School Form 1 School Register For Senior High School (SF1-SHS)

School Form 1 School Register for Senior High School (SF1-SHS)
School Name TIMAMANA NATIONAL HIGH SCHOOL School ID 304853 District TUBOD Division SURIGAO DEL NORTE Region CARAGA
Semester FIRST SEMESTER School Year 2017-2018 Grade Level 12 Track and Strand ACADEMIC- ABM
Section ABM Course (For TVL Only)
COMPLETE ADDRESS PARENTS GUARDIAN

(if learner is not Living with Parent) REMARKS
Sex (M/F)
NAME Contact Number
BIRTHDATE Religious Name (Please refer to the legend)
LRN (Last Name, First Name, Name Extension, Middle AGE Mother's Maiden Name of Parent/
(mm/dd/yyyy) Affiliation House No./ Municipality/ Father's Name (Last Name, First Name,
Name) Street/ Sitio/ Barangay Province (Last Name, First Name, Name Extension, (Last Name, First Name, Name Relationship Guardian
Purok City Middle Name) Extension, Middle Name)
Name Extension, Middle
Name)
132563050001 ACABO, PETER PAUL ROYALES M 2/23/2000 17 CATHOLIC PUROK 2 MOTORPOOL TUBOD SDN ACABO, LUCIO ELLAZO ROYALES, MELQUIADES GAGAP 9071304407 CCT
304853100012 ARADO, ROMEO,JR. SERADA M 10/8/1996 20 NEW LIFE PUROK 2 SAN ISIDRO TUBOD SDN ARADO, ROMEO JASPE SERADA, FE BANGOD 9096279375
304853110011 BANUAG, JAMESON OLE M 4/16/1998 19 CATHOLIC PUROK 2 SAN ISIDRO TUBOD SDN BANUAG, CRISANTO CANICO OLE, JENNIFER CANICO 9464097796
304853100030 CAVAN, MARLON CARBAJOSA M 12/13/1996 20 CATHOLIC PUROK 3 TIMAMANA TUBOD SDN CAVAN, RUBEN B. CARBAJOSA, MARLYN S. 9102165871
304853120001 CODOG, DAVE VINCENT DUMALAGAN M 2/3/1999 18 I.F.I PUROK 2 TIMAMANA TUBOD SDN CODOG, ANCHITO M. DUMALAGAN, DINAH L. 9106529460
132567050029 GASULAS, JOHN CLEMENT DE CASTRO M 5/10/1999 18 CATHOLIC PUROK 5 TIMAMANA TUBOD SDN GASULAS, CLEMENTE UYAMOT DE CASTRO, MARDY GALLEGO 9090039286
304853120058 MANLA, LAMONT HENRY MICOMPAL M 7/13/1998 18 CATHOLIC PUROK 5 MOTORPOOL TUBOD SDN MANLA, ERWIN BARDOQUILLO MICOMPAL, LIZA SAGA 9103615150
304853120060 MILLANA, CRISTAN DELOS SANTOS M 8/15/1998 18 CATHOLIC PUROK 2 TIMAMANA TUBOD SDN MILLANA, CRESENCIO GASOLAS DELOS SANTOS, JENNIFER DELOS REYES 9090036802
304821120028 OLARIO, PRECYL JOHN PANTILO M 7/8/1998 18 DATING DAAN PUROK 2 TIMAMANA TUBOD SDN OLARIO, JOHN VILLAGONZALO PANTILO, PRECILA TRAJANO 9965884406
132566050013 PERIJAN, BARRY BANUAG M 1/31/2000 17 CATHOLIC PUROK 3 SAN ISIDRO TUBOD SDN PERIJAN, BONIFACIO FABRE BANUAG, RITA CANICO 9500971324 CCT
304853100073 REJANO, CHRISTIAN BOLOCON M 6/24/1997 20 I.F.I PUROK 3 TIMAMANA TUBOD SDN REJANO, ROLDAN BOLOCON, MERRY CRISTY 9500971324
304853120008 TARO, JAYSON CORTES M 1/1/2000 17 LDS PUROK 1 SAN ISIDRO TUBOD SDN TARO, JENNY TIEMPO CORTES, CAROLINA JAMIL 9501788622 CCT
132567050064 UGALDE, JOSHUA LETIM M 7/13/1999 17 CATHOLIC PUROK 1 TIMAMANA TUBOD SDN UGALDE, JESSIE LETIM, MARIBEL L. 9096257914
132567050065 YBAÑEZ, MILLER DUBRIA M 10/26/1999 17 CATHOLIC PUROK 4 TIMAMANA TUBOD SDN YBAÑEZ MISAEL BIONG DUBRIA, IRENE NECISITO 9096137480 CCT
14 <=== TOTAL MALE

### ARADO, JOVELYN ELICANO F 3/26/1999 18 CATHOLIC PUROK 4 TIMAMANA TUBOD SDN ARADO, EDILITO DELAMEDE ELICANO, JOCELYN LARIVA 9301853325 CCT
### BITOY, MARECRIS NALITAN F 3/5/2000 17 CATHOLIC PUROK 3 MOTORPOOL TUBOD SDN BITOY, JIMMY LIMATOS NALITAN, TEOFILA MACALOLOT 90955579010 CCT
### CAHAGNA-AN, MERALYN APLICADOR F 3/2/2000 17 CATHOLIC PUROK 4 MACALAYA PLACER SDN CAHAGNA-AN, SERVILLANO TI APLICADOR, MERAFLOR OPISO 9092890236
### CALOGCOG, ROSENEL BALONDO F 9/29/2000 16 BORN AGAIN PUROK 7 TIMAMANA TUBOD SDN CALOGCOG, LEONILO QUIBAN BALONDO, LEANDRA BATISTIL 9401956884
### DEJAMO, ANNAFER ESCAÑAN F 12/22/1999 17 CATHOLIC PUROK 9 TIMAMANA TUBOD SDN DEJAMO, PETER GANDOLE ESCAÑAN ANNABELLE BARRY 9469307108 CCT
### DUBDUBAN, LOVELY LABE F 3/31/1999 18 CATHOLIC PUROK 2 TIMAMANA TUBOD SDN DUBDUBAN, ELENITO O. LABE, FELIPA S. 9486310290 CCT
### LIBARNES, ELLA MAE ANGELA MASUHAY F 7/17/2000 17 UCCP PUROK 2 SAN PABLO SISON SDN LIBARNES, EDUARDO JASPE MASUHAY, BILDA ESCOLANO 9105788943
### LIRAY, MARY GRACE MAISOG F 4/5/2000 17 CATHOLIC PUROK 1 SAN ISIDRO TUBOD SDN LIRAY, BRIGIDO BANGOD MAISOG, MARISSA MOSQUITO 9108064249
MAÑAGO, BASILIDES
### MAÑAGO, MARILYN ADLAO F 12/12/1999 17 CATHOLIC PUROK 2 TIMAMANA TUBOD SDN ADLAO, MARIA NAJIAL 9092567036 CCT
SABELONES
MOTORPOO
132563050016 MORALES, JENNALYN DULGUIME F 4/13/2000 18 CATHOLIC PUROK 3 TUBOD SDN MORALES, RONALD CAÑON DULGUIME, LENY RULIDA 9460111906
L
### MORIL, MARYJOY MAIQUE F 8/2/2000 18 PENTECOSTAL PUROK 2 CAWILAN TUBOD SDN MORIL, JOEL CABALLES MAIQUE, MARIFE PUEBLOS 9465895729
MOTORPOO
132563050017 OLIVEROS, IRENE MAE DEGUITO F 4/13/2000 17 CATHOLIC PUROK 2 TUBOD SDN OLIVEROS, IRENEO M. DEGUITO, JOSEPHINE RANAY 9305784727
L
SAN
### SERADA, REGINE ESTACIO F 3/23/2000 17 I.F.I PUROK 2 ISIDR TUBOD SDN SERADA, GLENN UGALDE ESTACIO, RHODORA YABUT 909984804 CCT
SAN
O
304853120073 TARO, JONAMAE LAGUMBAY F 1/15/2000 17 CATHOLIC PUROK 3 ISIDR TUBOD SDN TARO, MERLINDA LAGUMBAY 9092752063 CCT
O
14 <=== TOTAL FEMALE

28 <=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Beginning of the Prepared By:
Indicator Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date MALE 14 14
Balik Aral B/A Name of school last
Transferred In attended & Year GLENN M. SOLERA
T/I
Name of School, Date of 1st Attendance Learner With Exceptionality LWE Specify Exceptionality of Signature of Adviser over Printed Name
and Date of Last Attendance if the Learner FEMALE 14 14
Accelerated Specify Level & Effectivity
Transferred Out ACL Date
SFRT 2017
SFRT 2017
Sex (M/F)
Transferred T/O NAME CCT Recipient CCT CCT Control/reference Contact Number
Out LRN (Last Name, First Name, Name Extension, Middle AGE number & Effectivity Date Mother's Maiden Name of Parent/
Name) Balik Aral B/A Name
Street/ofSitio/
schoolBarangay
last Province (Last Name, First Name, Name Extension, (Last Name, First Name, Name Relationship Guardian
Transferred In attended
Purok & Year City Middle Name) Extension, Middle Name)
T/I Name)
and Date of Last Attendance if the Learner 14 14
Beginning of the Semester Date: June 5, 2017 End of the Semester Date: April 6, 2018
TOTAL 28 28
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name TIMAMANA NATIONAL HIGH SCHOOL School ID 304853 District TUBOD Division SURIGAO DEL NORTE
Semester 2ND SEMESTER School Year 2017-2018 Grade Level 12 Track and Strand
Section ABM Course/s (only for TVL) Month of

MARCH
NAME Total for the Month
No. (Last Name, First Name, Name Extension, Middle 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
1 H H
ACABO, PETER PAUL ROYALES
2 ARADO, ROMEO,JR. SERADA O O
3 BANUAG, JAMESON OLE L L
4 CAVAN, MARLON CARBAJOSA I I
5
CODOG, DAVE VINCENT D D
DUMALAGAN
6
GASULAS, JOHN CLEMENT DE A A
CASTRO
7
MANLA, LAMONT HENRY Y Y
MICOMPAL
8
MILLANA, CRISTAN DELOS
SANTOS
9 OLARIO, PRECYL JOHN PANTILO
10 PERIJAN, BARRY BANUAG
11 REJANO, CHRISTIAN BOLOCON
12 TARO, JAYSON CORTES
13 UGALDE, JOSHUA LETIM
14 YBAÑEZ, MILLER DUBRIA
14 <=== MALE | TOTAL Per Day ===> 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14
1 ARADO, JOVELYN ELICANO H H
2 BITOY, MARECRIS NALITAN O O
3 CAHAGNA-AN, MERALYN APLICADOR L L
4 CALOGCOG, ROSENEL BALONDO I I
5 DEJAMO, ANNAFER ESCAÑAN D D
6 DUBDUBAN, LOVELY LABE A A

LIBARNES, ELLA MAE ANGELA Y Y
MASUHAY
LIRAY, MARY GRACE MAISOG
9 MAÑAGO, MARILYN ADLAO
10 MORALES, JENALYN DULGUIME
11 MORIL, MARYJOY MAIQUE
12 OLIVEROS, IRENE MAE DEGUITO
13 SERADA, REGINE ESTACIO

14 TARO, JONAMAE LAGUMBAY
14 <=== FEMALE | TOTAL Per Day ===> 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14
28 Combined TOTAL Per Day 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28
No. of Days of Classes

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for MARCH 20
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester)
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off)
a. Percentage of Enrolment = x 100 (NLS)

Registered Learners as of end of the month Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year

a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings Average Daily Attendance
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 Percentage of Attendance for the month
a.4. Family problems
Number of students absent for 5 consecutive days
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 4. Once signed b.1. Illness
No Longer in School (NLS)
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 consecutive days b.4. Drug Abuse
b.5. Poor Academic Performance
Transferred Out
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
Shifting Out
S)
O DEL NORTE Region CARAGA
ABM
MARCH
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).
No. of Days of Classes:

Summary
20 M F TOTAL
the semester) 14 14 28
0 0 0
h (beyond cut-off)
14 14 28
of the month
100 100 100

end of the month
14 14 28
e month 100 100 100
consecutive days 0 0 0
ol (NLS)
t
MARCH
NAME Total for the Month
No. (Last Name, First Name, Name Extension, Middle 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30
c. School-Related Factors Shifting In

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
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class
e. Financial-Related
e.1. Child labor, work Attested By:
LOR
f. Others (Specify) Signature of Schoo
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
port is true and correct:
GLENN M. SOLERA
Signature of Class Adviser over Printed Name
LORNA F. DIAZ
Signature of School Head over Printed Name
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
Semester 2ND SEMESTER School Year 2017-2018 Grade Level 12 Track and Strand ABM
Section ABM Course/s (only for TVL) Month of FEBRUARY

FEBRUARY
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 16 19 20 21 22 23 26 27 28 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
1 H
ACABO, PETER PAUL ROYALES
2 ARADO, ROMEO,JR. SERADA O
3 BANUAG, JAMESON OLE L
4 CAVAN, MARLON CARBAJOSA I
5
CODOG, DAVE VINCENT D
DUMALAGAN
6
GASULAS, JOHN CLEMENT DE A
CASTRO
7
MANLA, LAMONT HENRY Y
MICOMPAL
8
MILLANA, CRISTAN DELOS
SANTOS
9 OLARIO, PRECYL JOHN PANTILO
10 PERIJAN, BARRY BANUAG
11 REJANO, CHRISTIAN BOLOCON
12 TARO, JAYSON CORTES
13 UGALDE, JOSHUA LETIM
14 YBAÑEZ, MILLER DUBRIA
<=== MALE | TOTAL Per Day ===> 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14
1 ARADO, JOVELYN ELICANO H
2 BITOY, MARECRIS NALITAN O
3 CAHAGNA-AN, MERALYN APLICADOR L
4 CALOGCOG, ROSENEL BALONDO I
5 DEJAMO, ANNAFER ESCAÑAN D
6 DUBDUBAN, LOVELY LABE A
7
LIBARNES, ELLA MAE ANGELA Y
MASUHAY
8 LIRAY, MARY GRACE MAISOG
9 MAÑAGO, MARILYN ADLAO
10 MORALES, JENALYN DULGUIME
11 MORIL, MARYJOY MAIQUE
12 OLIVEROS, IRENE MAE DEGUITO
FEBRUARY
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 16 19 20 21 22 23 26 27 28 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
13 SERADA, REGINE ESTACIO

14 TARO, JONAMAE LAGUMBAY
<=== FEMALE | TOTAL Per Day ===> 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14
Combined TOTAL Per Day 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28
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 for FEBRUARY 19 M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 14 14 28
0 0 0
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off)
a. Percentage of Enrolment = x 100 (NLS) 14 14 28

Registered Learners as of end of the month Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year 100 100 100

a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings Average Daily Attendance 14 14 28
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 Percentage of Attendance for the month 100 100 100
a.4. Family problems
Average daily attendance Number of students absent for 5 consecutive days 0 0 0

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 4. Once signed b.1. Illness
No Longer in School (NLS)
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 consecutive days b.4. Drug Abuse
b.5. Poor Academic Performance
Transferred Out
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
Shifting Out
c. School-Related Factors Shifting In

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 GLENN M. SOLERA
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:
LORNA F. DIAZ
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 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
Semester 2ND SEMESTER School Year 2017-2018 Section INTEGRITY
Track and Strand GENERAL ACADEMIC STRAND Course/s (only for TVL)
Completed SHS in
2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)
MALE
1 ### AMORA, JONEL SITAY Y SUMMARY TABLE A

2 ### BACLAYO, JOHNTRIX COTIANGCO Y STATUS MALE FEMALE TOTAL
3 ### BIONG, GREGGY LABE Y Learners who
Y completed SHS
4 ### BIONG, VINCE NIÑO LOTA Program within 2 SYs
17 13 30
5 ### DAGOC, RICKY YABUT Y or 4 semesters
6 ### ELICANO, OLSEN JAMES Y Learners who

7 ### EBREO, TONY JAMES PAYOSING Y completed SHS
Program in more
8 ### LAURE, ADONES LOZANO Y than 2 SYs or 4
9 ### MILLANA, CRESENCIO DELOS SANTOS Y semesters
10 ### MONTECLARO, JOHN DAVE Y TOTAL 17 13 30

11 ### OCHADA, JESSIE ESPERIN Y
12 ### SAGA, CHRISTIAN SIMBAJON Y
13 ### SAGA, LOUIE KING BATISTIL Y SUMMARY TABLE B
14 ### TOLIBAS, JEREX RYAN CABASA Y STATUS MALE FEMALE TOTAL
15 ### TOLIBAS, MARK ANTHONY CAGAS NC III
16 ### VIRTUDAZO, JEO AGBU NC II
17 132566060024.00 YABUT, JAMES RANOCO NC I
TOTAL
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
Completed SHS in
2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)
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 ### ABAO, LOVELY MAE ANDRES Y Reviewed By:
2 ### CAHAGNAAN, RHODA MAE BARRE Y
3 ### DAANG, CAROL PERIJAN Y JULIETA O. DIWATA
4 DELA CRUZ, CHRISTINE JOY Y Signature of Class Adviser over Printed Name
###
5 ### EBARAT, CHERRY JOY BULARON Y
6 ### GALACIO, SHIRLEY MAE BULARON Y
7 ### GUERRA, CRISTY Y Certified Correct & Submitted By:
8 ### MONTEBON, BEBEI JEAN NALITAN Y
9 ### OBLIGADO, EIZEL ORGA Y LORNA F. DIAZ
10 ### PALUGA, GLORYLYN REAMBONANZA Y Signature of School Head over Printed Name
11 ### TULANG, MAILENE BAUTISTA Y

12 ### GOLOSINDA, ALMIRA LORRAINE GLORIA Y
13 ### PARIAN, IVY MAE LARONG Y Reviewed By:
MARY GRACE M. TADULAN

Signature of Division Representative over Printed Name
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
Semester 1st Semester School Year 2017-2018 Grade Level 11 Section INTEGRITY
BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)
MALE
SUMMARY TABLE 1ST SEM
1 ### AMORA, JONEL SITAY COMPLETE
2 ### BACLAYO, JOHNTRIX COTIANGCO COMPLETE STATUS MALE FEMALE TOTAL
3 ### BIONG, GREGGY LABE COMPLETE COMPLETE 17 13 30

4 ### BIONG, VINCE NIÑO LOTA COMPLETE INCOMPLETE 0 0 0
5 ### DAGOC, RICKY YABUT COMPLETE TOTAL 17 13 30
6 ### ELICANO, OLSEN JAMES COMPLETE
7 ### EBREO, TONY JAMES PAYOSING COMPLETE SUMMARY TABLE 2ND SEM
8 ### LAURE, ADONES LOZANO COMPLETE STATUS MALE FEMALE TOTAL
9 ### MILLANA, CRESENCIO DELOS SANTOS COMPLETE COMPLETE 17 13 30

10 ### MONTECLARO, JOHN DAVE COMPLETE INCOMPLETE 0 0 0
11 ### OCHADA, JESSIE ESPERIN COMPLETE TOTAL 17 13 30
12 ### SAGA, CHRISTIAN SIMBAJON COMPLETE
13 ### SAGA, LOUIE KING BATISTIL COMPLETE SUMMARY TABLE (End of the School Year Only)
14 ### TOLIBAS, JEREX RYAN CABASA COMPLETE STATUS MALE FEMALE TOTAL
15 ### TOLIBAS, MARK ANTHONY CAGAS COMPLETE REGULAR 17 13 30

16 ### VIRTUDAZO, JEO AGBU COMPLETE IRREGULAR 0 0 0
17 ### YABUT, JAMES RANOCO TOTAL 17 13 30
FEMALE
1 ### ABAO, LOVELY MAE ANDRES COMPLETE
2 ### CAHAGNAAN, RHODA MAE BARRE COMPLETE
3 ### DAANG, CAROL PERIJAN COMPLETE
Prepared By:
4 ### DELA CRUZ, CHRISTINE JOY COMPLETE
5 ### EBARAT, CHERRY JOY BULARON COMPLETE
6 ### GALACIO, SHIRLEY MAE BULARON COMPLETE JULIETA O. DIWATA
7 ### GUERRA, CRISTY COMPLETE
8 ### MONTEBON, BEBEI JEAN NALITAN COMPLETE

9 ### OBLIGADO, EIZEL ORGA COMPLETE
Certified Correct By:
10 ### PALUGA, GLORYLYN REAMBONANZA COMPLETE
11 ### TULANG, MAILENE BAUTISTA COMPLETE
12 ### GOLOSINDA, ALMIRA LORRAINE GLORIA COMPLETE LORNA F. DIAZ
13 ### PARIAN, IVY MAE LARONG COMPLETE
Reviewed By:

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 School Year Status blank/unfilled at the end of the 1st Semester. These data
elements shall be filled up only after the 2nd semester or at the end of the School Year.
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 grade less than 75%)
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
Semester 2nd Semester School Year 2017-2018 Grade Level 11 Section INTEGRITY

MALE
SUMMARY TABLE 1ST SEM
1 ### AMORA, JONEL SITAY COMPLETE REGULAR
2 ### BACLAYO, JOHNTRIX COTIANGCO COMPLETE REGULAR STATUS MALE FEMALE TOTAL
3 ### BIONG, GREGGY LABE COMPLETE REGULAR COMPLETE 17 13 30

4 ### BIONG, VINCE NIÑO LOTA COMPLETE REGULAR INCOMPLETE 0 0 0
5 ### DAGOC, RICKY YABUT COMPLETE REGULAR TOTAL 17 13 30
6 ### ELICANO, OLSEN JAMES COMPLETE REGULAR
7 ### EBREO, TONY JAMES PAYOSING COMPLETE REGULAR SUMMARY TABLE 2ND SEM
8 ### LAURE, ADONES LOZANO COMPLETE REGULAR STATUS MALE FEMALE TOTAL
9 ### MILLANA, CRESENCIO DELOS SANTOS COMPLETE REGULAR COMPLETE 17 13 30

10 ### MONTECLARO, JOHN DAVE COMPLETE REGULAR INCOMPLETE 0 0 0
11 ### OCHADA, JESSIE ESPERIN COMPLETE REGULAR TOTAL 17 13 30
12 ### SAGA, CHRISTIAN SIMBAJON COMPLETE REGULAR
13 ### SAGA, LOUIE KING BATISTIL COMPLETE REGULAR SUMMARY TABLE (End of the School Year Only)
14 ### TOLIBAS, JEREX RYAN CABASA COMPLETE REGULAR STATUS MALE FEMALE TOTAL
15 ### TOLIBAS, MARK ANTHONY CAGAS COMPLETE REGULAR REGULAR 17 13 30

16 ### VIRTUDAZO, JEO AGBU COMPLETE REGULAR IRREGULAR 0 0 0
17 ### YABUT, JAMES RANOCO TOTAL 17 13 30
FEMALE
1 ### ABAO, LOVELY MAE ANDRES COMPLETE REGULAR
2 ### CAHAGNAAN, RHODA MAE BARRE COMPLETE REGULAR
3 ### DAANG, CAROL PERIJAN COMPLETE REGULAR
Prepared By:
4 ### DELA CRUZ, CHRISTINE JOY COMPLETE REGULAR
5 ### EBARAT, CHERRY JOY BULARON COMPLETE REGULAR
6 ### GALACIO, SHIRLEY MAE BULARON COMPLETE REGULAR JULIETA O. DIWATA
7 ### GUERRA, CRISTY COMPLETE REGULAR
8 ### MONTEBON, BEBEI JEAN NALITAN COMPLETE REGULAR

9 ### OBLIGADO, EIZEL ORGA COMPLETE REGULAR
Certified Correct By:
10 ### PALUGA, GLORYLYN REAMBONANZA COMPLETE REGULAR
11 ### TULANG, MAILENE BAUTISTA COMPLETE REGULAR
12 ### GOLOSINDA, ALMIRA LORRAINE GLORIA COMPLETE REGULAR LORNA F. DIAZ
13 ### PARIAN, IVY MAE LARONG COMPLETE REGULAR
Reviewed By:

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 School Year Status blank/unfilled at the end of the 1st Semester. These data
elements shall be filled up only after the 2nd semester or at the end of the School Year.
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 grade less than 75%)
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
School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
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 Returned
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
11
12
13
SHS)
Region
/ ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
(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 Returned
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 code
4. The Total Number of Copies of Books Returned shall be reflected in the form. 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.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
Signature of Class A
/ ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
ature of Class Adviser over Printed Name

School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SH
School Name District Division Region
School ID Semester School Year
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED O
REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A)
(As of End Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
Number as of Number as
(B) Total fo
of the Month) Average Month the Month the Month the Month the Month
of Previous End of the of Previous of End of the of Previous End of the of Previous
Month 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 M F T M F T M F T M F T M
TOTAL FOR GRADE 11
TOTAL FOR GRADE 12

GRAND TOTAL
Prepared and Submitted By:

SF4-SHS)
Region
SHIFTED OUT SHIFTED IN
(A+B) (A) (A+B)

Cumulative Cumulative Cumulative
(B) Total for (B) Total for
Number as of Number as Number as of
the Month the Month
End of the of Previous End of the
Month Month Month
F T M F T M F T M F T M F T
School Form 1 School Register for Senior High School (SF1-SHS)
Semester SECOND SEM School Year 2017-2018 Grade Level 12 Track and Strand ACADEMIC- GAS
Section GAS Course (For TVL Only)

Sex (M/F)
NAME Contact Number
LRN (Last Name, First Name, Name Extension, Middle AGE Mother's Maiden Name of Parent/
Name) Street/ Sitio/ Barangay Province (Last Name, First Name, Name Extension, (Last Name, First Name, Name Relationship Guardian
Purok City Middle Name) Extension, Middle Name)
Name)
KAIMAN, ALEXANDER.
### ALITA, ROLAND, TRAJANO M 9/22/1995 22.75 IFI P-3 Timamana Tubod SURIGAO DEL NORTE ALITA, RONALDO, MENDEZ TRAJANO, MARLYN, MARABE
BAJAN
### BACOR, JOBERT, BULOTANO M 3/10/1999 19.25 P-1 Boyongan Placer SURIGAO DEL NORTE BACOR, FELBERT
### BARDON, HARVEY MYLE, BALONDO M 10/2/1999 18.25 Catholic P-9 Timamana Tubod SURIGAO DEL NORTE BARDON, EMELIO, CAHAGNAAN BALONDO, MERCY DAHLIA, PESQUERA CCT
### CAGAMPANG, VINCENT, LINGATONG M 11/24/1999 18.25 Catholic P-4 San Isidro Tubod SURIGAO DEL NORTE CAGAMPANG, ERNESTO, CAIPANG LINGATONG, LETECIA, RANARIO CCT
### CAÑAVERAS, JHON MICHAEL S. M 4/21/1994 23.75 Boyongan Placer SURIGAO DEL NORTE CATAMORA, AGAPITO, CORMINAL CAÑAVERAS, REGIE, S.
CASA, PEJIE, TULANG M Timamana Tubod SURIGAO DEL NORTE T/I San Nicolas Academy , June 5, 2017
### COMILANG, RIMAR, TAJALE M 9/22/1999 18.75 IFI P-3 Motorpool Tubod SURIGAO DEL NORTE COMILANG, RITCHIE, MACALOLOT TAJALE, MARIBEL, LARANO
### CONCEPCION, REYMART, CAHAGNA-AN M 11/4/1999 18.25 Catholic Timamana Tubod SURIGAO DEL NORTE CONCEPCION, RICARDITO, BATO-ON CAHAGNA-AN, REMDIOS, VIILLACERAN
### DEGUITO, ORLIE JHON, RULIDA M 10/29/1999 18.25 Catholic P-2 Motorpool Tubod SURIGAO DEL NORTE DEGUITO, ROLANDO, RANAY RULIDA, EVELYN, FORCADILLA CCT
### ELICANO, CLARK JAMES, LARIBA M 3/25/2000 18.25 Catholic P-2 Motorpool Tubod SURIGAO DEL NORTE ARADO, LUIS, ACIDO ELICANO, LATIN, LARIBA ARADO, PERPETIA, ACIDO GRANDMOTHER CCT
### GUISADIO, CHRISTIAN RHEY, LACSON M 10/28/1995 22.25 Catholic P-1 Boyongan Placer SURIGAO DEL NORTE GUISADIO, FELIX, HOMOCILLO LACSON, JOSEPHINE, BETCO
MADELO, REX CYRIL, DE CASTRO M Catholic P-5 Timamana Tubod SURIGAO DEL NORTE T/I San Nicolas Academy, June 5, 2017
### MANLA, ALAIN JOSHUA, MICOMPAL M 7/13/1998 19.75 Catholic P-3 Motorpool Tubod SURIGAO DEL NORTE MANLA, EDWIN, BARDOQUILLO MICOMPAL, LIZA, SAGA
### MONSANTO, ALFIE JOHN, LINCUNA M 1/9/2000 18.25 Catholic P-4 Timamana Tubod SURIGAO DEL NORTE MONSANTO, ROBERTO, M. LINCUNA, TERESA, GALINDO CCT
### OLE, JHUNMAR, TABOADA M 1/3/1996 22.25 IFI P-2 San Isidro Tubod SURIGAO DEL NORTE OLE, AURELIO, JR., RANARIO TABOADA, MARITES, AVILES
### PERIL, MARK ALESON, GASULAS M 5/31/2000 17.75 IFI P-9 Timamana Tubod SURIGAO DEL NORTE PERIL, STEPHEN, GAVIOLA GASULAS, MARISTEL, SERADA
16 <=== TOTAL MALE

### BALDERAS, EILA MAE, SELIM F 2/14/2000 18.25 Catholic P-3 San Isidro Tubod SURIGAO DEL NORTE BALDERAS, EDGAR, ARESTOQUE SELIM, MERCELI, NALITAN
### BARRIENTOS, DAISY, TERO F 6/15/1999 18.75 Catholic P-1 Boyongan Placer SURIGAO DEL NORTE BARRIENTOS, OSCAR, CANAM TERO, MARILYN, CAÑO
### CAGAMPANG, PRECILYN, PERIJAN F 12/11/1999 18.25 Catholic P-2 San Isidro Tubod SURIGAO DEL NORTE CAGAMPANG, FRANCISCO, GUERRA PERIJAN, MARILYN, LAVEDES CCT
### ELICANO, MAE HERSHYL F 5/3/1998 19.75 Catholic P-2 Motorpool Tubod SURIGAO DEL NORTE ELICANO, CANDIDA, LARIBA ELICANO,CRISOLOGO, O. GRANDFATHER
### EME, JESSEL, LERAY F 7/26/2000 17.75 Catholic P-1 Boyongan Placer SURIGAO DEL NORTE EME, JACINTO, RESPECIA LERAY, ELSA, ROMERO CCT
### GEROMALA, JOANNE, LOZANO F 3/16/2000 18.25 Catholic P-1 San Isidro Tubod SURIGAO DEL NORTE GEROMALA, ADRIANO, BAYHON LOZANO, JEAN, TORRES CCT
### LERAY, ESCEL, PAGAPONG F 6/10/2000 17.75 Catholic P-1 Boyongan Placer SURIGAO DEL NORTE LERAY, HELARIO, MANTILLA PAGAPONG, ESTELITA, ENAYA CCT
### NAJIAL,RINA ROSE, COJETA F 1/24/2001 17.25 Catholic P-3 Boyongan Placer SURIGAO DEL NORTE NAJIAL, RICARDO, TANTOY COJETA, NANCY, CORDITA CCT
### NALITAN, CHARMAINE, CANICO F 3/31/2000 18.25 Catholic P-1 Boyongan Placer SURIGAO DEL NORTE NALITAN, LUISITO, SR., NAPULI CANICO, ISIDRALINA, CAGNA-AN
### SAGRADO, NOEDA, TECSON F 5/28/1999 18.75 Catholic P-8 Timamana Tubod SURIGAO DEL NORTE SAGRADO, NOE, CATELO TECSON, ROSALINDA, LEGASPI CCT
### TADIFA, ODESSA, ADLAO F 12/17/1999 18.25 IFI P-3 Boyongan Placer SURIGAO DEL NORTE TADIFA, CESAR, RANARIO ADLAO, EVELYN, PAYOSING
11 <=== TOTAL FEMALE

27 <=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Beginning of the Prepared By:
Indicator Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date
MALE 16 16
Balik Aral B/A Name of school last
Transferred In attended & Year SUSAN P. MARABARBAS
T/I
and Date of Last Attendance if the Learner FEMALE 11 11
Beginning of the Semester Date: November 5, End of the Semester Date: April 6, 2018
TOTAL 27 27 2017
SFRT 2017
SFRT 2017
Semester 1st Sem. School Year 2017-2018 Grade Level 12 Section GAS
Track and Strand ACADEMIC/GAS Course/s (only for TVL)

MALE
1 ### ALITA, ROLAND, TRAJANO COMPLETE REGULAR SUMMARY TABLE 1ST SEM
2 ### BACOR, JOBERT, BULOTANO COMPLETE REGULAR STATUS MALE FEMALE TOTAL
3 ### BARDON, HARVEY MYLE, BALONDO COMPLETE REGULAR COMPLETE 16 11 27

4 ### CAGAMPANG, VINCENT, LINGATONG COMPLETE REGULAR INCOMPLETE 0 0 0
5 ### CAÑAVERAS, JHON MICHAEL S. COMPLETE REGULAR TOTAL 16 11 27
6 ### CASA, PEJIE, TULANG COMPLETE IRREGULAR
7 ### COMILANG, RIMAR, TAJALE COMPLETE REGULAR SUMMARY TABLE 2ND SEM
8 ### CONCEPCION, REYMART, CAHAGNA-AN COMPLETE REGULAR STATUS MALE FEMALE TOTAL
9 ### DEGUITO, ORLIE JHON, RULIDA COMPLETE REGULAR COMPLETE
10 ### ELICANO, CLARK JAMES, LARIBA COMPLETE REGULAR INCOMPLETE
11 ### GUISADIO, CHRISTIAN RHEY, LACSON COMPLETE REGULAR TOTAL
12 ### MADELO, REX CYRIL, DE CASTRO COMPLETE IRREGULAR

13 ### MANLA, ALAIN JOSHUA, MICOMPAL COMPLETE REGULAR SUMMARY TABLE (End of the School Year Only)
14 ### MONSANTO, ALFIE JOHN, LINCUNA COMPLETE REGULAR STATUS MALE FEMALE TOTAL
COMPLETE REGULAR REGULAR
COMPLETE REGULAR IRREGULAR
TOTAL
School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding S
Appointment:
Title of Designation
Title of Plantilla Position Title of Plantilla Position (Contractual,
Number of Number of (as it appears in the contract/document:
(as it appears in the appointment (as it appears in the appointment Substitute,
Incumbent Incumbent Teacher, Clerk, Security Guard, Driver etc.)
document/PSIPOP) document/PSIPOP) Volunteer, Others
specify)
EDUCATIONAL QUALIFICATION Daily Program (time

Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From
Number Position, Descending) (Regular/ Minor Assignments sections (M/T/W/T
-T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00)
H/F)
Part Time) Training Attended
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
EDUCATIONAL QUALIFICATION Daily Program (time
Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From
Number Position, Descending) (Regular/ Minor Assignments sections (M/T/W/T
-T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00)
H/F)
Part Time) Training Attended
Second Semester:
Advisory:
Ave. Minutes per D
First Semester:
Second Semester:
Advisory:
Ave. Minutes per D
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 movement of teachers and other
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 lowest. Si
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. Updated as of:
SHS)
Region
nd Funding Sources
Number of Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-Teaching
Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
Total Actual *For additional loads from
To Teaching JHS- please indicate the number
(00:00) Minutes per of teaching minutes per week)
Week
e. Minutes per Day
e. Minutes per Day
e. Minutes per Day
e. Minutes per Day

Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
Total Actual *For additional loads from
To Teaching JHS- please indicate the number
(00:00) Minutes per of teaching minutes per week)
Week
e. Minutes per Day
e. Minutes per Day
ated as of:
School Form 7, Page ___ of ________

School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)
Semester School Year
END OF SCHOOL YEAR

END OF SEMESTER STATUS
(Fill up only at the end of the second se
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE
GRADE 11
TRACK/STRAND/COURSE
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Divisio
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school t
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.
6-SHS)
Region
OOL YEAR
the second semester.)
ULAR TOTAL
TOTAL MALE FEMALE TOTAL
ature of Division Superintendent over Printed Name
e and school total.

SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)
School Name District Division Region
School ID Grade Section Track/Strand (SHS) School Year
Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
MALE
FEMALE
SFRT 2017
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
SFRT 2017
SFRT 2017

School Form 1 School Register For Senior High School (SF1-SHS)

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COMPLETE ADDRESS PARENTS GUARDIAN

14 <=== TOTAL MALE

14 <=== TOTAL FEMALE

Section ABM Course/s (only for TVL) Month of

3 BANUAG, JAMESON OLE L L

4 CAVAN, MARLON CARBAJOSA I I

14 <=== MALE | TOTAL Per Day ===> 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14

1 ARADO, JOVELYN ELICANO H H

2 BITOY, MARECRIS NALITAN O O

3 CAHAGNA-AN, MERALYN APLICADOR L L

4 CALOGCOG, ROSENEL BALONDO I I

5 DEJAMO, ANNAFER ESCAÑAN D D

6 DUBDUBAN, LOVELY LABE A A

13 SERADA, REGINE ESTACIO

28 Combined TOTAL Per Day 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28

No. of Days of Classes

a. Percentage of Enrolment = x 100 (NLS)

Enrolment as of 1st Friday of the school year

No. of Days of Classes:

100 100 100

e month 100 100 100

c. School-Related Factors Shifting In

port is true and correct:

Section ABM Course/s (only for TVL) Month of FEBRUARY

3 BANUAG, JAMESON OLE L

4 CAVAN, MARLON CARBAJOSA I

<=== MALE | TOTAL Per Day ===> 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14

1 ARADO, JOVELYN ELICANO H

2 BITOY, MARECRIS NALITAN O

3 CAHAGNA-AN, MERALYN APLICADOR L

4 CALOGCOG, ROSENEL BALONDO I

5 DEJAMO, ANNAFER ESCAÑAN D

6 DUBDUBAN, LOVELY LABE A

13 SERADA, REGINE ESTACIO

Combined TOTAL Per Day 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28 28

No. of Days of Classes:

a. Percentage of Enrolment = x 100 (NLS) 14 14 28

Enrolment as of 1st Friday of the school year 100 100 100

Average daily attendance Number of students absent for 5 consecutive days 0 0 0

c. School-Related Factors Shifting In

1 ### AMORA, JONEL SITAY Y SUMMARY TABLE A

6 ### ELICANO, OLSEN JAMES Y Learners who

10 ### MONTECLARO, JOHN DAVE Y TOTAL 17 13 30

1. This form should be accomplished by the Class Adviser at End of School

11 ### TULANG, MAILENE BAUTISTA Y

MARY GRACE M. TADULAN

BACK SUBJECT/S END OF

3 ### BIONG, GREGGY LABE COMPLETE COMPLETE 17 13 30

8 ### LAURE, ADONES LOZANO COMPLETE STATUS MALE FEMALE TOTAL

9 ### MILLANA, CRESENCIO DELOS SANTOS COMPLETE COMPLETE 17 13 30

15 ### TOLIBAS, MARK ANTHONY CAGAS COMPLETE REGULAR 17 13 30

8 ### MONTEBON, BEBEI JEAN NALITAN COMPLETE

MARY GRACE M. TADULAN

End of School Year Status

BACK SUBJECT/S END OF

3 ### BIONG, GREGGY LABE COMPLETE REGULAR COMPLETE 17 13 30

9 ### MILLANA, CRESENCIO DELOS SANTOS COMPLETE REGULAR COMPLETE 17 13 30

15 ### TOLIBAS, MARK ANTHONY CAGAS COMPLETE REGULAR REGULAR 17 13 30

8 ### MONTEBON, BEBEI JEAN NALITAN COMPLETE REGULAR

MARY GRACE M. TADULAN

End of School Year Status

School Form 7, Page _ of ______