Professional Documents
Culture Documents
School Form 1 School Register For Junior High School (SF1-JHS)
School Form 1 School Register For Junior High School (SF1-JHS)
School Form 1 School Register For Junior High School (SF1-JHS)
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDATE AGE Religious
LRN (Last Name, First Name, Name Extension,
Middle Name)
(mm/dd/yyyy) Affiliation House No./ Municipality/
Street/ Sitio/ Barangay Provinc
Purok City
PRK. 13 LAJO GENERAL
13128230023 AMPARADO, JOVANNY DE GUZMAN M 4/17/2007 12 MABUHAY SOUTH COTABA
SUBDIVISION SANTOS CITY
PRK. 5 SITIO GENERAL
131282130035 ANDRADA, FRANIE BRIAN MONTEPOLCA M 1/1/2007 11 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK. 6 GENERAL
131319130361 AQUINO, IAN M 1/31/2004 15 MABUHAY SOUTH COTABA
LUWALHATI SANTOS CITY
GENERAL
131282080006 BACTOL, MARKJAMES PILAPIL M 2/4/2001 18 MABUHAY SOUTH COTABA
SANTOS CITY
PRK. 9 GENERAL
131282120058 BANAS, JOSH ANTHONY MAYORMITA M 1/12/2006 13 MABUHAY SOUTH COTABA
PARADISE SANTOS CITY
GENERAL
131282100014 BARON, MARK IAN M 2/14/2005 14 MABUHAY SOUTH COTABA
SANTOS CITY
GENERAL
131275100011 BIORE, EJAY JHONES OLVIDO M 6/28/2005 13 MABUHAY SOUTH COTABA
SANTOS CITY
PRK. GENERAL
130916130002 CALONIA, RICHARD SUAREZ JR. M 4/28/2006 13 MABUHAY SOUTH COTABA
RIVERSIDE SANTOS CITY
PRK. GENERAL
131282120114 CARMONA, REUIENE JAY FLORES M 2/12/2007 12 SAN ISIDRO SOUTH COTABA
MELLINNIUM SANTOS CITY
PRK. UPPER GENERAL
131272120190 CUEVA, RENEL MONSANTO M 1/17/2007 12 SAN ISIDRO SOUTH COTABA
MATIBAY SANTOS CITY
PRK. GENERAL
130646130009 DELE, JOHN RAIZEL BENITEZ M 2/19/2007 12 SAN ISIDRO SOUTH COTABA
MELLINNIUM SANTOS CITY
PRK. GENERAL
131282120117 DOMINGO, JOSEF MATHEW BONCODIN M 6/27/2007 11 SAN ISIDRO SOUTH COTABA
MELLINNIUM SANTOS CITY
PRK. 5 SITIO GENERAL
131282110025 ENERIO, ELIJAH JAMES CEBRITAS M 6/12/2006 12 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK. 9 GENERAL
131282120066 ENERIO, LOUIE PAUTAN M 3/18/2007 12 MABUHAY SOUTH COTABA
PARADISE SANTOS CITY
PRK. GENERAL
210004120013 GRUMEZ, NICO TOMAROY M 9/5/2006 12 MABUHAY SOUTH COTABA
PANAGHIUSA SANTOS CITY
PRK. 17 GENERAL
210004110077 OSTAN, JOMAR CAGANG M 11/18/2006 13 MABUHAY SOUTH COTABA
PHILGO SANTOS CITY
GENERAL
PARENA, IAN CLENT TAMDOS M 13 SAN ISIDRO SOUTH COTABA
SANTOS CITY
PRK. 6 GENERAL
131282130036 PERALTA, ANGELO GABRIEL DOROTEO M 1/1/2007 12 MABUHAY SOUTH COTABA
DWELLING SANTOS CITY
PRK. 5 SITIO GENERAL
131282120075 PILAPIL, ISIDRO ROSALES JR. M 7/26/2006 12 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK. GENERAL
131271120227 POLANCOS, MC VINCER BENITEZ M 6/27/2007 11 SAN ISIDRO SOUTH COTABA
MELLINNIUM SANTOS CITY
PRK. 6 GENERAL
SAYSON, LOREN CABILAN M 3/7/2005 14 MABUHAY SOUTH COTABA
LUWALHATI SANTOS CITY
PRK. 5 SITIO GENERAL
131282120077 SUELLO, FRITZ JHON RONCALES M 8/10/2007 11 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK. 5 SITIO GENERAL
131282120125 TACULAD, CHRISTIAN ANGELO MATA M 9/22/2007 11 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK. 9 GENERAL
131282120123 TANIONGON, ALEX DIGALA M 1/5/2007 12 MABUHAY SOUTH COTABA
PARADISE SANTOS CITY
PRK. 18
GENERAL
131319120901 TOMAQUIN, MIXIE BANCEAL M 1/30/2007 12 BACTOLVILLA MABUHAY SOUTH COTABA
SANTOS CITY
GE
PRK. UPPER GENERAL
131282100098 VILLABITO, JAYMARC CATAMEN M 11/8/2004 14 SAN ISIDRO SOUTH COTABA
MATIBAY SANTOS CITY
SFRT 2017
for Junior High School (SF1-JHS)
GENSAN Division Region XII
Grade Level SEVEN
GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
Province (Last Name, First Name, Name (Last Name, First Name,
Name Extension, Middle
Relationship
Guardian
Extension, Middle Name) Name Extension, Middle Name)
Name)
OUTH COTABATO AMPARADO, WARLITO JR. DE GUZMAN, JOAN MAE AMPARADO, ERLINDA 09059597524
ANDRADA, CHRISTOPHER MONTEPOLCA, MA.
OUTH COTABATO 09501925231
TACULAD THERASA
OUTH COTABATO PASIM, ROMEO BIONESTA AQUINO, GLORIA
DIANO, EDWIN
OUTH COTABATO 09553055219
CAMBARIJAN GREGORIO, ANGILEN
ENERIO, WARLITO
OUTH COTABATO CEBRITAS, ANDREA 09306384615
BULAWAN
PAUTAN, MACHONA
OUTH COTABATO ENERIO, DANTE BULAWAN 09166011261
GARRIDO
GRUMEZ, RODRIGO
OUTH COTABATO TOMAROY, ROBILYN JORE 09120541423
INTANO
SASTRELLAS, RHODA
OUTH COTABATO HIDEA, JEMAR HADAP 09389985558
SUKWAHI
MARIQUIT, SAMMY
OUTH COTABATO TOGONON, MERCIDITA 09302427686
DAMILES
OSTAN, FORTUNATO
OUTH COTABATO CAGANG, LYLEN 09966831004
DOMINGO JR.
PARENA, CERBO
OUTH COTABATO TAMPOS, VENALYN 09489301189
DOMENADOR
PERALTA, VIRGILIO
OUTH COTABATO DOROTEO, LOTIS ADAGAN 09102405240
ALCONES
SUELLO, VICTORIANO
OUTH COTABATO RONCALES, LOIDA RAMOS 09168382942
CONAUM JR.
TANIONGON, MANUEL
OUTH COTABATO 09091718351
CASAS JR.
TOMAQUIN, FELIX
OUTH COTABATO BANCIAL, GEMMA 09094242140
DAGAPIOSO
SFRT 2017
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDATE AGE Religious
LRN (Last Name, First Name, Name Extension,
Middle Name)
(mm/dd/yyyy) Affiliation House No./ Municipality/
Street/ Sitio/ Barangay Provinc
Purok City
PRK. 9 GENERAL
1312821200184 BARQUEROS, MAYRYLL GRACE TIBOD F 4/26/2007 12 MABUHAY SOUTH COTAB
PARADISE SANTOS CITY
SFRT 2017
GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
Province (Last Name, First Name, Name (Last Name, First Name, Name Extension, Middle
Relationship
Guardian
Extension, Middle Name) Name Extension, Middle Name)
Name)
ALBAY, CARLITO
OUTH COTABATO QUINTO, NIDA YARIN 09268188696
PERNEG
ANDRINO, SSEVERINO
OUTH COTABATO TUSOY, SIMFLICIA 09675897449
NEGRO
SFRT 2017
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDATE AGE Religious
LRN (Last Name, First Name, Name Extension,
Middle Name)
(mm/dd/yyyy) Affiliation House No./ Municipality/
Street/ Sitio/ Barangay Provinc
Purok City
TOTAL
SFRT 2017
GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
Province (Last Name, First Name, Name (Last Name, First Name, Name Extension, Middle
Relationship
Guardian
Extension, Middle Name) Name Extension, Middle Name)
Name)
SFRT 2017
SFRT 2017
School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
SF3-SHS)
Division Region
d Strand
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
Prepared By:
1. Title of Books Issued to each learner must be recorded by the Class Adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
4. The Total Number of Copies of Books Returned shall be reflected in the form. code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
15
EPONDULAN, ANTHONY X
CASAS
ESCOVILLA, RENE JUN
16
DELA CERNA
GUEVARRA, REY JR.,
17
GALAGAR
GUIÑARES, HOLDEN IAN
18
TALIBAR
HERMAC, JOHN CEASAR
19
PAHAGANAS
LIBRES, DIETHER
20
COSTAÑOS
LIBRES, DIETHER
21
COSTAÑOS
LOYOLA, JOHN LLOYD
22
PENDON
MAGLASANG, REYHUN
23
BALDOZA
MANANSANG, JOBEL
24
BARAHAMA
MONTELLANO,
27
EIZEIANCHRIS PENOLIAR
NAVARRO, EUPER
28
SIGHMON PADEROG
PAHUWAYAN, GENESIS
29
SANCHEZ
PANTALEON, PHILLIP
30
JAMES VALDERAMA
PEÑAFIEL, REYMAR
31
SAYSON
enior High School (SF2-SHS)
Division Region 12
TACDERAN, RODRIGO
40
PARBO
WENCESLAO, ARGEM
41
ALFORNON
1 BAJA, JENEVIVE B.
10
11
12
13
14
15
16
17
18
19
20
21
22
Total for the Month REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).
TH F S ABSENT TARDY
DATE
NAME
No. (Last Name, First Name, Name Extension, Middle 2 3 4 5 6 7 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31
Name) T
M T W TH F S M T W TH F S M T W F S M T W TH F S M T W
H
23
24
25
26
27
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 & clan feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
Total for the Month REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If
TRANSFERRED IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).
TH F S ABSENT TARDY
Transferred Out
Transferred In
Shifting Out
Shifting In
s)
Signature of Class Adviser over Printed Name
Attested By:
REGISTERED
LEARNERS (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as
of the Month) Average Month the Month the Month
of Previous End of the of Previous of End of
Month Month Month the Month
M F T M F T M F T M F T M F T M F T M F T M F T M F T
Signature of Sc
ance for Senior High School (SF4-SHS)
Region
M F T M F T M F T M F T M F T M F T M F T M F T M F T
re of School Head over Printed Name
School Form 5A End of Semester and School Year Status of Learners
School Name
Passionist TechnologicalSchool
InstituteIDInc.
Semester Year
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner
(Last Name, First Name, Name Extension, Middle Name)
obtained a rating below 75%)
MALE
210011060003 ABOC, GOLDWIN VILLAHERMOSA
131323120494 ADOLFO, JOHN LORD ARAS
131276070034 ALMADEN, JOHN REY
131297070037 AMARILLAS, JOHN BENEDICT ESLER
210007070005 ARCENAL, FRANKLIN JAY JOSEPH
131282100014 ATABAY, ELVIN JOVI TAKIAWAN
131275100011 BAYHON, STEPHEN ROQUERO
130916130002 BOCTOT, FRANCISCO AUSA
131282120114 CAMOGAO, JERICHO HERBAS
131272120190 CASULAY, MARK ANTHONY BARGASO
130646130009 CORTEZ, MERVIN DAVE NAZARENO
131282120064 DAYRIT, DARYLL AGOR
131282120117 DOGDOGAN, CHRISTAN ASUNTO
131282110025 ELORTA, NELKIE MIKE RELAMPAGOS
131282120066 EPONDULAN, ANTHONY CASAS
210004120013 ESCOVILLA, RENE JUN DELA CERNA
131287120281 GUEVARRA, REY JR., GALAGAR
GUIÑARES, HOLDEN IAN TALIBAR
HERMAC, JOHN CEASAR PAHAGANAS
131282120068 LIBRES, DIETHER COSTAÑOS
13101170050 LOYOLA, JOHN LLOYD PENDON
131296070308 MAGLASANG, REYHUN BALDOZA
131282120070 MANANSANG, JOBEL BARAHAMA
131282130026 MANTE, MICHAEL LAO
MODA, RHODERICK LAZAGA
0 MONTELLANO, EIZEIANCHRIS PENOLIAR
131282130036 NAVARRO, EUPER SIGHMON PADEROG
131282120075 PAHUWAYAN, GENESIS SANCHEZ
131271120227 PANTALEON, PHILLIP JAMES VALDERAMA
0 PEÑAFIEL, REYMAR SAYSON
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner
(Last Name, First Name, Name Extension, Middle Name)
obtained a rating below 75%)
FEMALE
130601120088 BAJA, JENEVIVE B.
0 BANGOT, ANNA ROSE
0 GABUYA, DESIREE JOY DELOS REYES
1312821200184 MAGNO, ARRIANE JANE RUELO
0 SOSTINO, LANIE JANE GOFREDO
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of
Semester. These data elements shall be filled up only after the 2nd semester or at the end of the School Year.
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner
(Last Name, First Name, Name Extension, Middle Name)
obtained a rating below 75%)
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with
Note: Do not include learners who are No Longer in School (NLS)
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
INCOMPLETE
TOTAL
COMPLETE
INCOMPLETE
TOTAL
REGULAR
IRREGULAR
TOTAL
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
Prepared By:
Reviewed By:
mary Table for End of School Year Status blank/unfilled at the end of the 1st
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
ster
School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name School ID District Division Region
Semester School Year Section
Track and Strand Course/s (only for TVL)
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
MALE
SUMMARY TABLE A
STATUS MALE FEMALE TOTAL
Learners who
completed SHS
Program within 2
SYs or 4
semesters
Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters
TOTAL
SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
FEMALE
Reviewed By:
Reviewed By:
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL
GRADE 11
TRACK/STRAND/COURSE
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
Division Region
Noted By:
presentative over Printed Name Signature of Division Superintendent over Printed Name
shall compute the grade level total per track/strand/course and school total.
School Form 7 School Personnel Basic Profile and Assign
School Name School ID District
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items
Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
Division Region
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)
10
11
12
13
14
15
16
17
18
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
FEMALE
1
2
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
SFRT 2017
gh School (SF8-SHS)
Region
School Year
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Reviewed By:
SFRT 2017
SFRT 2017
School Form 1 School R
School Name LAGAO NATIONAL HIGH SCHOOL EXTENSION
Semester
Section
NAME
(M/F)
Sex
LRN Form 137
(Last Name, First Name, Name Extension, Middle Name)
EXTENSION
MALE
1 ANDRADA, FRANIE BRIAN MONTEPOLCA 1
2 AQUINO, IAN 2
3 BACTOL, MARKJAMES PILAPIL 3
4 BANAS, JOSH ANTHONY MAYORMITA 4
5 BARON, MARK IAN 5
6 BELALA, ARIEL UNDA 6
7 BIORE, EJAY JHONES OLVIDO 7
8 CALONIA, RICHARD SUAREZ JR. 8
9 CARMONA, REUIENE JAY FLORES 9
10 CUEVA, RENEL MONSANTO 10
11 DELE, JOHN RAIZEL BENITEZ 11
12 DIANO, JAYSON GREGORIO 12
13 DOMINGO, JOSEF MATHEW BONCODIN 13
14 ENERIO, ELIJAH JAMES CEBRITAS 14
15 ENERIO, LOUIE PAUTAN 15
16 GRUMEZ, NICO TOMAROY 16
17 HIDEA, QURTJAY SASTRELLAS 17
18 LANTINGAN, JOHN CARL 18
12 LINGAT, JOHN CARLO MUNEZ 19
20 MARIQUIT, JOHN LLOYD TOGONON 20
21 MICOLOB, JUSTINE JB BIGNO 21
22 MOSQUERA, BJAY DARDO 22
23 NAPURAN, LEONARD JOHN 23
24 OACDAAN, CHRISTIAN JADE LASDOCE 24
25 OSTAN, JOMAR CAGANG 25
26 PARENA, IAN CLENT TAMDOS 26
27 PERALTA, ANGELO GABRIEL DOROTEO 27
28 PILAPIL, ISIDRO ROSALES JR. 28
29 POLANCOS, MC VINCER BENITEZ 29
30 SAYSON, LOREN CABILAN 30
31 SUELLO, FRITZ JHON RONCALES 31
32 TACULAD, CHRISTIAN ANGELO MATA
33 TANIONGON, ALEX DIGALA
34 TOMAQUIN, MIXIE BANCEAL
35 VILLABITO, JAYMARC CATAMEN
LAGAO NATIONAL HIGH SCHOOL
FEMALE
ALBAY, CARLYN MAE QUINTO
ANDRINO, CHRISTINE TUSOY
BALBUENA, EMELYN NUEVO
BARQUEROS, MAYRYLL GRACE TIBOD
DUHAYLONGSOD, REGINE MISSION
ECONAR, MIGUEL DELA CERNA
GONTENAS, NICA GRACE BERJES
GUILLERMO, MICAELA SARVIDA
JADRAQUE, JAMAICA SHYNE GABAS
JESTO, JHANAINE PILAPIL
LADARAN, ALIAH SAGLI
MANUEL, MARIA CAMILLE PAMPLONA
MARABE, FERLYN JOY BIGNO
MORADAS, LADY FEONA BIGNO
PABUSTAN, REZIEJOICE FLORES
PASIM, MARISSA AQUINO
PEPITO, AIREEN MAE ABELLA
ROM, CHELZEI POCLARA
ROSALINDA, EDZYL NINA TOREJOS
SALIGUMBA, MARIELLE MASAGLANG
SECUYA, ZHEYHAIRA SHIEKHA TAMPIL
SEMPRON, CHARIS MAE NUEVO
SUMONDONG PLAGTIW
TELLO, PRINCESS GRACE TUMBAGA
TINONG, ELMIE MUDA
VERGARA, FRINCESS JANELLE DELA CRUZ
PILAPIL, ISIDRO ROSALES JR.
POLANCOS, MC VINCER BENITEZ
SAYSON, LOREN CABILAN
SUELLO, FRITZ JHON RONCALES
TACULAD, CHRISTIAN ANGELO MATA