Professional Documents
Culture Documents
IV. School-Physical-and-Financial-Output-ME-Tool-August-19-2016-1
IV. School-Physical-and-Financial-Output-ME-Tool-August-19-2016-1
IV. School-Physical-and-Financial-Output-ME-Tool-August-19-2016-1
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: September 15, 2018 Title: District-Based Orientation on the Adoptation & Implementation
Sex
PRINT School / (check Date: September 15, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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BRIELLENA M. LUEGA
Central School Principal MA. MAYA V. TUMALON, Ph.D
Public Schools District Supervisor
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: September 14, 2018 Title: District-Based Orientation on the Adoptation & Implementation
Sex
PRINT School / (check Date: September 14, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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BRIELLENA M. LUEGA
Central School Principal MA. MAYA V. TUMALON, Ph.D
Public Schools District Supervisor
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: September 1, 2018 Title: District-Based Orientation on the Adoptation & Implementation
Sex
PRINT School / (check Date: September 1, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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BRIELLENA M. LUEGA
Central School Principal MA. MAYA V. TUMALON, Ph.D
Public Schools District Supervisor
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: August 31, 2018 Title: District-Based Orientation on the Adoptation & Implementation
Sex
PRINT School / (check Date: August 31, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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BRIELLENA M. LUEGA
Central School Principal MA. MAYA V. TUMALON, Ph.D
Public Schools District Supervisor
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: August 19, 2018 Title: District-Based Orientation on the Adoptation & Implementation
Sex
PRINT School / (check Date: August 17, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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BRIELLENA M. LUEGA
Central School Principal MA. MAYA V. TUMALON, Ph.D
Public Schools District Supervisor
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: August 18, 2018 Title: District-Based Orientation on the Adoptation & Implementation
Sex
PRINT School / (check Date: August 18, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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BRIELLENA M. LUEGA
Central School Principal MA. MAYA V. TUMALON, Ph.D
Public Schools District Supervisor
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Sex
PRINT School / (check Date: APRIL 10, 2019
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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Prepared by:
ESMERALDA N. ELLE
School-In-Charge
Noted by:
THELMA B. FELECIO
Cluster Head
ation q
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Sex
PRINT School / (check Date: June 18, 2017
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
1 Glamayo June Gabriel 0 K /
2 Tutor Emmanuel U. K /
3 Labares Silver Faith L K /
4 Mazo Zandralyn O. K /
5 Ladra Jan Edrian S. I-B /
6 Tutor Alexa P I- B /
7 Peligrino Reyner E II-B /
8 Balbadores Maricris L II-B /
9 Terante, Nicole II-B /
10 Jotojot Cristine Mae L II-A /
11 Eroy Rhyll E III-B /
12 Labrador Reymark III-B /
13 Bayron Pauline B III-B /
14 Degamo James B IV-A /
15 Bucio Ella Mae IV-A /
16 Ladra Ma. Sonia E IV-B /
17 Jotojot Trisha Mae C IV_B /
18 Mazo Denmark O. V-A /
19 Bucio Ailen Mae V-A /
20 Jotojot Rudelyn L V-A /
21 Hinautan Charles V-B /
22 Miano Clark Khent V-B /
23 Avelinda Vincent James VI-A /
24 Tutor Manny R VI-A /
25 Ellorimo Daniela V VI-A /
26 Santiago Cirilo S. VI-B /
Date: Monday, September 04, 2017 Title: Meeting of SBFP Beneficiaries' Parents
Sex
PRINT School / (check Date: June 18, 2017
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
1 Glamayo June Gabriel 0 K
2 Tutor Emmanuel U. K
3 Labares Silver Faith L K
4 Mazo Zandralyn O. K
5 Ladra Jan Edrian S. I-B
6 Tutor Alexa P I- B
7 Peligrino Reyner E II-B
8 Balbadores Maricris L II-B
9 Terante, Nicole II-B
10 Jotojot Cristine Mae II-A
11 Eroy Rhyll E III-B
12 Labrador Reymark III-B
13 Bayron Pauline B III-B
14 Degamo James B IV-A
15 Bucio Ella Mae IV-A
16 Ladra Ma. Sonia IV-B
17 Jotojot Trisha Mae IV_B
18 Mazo Denmark O. V-A
19 Bucio Ailen Mae V-A
20 Jotojot Rudelyn L V-A
21 Hinautan Charles V-B
22 Miano Clark Khent V-B
23 Avelinda Vincent James VI-A
24 Tutor Manny R VI-A
25 Ellorimo Daniela V VI-A
26 Santiago Cirilo S. VI-B
Date: Title:
Component: Location:
Output: Lead Trainer:
Integrated/combined Type of training Formal training q Workshop q Presentation q
Y / N
participant training activity Meeting q Other q Describe …..……………
Participatory planning: Y / N Office Use only Division Database Event ID
Sex
PRINT School / (check Date:
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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Prepared by:
TERESITA T. FELECIO
School Math Coordinator
Noted by:
STEPHEN P. OLAYVAR
Math Coordinator
DIVISION OF BOHOL
M&E FORM 1B
ACTIVITY ATTENDANCE SHEET
Date: November 10, 2018 Title: LEARNING ACTION CELL (LAC) GRADE V
Sex
PRINT School / (check Date: November 10, 2018
No. Grade / appropriate) Signature
Surname AM PM
First Name MI Section Male Female
(Family name) IN OUT IN OUT
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Prepared by:
ESMERALDA N. ELLE
Training Manager
Noted by:
TEODUCIO J. PIQUERO
Head Teacher III/District Grade V Coordinator
MN[;BVV
SCHOOL PHYSICAL AND FINANCIAL OUTPUT MONITORING AND EVALUATION for SIP/AIP QUARTER 1 (MONTHS OF JUNE-AUGUST 2016)
SCHOOL: __________________________
S.Y. 2016-2017 __________________________
Installed ______________________ # (name the target scope) installed # #VALUE! #VALUE! - #DIV/0!
Program of Work and Official Receipt
(name the target scope)
Concreted ____________________ # # #VALUE! #VALUE! - #DIV/0!
concreted Program of Work and Official Receipt
Completed ____________________ # (name the target scope) painted # #VALUE! #VALUE! - #DIV/0!
Program of Work and Official Receipt
other maintenance works, specify # (name the target scope) painted # #VALUE! #VALUE! - #DIV/0!
Program of Work and Official Receipt
(insert rows for more entries)
TOTAL 23 15 #VALUE! 65% - - - - - - - - - - - - #DIV/0!
INSTRUCTIONS ON FILLING UP THE TEMPLATE
1. Examine targets in your SIP/AIP for the specified quarter.
2. Plot target quantity by replacing the number (#) sign at the OVI's column. The Target's column will automatically generate the same number
3. Make sure MOVs contain correct date, quantity, specific description of item, amount incurred, source of fund, signature of receiver and school head.
4. Write the number of actual accomplishment under column 'Actual' as reflected in your MOV.
5. Plot amount of your project based on AIP.
6. Under 'Amount and Source' column, plot the actual amount incurred based on OR/RER or ICS/RIS. The total amount incurred automatically generate at the 'TOTAL' column and the percentage at the '% OF THE BUDGET' column.
7. School, Name, Title and Signature of school head and other persons involved in preparing the document (MOVs)
8. All learning materials and equipment can be summarized in one document (ICS/RIS) and served as the school MOV for DsMEA. It is suggested that items follow the sequence in the M&E Template to facilitate validation.
SCHOOL PHYSICAL AND FINANCIAL OUTPUT MONITORING AND EVALUATION for SIP/AIP QUARTER 1 (MONTHS OF JUNE-AUGUST 2016)
SCHOOL:
S.Y. 2016-2017
Participated in district training program approved by teachers participated Certificate of Participation # #VALUE! #VALUE! NMMKK;V - #DIV/0!
DepEd #
Enrolled to Masters and other Higher Education teachers enrolled Enrolment Card /O R # #VALUE! #VALUE! - #DIV/0!
Programs #
Implemented Special Curriculum Programs (i.e Sci Class, Report on Organization of
program implemented # #VALUE! #VALUE! - #DIV/0!
Madrasah etc) selected schools only # classes
Updated Learners Information System (LIS) 1 LIS updated system generated LIS copy 1 1 0 100% - #DIV/0!
Updated National School Building Inventory (NSBI) 1 NSBI updated system generated NSBI copy 1 0 1 0% - #DIV/0!
(insert rows for other management activities) - #DIV/0!
2. Strengthened stakeholders participation
Implemented Continuous Improvement Program on any of 1 0 1 0% - #DIV/0!
Stakeholders Participation area (if there's any) 1 (CI project title) implemented Minutes of CI Meetings
Mobilized Adopt-A-School Program 1 Adopt-A-School Program mobilized MOA / Deed of Donation 1 0 1 0% - #DIV/0!
8 8 0 100% - #DIV/0!
Conducted coaching on Instructional Delivery 8 teachers / Master Teachers coached Performance Coaching and Monitoring Report
(insert rows for other management activities) - #DIV/0!
4. Intensified resource mobilization/resource generation
Prepared Annual Procurement Program 1 APP prepared Approved APP 1 1 0 100% - #DIV/0!
Implemented Income Generating Projects 1 IGP conducted Financial Report 1 0 1 0% - #DIV/0!
Implemented Food Security Program (Gulayan sa Paaralan, (name of project/s) implemented Financial updates with report on utilization 1 0 1 0% - #DIV/0!
Piggery, Goatery etc) 1
DEPARTMENT OF EDUCATION
(Agency)
17-Aug-16 PO 2016- 250 copy Periodic Test Papers English 5 150.00 MOOE 2
07-003
PO 2016-
18-Aug-16 60 copy activity sheets Filipino 1 50.00 SBM 1
07-006
add rows for more entries
TOTAL 7 250.00
CERTIFICATION
I/We hereby certify to the correctness, validity and accuracy of the above stated data of the school in
support to accomplishment of the SIP/AIP Programs and Projects SY 2016-2017.
PROGRAM OF WORK
Project Title:
Component:
Physical Target:
Name of School:
Brgy/Mun/Province:
Total Project Cost:
Project Description:
Project Duration:
Equipment/Tools Needed:
Prepared by:
Noted:
I.A. Teacher
Principal
BILL OF MATERIALS AND COST ESTIMATES
Project Title:
School:
Location:
Component:
Materials Cost: P -
Item No. Qty. Unit Particulars Unit Cost Total Cost MOOE STAKEHOLDERS
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Sub Total - - -
(check
PRINT Date: September 10, 2018
approp
No. riate) Signature
Surname AM PM
First Name MI
(Family name) CELL NO. IN OUT IN OUT
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_____________________________________
Where: (Venue)
_____________________________________
No. of
Annual Enrolment (July 31) Monthly Enrolment No. of Teachers with DepEd Item Teacher Teachers w/
Name of School Program Offered Pupil Ratio non-DepEd
REMARKS
M F T M F T M F T item /local
Total
K
I
II
III
Prepared by:
Documenter
Noted:
School Head
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Bohol
City of Tagbilaran
Agency
School: Abaca Eementary School
District: Mabini District
MINUTES OF MEETING
4 Other Matters
Compose Jingles related to the Project
RESOLUTIONS/AGREEMENTS MADE:
1 Preparation of Fortfolio and MOV's
2 Identifying the Persons needed to be present during Validation
3 ( CI Team, BLGU, Stakeholders, Parents
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5
Prepared by:
ANALY T. ELLE
SIGNATURE OVER PRINTED NAME
Documenter
Noted:
ESMERALDA N. ELLE
SIGNATURE OVER PRINTED NAME
School Head
Appendix E
BE Form 04
Republic of the Philippines
Department of Education
Region VII
Division: Bohol
School Year: ____________________
BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
Date: _____________________
Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee members. *For the
Instructions: last column,
NATURE OF VOLUNTEER
AFTERNOON
MORNING TIME SERVICES RENDERED/ACTIVITY
TIME
TO PARTICIPATE IN
POSITION/ ADDRESS/
CONTACT Total No.
Landscaping/G
NAME DESIGNATIO ORGANIZATION SIGNATURE
NUMBER of Hours
Repainting
Carpentry
plumbing
ardening
Cleaning
/AFFILIATION
Masonry
N
Fencing
etc.
IN OUT IN OUT
Monitored by: Noted:
WITNESSETH
IN WITNESS WHEREOF, the DONOR has hereto subscribed herself/himself this _____ day of ________, 2016.
_________________________
DONOR
(Print Name & Signature)
DEED OF ACCEPTANCE
The DONEE, for and in behalf of the school, hereby accepts and acknowledges the donation from the DONOR and express his most since
appreciation for the benevolence shown by the DONOR.
IN WITNESS WHEREOF, the DONEE has set his hands this ________ day of ________, 2016.
___________________________
DONEE (School Principal)
_____________________________________________________________________________
Name of School & Address
____________________________________
Signature over Printed Name
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
_________________________) ss.
BEFORE ME this (____ ), personally appeared to me with
____________
___________________________
Known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledged to me that the s
is free and voluntary act and deed, including that of the entities that they represent.
This instrument refers to a Deed of Donation and Certificated of Acceptance that consists of 1 page, including this whereon
acknowledgment is written, and in which is signed by the parties concerned on each and every page thereof.
WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.
Doc. No.
Page No.
Book No.
Series of
DEED OF DONATION
THESE PRESENTS:
This Deed of Donation made and executed by the (Name of Company)___________________________ ___
herein represented by ____________________________ with office address at
_______________________________ hereinafter called the DONOR,
________________________________ herein represented by its PRINCIPAL, _________________________
with office address at _________________________________ hereinafter called the DONEE.
That for and in consideration of a desire to contribute a share for the cause of the education of Filipino
learners through the Adopt-a-School Program of the Department of Education, the DONOR has freely and
voluntarily given, transferred and conveyed by way of donation to the DONEE, its successors and assigns free
and clear of any and all liens and encumbrances whatsoever all its rights, interests and title on: ( Title of
Donation) ________________________________
OF, the DONOR has hereto subscribed herself/himself this _____ day of ________, 2016.
_________________________
DONOR
(Print Name & Signature)
DEED OF ACCEPTANCE
d in behalf of the school, hereby accepts and acknowledges the donation from the DONOR and express his most sincere
appreciation for the benevolence shown by the DONOR.
OF, the DONEE has set his hands this ________ day of ________, 2016.
___________________________
DONEE (School Principal)
_____________________________________________________________________________
Name of School & Address
____________________________________
Signature over Printed Name
ACKNOWLEDGMENT
________) ss.
BEFORE ME this (____ ), personally appeared to me with
CTC# _______________
CTC# _______________
me known to be the same persons who executed the foregoing instrument, and they acknowledged to me that the same
act and deed, including that of the entities that they represent.
ers to a Deed of Donation and Certificated of Acceptance that consists of 1 page, including this whereon this
written, and in which is signed by the parties concerned on each and every page thereof.
AND NOTARIAL SEAL, on the date at the place first written above.
________
________
________
________
NOTARY PUBLIC
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Bohol
District of _______________
______________________________ SCHOOL
I hereby certify to the correctness, authenticity and veracity of the documents submitted
to the Public Schools District Supervisor to support the school's accomplishment presented for the
SIP/AIP Quarter ________ SY 2016-2017.
That I executed this certificate to attest to the truth of the foregoing statements and my
guide to pursue my commitment and loyalty to the duties and responsibilities attached to my position