allen S.
19. Montilla, Mark Jordan V.
20.Nalasa,
Lyster
M.
21.Nicdao, John
Gifterdle
Van
Allen
S.
22.Pederoa,
Christian
L. John
23.Salandanan,
Bernard
S.
24.Tapere, Jan Steve A.
25.Toston, Jemmy Boy J.
26.Viscayno, Ricardo S.
FEMALE | TOTAL Per Day
1.Agcaoili, Alyssa A.
2.Bulig, Princess Shana A.
3.Cruz, Suzanne
4. Damasco, Hazel DR.
5.Delgado, Claire L.
6.Lebantino, Yesha Mae
7.Longasa, Mary Rose A.
8.Loyola,
Alexandra
A.
9.Luis, Yasmien
Yesha
Kempis
Section
2
Th
6
M
7
T
8
W
9
TH
10
F
13
M
14
T
15
W
16
Th
17
F
Chico
Total for the Month
(1st row for date)
LEARNER'S NAME
(Last Name, First Name, Middle
Name)
October
20
M
21
T
22
W
23
TH
24
F
27
M
28
T
29
W
30
Th
31
F
ABSENT
TARDY
REMARKS (If DROPPED OUT, state reason, please refer to

legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
(Last Name, First Name, Middle

Name)
Total for the Month
(1st row for date)
LEARNER'S NAME
1
M W
2
Th
6
M
7
T
8
W
9
TH
10
F
13
M
14
T
15
W
16
Th
17
F
20
M
21
T
22
W
23
TH
24
F
27
M
28
T
29
W
30
Th
31
F
ABSENT
TARDY

legend number 2.
10.Magat, Michelle S.
11.Majometano, Raycy E.
12.Mogol, Hazel Ann A.
13.Naranjo, Lady Han
14.Nataba, Joanna Marie
15.Palabay Kate, Kristine
16.Paniel, Edrilyn May
17.Penazo, Angel
18.
Salvador,Ma.
Sherryl
19.Villareal,
Leah B.
Daisy
L.
20.Viloria, Lorraine Ann P.
Combined TOTAL PER DAY

GUIDELINES:
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:
Registered Learners as of end of the month
. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c
Percentage of Attendance for the month =
.
1. CODES FOR CHECKING 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.
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.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
School Form 2 : Page ___ of ________
Month:
No. of Days of Classes:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
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
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)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Summary
M
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students absent for 5 consecutive days:
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
(Signature of Teacher over Printed Name)
Attested by:
TOTAL
School Form 3 (SF3) Book
(This replaces Form 1 & Inv
School ID
School Name
136520
School Year
Subject Area & Title
NO.
LEARNER'S NAME
Agustin, Cliff Andrew

Almeria, Justine lee
Alvior, Harold
Atienza, Raniel
Cadiao, Kenneth

Filipino (Pagbasa)
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Subject Area & Title MATH
Date
Returned
Issued
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Barbosa, Romar E.
Bejucos, Jon Vincent

Filipino (Wika)
Date
Issued
Adayo, Joseph
A.P.
Grade Level
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Cruz, John Loyd

Del Castillo, Archie
Fabay, Luis Audrey P.
Jose, John Poul
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun

NO.
LEARNER'S NAME
Malicse, John
Mendez, John Christopher

Migue, John Allen
Montilla, Mark Jordan
Nalasa, John Lyster
Nicdao, Gifterdle Van Allen
Pederoa, Christian
Salandanan, Bernard John
Tapere, Jan Steve

Filipino (Pagbasa)
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
Date
Returned
Issued
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Maloloy-on, Jonyl
Mariano, John Lloyd

Filipino (Wika)
Date
Issued
Lim, Cyncar
A.P.
3-Jun
Taruc, Joshua
Toston, Jemmy Boy
Viscayno, Ricardo
TOTAL FOR MALE | TOTAL COPIES
Agcaoili, Allysa
Bulig, Princess Shana

NO.
LEARNER'S NAME
Damasco, Hazel
Delgado, Claire
Lebantino, Yesha Mae
Longasa, Mary Rose
Loyola, Alexandra
Luis, Yasmien Kempis
Magat, Michelle S.
Majometano, Raycy
Mogol, Hazel Ann
Naranjo, Lady Han
Nataba, Joanna Marie
Palabay Kate, Kristine

Filipino (Wika)
Date
Issued
Cruz, Suzanne Kri
A.P.

Filipino (Pagbasa)
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Paniel, Edrilyn May

Penazo, Angel
Salvador, Sherryl B.
Trazo, Jeralyn
Villareal, Ma. Leah Daisy L.

NO.
LEARNER'S NAME

Filipino (Wika)
Date
Issued
Viloria, Lorraine Ann P.
A.P.
3-Jun

Filipino (Pagbasa)
Date
Returned
Issued
3-Jun
Date
Returned
Issued
3-Jun
Date
Returned
Issued
3-Jun
TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:
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.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, please provide informat
A. In Column Date Returned, codes are: FM=Force Majeure, T

B. In Column Remark/Action Taken, codes are: LLTR=Secure
School Head for submission to School Property Custodian (for
F3) Books Issued and Returned
aces Form 1 & Inventory of Textbooks)
2013 - 2014
3
ea & Title MATH
Section
ENGLISH (Stories)
Subject Area & Title ESP

ENGLISH (LANGUAGE)
Date
Date
Date
Date
Returned
CHICO
Issued
Returned
Issued
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun

ENGLISH (READING)

SCIENCE
Date
Returned
Issued
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Returned
ea & Title MATH

ENGLISH (Stories)

ENGLISH (LANGUAGE)
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun

ENGLISH (READING)

SCIENCE
Date
Returned
Issued
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Returned
ea & Title MATH

ENGLISH (Stories)

ENGLISH (LANGUAGE)
Date
Date
Date
Date
Returned
Issued
Returned
Issued
Returned
Issued

ENGLISH (READING)

SCIENCE
Date
Returned
Issued
Date
Returned
Issued
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
3-Jun
Returned
ea & Title MATH

ENGLISH (Stories)

ENGLISH (LANGUAGE)
Date
Date
Date
Date
Returned
Issued
Returned
3-Jun
Issued
3-Jun
Returned
Issued
3-Jun

ENGLISH (READING)

SCIENCE
Date
Returned
Issued
Date
Returned
Issued
Returned
3-Jun
e provide information with the following code:
M=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by
perty 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.
Prepared By:
(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________
REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
gnature over printed name)

___ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's M
(This replaces Form 3 & STS Form 4-Absenteeism
School ID
136520
Region
School Name
GRADE/
YEAR LEVEL
SECTION
Garfield
Hello Kitty
Spongebob
Barney
Snow White
Mickey Mouse
Tweety Bird
Mermaid
Cinderella
Tom and Jerry
Eagle
Flamingo
Dove
Hawk
Heron
Parrot
Pelican
Sparrow
Division
Quezon City
NAME OF ADVISER
Ms. Lady Love L. Ureta

Ms. Lady Love L. Ureta
Mrs. Luisa C. Montemayor
Mrs. Lizabelle A. Estandarte
Mrs. Lizabelle A. Estandarte
Ms. Jessica V. Fullon
Mrs. Rowena T. Agullo
Ms. Mary Ann V. Montiagodo
Mrs. Belinda T. Samera
Mrs. Yolanda U. Abrera
Mrs. Myra Ria A. Galia
Mrs. Elena H. Tayawa
Mrs. Jonah C. Esdrelon
Ms. Jessila G. Alolor
ATTENDANCE
REGISTERED
LEARNERS
(As of End of the
Month)
M
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Grade 1
Grade 1
Grade 1
Grade 1
Grade 1
Grade 1
Grade 1
Grade 1
NCR
F
14
11
11
12
11
15
15
14
13
14
21
25
25
23
26
24
21
23
Daily Average
T
15
13
13
13
14
11
12
11
15
12
26
17
23
20
16
17
17
18
M
29
24
24
25
25
26
27
25
28
26
47
42
48
43
42
41
38
41
F
12
10
11
12
11
15
15
14
13
14
21
25
25
22
25
23
21
23
T
14
12
13
13
14
11
12
11
15
12
25
17
23
19
16
17
17
18
DROPPED OU
Percentage for the

Month
M
26 85.714 93.333
22 90.909 92.308
100
24 100
100
25 100
100
25 100
100
26 100
100
27 100
100
25 100
100
28 100
100
26 100
46 100 96.154
100
42 100
100
48 100
95
41 95.652
100
41 96.154
100
40 95.833
100
38 100
100
41 100
T
89.524
91.608
100
100
100
100
100
100
100
100
98.077
100
100
95.326
98.077
97.917
100
100
(A) Cumulative as of
Previous Month
M
F
0
0
1
1
1
0
1
0
0
1
0
0
0
0
0
0
0
0
(B) For the Mon
T
0
3
0
1
1
3
1
0
0
1
0
0
0
0
0
1
0
0
M
0
3
1
2
2
3
2
0
0
2
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Grade 1
Grade 1
Grade 1
Grade 2
Owl
Myna
King Fisher
Tulips
Ms. Rose Ann R. Pascual

Mrs. Antonette Z. Eduarte
Mrs. Rhea B. Lazarte
Mrs. Jennifer I. Delamide
Grade 2
Grade 2
Grade 2
Grade 2
Grade 2
Grade 2
Grade 2
Grade 2
Grade 2
Grade 2
Sampaguita
Gumamela
Daisy
Lily
Sunflower
Dahlia
Mrs. Mila G. Gamiao

Mrs. Ana Janet A. Embalsado
Ms. Marianne P. Pantinople
Mrs. Salvacion P. Castorico
Mrs. Lenie Danne L. Marfil
Ms. Monalisa A. Sancho
Rose
Orchids
Rosal
Camia
Mango
Strawberry
Apple
Pears
Guava
Orange
Grapes
Star Apple
Pineapple
Jacinto
Bonifacio
Baltazar
Mabini
Aquino
Del Pilar
Rizal
Luna
Quirino
Laurel
Garcia
Mrs. Virginia R. Roces

Mrs. Arlene A. Panganiban
Mrs. Lilibeth A. Fuentes
Mrs. Evangeline A. Romanda
Mrs. Gemma B. Sepe
Mrs. Rebecca M. Coquilla
Mrs. Jessica E. Desierto
Mrs. Rachelle C. Sasis
Ms. Rosela A. Centino
Mrs. Teresita I. Amora
Mrs. Darna D. Malay
Mrs. Girlie L. Dayaoen
Mr. Marcelino C. Garcia
Mrs. Lynibeth M. Decena
Ms. Natividad S. Cabudsan
Mr. Edmar S. Pagulayan
Mrs. Donna Marie F. Sanchez
Ms. Michelle E. Petras
Mrs. Elvin R. Polong
Mrs. Remedios A. Ureta
Ms. Maricris N. Tangaro
Mrs. Emilou C. Barit
Mrs. Marites DV. Gratela
Mrs. Ma. Teresa L. Araya
Grade 3
Grade 3
Grade 3
Grade 3
Grade 3
Grade 3
Grade 3
Grade 3
Grade 3
Grade 4
Grade 4
Grade 4
Grade 4
Grade 4
Grade 4
Grade 4
Grade 4
Grade 5
Grade 5
Grade 5
28
24
27
27
27
26
27
32
28
31
29
29
22
33
22
23
26
27
28
20
23
22
24
25
27
25
23
28
23
23
29
25
27
29
7
19
17
20
28
27
25
20
23
18
21
23
26
21
31
28
27
20
19
33
29
31
29
24
24
26
25
22
21
28
18
17
29
25
35
43
44
47
55
53
52
52
51
49
50
52
48
54
53
51
53
47
47
53
52
53
53
49
51
51
48
50
44
51
47
42
56
54
28
22
23
27
27
26
27
32
28
30
27
29
22
33
21.58
22.37
24.84
14.26
21.26
19.05
22.68
20.84
22.21
22.1
25.6
24.7
22.68
26.84
21.58
22.7
17.93
22.84
25
29
7
18
15
20
28
27
25
20
23
17
20
23
26
21
30.74
27.47
25.89
15.05
14.78
29.05
28.58
30.05
27.63
22.95
23.25
25.45
24.74
20.84
19.63
27.7
18.33
16.58
27
25
100
35 100
40 91.667 94.737
38 85.185 88.235
100
47 100
100
55 100
100
53 100
100
52 100
100
52 100
100
51 100
47 96.774 94.444
47 93.103 95.238
100
52 100
100
48 100
100
54 100
52.32 98.091 99.161
49.84 97.261 98.107
50.73 95.538 95.889
29.31 52.815 75.25
36.04 75.929 77.789
48.1 95.25 88.03
51.26 98.609 98.552
50.89 94.727 96.935
49.84 92.542 95.276
45.05 88.4 95.625
48.85 94.815 96.875
50.15 98.8 97.885
47.42 98.609 98.96
47.68 95.857 94.727
41.21 93.826 93.476
50.4 98.696 98.929
36.26 61.828 101.83
39.42 91.36 97.529
52 92.593 93.103
100
54 100
100
93.202
86.71
100
100
100
100
100
100
95.609
94.171
100
100
100
98.626
97.684
95.714
64.032
76.859
91.64
98.58
95.831
93.909
92.013
95.845
98.342
98.784
95.292
93.651
98.812
81.83
94.445
92.848
100
1
2
0
2
0
0
0
0
1
2
0
0
0
0
0
1
1
2
2
2
1
0
0
2
0
0
0
0
0
0
2
2
0
1
0
1
0
2
0
0
0
0
1
0
0
0
0
0
1
2
0
2
1
0
1
0
0
0
0
0
0
0
0
0
1
1
0
1
1
3
0
4
0
0
0
0
2
2
0
0
0
0
1
3
1
4
3
2
2
0
0
2
0
0
0
0
0
0
3
3
0
2
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
0
0
0
0
0
0
0
Grade 5
Grade 5
Grade 5
Grade 5
Grade 6
Grade 6
Grade 6
Grade 6
Grade 6
Grade 6
Grade 6
Grade 6
Quezon
Roxas
Osmea
Mrs. Anna Flor L. Ongchangco

Mrs. Ederlyn B. Bagtas
Mrs. Rhea C. Timple
Mrs. Elizabeth H. Nadaowa
Mrs. Lourdes P. Tamondong
Mrs. Manilyn DC. Pagulayan
Mr. Bladimer S. Dela Cruz
Mrs. Cynthia L. Bauag
Mrs. Sabrina G. Mendoza
Mrs. Antonette T. Baez
Macapagal
Amethyst
Ruby
Garnet
Jade
Emerald
Topaz
Sapphire
Diamond
SPED - CID
SPED - CWA
SPED - ADHD
SPED - CID
Mr. Rolando B. Montemayor

Mrs. Dolores B. San Jose
Mrs. Lyrnatess G. Cendaa
Ms. Benita M. Reyes
SPED - CWA
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
24
28
22
30
24
23
27
18
25
26
26
17
9
0
1
1
31
25
32
25
24
29
23
9
28
26
27
32
8
2
0
0
55
53
54
55
48
52
50
27
53
52
53
49
17
2
1
1
23.6
28
20
29.5
24
22
23.58
18
22.32
24.63
24.05
16.84
9
0
1
1
30.6
25
30
24.5
24
28.53
22
9
24.58
24.94
25.26
31.68
8
2
0
0
54.2 98.333 98.71

100
53 100
50 90.909 93.75
98
54 98.333
100
48 100
50.53 95.652 98.379
45.58 87.333 95.652
100
27 100
46.9 89.28 87.786
49.57 94.731 95.923
49.31 92.5 93.556
99
48.52 99.059
100
17 100
100
2 100
100
1 100
100
1 100
98.522
100
92.33
98.167
100
97.016
91.493
100
88.533
95.327
93.028
99.029
100
100
100
100
0
2
2
0
1
1
1
3
0
0
0
1
0
0
0
0
1
0
0
0
1
0
1
2
0
0
0
1
0
0
0
0
1
2
2
0
2
1
2
5
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
1509
130
267
311
215
203
185
186
1406
129
197
252
247
188
184
198
2915
259
464
563
462
391
369
384
95.827
98.071
97.046
99.121
90.379
93.993
96.646
95.133
40
5
3
5
9
4
7
7
31
10
2
3
7
1
3
5
71
15
5
8
16
5
10
12
0
0
0
0
0
0
0
0
12
11
23
100
1509
1406
100 100
2792.4 94.869 96.785
98
98
254
97
97
450
99
99
558
88
93
418.33
91
97
367.02
96
97
356.62
94
96
365.41
100
23 100
95 96.785
2792.4
95.827
40
31
71
1431.6 1360.8
127 127
258 192
308 250
189.09 229.24
184.13 182.89
177.94 178.68
175.42 189.99
12
11
2915 1431.6 1360.8
GUIDELINES:
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
Page _____ of _____ pages
rner's Movement and Attendance
-Absenteeism and Dropout Profile)
ezon City
District
School Year
2013 - 2014
DROPPED OUT
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
B) For the Month

F
T
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
M
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
F
0
0
1
1
1
0
1
0
0
1
0
0
0
0
0
0
0
0
T
0
3
0
1
1
3
1
0
0
1
0
0
0
0
0
1
0
0
M
0
3
1
2
2
3
2
0
0
2
0
0
0
0
0
1
0
0
F
0
4
3
2
4
0
0
2
3
7
2
2
3
3
3
3
7
4
T
0
0
2
1
2
3
1
1
2
1
1
4
0
1
2
5
3
3
M
0
4
5
3
6
3
1
3
5
8
3
6
3
4
5
8
10
7
F
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
T
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of
End of the Month
Previous Month
(B) For the Month
M
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
March
F
0
4
3
2
4
0
0
2
3
7
2
2
3
3
3
3
7
4
T
0
0
2
1
2
3
1
1
2
1
1
4
0
1
2
5
3
3
M
0
4
5
3
6
3
1
3
5
8
3
6
3
4
5
8
10
7
F
0
2
1
0
1
0
0
0
3
3
0
1
0
0
0
1
0
0
T
0
1
1
0
2
1
0
0
0
3
0
1
1
1
0
3
2
2
(A+B) Cumulative as
of End of the Month
(B) For the Month

M
0
3
2
0
3
1
0
0
3
6
0
2
1
1
0
4
2
2
F
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
T
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
M
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
F
0
2
1
0
1
0
0
0
3
3
0
1
0
0
0
1
0
0
T
0
1
1
0
2
1
0
0
0
3
0
1
1
1
0
3
2
2
0
3
2
0
3
1
0
0
3
6
0
2
1
1
0
4
2
2
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
2
0
0
0
0
1
2
0
0
0
0
0
1
1
2
2
2
1
0
0
2
0
0
0
0
0
0
2
2
0
1
0
1
0
2
0
0
0
0
1
0
0
0
0
0
1
2
0
2
1
0
1
0
0
0
0
0
0
0
0
0
1
1
0
1
1
3
0
4
0
0
0
0
2
2
0
0
0
0
1
3
1
4
3
2
2
0
0
2
0
0
0
0
0
0
3
3
0
2
3
4
2
0
1
2
3
2
1
4
6
2
4
1
1
1
1
0
0
1
1
1
2
1
0
1
2
0
0
1
0
0
1
0
5
0
1
1
2
0
0
2
1
1
2
1
0
1
0
1
1
0
0
1
0
0
1
1
1
0
1
3
0
1
5
1
0
2
8
4
3
1
3
2
3
4
2
5
8
3
4
2
1
2
2
0
0
2
1
1
3
2
1
1
3
3
0
2
5
1
1
2
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
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
4
2
0
1
2
3
2
1
4
6
2
4
1
1
1
1
0
0
1
1
1
2
1
0
1
2
0
0
1
0
0
1
0
5
0
1
1
2
0
0
2
1
1
2
1
0
1
0
1
1
0
0
1
0
0
1
1
1
0
1
3
0
1
5
1
0
2
8
4
3
1
3
2
3
4
2
5
8
3
4
2
1
2
2
0
0
2
1
1
3
2
1
1
3
3
0
2
5
1
1
2
1
2
0
1
0
1
0
0
1
1
3
0
2
1
0
1
2
2
0
2
1
0
1
1
0
0
0
1
0
0
2
0
0
1
0
1
0
2
1
0
1
1
0
0
1
1
1
1
1
1
0
0
1
0
0
0
1
0
0
1
0
2
0
0
1
0
0
0
1
3
0
3
1
1
1
1
1
1
4
1
3
2
1
2
2
2
1
2
1
0
2
1
0
1
0
3
0
0
3
0
0
1
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
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
1
0
1
0
0
1
1
3
0
2
1
0
1
2
2
0
2
1
0
1
1
0
0
0
1
0
0
2
0
0
1
0
1
0
2
1
0
1
1
0
0
1
1
1
1
1
1
0
0
1
0
0
0
1
0
0
1
0
2
0
0
1
0
0
0
1
3
0
3
1
1
1
1
1
1
4
1
3
2
1
2
2
2
1
2
1
0
2
1
0
1
0
3
0
0
3
0
0
1
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
0
0
0
0
0
0
2
2
0
1
1
1
3
0
0
0
1
0
0
0
0
1
0
0
0
1
0
1
2
0
0
0
1
0
0
0
0
1
2
2
0
2
1
2
5
0
0
0
2
0
0
0
0
0
2
4
0
1
0
2
2
0
0
0
0
0
0
0
0
0
0
1
2
0
0
1
0
0
0
0
0
0
0
0
0
0
2
5
2
1
0
3
2
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
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
0
0
0
2
4
0
1
0
2
2
0
0
0
0
0
0
0
0
0
0
1
2
0
0
1
0
0
0
0
0
0
0
0
0
0
2
5
2
1
0
3
2
0
0
0
0
0
0
0
0
1
0
1
1
1
0
4
1
0
0
1
0
0
0
0
0
0
0
3
1
0
0
1
0
0
0
0
0
0
0
0
0
1
0
4
2
1
0
5
1
0
0
1
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
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
1
0
1
1
1
0
4
1
0
0
1
0
0
0
0
0
0
0
3
1
0
0
1
0
0
0
0
0
0
0
0
0
1
0
4
2
1
0
5
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
5
3
5
9
4
7
7
31
10
2
3
7
1
3
5
71
15
5
8
16
5
10
12
112
25
36
26
8
5
7
5
72
13
25
11
4
12
6
1
184
38
61
37
12
17
13
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
112
25
36
26
8
5
7
5
72
13
25
11
4
12
6
1
184
38
61
37
12
17
13
6
49
10
5
10
9
4
4
7
41
8
11
9
4
4
4
1
90
18
16
19
13
8
8
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
49
10
5
10
9
4
4
7
41
8
11
9
4
4
4
1
90
18
16
19
13
8
8
8
40
31
71
112
72
184
0
0
0
Prepared and Submitted by:
112
72
184
49
41
90
49
41
90
SUSANA R. DE JESUS
School Form 5 (SF 5) Report on Promotion & Lev
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates
Region
School ID
NCR
Division
136520
School Name
LRN
Quezon City
School Year
2013 - 2014
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT
column is for K to 12 Curricu
level that are still im
From previous school years

of end of current Sch
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT

ion & Level of Proficiency
List of Graduates)
District
Curriculum
Grade Level
Section
LETE SUBJECT/S
(This
r K to 12 Curriculum and remaining RBEC in High School. Elementary grades
el that are still implementing RBEC need not to fill up these columns)
ous school years completed as

nd of current School Year
As of end of current School Year

SUMMARY TABLE
STATUS
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
LETE SUBJECT/S
(This


MALE
FEMALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
TOTAL
LETE SUBJECT/S
(This


CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:

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.
LETE SUBJECT/S
(This

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
School Form 5: Page ____ of ________
School Form 6 (SF6)
Summarized Report on Promotion and Level of Prof

(This replaces Form 20)
School ID
136520
School Name
Region
NCR
Division
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
District
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
PROMOTED
258
193
451
294
248
542
210
245
455
203
186
389
IRREGULAR
RETAINED
13
17
21
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
13
17
21
154
82
236
235
148
383
91
89
180
54
98
152
13
20
33
LEVEL OF PROFICIENCY
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%
-89%)
ADVANCED
90% and above)
(A:
TOTAL
Prepared and Submitted by:
267
197
SUSANA R. DE JESUS
SCHOOL HEAD
464
311
252
563
Reviewed & Validated by:
DR. LIBERATO T. BARSABA

DIVISION REPRESENTATIVE
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.
Noted by:
Proficiency
Quezon City
V
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
2013 - 2014
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
175
183
358
184
197
381
1324
1252
2576
10
11
43
14
57
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
DR. PONCIANO A. MENGUITO, CESO V

SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List and

(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
136520
School Name
Region
NCR
Division
(A) Nationally-Funded Teaching & Teaching Related Items
District
(B) Nationally-Funded Non Teaching Items

Title of Designation
Title of Plantilla Position

(as it
Number of Incumbent
appears in the appointment document/PSIPOP)
Title of Plantilla Position

(as it
appears in the appointment document/PSIPOP)
Number of
Incumbent
(as it ap
contract/document: Teach
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
GUIDELINES:
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 SF 7 must be submitte
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.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. Daily Program Column is for teaching personnel only.
t List and Basic Profile
Assignment List,
Teachers)
Quezon City
V
School Year
2013 - 2014
(C ) Other Appointments and Funding Sources
esignation
(as it appears in the

ct/document: Teacher, Clerk, Security
uard, Driver etc.)
Appointment:
(Contractual, Substitute, Fund Source
Volunteer, others
(SEF, PTA, NGO's etc.)
specify)
Number of Incumbent
Teaching
NonTeaching
Daily Program (time duration)

Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH/
F)
From
(00:00)
Remarks (For Detailed

Items, Indicate name of
Total Actual
school/office, For IP's
To (00:00) Teaching Minutes
-Ethnicity)
per Week
Ave. Minutes per Day

Assignments
DAY
(M/T/W/TH/
F)
From
(00:00)

Total Actual
-Ethnicity)
per Week

Assignments
DAY
(M/T/W/TH/
F)
From
(00:00)

Total Actual
-Ethnicity)
per Week

Submitted by:
F 7 must be submitted to the Division

Updated as of: ___________________________
School Form 7, Page ___ of ________
1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion w
2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.
3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Oth
4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or
5. In the future, the format of the modified forms may be adjusted to align with the most recent polic
d Report on Promotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12
ting K to 12 program. Other grade/year level will keep that column blank.
6. (SF 4 may be used or the current form 3)
ith the most recent policy of K to 12 program.
dary, RBEC and K to 12
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID
136520
School Year
Name of School
2014-2015
January
Grade Level
Section
Total for the Month
(1st row for date)
LEARNER'S NAME
5
(Last Name, First Name,

Middle Name)
1.Adayo, Joseph
2.Agustine, Cliff Andrew V.
3.Almeria, Justine Lee B.
4.Alvior, Harold DC.
5.Atienza, Raniel E.
6.Barbosa, Romar E.
7.Bejucos, Jon Vincent P.
8.Cadiao, Kenneth A.
9.Cruz, John Loyd SJ.
10.Del Castillo, Archie
11.Fabay, Luis Audrey P.
12.Jose, John Poul D.
13.Lim, Cyncar A.
14. Malicse, John Rey J.
15.Maloloy-on, Jonyl E.
16.Mariano,
John Lloyd M.
17.Mendez, John
Christopher
M. Allen S.
18.Migue,
John
19. Montilla,
Mark Jordan
V.
20.Nalasa,
Lyster
M.
21.Nicdao, John
Gifterdle
Van
Allen
S.
22.Pederoa,
Christian
L.
23.Salandanan,
Bernard
John
S.
24.Tapere,
Jan Steve A.
25.Toston, Jemmy Boy J.
26.Viscayno, Ricardo S.
Th
12
13
14
15
16
TH
19
20
21
Chico
22
23
Th
26
27
28
29
TH
ABSENT
11
X
O
x
9/28/2014
X
x
24
x
22
25
24
21
TARDY
X
X

legend number 2.
30
25
23
23
25
25
25
24
22
24
22
22
25
25
24
25
475
MALE | TOTAL Per Day
1.Agcaoili, Alyssa A.
2.Bulig, Princess Shana A.
3.Cruz, Suzanne
4. Damasco, Hazel DR.
5.Delgado, Claire L.
6.Lebantino, Yesha Mae
7.Longasa, Mary Rose A.
8.Loyola,
Alexandra
A.
9.Luis, Yasmien
Yesha
Kempis
10.Magat, Michelle S.
11.Majometano, Raycy E.
12.Mogol, Hazel Ann A.
13.Naranjo, Lady Han
X
X
X
x
x
X
X
X
14.Nataba, Joanna Marie

15.Palabay Kate, Kristine
16.Paniel, Edrilyn May
17.Penazo, Angel
18.
Salvador,Ma.
Sherryl
19.Villareal,
Leah B.
Daisy
L. Lorraine Ann P.
20.Viloria,
Combined TOTAL PER DAY
20
20
18
20
16
19
18
20
20
20
20
19
18
18
18
18
18
19
20
20
379
44
42
43
44
37
44
41
43
45
45
45
43
40
42
40
40
43
44
44
45
854
GUIDELINES:
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:
. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c
Percentage of Attendance for the month =
.
1. CODES FOR CHECKING ATTENDANCE
Month:
No. of Days of Classes:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
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
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Percentage of Enrolment as of end of the month
b.1. Illness
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
17
43
20
45
25
96.15
117.6 104.65
Number of students absent for 5 consecutive days:
Percentage of Attendance for the month
Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.

Arlene T .Asia
e. Financial-Related
School Form 2 : Page ___ of ________
26
Average Daily Attendance
d.3. Calamities/Disasters
e.1. Child labor, work
f. Others (Specify)
TOTAL
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.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
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
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.
Summary
M
(Signature of Teacher over Printed Name)

Attested by:

Bagbag Forms Neasdasdw...

Uploaded by

Copyright:

Available Formats

You might also like

Bagbag Forms Neasdasdw...

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Bagbag Forms Neasdasdw...

Uploaded by

Copyright:

Available Formats

Region VIII

Bagbag Elementary School

BIRTH DATE (mm/dd/

Agustin, Cliff Andrew Villnor

Almeria, Justine lee Bubungan

Alvior, Harold Dela Cruz

Atienza, Raniel Ermer

BIRTH DATE (mm/dd/

Barbosa, Romar Espolon

Bejucos, Jon Vincent Pon-Ann

Cadiao, Kenneth Abres

Cruz, John Loyd San Jose

Del Castillo, Archie

Fabay, Luis Audrey Pable

Jose, John Poul Ducante

Lim, Cyncar Ambojia

Malicse, John Juarez

BIRTH DATE (mm/dd/

Maloloy-on, Jonyl Edrina

Mariano, John Lloyd Mahinay

Mendez, John Christopher

Migue, John Allen Salas

Montilla, Mark Jordan Vidal

Nalasa, John Lyster Macua

Nicdao, Gifterdle Von allen Sabado M

Pederoa, Christian Llorin

Salandanan, Bernard John Sabanal

Tapere, Jan Steve Agustin

Taruc, Joshua Japzon

Toston, Jemmy Boy

BIRTH DATE (mm/dd/

Bulig, Princess Shana

Cruz, Suzanne Kri

BIRTH DATE (mm/dd/

Lebantino, Yesha Mae

Longasa, Mary Rose

Luis, Yasmien Kempis

Mogol, Hazel Ann

Naranjo, Lady Han

Nataba, Joanna Marie

Palabay Kate, Kristine

Paniel, Edrilyn May

Villareal, Ma. Leah Daisy

BIRTH DATE (mm/dd/

List and Code of Indicators under REMARKS column

BIRTH DATE (mm/dd/

Name of Public (P) Private (PR) Scho

Name of Public (P) Private (PR) Scho

Reason and Effectivity Date

School Form 1 (SF 1) School Register

House #/ Street/ Sitio/

Catholic 439 Camp GressaBagbag

Catholic 595 Int.

Catholic E-20 Abay road Bagbag

Catholic 20 Chico St. Ibay Bagbag

House #/ Street/ Sitio/

Catholic 0150 A Maligaya Sauyo

Catholic II 23 Coronel Co Bagbag

School Form 2 : Page _ of ______