School Form 1 School Register For Junior High School (SF1-JHS)

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School Form 1 School Register for

School Name LAGAO NATIONAL HIGH School ID District


SCHOOL EXTENSION
Semester School Year 2019-2020 Grade
Section

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. 5 SITIO GENERAL


131282120064 DIANO, JAYSON GREGORIO M 7/31/2007 12 MABUHAY SOUTH COTABA
INTAKE 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. 4 NEW GENERAL


131287120281 HIDEA, QURTJAY SASTRELLAS M 3/4/2007 12 MABUHAY SOUTH COTABA
MABUHAY SANTOS CITY
PRK. 5 SITIO GENERAL
LANTINGAN, JOHN CARL M 11/18/2006 12 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK. GENERAL
131270120199 LINGAT, JOHN CARLO MUNEZ M 3/1/2007 12 SAN ISIDRO SOUTH COTABA
MELLINNIUM SANTOS CITY
PRK. 9 GENERAL
131282120068 MARIQUIT, JOHN LLOYD TOGONON M 4/30/2007 12 MABUHAY SOUTH COTABA
PARADISE SANTOS CITY
PRK. UPPER GENERAL
131282110039 MICOLOB, JUSTINE JB BIGNO M 10/17/2005 13 SAN ISIDRO SOUTH COTABA
MATIBAY SANTOS CITY
PRK. 5 SITIO GENERAL
131282120071 MOSQUERA, BJAY DARDO M 11/11/2006 12 MABUHAY SOUTH COTABA
INTAKE SANTOS CITY
PRK.
GENERAL
131282120070 NAPURAN, LEONARD JOHN M 12/31/2006 11 PROMISED MABUHAY SOUTH COTABA
SANTOS CITY
LAND
PRK. 5 SITIO GENERAL
131282130026 OACDAAN, CHRISTIAN JADE LASDOCE M 12/15/2006 12 MABUHAY SOUTH COTABA
INTAKE 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

OUTH COTABATO BACTOL, JERMIN SASIL PILAPIL, MARICEL 09076500749


BANAS, DANNY
OUTH COTABATO MAYORMITA, ELMA 09091731865
CASUMPANG
OUTH COTABATO BARON, ROSALINDA TELIO GRANDMOTHER 09463117587

OUTH COTABATO OLVIDO, ELYNITA


CALONIA, RICHARD SUAREZ, ROSALINDA
OUTH COTABATO
SANCHEZ FERNANDO
FLORES, ROTCHEL
OUTH COTABATO CARMONA, ROCHE J. CAMPOREDONDU, CECILIA 09653360301
CAMPOREDONDU

OUTH COTABATO CUEVA, REINE SUBONG MONSANTO, DINA 09078438576

OUTH COTABATO DELE, RAZEL OSADA BENITEZ, ROTCHIEL

DIANO, EDWIN
OUTH COTABATO 09553055219
CAMBARIJAN GREGORIO, ANGILEN

OUTH COTABATO DOMINGO, MAXIMO A. JR. BONCODIN, JENNY 09187011370

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

OUTH COTABATO LANTINGAN, JOCELYN NAWA, JANESSA

OUTH COTABATO LINGAT, NOEL C. LINGAT, JEANNETTE M 09163792038

MARIQUIT, SAMMY
OUTH COTABATO TOGONON, MERCIDITA 09302427686
DAMILES

OUTH COTABATO MICOLOB, LUCIO JR. BIGNO, ANABELLE T.

OUTH COTABATO MOSQUERA, BENITO E. MOSQUERA, LILIBETH D. 09085152473

OUTH COTABATO CABILLO, EDITHA N. 09558753370

OUTH COTABATO OACDAAN, MARY CHU NAWA, JANESSA

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

OUTH COTABATO PILAPIL, ISIDRO CHAVEZ ROSALES, ALICIA 09465614058

OUTH COTABATO POLANCOS, BRIAN UNABIA BENITEZ, SHYN 09466386950

OUTH COTABATO ADON, TERESITA

SUELLO, VICTORIANO
OUTH COTABATO RONCALES, LOIDA RAMOS 09168382942
CONAUM JR.

OUTH COTABATO TACULAD, ROSEMAE MATA DOLOTALLAS, JORIE 09263204046

TANIONGON, MANUEL
OUTH COTABATO 09091718351
CASAS JR.
TOMAQUIN, FELIX
OUTH COTABATO BANCIAL, GEMMA 09094242140
DAGAPIOSO

OUTH COTABATO VILLABITO, SEMMY C. CATAMEN, JOCELYN L. 09364851499

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 MALE


PROMISE GENERAL
130601120088 ALBAY, CARLYN MAE QUINTO F 5/2/2007 12 MABUHAY SOUTH COTAB
LAND 1 SANTOS CITY
PANAGHIUS GENERAL
ANDRINO, CHRISTINE TUSOY F 12/25/2006 MABUHAY SOUTH COTAB
12 A SANTOS CITY
PRK. 9 GENERAL
BALBUENA, EMELYN NUEVO F 3/23/2006 13
PARADISE
MABUHAY SANTOS CITY
SOUTH COTAB

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

OUTH COTABATO BALBUENA, PAULO 09362442047

OUTH COTABATO BARQUEROS, ALVIN TIBOD, DECERIE 09294190490

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 FEMALE


<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
C
Beginning o
Indicator od Required Information Indicator Code Required Information REGISTERED
Semeste
e
Transferred Out T/ CCT Recipient CCT CCT Control/reference number &
O Effectivity Date Name of school MALE
Transferred In last attended & Year
Balik Aral B/A
Specify Exceptionality of the
Learner
T/I Name of School, Date of 1st Attendance and Learner With LWE Specify Level & Effectivity Date FEMALE
Date of Last Attendance if Transferred Out Exceptionality
Accelerated ACL

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)

Beginning of the Prepared By:


End of the Semester
Semester

Signature of Adviser over Printed Name

Beginning of the Semester Date: End of the Semester Date:

SFRT 2017
SFRT 2017
School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

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

Book / ModuleTitle Book / ModuleTitle

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

ignature of Class Adviser over Printed Name


School Form 2 Daily Attendance Report of Learners for Senior
School Name Passionist Technological Institute Inc. School ID 406625 District

Semester 1st semester School Year 2018-2019 Grade Level XI


Section St. Gemma Course/s (only for TVL)
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
1 ABOC, GOLDWIN VILLAHERMOSA

2 ADOLFO, JOHN LORD ARAS

3 ALMADEN, JOHN REY

4 AMARILLAS, JOHN BENEDICT ESLER

5 ARCENAL, FRANKLIN JAY JOSEPH

6 ATABAY, ELVIN JOVI TAKIAWAN

7 BAYHON, STEPHEN ROQUERO

8 BOCTOT, FRANCISCO AUSA

9 CAMOGAO, JERICHO HERBAS

10 CASULAY, MARK ANTHONY BARGASO

11 CORTEZ, MERVIN DAVE NAZARENO

12 DAYRIT, DARYLL AGOR

13 DOGDOGAN, CHRISTAN ASUNTO

14 ELORTA, NELKIE MIKE RELAMPAGOS

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

25 MANTE, MICHAEL LAO

26 MODA, RHODERICK LAZAGA

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

Track and Strand


Month of JULY

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
PEÑAFIEL, RHYZMAR
32
DELOSTRAYCO
PONTERES, KERVIN
33
BALANSAG
RAGAS, DAVE RYAN
34
MATILOS
RAMOS, CARL JOHN
35
CATALONIA
ROMARES, VINCIENT JOHN
36
BACTASOLO
ROMBO, REYGEN JR.
37
ROMERO
SARMIENTO, ANTHONY
38
RIZALADO

39 SUHAYON, JOHN PAUL M.

TACDERAN, RODRIGO
40
PARBO
WENCESLAO, ARGEM
41
ALFORNON

42 CAGUNGAO, JHON MARK

43 FUNA, CHRISTIAN JUSUA VIRAYO

<=== MALE | TOTAL Per Day ===>

1 BAJA, JENEVIVE B.

2 BANGOT, ANNA ROSE

3 GABUYA, DESIREE JOY DELOS REYES

4 MAGNO, ARRIANE JANE RUELO

5 SOSTINO, LANIE JANE GOFREDO

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

<=== 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 =
2. To compute the following: Upper for Late Comer, Lower for Cutting Classes)

2. REASONS/CAUSES FOR NO LONGER IN


a. Percentage of Enrolment = x 100 SCHOOL (NLS)
Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
a. Domestic-Related Factors
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
a.4. Family problems

Average daily attendance


c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. 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 b.1. Illness
4. Once signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
b.5. Poor Academic Performance
consecutive days and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. 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 & 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

No. of Days of Classes:


ANCE Month: Summary
haded =
M F TOTAL
asses)
* Enrolment (as of 1st Friday of the semester)

GER IN Late Enrolment 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

Number of students absent for 5 consecutive days

No Longer in School (NLS)

Transferred Out

Transferred In

Shifting Out

Shifting In

I certify that this report is true and correct:

s)
Signature of Class Adviser over Printed Name

Attested By:

Signature of School Head over Printed Name


School Form 4 Monthly Learners' Movement and Attendanc

School Name District Division

School ID Semester School Ye

ATTENDANCE DROPPED OUT TRANSFERRED OUT

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

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12


GRAND TOTAL
Prepared and Submitted By:

Signature of Sc
ance for Senior High School (SF4-SHS)

Region

hool Year For the Month of

TRANSFERRED IN SHIFTED OUT SHIFTED IN

(A) (A+B) (A) (A+B) (A) (A+B)


Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(B) Total for (B) Total for (B) Total for
Number as Number as of Number as Number as of Number as Number as
the Month the Month the Month
of Previous End of the of Previous End of the of Previous of End of the
Month Month Month Month Month 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
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

Track and Strand

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%)

131282120077 PEÑAFIEL, RHYZMAR DELOSTRAYCO


131282120125 PONTERES, KERVIN BALANSAG
131282120123 RAGAS, DAVE RYAN MATILOS
131319120901 RAMOS, CARL JOHN CATALONIA
131282100098 ROMARES, VINCIENT JOHN BACTASOLO
0 ROMBO, REYGEN JR. ROMERO
0 SARMIENTO, ANTHONY RIZALADO
0 SUHAYON, JOHN PAUL M.
0 TACDERAN, RODRIGO PARBO
0 WENCESLAO, ARGEM ALFORNON
CAGUNGAO, JHON MARK
FUNA, CHRISTIAN JUSUA VIRAYO

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 School Year Status


Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
of Learners for Senior High School (SF5A-SHS)

District Division Region

Grade Level Section


Course/s (only for TVL)

END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)

SUMMARY TABLE 1ST SEM

STATUS MALE FEMALE TOTAL


COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL

REGULAR

IRREGULAR

TOTAL
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)

Prepared By:

Signature of Class Adviser over Printed Name

Certified Correct By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

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)

of subjects failed (with grade less than 75%)

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:

Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name


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)
School Form 6 Summarized Report of Learner Status as of End of Semester and Scho

School Name School ID District

Semester School Year

END OF SEMESTER STATUS

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL

Prepared and Submitted By: Reviewed & Validated By:


Signature of School Head over Printed Name Signature of Division Representative o
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall comput
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
and School Year for Senior High School (SF6-SHS)

Division Region

END OF SCHOOL YEAR


(Fill up only at the end of the second semester.)

REGULAR IRREGULAR TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

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

(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent


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

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

movement of teachers and other

k to the lowest. Signature of School Head over Printed Name


rted.
Updated as of:

School Form 7, Page ___ of ________


SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)

School Name District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE
1
2
3
4
5
6
7
8
9

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

Date of Assessment: Conducted/Assessed By: Certified Correct By:

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

Height for Age (HFA)


Summary Table
Tall Total

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)

13128230023 AMPARADO, JOVANNY DE GUZMAN M

131282130035 ANDRADA, FRANIE BRIAN MONTEPOLCA M

131319130361 AQUINO, IAN M

131282080006 BACTOL, MARKJAMES PILAPIL M

131282120058 BANAS, JOSH ANTHONY MAYORMITA M

131282100014 BARON, MARK IAN M

131275100011 BIORE, EJAY JHONES OLVIDO M


rm 1 School Register for Junior High School (SF1-JHS
NAL HIGH SCHOOL EXTENSION School ID

School Year 2019-2020

Form 137 Good Moral PSA


l (SF1-JHS)
Region XII
DEPARTMENT OF EDUCATION

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

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