School ID 402112 Region IV-A Division Cavite District Imus City

School Name Cachapero Learning School Inc. School Year 2015-2016 Grade Level 4 Section Diamond

AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June
IP
(Specif
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN y RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (nos. of ( Province) TONGUE (Parent /Guardian)
Ethnic Father (1st name only if
years as Group) House # / Street/Sitio/ Municipali Mother (Maiden: 1st Name, Relationshi (Please refer to the
Barangay Province family name identical to Name
per last Purok ty/ City Middle & Last Name) p legend on last page)
learner)
birthday)

Aglibot, Gavhriel Eusebio M 11/23/06 9 Las Pinas Tagalog Roman 36 Julie Ann Toclong Kawit Cavite Arnold L. Aglibot Girly Eusebio Girly E. Aglibot Mother none
Catholic
Bihag, Noa Andelu Alfonso M 8/9/05 10 Imus City Tagalog Roman ACM Woodstock Alapan Imus Cavite Celso Magpantay Bihag Connie Albero Alfonso Connie A. Bihag Mother 932469879
Catholic
Cristobal, Micoh Angelo Vitto M 3/23/05 9 Mindoro Tagalog Roman B12 L33 Golden Villas Carsadang Bago II Imus Cavite Francis Ignacio Cristobal Karen Mae Vitto Karen Mae Mother 0917-522-4782
Catholic Cristobal
Gatchalian, Lark Paul Denver Dela Cruz M 11/2/05 9 DLSUMC Tagalog Roman Blk Lot 19 Tanguile St. Narra Carsadang Bago II Imus Cavite Philward Antolin Gatchalian Mary Jane Dela Cruz Mary Jane Mother none
Catholic Gatchalian
Matalog, Miles Andre Castillo M 6/15/06 9 Makati Tagalog Christian B5 L8 Camella Lassandra Bukandala Imus Cavite Marion Anthony C. Matalog Triccie Ann C. Castillo Marites C. Aunt 9054964657
Castillo
Montano, Lou Giuz Maniba M 6/14/06 9 Imus City Tagalog Roman B10 Lot16 Golden Villas Carsadang Bago II Imus Cavite Sergian Pefianco Montano Ma. Luviz Oliveros Maniiba Ma. Liviz Mother 9175726161
Catholic Montano
Obciana, Emmanuel Wyatt Mateo M 12/25/05 9 Paranaque Tagalog Roman Blk 10 Lot 2 Alfonso Village Alap an I-B Imus Cavite Marvin Nino Vargas Michelle A. Mateo Michelle Obciana Mother 09323887135/09231
Catholic Obciana 591689
Ocana, Jianne Joseph Rojas M 6/29/05 9 Makati Tagalog Roman Blk 13 Lot 39 PTC South Carsadang Bago I Imus Cavite Joseph Aster Gaston Girlie Clarin Rojas Girlie R. Ocana Mother 9175003744
Catholic Ocana
Paus, Shawn Rheyver Bithao M 11/30/05 9 Imus City Tagalog Roman Blk 11 Lot 8 ACM Phase 9 Alapan Imus Cavite Reydante Sareal Paus Honeylette Valsote Bithao Honeylette Paus Mother 09222825552/09223
Catholic 081486
Reyes, Josh patrick Ruado M 8/31/06 8 Imus City Tagalog Roman 46 Carsadang Bago I Imus Cavite Richmond Reyes Evelyn Ruado Evelyn Reyes Mother 0464898988/091783
Catholic 38188
Sarmiento, Clint Lawrence Mendoza M 5/17/06 9 Quezon City Tagalog Roman 196 Sarreal Ave. Bayan Luma II Imus Cavite Oliver Naval Sarmiento Cellto Balatbat Mendoza Richie B. Lopez 9166601897
Catholic
Villalobos, Miguel Rivera M 5/24/05 Manila Tagalog Roman Blk 8 Lot 14 Ph 7 ACM Alapan I-A Imus Cavite Nomeriano Lilao Villalobos Ethel Brunda Rivera Ma. Chona B. 9162842168
9 Catholic Lim
Villareal, Kervy Lloyd Mansalud M 9/20/06 10 Manila Tagalog Roman Blk 1 Lot 6 Dreamville 3 Carsadang Bago II Imus Cavite Orlando Lauz Villareal Liza Marilim Monsalud Liza Villareal Mother 09985339382/09228
Catholic 547974

Angeles, Alyssa Kacey Bernandino F 5/26/06 9 Imus City Tagalog Roman 295 Alapan I-A Imus Cavite Armin Garcia Angeles Karen Canlapan Bernandino Karen Angeles Mother 9985766022
Catholic
Angeles, Ariane Kelcy Bernandino F 5/27/06 9 Imus City Tagalog Roman 295 Alapan I-A Imus Cavite Armin Garcia Angeles Karen Canlapan Bernandino Karen Angeles Mother 9985766022
Catholic
Baylosis, Mariel Louise Galvez F 2/20/06 9 Imus City Tagalog Roman Ph 7 Blk 10 Lot 2 ACM Alapan I-A Imus Cavite Mario Millendez Baylosis Marissa Mendoza Galvez Marissa Baylosis Mother 046-6868403
Catholic
Biazon, Kate Erika Gallardo F 3/14/07 8 Imus City Tagalog B2 L23 Sunnydale Classic Alapan I-A Imus Cavite Roderick Cano Biazon Ana Marie Delgado Gallardo Ana Marie Mother 9994599353
Biazon
Cabuag, Annika Luis Canon F 10/29/07 7 Cavite City Tagalog Roman B28 L12 regal Homes Subd. Alapan I-A Imus Cavite Von Ramos Cabuag Christine Joy Robedillo Canon Christine Joy Mother 9198891240
Catholic Cabuag
Dela Llana, Adia Johanne Endaya F 11/8/05 9 Manila Tagalog Roman B12 L18 Ph3 ACM Alapan I-A Imus Cavite Jonathan Ermac Dela Llana Richelle Bon Endaya Richelle E Dela Mother 9391358502
Catholic Llana
Escalante, Hannah Cristel Delo Santos F 3/24/06 9 Imus City Tagalog Roman Blk8 Lot4 Ph1 ACM Alapan I-A Imus Cavite Gene Lucero Escalante Juvy Mendoza Delos Santos Emelita 9293815779
Catholic Escalante
 AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June
IP
(Specif
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN y RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (nos. of ( Province) TONGUE (Parent /Guardian)
Ethnic Father (1st name only if
years as Group) House # / Street/Sitio/ Municipali Mother (Maiden: 1st Name, Relationshi (Please refer to the
Barangay Province family name identical to Name
per last Purok ty/ City Middle & Last Name) p legend on last page)
learner)
birthday)

Jacson, Miaka Jayne Galang F 3/28/06 9 Rosario Cavite Tagalog Roman 119 Pag-asa I Imus Cavite Froilan Pellazar Jacson Michelle Ann Aragon Galang Arsenia Galang 9196972362
Catholic
F 9/30/06 8 Dasma Cavite Tagalog Roman 115 Medicion II-A Imus Cavite Sandro Ramirez Medina Iris Grace Salinas Medina Sandro Medina Father 434-1319
Medina, Simone Andrienne Diaz Catholic
Regio, Lorraine Angelene Evasco F 6/26/05 10 Manila Tagalog Roman B6 L33 Palazzo Bello Subd. Carsadang Bago II Imus Cavite Angelbert Garcia Regio Ma. Lourdes Brul Evasco Danica Rivera 416-4122
Catholic
Tiglao, Anya Jazmine Ortiz F 8/4/05 9 Makati City Tagalog Iglesia Ni L6 B3 Yakal St. Narra Homes Subd. Carsadang Bago Imus Cavite Angelito Lumanog Tiglao Jennifer Atienza Ortiz Myra A. Ortiz Aunt 0919-4986456
Cristo

Prepared by: Certified Correct:

Code Required Information Indicator Code Required Information BoSY EoSY

T/O Name of Public (P) Private (PR) School & Effectivity D CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 13
Ms. Jobelle Ann R. Cancino Mrs. Rosa Irma B. Geda
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
T/I Name of Public (P) Private (PR) School & Effectivity D Balik-Aral B/A Name of school last attended & Year FEMALE 11

DRP Reason and Effectivity Date Learner With Dissability LWD Specify
TOTAL 24
 AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June
IP
(Specif
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Contact Number
LRN y RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (nos. of ( Province) TONGUE (Parent /Guardian)
Ethnic Father (1st name only if
years as Group) House # / Street/Sitio/ Municipali Mother (Maiden: 1st Name, Relationshi (Please refer to the
Barangay Province family name identical to Name
per last Purok ty/ City Middle & Last Name) p legend on last page)
learner)
birthday)

TOTAL 24
LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year 2015-2016 Report for the Month of June

Name of School Cachapero Learning School Inc. Grade Level 4 Section Diamond

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30
Name, First Name, Middle Name) T T T If TRANSFERRED IN/OUT, write the name of
W F M T W H F M T W F M T W T ABSENT TARDY School.)
h h H
Aglibot, Gavhriel Eusebio
Bihag, Noa Andelu Alfonso
Cristobal, Micoh Angelo Vitto
Gatchalian, Lark Paul Denver Dela Cruz
Matalog, Miles Andre Castillo
Montano, Lou Giuz Maniba
Obciana, Emmanuel Wyatt Mateo
Ocana, Jianne Joseph Rojas
Paus, Shawn Rheyver Bithao
Reyes, Josh patrick Ruado
Sarmiento, Clint Lawrence Mendoza
Villalobos, Miguel Rivera
Villareal, Kervy Lloyd Mansalud

MALE | TOTAL Per Day

Angeles, Alyssa Kacey Bernandino
Angeles, Ariane Kelcy Bernandino
Baylosis, Mariel Louise Galvez
Biazon, Kate Erika Gallardo
Cabuag, Annika Luis Canon
Dela Llana, Adia Johanne Endaya
Escalante, Hannah Cristel Delo Santos
Jacson, Miaka Jayne Galang

Medina, Simone Andrienne Diaz

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 30
Name, First Name, Middle Name) T T T If TRANSFERRED IN/OUT, write the name of
W F M T W H F M T W F M T W T ABSENT TARDY School.)
h h H
Regio, Lorraine Angelene Evasco
Tiglao, Anya Jazmine Ortiz

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
Summary for the
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of
Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
3. To compute the following:
21 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Percentage of Enrolment = x 100
21 a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors 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 b.1. Illness
Percentage of Attendance for the month
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 b.3. Death Number of students with 5 consecutive days of
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
Drop out
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out
c. School-Related Factors
c.1. Teacher Factor
Transferred in
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school

d.2. Armed conflict (incl. Tribal wars & clanfeuds)

(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

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 Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES:
1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
In case of losses/unreturned, please provide information with the following code: Prepared By:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________
DO#14, 2.2012.
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN

NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date DateRemark/Action Taken,
B. In Column Date Date Letter from LearnerDate
codes are: LLTR=Secured Date
duly signed by parent/guardian (for Date legend on last page)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
Issued Returned Issued Returned Custodian
Issued (forReturned
code TDO), Issued
PTL=PaidReturned Issued
by the Learner (for codeReturned Issued DO#23,
NEG). References: Returned
s.2001,Issued Returned
DO#25, s.2003, Issued Returned
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District

School ID

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative (A+B) Cumulative (A+B)
Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
LEVEL Month) Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
the Month of Previous Month
Month
of Previous Month
Month
of Previous Month
End of 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 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 and Submitted by:
1. This forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head over Printed Name)
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region IV Division Imus City District II

School ID School Year 2013-2014 Curriculum Pre-Elementary

Cachapero Learning School Inc. Grade Level Nursery Section Gold

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY

Boys SUMMARY TABLE

1. Agustin, Jared Priam Cahigas 90.31 Promoted STATUS MALE FEMALE TOTAL

2. Delgado, Pax Joachim Ayson 91.00 Promoted

PROMOTED 5 13 18
3. Montemayor, Caleb Marquez 89.5 Promoted

4. Pagtalunan, Gabriel Angelo Agustin 92.321 Promoted

*IRREGULAR 0 0 0
5. Sarad, Shantino Rudesind Positar 89.69 Promoted

RETAINED 0 0 0

LEVEL OF PROFICIENCY

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)
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY ADVANCED
(A: 90% and
5 TOTAL MALE above)

Girls

1. Agravante, Rhianne Marie Apostol 90.75 Promoted PREPARED BY:

2. Arquiza, Daphne Briana Bernardo 92.004 Promoted Mrs. Marissa E. Ocon
3. Asuncion, Louie Angelene Red 91.21 Promoted Class Adviser
4. Gracilla, Sabina 89.76 Promoted (Name and Signature)
5. Laririt, Karinne Gracilla 91.02 Promoted

6. Legaspi, Ysajasz Gabrielle Montoya 89.92 Promoted CERTIFIED CORRECT & SUBMITTED:
7. Malvas, Catherine Espinosa 88.72 Promoted Mrs. Rosa Irma B. Geda
8. Negapatan, Reema Sofiel Gacelo 89.65 Promoted School Head
9. Peralta, Mischa Cassandra Rodriguez 92.010 Promoted (Name and Signature)
10. Quejada, Nevaeh Zelene Crizaldo 89.26 Promoted
11. Sarad, Ma. Berna Claire Encabo 89.08 Promoted REVIEWED BY:
12. Subang, Ayenne Ordoñez 90.06 Promoted
13. Tengson, Ryu Stellar Tabien 91.42 Promoted (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
teacher. The class adviser should make the
computation of General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and irregular ( *for grade 7
onwards only) and the level of proficiency according to
the individual general average

4. Must tallied with the total enrollment report as of End

of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain

under the discretion of the Schools Division
Superintendent
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and
AVERAGE
(Numerical Value in
ACTION TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this column)
LRN 3 decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY 5. Protocols of validation & submission will remain
under the discretion of the Schools Division
13 TOTAL FEMALE Superintendent

18 COMBINED School Form 5: Page 2 of ________

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

School ID Region Division

School Name District School Year

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
SUMMARY TABLE

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

Nos. of BEGINNNING
(B: 74% and below)

Nos. of DEVELOPING
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
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 will remain under the discretion of the Schools Division Superintendent
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced 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 School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Title of Designation Appointment: Number of
Title of Plantilla Position Title of Plantilla Position (Designation (Contractual, Fund Source Incumbent
Number of Number of
(as appeared in the appointment (as appeared in the appointment as appeared in the contract/document: Substitute, (SEF, PTA,
Incumbent Incumbent Non-
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, Driver Volunteer, others NGO's etc.) Teaching
etc.) specify) Teaching

EDUCATIONAL QUALIFICATION * Daily Program (time duration)

Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

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 SY, updated Form 19
must submit to the Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form (Signature of School Head over Printed Name)
shall also serve as inventory list of school personnel.
 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: ___________________________
4. * Daily Program Column is for teaching personnel only.
School Form 7, Page 2 of ________