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School Form 7 (SF7) School Personnel Assign

(This replaces Form 12-Monthly Status Report for Teachers,


Form 29-Teacher Program and Form 31-Summary Infor

School ID 121420 Region VIII


School Name Conalum Elementary School
(A) Nationally-Funded Teaching & Teaching Related
(B) Nationally-Funded Non Teaching Items
Items
Title of Designat
Title of Plantilla Position Title of Plantilla Position
Number of
(as it appears in the (as it appears in the appointment contract/docu
Incumbent
appointment document/PSIPOP) document/PSIPOP) Security Guard,

Teacher III 7 Principal -I


Teacher II 3
Teacher I 1

EDUCATIONAL
Name of School
QUALIFICATION
Employee Personnel
Nature of
No. (or Tax
Plantilla No. Position/ Appointment/
Identificatio (Arrange by Sex Fund Source Degree /
of Teachers) Designation Employment
n Number Position, Post Minor
Status
-T.I.N.) Descending) Graduate
SP1-540610-2010

146-981-796

Inocente, Gina, Regular


F National Principal I BEEd
Sotto Permanent
3-544189

552-451

Picson, Myra, Regular


F National Teacher III BEEd
EDUCATIONAL
Name of School
QUALIFICATION
Employee Personnel
Nature of
No. (or Tax
Plantilla No. Position/ Appointment/
of Teachers) Identificatio (Arrange by Sex Fund Source Degree /
Designation Employment
n Number Position, Post Minor
Status
-T.I.N.) Descending) Graduate
TCHR3-544189

166-552-451

Picson, Myra, Regular


F National Teacher III BEEd
Resuena Permanent
TCHR3-540768-2011

933-249-801

Bisnar, Lonelyn, Regular


F National Teacher III BSAgEd
Polistico Permanent
TCHR3-540358-2009

242-105-230

Cubian, Rubie Regular


F National Teacher III BEEd
Ann II, Cubian Permanent
TCHR3-540519-2010

179-965-480

Fabroa, Nancy, Regular


F National Teacher III BEEd
Projo Permanent
3-540561-2010

2-427-466

Lapasanda, Regular
F National Teacher III BEEd
Brenda, Lumando Permanent
EDUCATIONAL
Name of School
QUALIFICATION
Employee Personnel
Nature of
No. (or Tax
Plantilla No. Position/ Appointment/
of Teachers) Identificatio (Arrange by Sex Fund Source Degree /
Designation Employment
n Number Position, Post Minor
Status
-T.I.N.) Descending) Graduate
TCHR3-540561-2010

922-427-466

Lapasanda, Regular
F National Teacher III BEEd
Brenda, Lumando Permanent
TCHR3-544196-1998

937-634-860

Parciso, Dinah, Regular


F National Teacher III BEEd
Abayhon Permanent
TCH3-540181-2018

415-286-286

Macunay, Rigino Regular


M National Teacher III BEEd
Jr., Tinaja Permanent
HR2-540146-1999

166-552-469

Yap, Yolanda, Regular


F National Teacher II BEEd
Bacalla Permanent
EDUCATIONAL
Name of School
QUALIFICATION
Employee Personnel
Nature of
No. (or Tax
Plantilla No. Position/ Appointment/
of Teachers) Identificatio (Arrange by Sex Fund Source Degree /
Designation Employment
n Number Position, Post Minor
Status
-T.I.N.) Descending) Graduate
TCHR2-540146-1999

166-552-469

Yap, Yolanda, Regular


F National Teacher II BEEd
Bacalla Permanent
TCHR2-540-342-2010

261-528-405

Sayod, Chresna, Regular


F National Teacher II BEEd
Kudera Permanent
TCH2-540341-2010

261-528-405

Agravante,
Regular
Cecilia, F National Teacher II BSAgEd
Permanent
Marchadez
TCH1-540252-2017

402-818-352

Bernales, Aurora, Regular


F National Teacher I BEEd
Bisnar Permanent
EDUCATIONAL
Name of School
QUALIFICATION
Employee Personnel
Nature of
No. (or Tax
Plantilla No. Position/ Appointment/
of Teachers) Identificatio (Arrange by Sex Fund Source Degree /
Designation Employment
n Number Position, Post Minor
TCH1-540252-2017

Status
-T.I.N.) Descending) Graduate
402-818-352

Bernales, Aurora, Regular


F National Teacher I BEEd
Bisnar Permanent

GUIDELINES:
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement o
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
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other admin
4. Daily Program Column is for teaching personnel only.
Assignment List and Basic Profile
Teachers, Form 19-Assignment List,
mary Information of Teachers)

Leyte
Inopacan District School Year 2019-2020

(C ) Other Appointments and Funding Sources

of Designation Number of
Appointment: Incumbent
(as it appears in the Fund Source
(Contractual, Substitute,
ontract/document: Teacher, Clerk, (SEF, PTA, Non-
Volunteer, others
urity Guard, Driver etc.) NGO's etc.) Teaching Teachi
specify)
ng

Daily Program (time duration)


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

Checks Lesson Plans M-F 7:30 8:00 30


Class Visit/Observation M-F 8:00 9:40 100
Supervising Instructions M-F 10:10 11:00 50
Office Work Report Making M-F 11:00 12:00 60
Test Visit M-F 1:30 2:30 60
School Based Reading
M-F 2:30 3:10 40
Program
Class Visit/Observation M-F 3:10 3:50 40
Monitoring of the
Implementation of School M-F 3:50 4:30 40
Innovation

Supervising RRE/Community
M-F 4:30 4:50 20
Linkages
Ave. Minutes per Day 440

ESP M-F 7:30 8:00 30


Daily Program (time duration)
Remarks (For
Subject Taught (include
Total Detailed Items,
Grade & Section), Advisory
DAY Actual Indicate name of
Class & Other Ancillary From
(M/T/W/TH/F To (00:00) Teaching school/office, For
Assignments (00:00)
) Minutes IP's -Ethnicity)
per Week
Mother Tongue M-F 8:00 8:50 50
English M-F 8:50 9:40 50
Math M-F 10:10 11:00 50
Science M-F 11:00 11:50 50
Filipino M-F 1:30 2:20 40
Aral.Pan M-F 2:20 3:00 40
MAPEH M-F 3:00 3:40 40
Ave. Minutes per Day 350
Araling Panlipunan VI-B M-F 8:50 9:30 40
Araling Panlipunan IV M-F 10:10 10:50 40
Araling Panlipunan V M-F 11:00 11:40 40
EPP VI-A M-F 2:20 3:10 50
Araling Panlipunan VI-A M-F 3:10 3:50 40

Ave. Minutes per Day 210


ESP VI-B M-F 7:30 8:00 30
English VI-B M-F 8:00 8:50 50
Science VI-A M-F 8:50 9:40 50
Science V M-F 10:10 11:00 50
Science IV M-F 11:00 11:50 50
Science VI-B M-F 1:30 2:20 50

Ave. Minutes per Day 280

ESP V M-F 7:30 8:00 30


English V M-F 8:00 8:50 50
Filipino VI-A M-F 10:10 11:00 50
Filipino VI-B M-F 11:00 11:50 50
Filipino IV M-F 1:30 2:20 50
Filipino V M-F 3:10 4:00 50

Ave. Minutes per Day 280


ESP IV M-F 7:30 8:00 30
Daily Program (time duration)
Remarks (For
Subject Taught (include
Total Detailed Items,
Grade & Section), Advisory
DAY Actual Indicate name of
Class & Other Ancillary From
(M/T/W/TH/F To (00:00) Teaching school/office, For
Assignments (00:00)
) Minutes IP's -Ethnicity)
per Week
English IV M-F 8:00 8:50 50
Math M-F 8:50 9:40 50
MAPEH IV M-F 2:20 3:00 40
EPP IV M-F 3:10 4:00 50

Ave. Minutes per Day 220


Edukasyon sa Pagpapakatao M-F 8:00 8:30 30
Mathematics M-F 8:30 9:20 50
Mother Tongue M-F 10:10 11:00 50
English M-F 11:00 11:50 50
Filipino M-F 1:30 2:20 50
Aral.Pan. M-F 2:20 3:00 40
MAPEH M-F 3:00 3:40 40
Ave. Minutes per Day 310

ESP VI-A M-F 7:30 8:00 30


English VI-A M-F 8:00 8:50 50
Math V M-F 8:50 9:40 50
MAPEH VI-A M-F 11:00 11:40 40
Math VI-A M-F 1:30 2:20 50
Math VI-B M-F 2:20 3:10 50

Ave. Minutes per Day 270


ESP M-F 8:00 8:30 30
Mother Tongue M-F 8:30 9:20 50
Mathematics M-F 10:10 11:00 50
Daily Program (time duration)
Remarks (For
Subject Taught (include
Total Detailed Items,
Grade & Section), Advisory
DAY Actual Indicate name of
Class & Other Ancillary From
(M/T/W/TH/F To (00:00) Teaching school/office, For
Assignments (00:00)
) Minutes IP's -Ethnicity)
per Week
Filipino M-F 11:00 11:50 50
Sounds/Viewing?English M-F 1:30 2:20 50
Araling Panlipunan M-F 2:20 3:00 40
MAPEH M-F 3:00 3:40 40
Reading/Film Viewing M-F 3:40 4:00 40
Ave. Minutes per Day 350
ESP M-F 8:00 8:30 30
Mother Tounge M-F 8:30 9:20 50
Araling Panlipunan M-F 8:50 9:30 40
Filipino M-F 10:00 10:50 50
Mathematics M-F 10:50 11:40 50
Sounds/Viewing?English M-F 1:30 2:20 50
MAPEH M-F 2:20 3:00 40
Reading/Film Viewing M-F 3:00 3:40 40
Ave. Minutes per Day 350

MAPEH VI-B M-F 10:10 10:50 40


MAPEH V M-F 1:30 2:10 40
EPP V M-F 2:20 3:10 50
EPP VI-B M-F 3:10 4:00 50

Ave. Minutes per Day 180


Meeting Time 1 (AM Session) M-F 7:40 8:10 30
Work Period 1 (AM Session) M-F 8:10 8:50 40
Meeting Time 2 (AM Session) M-F 8:50 9:10 20
Story Time (AM Session) M-F 9:10 9:30 20
Work Period 2 (AM Session) M-F 9:50 10:30 40
Indoor/Outdoor Games (AM Se M-F 10:30 10:50 20
Meeting Time 3 (AM Session) M-F 10:50 11:00 10
Daily Program (time duration)
Remarks (For
Subject Taught (include
Total Detailed Items,
Grade & Section), Advisory
DAY Actual Indicate name of
Class & Other Ancillary From
(M/T/W/TH/F To (00:00) Teaching school/office, For
Assignments (00:00)
) Minutes IP's -Ethnicity)
per Week
Meeting Time 4 (PM Session) M-F 1:00 1:30 30
Work Period 3 (PM Session) M-F 1:30 2:10 40
Meeting Time 5 (PM Session) M-F 2:10 2:30 20
Story Time (PM Session) M-F 2:30 3:00 30
Work Period 4 (PM Session) M-F 3:00 3:40 40
Indoor/Outdoor Games (PM Se M-F 3:40 4:00 20
Meeting Time 6 (PM Session) M-F 4:00 4:10 10
Ave. Minutes per Day 360

Submitted by:
ovement of teachers and other
GINA S. INOCENTE
should be listed from the highest (Signature of School Head over Printed Name)
ther administrative duties must also reported.
Updated as of July 2019
School Form 7, Page ___ of ________
S
(This

School ID Region VIII Division

School Name

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

List and Code of Indicators under REMARKS column


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

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

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

District

School Year Grade Level Section

ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

mn
Prepared by:
Required Information REGISTERED BoSY EoSY
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Printed Name)


Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate:
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

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

er over Printed Name) (Signature of School Head over Printed Name)

EoSYDate: BoSY Date: EoSYDate:


School Form 2 (SF2) Daily Attendance Report of Lea
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Report for the Month of

Name of School Grade Level


LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

MALE | TOTAL Per Day


LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

FEMALE | TOTAL Per Day


Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upp
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
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
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table b.2. Overage
into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out.
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
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. 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
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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)

School Form 2 : Page ___ of ________


f Learners
e)

Section

Total for the


Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Month: No. of Days of Summary


Classes: M F TOTAL
ded= Upper for
sses)
* Enrolment as of (1st Friday of June)
UT
Late Enrollment during the month
(beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month


Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

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:

(Signature of School Head over Printed Name)


School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section


Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES


Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Subject Area & Title Subject Area & Title 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 Date Date
Issued Returned Issued Returned 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 information with the following code:
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, TDO: Transferred/Dropout, NEG
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 Letter from Learner duly signed
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
ned

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

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

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

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

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

llowing code: Prepared By:

/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
School Form 4 (SF4) Monthly Learner's Movement and Atten
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRAN


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

M F T M F T M F T M F T M F T M F T M F T
ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES: Prepared
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


ttendance

Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)


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

M F T M F T M F T M F T M F T
epared and Submitted by:

(Signature of School Head over Printed Name)


School Form 5 (SF 5) Report on Prom
(This replaces Forms 18-E1, 18-E2, 18A

Region VIII Division LEYTE

School ID 121420 School Year 20013 - 2014

School Name CONALUM ELEMENTARY SCHOOL

GENERAL
AVERAGE
ACTION TAKEN:
(Numerical Value in 2
LEARNER'S NAME PROMOTED,
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED
honor learners, and
Descriptive Letter)
GENERAL
AVERAGE
ACTION TAKEN:
(Numerical Value in 2
LEARNER'S NAME PROMOTED,
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED
honor learners, and
Descriptive Letter)
GENERAL
AVERAGE
ACTION TAKEN:
(Numerical Value in 2
LEARNER'S NAME PROMOTED,
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED
honor learners, and
Descriptive Letter)

TOTAL FEMALE

COMBINED
on Promotion & Level of Proficiency
1, 18-E2, 18A and List of Graduates)

District INOPACAN

013 - 2014 Curriculum K-12

Grade Level Five Section One

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 As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING (D:
75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)
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 As of end of current School Year
School Year
PROFICIENT
(P: 85% -89%)

ADVANCED (A:
90% and above)

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

ELISA P. PAYOT

School Head

(Name and Signature)

REVIEWED BY:

EDNA RELOS SUAREZ

(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.
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 3. On the summary table, reflect the total number of
completed as of end of current As of end of current School Year learners promoted, retained and *irregular (*for grade
School Year 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

School Form 5: Page ____ of ________


School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)

School ID 121420 Region VIII Division LEYTE

School Name CONALUM ELEMENTARY SCHOOL District INOPACAN

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 /
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

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

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: ELISA P. PAYOT, PI Reviewed & Validated by: EDNA RELOS-SUAREZ Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUP
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.
Form 6 (SF6)
omotion and Level of Proficiency
replaces Form 20)

LEYTE

INOPACAN School Year 2013-2014

GRADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL


SCHOOLS DIVISION SUPERINTENDENT

mpute the grade level total and school total.


School Form 7 (SF7) School Personnel Assignm
(This replaces Form 12-Monthly Status Report for Teachers, For
Form 29-Teacher Program and Form 31-Summary Informa

School ID 121420 Region VIII Division


School Name Conalum Elementary School District

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

Title of Plantilla Position Title of Plantilla Position


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

Master Teacher II 1 Principal -I 1


Teacher III 3
Teacher II 3
Teacher I 2

EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization
146-981-021

Regular
Payot, Elisa, Papa F National Principal I BSHE
Permanent
901-122-608

Master Teacher Regular


Mejia, Adela, Caidlang F National BEEd
II Permanent
166-552-451

Regular
Picson, Myra, Resuena F National Teacher III BEEd
Permanent
EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization
933-249-801

BSHE Major in
Regular
Pabua, Marian, Oclinaria F National Teacher III Elementary
Permanent
Teaching
933-249-801

Regular
Bisnar, Lonelyn, Polistico F National Teacher III BSAgEd
Permanent
242-105-230

Regular
Cubian, Rubie Ann II, Cubian F National Teacher II BEEd
Permanent
928-427-466

Regular
Lapasanda, Brenda, Lumando F National Teacher II BEEd
Permanent

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 person
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
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also re
EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization

4. Daily Program Column is for teaching personnel only.


ersonnel Assignment List and Basic Profile
Status Report for Teachers, Form 19-Assignment List,
and Form 31-Summary Information of Teachers)

Leyte
Inopacan School Year 2013 - 2014

(C ) Other Appointments and Funding Sources

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

Teacher Volunteer Contractual DepEd Subsidized 1

DUCATIONAL QUALIFICATION Daily Program (time duration)


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

Administrative and
M-F
Supervisory Function

Ave. Minutes per Day


ESP M-F 7:40 8:10
Mother Tongue M-F 8:10 9:00
Filipino M-F 9:00 9:30
Araling Panlipunan M-F 10:00 10:40
Mathematics M-F 10:40 11:30
Indoor Play M-F 11:30 11:50
MAPEH M-F 2:00 2:40
Reading Time M-F 3:00 3:40
Story Time M-F 3:40 4:00
Outdoor Play M-F 4:00 4:30
Ave. Minutes per Day 360
Edukasyon sa Pagpapakatao M-F 7:30 8:00
MTB-MLE Mother Tongue M-F 8:00 8:40
English M-F 8:40 9:30
Mathematics M-F 9:50 10:40
Science M-F 10:40 11:30
Filipino M-F 1:30 2:20
Araling Panlipunan M-F 2:20 3:00
MAPEH M-F 3:00 3:40
Ave. Minutes per Day 350
Character Education M-F 7:30 8:00
DUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class DAY Total Actual Indicate name of
& Other Ancillary (M/T/W/ From To Teaching school/office, For
Minor
Assignments (00:00) (00:00) Minutes per IP's -Ethnicity)
TH/F)
Week

English 5 M-F 8:00 9:40


Science 4 M-F 10:00 11:00
Science 5 M-F 11:00 12:00
Science 6 M-F 1:30 2:30
HKS 4 M-F 2:30 3:10
EPP 4 M-F 3:10 3:50
EPP 5 M-F 3:50 4:30
Ave. Minutes per Day 430
Edukasyon sa
Pagpapakatao
M-F 7:30 8:10
English M-F 8:10 9:00
Mother Tongue M-F 9:50 10:40
Araling Panlipunan M-F 10:40 11:20
Remedial Reading M-F 11:20 12:00
Filipino M-F 1:30 2:20
Mathematics M-F 2:35 3:25
MAPEH M-F 3:45 4:25
Ave. Minutes per Day 360
Character Education M-F 7:30 8:00
English M-F 8:00 9:40
Mathematics 5 M-F 10:00 11:00
Mathematics 6 M-F 11:00 12:00
Filipino 4 M-F 1:30 2:30
HKS 5 M-F 2:30 3:10
EPP 6 M-F 3:10 3:50
Ave. Minutes per Day 430
Character Education M-F 7:30 8:00
English 4 M-F 8:00 9:40
Mathematics 4 M-F 10:00 11:00
Filipino 6 M-F 11:00 12:00
Filipino 5 M-F 1:30 2:30
MSEP 5 M-F 2:30 3:10
MSEP 6 M-F 3:10 3:50
MSEP 4 M-F 3:50 4:30
Ave. Minutes per Day 430

Submitted by:
ment of teachers and other personnel during the school year, an
ELISA P. PAYOT, PI
uld be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)
r administrative duties must also reported.
DUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class DAY Total Actual Indicate name of
& Other Ancillary (M/T/W/ From To Teaching school/office, For
Minor
Assignments (00:00) (00:00) Minutes per IP's -Ethnicity)
TH/F)
Week

Updated as of: ___________________________


School Form 7, Page ___ of ________

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