10000000000

9000000000

8000000000

7000000000

6000000000

5000000000

4000000000

3000000000

2000000000 NO. LRN

3 114232070115
1000000000

0
) E n /
e)
/F AG to ) nt
M nt re
am x( li a re Pa
eN Se Af Pa of
dl us th r
id ig o wi be
,M li i ng um
n Re Li v
N
ct n
io
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xte N sn Co uar
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Na
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 10000000000

9000000000

8000000000

7000000000

6000000000

5000000000

4000000000

3000000000

2000000000 NO. LRN

3 114232070115
1000000000

0
) E n /
e)
/F AG to ) nt
M nt re
am x( li a re Pa
eN Se Af Pa of
dl us th r
id ig o wi be
,M li i ng um
n Re Li v
N
ct n
io
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xte N sn Co uar
eE D IA er i G
Na
m AR arn
e, GU f l e
m (i
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 10000000000

9000000000

8000000000

7000000000

6000000000

5000000000

4000000000

3000000000

2000000000 NO. LRN

3 114232070115
1000000000

0
) E n /
e)
/F AG to ) nt
M nt re
am x( li a re Pa
eN Se Af Pa of
dl us th r
id ig o wi be
,M li i ng um
n Re Li v
N
ct n
io
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eE D IA er i G
Na
m AR arn
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m (i
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(L
 10000000000

9000000000

8000000000

7000000000

6000000000

5000000000

4000000000

3000000000

2000000000 NO. LRN

3 114232070115
1000000000

0
) E n /
e)
/F AG to ) nt
M nt re
am x( li a re Pa
eN Se Af Pa of
dl us th r
id ig o wi be
,M li i ng um
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N
ct n
io
ns ot nta di a
xte N sn Co uar
eE D IA er i G
Na
m AR arn
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m (i
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rst
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 10000000000

9000000000

8000000000

7000000000

6000000000

5000000000

4000000000

3000000000

2000000000 NO. LRN

3 114232070115
1000000000

0
) E n /
e)
/F AG to ) nt
M nt re
am x( li a re Pa
eN Se Af Pa of
dl us th r
id ig o wi be
,M li i ng um
n Re Li v
N
ct n
io
ns ot nta di a
xte N sn Co uar
eE D IA er i G
Na
m AR arn
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m (i
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rst
Fi
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 12000000000

10000000000

8000000000

6000000000

4000000000
NO. LRN
1 105020080279
2000000000 2 105000080126
3 114232070115
4 104863070321
0
) E n /
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/F AG to ) nt
M nt re
am x( li a re Pa
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,M li i ng um
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 School Form 1 School Register for Senior High School (
School Name Japan-Philippine Institute of Technologies and Training Services, Inc. School ID 409978 District III
Semester 1st Semester School Year 2019-2020 Grade Level 11
Section Sora Course (For TVL Only)

COMPLETE ADDRESS PARENTS

Sex (M/F)
NAME BIRTHDATE Religious
AGE Mother's Maiden Na
NO (Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/ Sitio/ Municipality/ Father's Name
.
LRN Purok Barangay Province (Last Name, First Name, Name Extension, (Last Name, First Name, N
City Middle Name) Extension, Middle Nam

1 105020080279 Gabriel, Kyle M 4/3/2003 16 Catholic 99 Paltao Plaridel Bulacan Garbriel, Glenda
Tabang
2 105000080126 Garcia, Rommel Bernate. M 1/13/2003 6 Catholic 2138 My Crystal Rocka Village2 Bulacan Garcia, Romero D. Garcia, Margarita
Plaridel
3 114232070115 Sanchez, Jarim Lopez. M 10/1/2001 17 Catholic 4062 San Francisco Bulacan, Bulakan Bulacan Lopez, Maricel R
Sanchez, Neil H.
4 104863070321 Sta.Monica, Raymart Ocampo. M 2/7/2000 19 Catholic Banga 2nd Plaridel Bulacan Sta. Monica, Richard B. Calubaquib, Marite
4 <=== TOTAL MALE

104999080001 Catholic Guiguinto Bulacan

1 Abilar, Janette Quinto. F 3/27/2002 16 Daungan Abilar, Jesus F. Quinto, Wenifreda

104863080004 Catholic Mabini St. Bulacan

2 Abunda, Rosette F 1/15/2000 19 Purok 2 Mojon Jimenez, Restituto B. Abunda, Gina N

136515070021 Catholic Bocaue Bulacan

3 Alarcon, Angelica F 2/21/2001 18 Tambubong Gonzano, Ernesto Alarcon, Jing

104826070004 Born-Again Guiguinto Bulacan

4 Beatriz, Charity Fajardo. F 3/19/2002 17 Christian 536 Zuniga Prime Beatriz, Melchor R. Fajardo, Luthgarda

105027080016 Catholic Pulilan Bulacan

5 Cabling, Angelika Heredera. F 5/23/2003 16 258 Tabon Cabling, Rogelio A. Heredera, Ma.Lulu

300748140036 Catholic Pulilan Bulacan

6 Colibao, Raiven Kyle Villaflor. F 8/15/2002 16 Lucky14 Tabon Colibao, Reck A. Villaflores Rica A

107873120375 Catholic Balagtas Bulacan

7 Cruz, Princess Dianna Tumada. F 12/20/2002 16 0916 Mc. Aurthor Highway San Juan Cruz, Dennis C. Tumada, Erlyn Y

105020080187 Catholic Pulilan Bulacan

8 Del Rosario, Mary Anne Pandacan. F 11/28/2002 16 74 Tinejero Del Rosario, Roberto Del Rosario, Mari

SFRT 2017
chool (SF1-SHS)
Division Bulacan Region III
Track and Strand General Academic Strand

TS GUARDIAN
(if learner is not Living with Parent) Contact Number of REMARKS
Mother's Maiden Name Name Parent/ (Please refer to the legend)
Last Name, First Name, Name (Last Name, First Name, Name Relationship Guardian
Extension, Middle Name) Extension, Middle Name)

Garbriel, Glenda S. 9972910227

Garcia, Margarita B. 9213802595

Lopez, Maricel R. 9303045041

Calubaquib, Marites Calubaquib,Jubee Auntie 9277973569

Quinto, Wenifreda B. 9366736196

Abunda, Gina N.

Alarcon, Jing 9100465423

Fajardo, Luthgarda B.

Heredera, Ma.Lulu G. 9654105290

Villaflores Rica A. 9260194402

Tumada, Erlyn Y. 9562854354

Del Rosario, Marily 9268700783

SFRT 2017
 COMPLETE ADDRESS PARENTS

Sex (M/F)
NAME BIRTHDATE Religious
AGE Mother's Maiden Na
NO (Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/ Sitio/ Municipality/ Father's Name
.
LRN Purok Barangay Province (Last Name, First Name, Name Extension, (Last Name, First Name, N
City Middle Name) Extension, Middle Nam

105020080188 Catholic Pulilan Bulacan

9 Del Rosario, Mary Rose Pandacan. F 11/28/2002 16 74 Tinejero Del Rosario, Roberto Del Rosario, Mari

105000080109 Catholic 0770 Daang Plaridel Bulacan

10 Espiritu, Alexandria De Jumo F 5/1/2003 16 Banga 2nd Espiritu, Roden D. DeJumo, Rosalie
Bakal St.
104863080135 Catholic Mojon Purok 2 Malolos Bulacan
11 Evangelista, Irish Mercado. F 6/9/2003 16 Evangelista, Calixta B. Mercado, Ria B.
Mabini st.
105000120010 Christian Plaridel Bulacan
12 Garcia, Angelica Imperial. F 10/29/2003 15 423 Banga 2nd Garcia, Roland R. Imperial, Ruby R

104870080057 Catholic Sta. Masagana Bulacan

13 Genciane, Rebecca Alonzo. F 6/25/2003 15 106 Mabiyaya Genciane, Bienvenido E. Alonzo, Jane P.

160513120064 INC Plaridel Bulacan

14 Jaime, Zhakira Vhel F 11/8/2002 16 Dampol Villena, Alex Jaime, Clair

105026080036 Born-Again Pulilan Bulacan

15 Jimena, Juliana Mae Yabañez. F 7/27/2003 15 Tumana Sr.Jimena, Germon D. Jimena, Elvira Y

105014080095 Catholic Rocka Village Plaridel Bulacan

16 Magdaong, Misha Manlapaz. F 1/17/2003 16 Tabang Magdaong, Rexie L. Magdaong, Daisy
Mounston St.
104757080167 Catholic Baliuag Bulacan
17 Quintana, Juliana Mae Dela Cruz. F 7/7/2003 15 1366 Sta.Barbara Quintana, Eliseo J. Dela Cruz, Leonides

105009070236 Catholic
18 Regala, Patricia Perez. F 7/10/2001 17 Regala, Regienald E. Perez, Bernadette

INC Plaridel Bulacan

19 105006080036 Santiago, Starla Dela Cruz. F 8/15/2002 16 128, Purok 2 Lalahangan Santiago, Timoteo B. Dela Cruz, Charito

Catholic Guiguinto Bulacan

20 104827080022 Santos, Nicole Kate Manicani. F 3/14/2003 16 99 Pulong Gubat Santos, James B. Manicani, Karmena

Born-Again Bulacan
21 105019120346 Talisay, Jhamaica Mae Luardo. F 8/17/2002 16 966 Taal Pulilan Talisay, Jose Jr Q. Lardo, Robelyn H

Methodist Blk 8, Lt 7, Guiguinto Bulacan

22 104831080073 Umali, Margauz Allen De Guzman. F 10/2/2002 16 Malis Umali, Virgilio I. De Guzman, Rosi
Phase 1 Malis
Catholic 154 Garcia Baliuag Bulacan
23 104753080206 Victorino, Ma. Lourdes Manalastas. F 2/11/2003 16 Makinabang Victorino, Venancio D. Manalastas, Ma. Mari
Steet
Born-Again Pulilan
24 105015080125 Villacera, Felicity Gatmen. F 6/21/2002 17 Tinejero Bulacan Erlano, Charles P. Villacera, Flordeliza

SFRT 2017
 TS GUARDIAN
(if learner is not Living with Parent) Contact Number of REMARKS
Mother's Maiden Name Name Parent/ (Please refer to the legend)
Last Name, First Name, Name (Last Name, First Name, Name Relationship Guardian
Extension, Middle Name) Extension, Middle Name)

Del Rosario, Marily

DeJumo, Rosalie N. 9174581186

Mercado, Ria B. 9435598248

Imperial, Ruby R. Carpiaco, Ma. Aurora Lecson Auntie 9338206330

Alonzo, Jane P. 9392797676

Jaime, Clair

Jimena, Elvira Y. 9069787199

Magdaong, Daisy M. 9236955242

Dela Cruz, Leonides DG. 9238670872

Perez, Bernadette F. 9057046020

Dela Cruz, Charito C. 9356893978

Manicani, Karmena Q. 9557001349

Lardo, Robelyn H. 9205311736

De Guzman, Rosita 9365986015

Manalastas, Ma. Marivic S. 9231240608

Villacera, Flordeliza G. 9231651280

SFRT 2017
 COMPLETE ADDRESS PARENTS

Sex (M/F)
NAME BIRTHDATE Religious
AGE Mother's Maiden Na
NO (Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/ Sitio/ Municipality/ Father's Name
.
LRN Purok Barangay Province (Last Name, First Name, Name Extension, (Last Name, First Name, N
City Middle Name) Extension, Middle Nam

Catholic
25 104829080168 Zamboanga, Maricel Figuracion. F 5/29/2002 17 424 Sta.Rita Guiguinto Bulacan Zamboanga, Alexander H.

25 <=== TOTAL FEMALE

29 <=== COMBINED

Legend: List and Code of Indicators under REMARKS column

Ind
Beginning of the
ica Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
tor
Tra T/O CCT Recipient CCT CCT Control/reference number & Effectivity
nsfe Date Name of school last attended & Year
rred MALE 4
Balik Aral B/A Specify Exceptionality of the Learner
Out Specify Level & Effectivity Date
T/I
Tra Name of School, Date of 1st Attendance and Date Learner With Exceptionality LWE
FEMALE 25
nsfe
of Last Attendance if Transferred Out Accelerated
rred ACL
In

TOTAL 29

SFRT 2017
TS GUARDIAN
(if learner is not Living with Parent) Contact Number of REMARKS
Mother's Maiden Name Name Parent/ (Please refer to the legend)
Last Name, First Name, Name (Last Name, First Name, Name Relationship Guardian
Extension, Middle Name) Extension, Middle Name)

Prepared By:

MS. ELIZABETH O. ONG

Signature of Adviser over Printed Name

Beginning of the Semester Date: JUNE 10, 2019 End of the Semester Date:

SFRT 2017
25

20

15

10

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
25

20

15

10

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

20

15

10

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
1.2

0.8

#REF!
0.6 #REF!
#REF!
#REF!

0.4

0.2

0
1
 School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
Japanesse Philippines Institute of
School Name School ID 409978 District II Division Bulacan Region III
Technology Plaridel Campus
Semester 1st School Year 2019-2020 Grade Level 11 Track and Strand General Academic Strand

Section SORA Course/s (only for TVL) Month of AUGUST

DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 5 6 7 8 9 12 13 14 15 19 20 22 23 24 25 26 27 28 19 30 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).
Name) M T W T F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
1 Gabriel, Kyle X X 2 0
2 Garcia, Rommel B. x 1 0
x x
3 Sanchez,Jarim Lopez 2 0
x
4 Sta.Monica,Raymart Ocampo. 1 0

<=== MALE | TOTAL Per Day ===> 4 4 4 4 4 3 3 4 3 4 3 4 4 4 3 4 4 4 4 4 4 4 4 4 4

6 0
x x
1 Abilar, Janette Quinto. 0

2 Abunda,Rosette x x 2 0

3 Alarcon,Angelica 0 0

4 Beatriz,Charity Fajardo. 0 0
x
5 Cabling,Angelika Heredera. 1 0

6 Colibao,Raiven Kyle Villaflor. x 1 0

x x
7 Cruz,Princess Dianna Tumada. 2 0

8 Del Rosario,Mary Anne Pandacan. 0 0

9 Del Rosario,Mary Rose Pandacan. 0 0

10 Espiritu, Alexandria De Jumo 1 0

x
11 Evangelista, Irish Mercado. x x 3 0
x x
12 Garcia,Angelica Imperial. 2 0
x x x
13 Genciane,Rebecca Alonzo. 3 0

14 Jaime,Zhakira Vel x x x 3 0

15 Jimena,Juliana Mae Yabañez. 0 0

x x x
16 Magdaong,Misha Manlapaz. 3 0
x x x
17 Quintana,Juliana Mae Dela Cruz. 3 0
x
18 Regala,Patricia Emmanuelle Perez. 1 0
 DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 5 6 7 8 9 12 13 14 15 19 20 22 23 24 25 26 27 28 19 30 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).
Name) M T W T F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY

19 Santiago, Starla Dela Cruz. 0 0

x x x
20 Santos, Nicole Kate Manicani 3 0
 DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 5 6 7 8 9 12 13 14 15 19 20 22 23 24 25 26 27 28 19 30 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).
Name) M T W T F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
x X
21 Talisay,Jamaica Mae Luarda. 2 0

22 Umali, Margauz Allen De Guzman. X x

2 0
x x
23 Victorino,Ma.Lourdes Manalastas. 2 0

24 Villacera,Felicity Gatmen. X x
2 0
x x
25 Zamboanga, Maricel Figuracion. 2 0

<=== FEMALE | TOTAL Per Day ===> 24 22 25 23 25 22 22 24 23 18 23 23 21 23 24 24 24 25 23 24 25 25 24 25 25

38 0
26 26 26 26 26 26 26 26 26 26 26 26 27 27 27 27 27 27 27
Combined TOTAL Per Day 475 0

No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper AUGUST 22 M F TOTAL
2. To compute the following: for Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 4 25 29

2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
0 0 0

a. Percentage of Enrolment = x 100 SCHOOL (NLS) 4 25 29

Registered Learners as of end of the month

a. Domestic-Related Factors Percentage of Enrolment as of end of the month

100 100 100
a.1. Had to take care of siblings Average Daily Attendance 78 23 101
a.2. Early marriage/pregnancy
b. Average Daily Attendance =
a.3. Parents' attitude toward schooling
a.4. Family problems
Percentage of Attendance for the month 1950 92 349
Number of students absent for 5 consecutive days 0 0 0
c. Percentage of Attendance for the month = x 100
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 4. b.1. Illness
No Longer in School (NLS) 0 0 0
Once signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 Transferred Out 0 0 0
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 Transferred In 0 0 0

Shifting Out 0 0 0

c. School-Related Factors Shifting In 0 0 0

c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school ELIZABETH E. ONG
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:
MR. ROBERT FRANCISCO
 DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 5 6 7 8 9 12 13 14 15 19 20 22 23 24 25 26 27 28 19 30 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).
Name) M T W T F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
f. Others (Specify) Signature of School Head over Printed Name
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
 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:
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 shall be reflected in the form.
4. The Total Number of Copies of Books Returned shall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, 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 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 No.23, s.2001, DO No.25, s.2003, DO No.14,
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 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 Learne

School Name Institute of Technologies and Training Services,

Japan-Philippine SchoolInc. ID 404425

Semester 2nd
School Year 2017-2018

Track and Strand GAS

BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

MALE
1 104723060021 Castillon , Johnmark Mortega
2 104723060049 Delos Reyes, Sherwin Vergara
3 105146060936 Flores, John rey E.
4 400941150201 Morishita, Akira De Guzman
5 105158050146 Natividad, Marvin P.
6 105157050099 Reyes, Joseph Michael P.
7 105159060037 Walet, Matthew
 BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

FEMALE
This1 104976060005 Alarcon, Catherine R.
form
shall2 be 105151060007 Almazar, Charmain M.
3
accompl 105151060013 Ariola, Christina A.
ished4 105159060077 Atico, Angel mae O.
after
each5
136564060070 Cabangil, Christine joy Hinay
6
semest 104952060092 Cruz, Kim Reslene Fajardo
er in7 a 105140060037 Dalmacio, Phammella S.
school
8 104893060026 De Jesus, Ariane S.
year,
9
leaving 105144060153 Dela Cruz, Rochelle joy Tuazon
the10End 104723060065 Garay, Daisy May Ariola
of 11 105147060162 Gregorio, April Rose
School
Year12 300747130004 Interia, Juvy Jean L.
Status
13 105168060158 Jabinar, Jessa Remoquillo
Column
14 105149060056 Lapig, Rhona Mae S.
and
15
Summa 105152060084 Lista, Jhezlly Glare Desano
16
ry Table 105162060113 Malacaya, Kimberly M.
for 17
End 158535060106 Mendez, Joy A.
of
18 136727060276 Muños, Chrystal R.
School
Year19 104723060093 Pabon, Anna Dominic Badayos
Status
20 105140060078 Panotes, Jesecca Eboña
blank/u
21 105152060109 Pilapil, Cherry Ann S.
nfilled at
the22end 105157060110 Policarpio, Jane S.
of the
23 104769060102 Pontuya, Joana Mae Angeles
1st24 105168060254 Ragadio, Angelica N.
Semest
er. 25 105149050084 Rodriguez, Tricia Carreon
26
These 104723060118 Sevilla, Elaisa joy Dela Cruz
data27 105146060084 Tayuba, Joyce F.
element 104770060065 Traqueña, Joanna Cielo D.
28
s shall
be 29
filled 306726130008 Vasquez, Divine Canchela
up only
after the
2nd
GUIDE
semest
LINES:
er or at
the end
of the
School
Year.

INDICATORS:
 BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

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
earners for Senior High School (SF5A-SHS)

District Santa Maria Division Bulacan Region III

Grade Level 11
Section Block 1

Course/s (only for TVL) Computer Programming .Net/Contact Center Services

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

complete Regular SUMMARY TABLE 1ST SEM

Complete Regular STATUS MALE FEMALE TOTAL

Complete Regular COMPLETE 6 26 32
Complete Regular INCOMPLETE 0 3 3
Complete Regular TOTAL 6 29 35
Complete Regular
Complete Regular SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL

COMPLETE 7 26 32
INCOMPLETE 0 3 3
TOTAL 7 29 36

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL

REGULAR 7 26 32
IRREGULAR 0 3 3
TOTAL 7 29 36
 END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)

Complete Regular
Complete Regular
Complete Regular
Incomplete Irregular
Complete Regular
Prepared By:
Complete Regular
Complete Regular
Complete Regular JESSIE N. BOADILLA
Signature of Class Adviser over Printed Name
Complete Regular
Complete Regular
Complete Regular
Complete Regular
Certified Correct By:
Complete Regular
Complete Regular
Complete Regular ISAGANI B. CASIMIRO
Signature of School Head over Printed Name
Complete Regular
Complete Regular
Complete Regular
Reviewed By:
Complete Regular
Complete Regular
Complete Regular
Complete Regular
Complete Regular GREGORIO C. QUINTO JR. EDD
Signature of Division Representative over Printed Name
Incomplete Irregular
Incomplete Irregular
Complete Regular
Complete Regular
Complete Regular
Complete Regular
 END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)

led (with grade less than 75%)

 School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
Japan-Philippine Institute of Technologies
School Name and Training Services, Inc.
School ID 404425 District Santa.maria Division Bulacan Region lll
Semester 2nd School Year 2017-2018 Section 1
Track and Strand GAS 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

1 104723060021 Castillon , Johnmark Mortega SUMMARY TABLE A

2 104723060049 Delos Reyes, Sherwin Vergara STATUS MALE FEMALE TOTAL
3 105146060936 Flores, John rey E. Learners who
4 400941150201 Morishita, Akira De Guzman completed SHS
Program within 2
5 105158050146 Natividad, Marvin P. SYs or 4
6 105157050099 Reyes, Joseph Michael P. semesters

7 105159060037 Walet, Matthew 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
1 104976060005 Alarcon, Catherine R. Reviewed By:
2 105151060007 Almazar, Charmain M.
3 105151060013 Ariola, Christina A. Jessie N. Boadilla
Signature of Class Adviser over Printed Name
4 105159060077 Atico, Angel mae O.
5 136564060070 Cabangil, Christine joy Hinay
6 104952060092 Cruz, Kim Reslene Fajardo
7 105140060037 Dalmacio, Phammella S.
8 104893060026 De Jesus, Ariane S. Certified Correct & Submitted By:
9 105144060153 Dela Cruz, Rochelle joy Tuazon
10 104723060065 Garay, Daisy May Ariola Isagani B. Casimiro
Signature of School Head over Printed Name
11 105147060162 Gregorio, April Rose
12 300747130004 Interia, Juvy Jean L.
13 105168060158 Jabinar, Jessa Remoquillo
14 105149060056 Lapig, Rhona Mae S. Reviewed By:
15 105152060084 Lista, Jhezlly Glare Desano
16 105162060113 Malacaya, Kimberly M. Gregorio C. Quinto Jr., EDD
Signature of Division Representative over Printed Name
17 158535060106 Mendez, Joy A.
18 136727060276 Muños, Chrystal R.
19 104723060093 Pabon, Anna Dominic Badayos
 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)

20 105140060078 Panotes, Jesecca Eboña

21 105152060109 Pilapil, Cherry Ann S.
22 105157060110 Policarpio, Jane S.
23 104769060102 Pontuya, Joana Mae Angeles
24 105168060254 Ragadio, Angelica N.
25 105149050084 Rodriguez, Tricia Carreon
26 104723060118 Sevilla, Elaisa joy Dela Cruz
27 105146060084 Tayuba, Joyce F.
28 104770060065 Traqueña, Joanna Cielo D.
29 306726130008 Vasquez, Divine Canchela
 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

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

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