School ID 123414 Region VIII

School Name MADALUNOT ELEMENTARY SCHO

NAME BIRTH DATE AGE as of 1st

LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
 NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
 NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
 NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
 NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June
 NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June

List and Code of Indicators under REMARKS column

Indicator Code Required Information
 NAME BIRTH DATE AGE as of 1st
LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) Friday June

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date
Dropped DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Division CATBALOGAN CITY Dis

CHOOL School Year 2015 - 2016 Grade L

ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
 ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
 ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
 ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
 ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok
 ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok

Code Required Information REGISTERED

 ADDRESS

IP
MOTHER TONGUE RELIGION House #/ Street/
(Ethnic Group)
Sitio/ Barangay Municipality/ City Province
Purok

CCT CCT Control/reference number & Effectivity Date MALE

B/A Name of school last attended & Year FEMALE

LWD Specify
TOTAL
ACL Specify Level & Effectivity Data
 District CATBALOGAN II

Grade Level II Section I - MAGALANG

GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
 GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
 GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
 GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
 GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)
 GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)

Prepared by: Certified Correct:

BoSY EoSY
 GUARDIAN (If
PARENTS
not Parent)
Contact Number of
Father's Name (Last Name, First Mother's Maiden Name (Last Name, Parent or Guardian
Name Relation-ship
Name, Middle Name) First Name, Middle Name)

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Nam

BoSY Date: EoSYDate: BoSY Date: EoSYDate:

 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)

ect:
 REMARKS

(Please refer to the legend

on last page)

School Head over Printed Name)

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 123414 School Year 2016 - 2017 Report for the Month of SEPTEMBER

Name of School MADALUNOT ELEMENTARY SCHOOL Grade Level I Section MATAPAT

(1st row for date) Total for the Month

LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer to legend
(Last Name, First Name, Middle Name) number 2.
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 If TRANSFERRED IN/OUT, write the name of School.)

1 BASAS,KARL NABLO

2 BASAS,NCKO JAY BASILAN

3 MATUTINA,ADRIAN BAYLON

4 NIEDO,KENTH LADIP

5 REPOSO,DARYL GOLIAS

6 SOLAYAO,ALONZO NAVALES JR.

7 SOLIS,JOHN MARK LINAY

8 SOLIS,JONEL COSTUNA

9 YARAS,JOMEL DE GUZMAN

MALE | TOTAL Per Day

1 AGUILANDO,JERRY MAE BASILAN

2 BALANO,KRISHA MICHELLE TIZON

3 CABAGNAN,SHEENA CABAGONG

4 COBITAN,PRINCESS SOFIA VERAYA

5 DELA TORRE,ANGELENE COBITAN

6 JABELOSA,JEARLYN TIZON

7 LLEMOS,FAITH HYACINTH ARAZA

8 LUENA,JENICA SOLAMO
9 LUENA,MICA FLOR GEDORIO

10 MACAPASO,LEYAN DELA TORRE

11 TIZON,JEZELL LENDIRO

12 VIOLEN,JOYCE MENDOZA

13 VIOLEN,KIMBERLY CUBITAN

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
No. of Days of Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower M F TOTAL
2. Dates shall be written in the columns after Learner's Name. for Cutting Classes)
* Enrolment as of (1st Friday of June)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average Daily Attendance
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 b.2. Overage
principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month
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 b.4. Drug Abuse
dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days:
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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 MARILOU N.JACLA
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ LEAH A. CABUJAT
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued
(This replaces Form 1 & Inventory of Textb

School ID School Year

School Name Grade Level

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES

 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturned books, please provide informatio
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. A. In Column Date Returned, codes are: FM=Force Majeure, T
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
oks Issued and Returned
& Inventory of Textbooks)

Section
ct Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

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

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

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

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)
Date Date Date Date Date
Returned Issued Returned Issued Returned Issued Returned Issued Returned

e provide information with the following code: Prepared By:

M=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher (Signature over printed name)
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code Date BoSY:____________ Date EoSY: ___________
25, s.2003, DO#14, 2.2012.
 School Form 4 (SF4) Monthly Learner's M
(This replaces Form 3 & STS Form 4-Absenteeism

School ID 123414 Region VIII Division CATBALOGAN CIT

School Name MADALUNOT ELEMENTARY SCHOOL

ATTENDANCE DROPPED OU
REGISTERED
LEARNERS
GRADE/ (As of End of the Percentage for the (A) Cumulative as of
SECTION NAME OF ADVISER Daily Average (B) For the Mon
YEAR LEVEL Month) Month Previous Month

M F T M F T M F T M F T M
Kinder MARILOU N. JACLA 8 10 18 7.48 9.9 17.38 93.5 99 96.56
I MARILOU N. JACLA 9 13 22 8.52 12.62 21.14 94.67 97.08 96.09
II ROSIEMAE E. LOZANO 13 11 24 12.8 10.6 23.4 98.4 96.3 194.7
III JASON M. DUMAOG 14 9 23 14 9 23 100 100 100
IV PEDRO L. ABAMO JR. 11 21 32 10.43 20.76 31.19 94.82 98.86 97.42
V ALMA S. GIRAY 12 13 25 11.86 12.81 24.67 98.83 98.54 98.68
VI RUBY R. SACENDONCILLO 15 9 24 14.05 8.86 22.91 93.67 98.44 96.26
ELEMENTARY/SECONDARY:
KINDER 8 10 18 7.48 9.9 17.38 93.5 99 96.56
GRADE 1/GRADE 7 9 13 22 8.52 12.62 21.14 94.67 97.08 96.09
GRADE 2/GRADE 8 13 11 24 12.8 10.6 23.4 98.4 96.3 194.7
GRADE 3/GRADE 9 14 9 23 14 9 23 100 100 100
GRADE 4/GRADE 10 11 21 32 10.43 20.76 31.19 94.82 98.86 97.42
GRADE 5/GRADE 11 12 13 25 11.86 12.81 24.67 98.83 98.54 98.68
GRADE 6/GRADE 12 15 9 24 14.05 8.86 22.91 93.67 98.44 96.26
TOTAL FOR NON-GRADED
TOTAL 82 86 168
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)

LOGAN CITY District CAT BALOGAN II

School Year 2015 - 2016 Report for the Month of MARCH

DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

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

F T M F T M F T M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prepared and Submitted by:

LEAH A. CABUJAT
(Signature of School Head over Printed Name)
 School Form 5 (SF 5) Report on Promotion & Lev
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates

Region VIII Division CATBALOGAN CITY

123414
School ID School Year 2015 - 2016

School Name MADALUNOT ELEMENTARY SCHOOL

GENERAL AVERAGE
(Numerical Value in 2
LEARNER'S NAME (Last Name, decimal places and 3
LRN
First Name, Middle Name) decimal places for honor
learners, and Descriptive
Letter)
INCOMPLETE SUBJECT
column is for K to 12 Curricu
ACTION TAKEN:
level that are still im
PROMOTED,
IRREGULAR or
RETAINED
From previous school years
of end of current Sch

118721130005 BACSAL, DONENCIO AUDITA 80 PROMOTED

123414130006 BAJADO, MARK FRANCIS PABUNAN 78 PROMOTED

123414140002 CABANGANAN, ERICK SANTIAGO 79.000 PROMOTED

123414130008 DELA TORRE, NELSON JR. COBITAN 82 PROMOTED

123414130009 JABELOSA, JOSEPH CLYTH FERNANDEZ 83 PROMOTED

123414140001 LABADIA, JOHN PAUL COBITAN 79 PROMOTED

123414130023 LLEMOS, SEAN KEN SIMON ARAZA 82 PROMOTED

100636130006 MARQUEZ, JOHMARIE JABELOSA 84 PROMOTED

117291130044 OCCENOLA, MARIO JR. CABANGANAN 84 PROMOTED

123414130026 SALAMEDA, MARIO JR. JABELOSA 86 PROMOTED


GENERAL AVERAGE
(Numerical Value in 2
LEARNER'S NAME (Last Name, decimal places and 3
LRN
First Name, Middle Name) decimal places for honor
learners, and Descriptive
Letter)
INCOMPLETE SUBJECT
column is for K to 12 Curricu
ACTION TAKEN:
level that are still im
PROMOTED,
IRREGULAR or
RETAINED
From previous school years
of end of current Sch

123414130011 SOLIS, JERALD YARAS 78 PROMOTED

123414130012 VILLEGAS, JUSTIN REY COBITAN 83 PROMOTED

123414130013 VIOLEN, JADE JABELOSA 82 PROMOTED

13 TOTAL MALE
AGUILANDO, LYKA MAE BASILAN 81 PROMOTED
ANGELIAS, JANILA NIEDO 82 PROMOTED
1234141300027 BASAS, MA. ANGELICA NICOLE PUNO 80 PROMOTED

123414130017 BASAS, NICKY JEAN BASILAN 82 PROMOTED

123414130028 CADLIT, ALTEHEA ANTONITTE ABADIANO 81 PROMOTED

123414130019 COBITAN, JACKIE PACLITA 83 PROMOTED


GENERAL AVERAGE
(Numerical Value in 2
LEARNER'S NAME (Last Name, decimal places and 3
LRN
First Name, Middle Name) decimal places for honor
learners, and Descriptive
Letter)
INCOMPLETE SUBJECT
column is for K to 12 Curricu
ACTION TAKEN:
level that are still im
PROMOTED,
IRREGULAR or
RETAINED
From previous school years
of end of current Sch

123413110005 COSTUNA, SHIELA MAE O. 80 PROMOTED

123414130022 MATIENZO, PRINCESS COBITAN 85 PROMOTED

123414130020 NIEDO, CHINA PANICAN 83 PROMOTED

123414130021 REPOSO, DIANNE GOLIAS 80 PROMOTED

123412130070 VARGAS, HERSHA ELJIE DACLES

 INCOMPLETE SUBJECT
GENERAL AVERAGE
column is for K to 12 Curricu
(Numerical Value in 2 ACTION TAKEN:
level that are still im
LEARNER'S NAME (Last Name, decimal places and 3 PROMOTED,
LRN
First Name, Middle Name) decimal places for honor IRREGULAR or
learners, and Descriptive RETAINED
Letter) From previous school years
of end of current Sch

1 TOTAL FEMALE

2 COMBINED
ion & Level of Proficiency
List of Graduates)

District CATBALOGAN II

Curriculum K TO 12

Grade Level II Section I

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

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

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED 13 2

IRREGULAR 0 0 0

RETAINED 0 0 0

LEVEL OF PROFICIENCY
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

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

MALE FEMALE TOTAL

BEGINNNING
0 0 0
(B: 74% and below)

DEVELOPING (D: 75%-

4 0 4
79%)

APPROACHING
PROFICIENCY 8 9
(AP: 80%-84%)

PROFICIENT (P:
1 1
85% -89%)

ADVANCED (A: 90%

and above)

PREPARED BY:

ROSIEMAE E. LOZANO

Class Adviser

(Name and Signature)

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

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

CERTIFIED CORRECT & SUBMITTED:

LEAH A. CABUJAT

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

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
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

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

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 Region Division

School Name District

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10

SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL 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)
 TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD 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.
f Proficiency

School Year

GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

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 Region Division

School Name District

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items

Title of Designation
Title of Plantilla Position (as it Title of Plantilla Position (as it Number of (as it ap
Number of Incumbent
appears in the appointment document/PSIPOP) appears in the appointment document/PSIPOP) Incumbent contract/document: Teach
Guard, Driver etc.)

EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of

(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
 EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of

(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
 EDUCATIONAL QUALIFICATION

Employee No. Name of School Personnel Nature of

(or Tax Position/
(Arrange by Position, Descending) Sex Fund Source Appointment/
Identification Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate

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 subm
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)

School Year

(C ) Other Appointments and Funding Sources

Number of Incumbent
esignation Appointment:
(as it appears in the (Contractual, Substitute, Fund Source
ct/document: Teacher, Clerk, Security Volunteer, others (SEF, PTA, NGO's etc.)
uard, Driver etc.) specify) Teaching Non-
Teaching

Daily Program (time duration)

Subject Taught (include Remarks (For Detailed

Grade & Section), Advisory Items, Indicate name of
Class & Other Ancillary DAY Total Actual school/office, For IP's
From
Assignments (M/T/W/TH/ To (00:00) Teaching Minutes -Ethnicity)
(00:00)
F) per Week

Ave. Minutes per Day

 Daily Program (time duration)

Subject Taught (include Remarks (For Detailed

Grade & Section), Advisory Items, Indicate name of
Class & Other Ancillary DAY Total Actual school/office, For IP's
From
Assignments (M/T/W/TH/ To (00:00) Teaching Minutes -Ethnicity)
(00:00)
F) per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 Daily Program (time duration)

Subject Taught (include Remarks (For Detailed

Grade & Section), Advisory Items, Indicate name of
Class & Other Ancillary DAY Total Actual school/office, For IP's
From
Assignments (M/T/W/TH/ To (00:00) Teaching Minutes -Ethnicity)
(00:00)
F) per Week

Ave. Minutes per Day

Ave. Minutes per Day

Submitted by:
rm 19 must be submitted to the Division

(Signature of School Head over Printed Name)

Updated as of: ___________________________

School Form 7, Page ___ of ________