Form 2 Formula

School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
School Name
Region
304893
CARAGA
Division
TANDAG CITY
School Year
VICENTE L. PIMENTEL SR. NATIONAL HIGH SCHOOL
District
2016-2017
Grade Level
ADDRESS
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
MOTHER TONGUE
Friday June
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
TANDAG-1
8
Section
PARENTS
Province
Father's Name (Last Name, First

Name, Middle Name)
Mother's Maiden Name (Last Name,

First Name, Middle Name)
ADDRESS
NAME
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
MOTHER TONGUE
Friday June
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
PARENTS
Province

Name, Middle Name)
List and Code of Indicators under REMARKS column

Indicator
Transferred Out
Code
T/O
Required Information
Name of Public (P) Private (PR) School & Effectivity Date
Code
Required Information
CCT
CCT Control/reference number & Effectivity Date
REGISTERED
MALE
BoSY
EoSY

Prepared by:
ADDRESS
NAME
LRN
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
MOTHER TONGUE
Friday June
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Name of Public (P) Private (PR) School & Effectivity Date
B/A
Name of school last attended & Year
Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of June)
LWD
ACL
Specify
Specify Level & Effectivity Data
Barangay
Municipality/ City
PARENTS
Province

Name, Middle Name)

(Signature of Adviser over Printed Name)
FEMALE
TOTAL
BoSY Date:
EoSYDate:
G-1
EMERALD
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
(Please refer to the legend

on last page)
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
Certified Correct:

on last page)
GUARDIAN
(If
REMARKS
not Parent)
Name
of Adviser over Printed Name)
EoSYDate:
Relation-ship
Contact Number of
Parent or Guardian

on last page)
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
304893
School ID
School Year
2016-2017
Report for the Month of
VICENTE L. PIMENTEL SR. NATIONAL HIGH SCHOOL
Name of School
Grade Level
Section
Total for the Month
(1st row for date)
LEARNER'S NAME
M
TH
TH
TH
TH
TH
ABSENT
AMEDINA, MARLO V.
ARADILLOS, JAPETH
3 AROYAL, CLANDY A.
4 ASTORIAS, RAMON D.
5 BATIAO, CHRISTIAN B.
6 BUENAFLOR, ROEL S.
7 CORTES, RODEL A.
8 DATAN, LARRY B.
9 ELLECO, FERNANDEZ V
10 MILLAN, NINO P.
11 MOLINO, JAYMARK V.
12 OHAO, MICHAEL R.
13 PEREZ, EARL L.
14 PEREZ, RICKY
15 PORTILLO, LORENCE
16 WALIS, JUNEL
17
18
19
20
21
22
23
24
25
26
27
28
29
30
MALE | TOTAL Per Day
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
750
TARDY
Total for the Month
(1st row for date)
LEARNER'S NAME
M
TH
TH
TH
TH
TH
ABSENT
TARDY
ANDAMON, HANNA MARIE D.

BACQUIAL, SHANE MARIE
3 BAGAAN, ILYN
4 BELLEZA, JUSTINE D.
5 CADUYAC, LOVELEE P.
6 CAPUCANAN, JESSAMAE
7 MAHAWAN, MERCY LOURDES
8 SOLIS, BEBIGEN
9 SUAREZ, GINA
10 TUBO, RUELYN
11 VELASCO, JASMINE
12 VERTUDAZO, JANICE
13 VISTAL, RIZZAMAE
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
30
750
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
1500
FEMALE | TOTAL Per Day
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:
a.
Percentage of Enrolment =
Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
b.
Average Daily Attendance =
Total Daily Attendance
Number of School Days in reporting month
1. CODES FOR CHECKING ATTENDANCE

(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer,
Lower for Cutting Classes)
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
Month:
* Enrolment as of (1st Friday

Late Enrollment during the month
(beyond cut-off)
Registered Learners as of end o
y
interv
LEARNER'S NAME
entio
ns
inclu
M
T
W
TH
F
M
T
ding
but
c.
Percentage of Attendance for the month =
Average daily attendance
not
Registered Learners as of end of the month
limite
d to
4.
home
Ever
visita
y end
tion
of
to the
mont
learn
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
h,
er/sthe* Beginning of School Year cut-off report is every 1st Friday of the School
class
who Year
advis
were
er
abse
will
nt for
subm
5
itcons
this
form
ecuti
to the
ve
office
days
of
the
and/o
princi
r
pal
those
for
2 : Page
___ of ________
at
recor
risk
ding
of
of
drop
sum
ping
mary
out.
table
into
Scho
ol
Form
4.
Once
signe
d by
the
princi
pal,
this
form
shoul
d be
retur
ned
to the
advis
er.
Total for the Month
(1st row for date)

W
TH
x 100
TH
TH
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)
TH
ABSENT
TARDY
Percentage of Enrolment as of end
Average Daily Attendan
Percentage of Attendance for t
Number of students absent for 5 co

Drop out
Transferred out
Transferred in
I certify that this is a true and correct report.
(Signature of Teacher o
Attested by:
EMERALD
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)

number 2.
No. of Days of Classes:
Summary
M
TOTAL
he month
beyond cut-off)
ners as of end of the month
as of (1st Friday of June)

number 2.
olment as of end of the month
ge Daily Attendance
Attendance for the month
100
100
750
750
75000
75000
s absent for 5 consecutive days:
100
750
75000
0
Drop out
ransferred out
Transferred in
orrect report.
RANIEL A. LACUARIN
ature of Teacher over Printed Name)
DOROTHY L. SUAZO
School Form 3 (SF3) Books Issued and Returned

(This replaces Form 1 & Inventory of Textbooks)
School ID
School Year
School Name
NO.
Section
Grade Level
Subject Area & Title
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & Tit
Date
Returned
Issued
NO.
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Subject Area & Tit
Date
Returned
Issued
TOTAL FOR MALE | TOTAL COPIES
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 information with the following code:
Prepared By:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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.
Date BoSY:______
ect Area & Title

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
ect Area & Title

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
(Signature over printed name)

BoSY:____________ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's Movement and Attendance

(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID
Region
Division
District
School Name
GRADE/
YEAR LEVEL
School Year
SECTION
NAME OF ADVISER
REGISTERED
LEARNERS
(As of End of the
Month)
M
ATTENDANCE
Daily Average
M
DROPPED OUT
Percentage for the

Month
M
Repo
(A) Cumulative as of
Previous Month
M
(B) For the Month

M
TRANSFERRED OUT
(A+B) Cumulative as
of End of the Month
M
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
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
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
Prepared and Submitted by:
(Signature of Sch
Page _____ of _____ pages
Report for the Month of

TRANSFERRED IN
Previous Month
M
(B) For the Month

M
ignature of School Head over Printed Name)
(A+B) Cumulative as
of End of the Month
M
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
Region
Division
School ID
District
School Year
Curriculum
School Name
LRN
Grade Level
LEARNER'S NAME
(Last 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
Section
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)
From previous school years completed as
of end of current School Year
As of end of current School Year
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
(This
LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
(This
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
FEMALE
TOTAL
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
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.
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
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 Proficiency
(This replaces Form 20)
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
85% -89%)
(P:
ADVANCED
90% and above)
(A:
TOTAL
Prepared and Submitted by:
Reviewed & Validated by:

SCHOOL HEAD
Noted by:
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.
SCHOOLS DIVISION SUPERINTENDENT
School Year
GRADE 12
NDENT
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
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 ID
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
(B) Nationally-Funded Non Teaching Items
(C ) Other Appointments and Fundi

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 appears in the

contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
Appointment:
(Contractual,
Substitute, Volunteer,
others specify)
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
Daily Program (ti
Minor
Subject Taught (include

Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes p
Ave. Minutes p
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
Daily Program (ti
Minor
Subject Taught (include

Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
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 Form 19 must be submitted 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 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.
Submitted by:
(Sig
Updated as of: _
School Year
nts and Funding Sources

Number of Incumbent
Fund Source
(SEF, PTA, NGO's etc.)
Teaching
NonTeaching
Daily Program (time duration)
To (00:00)
Ave. Minutes per Day
Total Actual
Teaching
Minutes per
Week
Remarks (For Detailed

Items, Indicate name of
school/office, For IP's
-Ethnicity)
Daily Program (time duration)
To (00:00)
Total Actual
Teaching
Minutes per
Week
Remarks (For Detailed

Items, Indicate name of
school/office, For IP's
-Ethnicity)
ubmitted by:
Updated as of: ___________________________

School Form 7, Page ___ of ________

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School Form 1 (SF 1) School Register

VICENTE L. PIMENTEL SR. NATIONAL HIGH SCHOOL

Father's Name (Last Name, First

Mother's Maiden Name (Last Name,

Father's Name (Last Name, First

List and Code of Indicators under REMARKS column

CCT Control/reference number & Effectivity Date

Mother's Maiden Name (Last Name,

Name of Public (P) Private (PR) School & Effectivity Date

Name of school last attended & Year

Reason and Effectivity Date

Father's Name (Last Name, First

Mother's Maiden Name (Last Name,

(Please refer to the legend

(Please refer to the legend

(Please refer to the legend

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report of Learners

Report for the Month of

VICENTE L. PIMENTEL SR. NATIONAL HIGH SCHOOL

(1st row for date)

MALE | TOTAL Per Day

Total for the Month

(1st row for date)

ANDAMON, HANNA MARIE D.

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

1. CODES FOR CHECKING ATTENDANCE

2. REASONS/CAUSES FOR DROPPING OUT

* Enrolment as of (1st Friday

Registered Learners as of end o

Total for the Month

(1st row for date)

a.4. Family problems

Percentage of Enrolment as of end

Average Daily Attendan

Percentage of Attendance for t

Number of students absent for 5 co

REMARKS (If DROPPED OUT, state reason, please refer to legend

No. of Days of Classes:

ners as of end of the month

as of (1st Friday of June)

REMARKS (If DROPPED OUT, state reason, please refer to legend

olment as of end of the month

s absent for 5 consecutive days:

School Form 3 (SF3) Books Issued and Returned

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Tit

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Tit

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

Page _ of _ pages