School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 400969 Region VIII Division BULACAN District STA.MARIA

School Name SACRED HEART ACADEMY OF STA. MARIA (BULACAN), INC. School Year 2021-2022 Grade Level GRADE 8 Section PYTHAGORAS

ADDRESS PARENTS GUARDIAN (If not Parent) REMARKS

AGE
LRN
NAME Sex BIRTH DATE as of 1st MOTHER IP
RELIGION
Contact Number of Learning
Father's Name Mother's Maiden Name
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday TONGUE (Ethnic Group) House #/ Street/ Sitio/
Barangay Municipality/ City Province (Last Name, First Name, Middle (Last Name, First Name, Middle Name Relation-ship
Parent or Guardian Modality (Please refer to the legend on
June Purok last page)
Name) Name)

105141130030 M 08/08/2008 13
TAGALOG
CATHOLIC 585 BALASING
STA. MARIA BULACAN
NONE ALEJANDRO, MARILOU CARMELITA ALEJANDRO AUNTI 9519305419
ALEJANDRO, REIGNALD
40096150654 M 03/09/2008 13
TAGALOG
CATHOLIC BLK 15 LOT 20 CAYPOMBO
STA. MARIA BULACAN
ASIS GILBERT V. MELANIE SESGUNDO 9213868347
ASIS, MARKUZ ELY SESGUNDO BELMONT PARC
VILL.
13650340005 M 11/01/2007 14 CATHOLIC BLK 16 LOT 44 STA. CRUZ BANAWA, JOEL D. ROMAGOS, JOY L. 9081116131
TAGALOG STA. MARIA BULACAN
BANAWA, JOSAINTHE ROMAGOS SONOMO RES.
158514130147 M 08/02/2008 13 TAGALOG CATHOLIC APARTMENT DOOR POBLACION STA. MARIA BULACAN BENITEZ, JR. ROBERTO G. GACUS, MARIFLOR 9275828220
BENITEZ, ROB MATTHEW GACUS D OMPOC BASMAYOR
400953150014 M 10/16/2008 13 CATHOLIC VILLARICA
BLK 33 LOT 12 GUYON BULAWIN, DENNES T. SHARON ANN C. 9610013171
BULAWIN, YUAN JAMES BACERRA TAGALOG STA. MARIA BULACAN
VILLA CORAZON BACERRA
107159120477 M 05/22/2008 13 CATHOLIC SUBD.
995 FELICIANO SUBDMUZON SAN JOSE DEL CANTON, NORLINO CAPULONG, JULIE-ANNE 9269932598
CANTON, LEBRONE JAMES CAPULONG TAGALOG BULACAN
MONTE
158535130120 M 08/29/2008 13 TAGALOG CATHOLIC BLK 37 LOT27 ST.. CAYSIO STA. MARIA BULACAN CARIG, EDGARDO FIDELIS ESPARRAGO, GENELITA 9125683810
CARIG, MARK GABRIEL ESPARRAGO MARY VILLAGE RAGAS
105169130017 M 07/15/2008 13 TAGALOG CATHOLIC 243 SITIO CAINGIN STO.TOMAS STA. MARIA BULACAN CONCEPCION, JOEL SALUD, CHARINO 9515810616
CONCEPCION, CARL JOEL SALUD
105165130004 M 8/11/2008 13 TAGALOG CATHOLIC #533 SILANGAN STA. MARIA BULACAN DELA CRUZ, EDGAR MARTINEZ, MARITEZ 9532443924
DELA CRUZ, CEDRIC MARTINEZ
400673150367 M 08/15/2008 13 TAGALOG CATHOLIC ST PUTOL BULAC STA. MARIA BULACAN DIAZ, RICARDO M. ROQUE, MYLNE 9430861032
DIAZ, PAOLO ROQUE
105153130008 M 08/10/2008 13 TAGALOG CATHOLIC 1027 KAYLAWIG CATMON STA. MARIA BULACAN ESPAYOS, ROMEO R. PASCUAL, DINAH D. 9380457092
ESPAYOS, JOHN APOLLO PASCUAL
M 04/25/2008 13 TAGALOG CATHOLIC 315 CRISTOBAL ST. CAYSIO STA. MARIA BULACAN FELICIANO, VITORIOSO M. RAMOS, BREGETTE V. 9565647877
FELICIANO, BRYAN DENNIEL RAMOS
406302150280 M 11/26/2007 14 TAGALOG INC BLK 15 LOT 65 ABANGAN MEYCUAYAN BULACAN GO, EMERSON VENTURA, ELSA 9951054426
GO, DAVIDSON MIGUEL VENTURA CHERRY ST. URBAN NORTE
40659015098 M 05/22/2008 13 CATHOLIC DECA
17 HOMES ST. BULAC
BERNARDO GONZALES, ROGELIO VERGARA, ROSEMARIE 9453051710
TAGALOG SITIO LUWASAN STA. MARIA BULACAN FLORO
GONZALEZ, RUSSELL VERGARA
105168130103 M 09/25/2008 13
TAGALOG
CATHOLIC 12 B, LOTE DULONG POBLACION
STA. MARIA BULACAN
N/A AIZETHEL CATAHAN 9508541357
HERMOGENES, BRENT KEIO BAYAN HERMOGENS
104828130062 M 02/28/2008 13 CATHOLIC BLK 57 LOT 5 CAYSIO LACUNA, REYNALDO D. MENDOZA, ADELMA 9125121205
LACUNA, REYDEL MENDOZA TAGALOG STA. MARIA BULACAN PRIMERO
NORTHVILLE 5-A
158535140002 M 07/13/2008 13 TAGALOG CATHOLIC BLK 1 LOT 6 ST. CAYSIO STA. MARIA BULACAN MATAAC, JIMMY S. RIVERA, EVA S. 9616389528
MATAAC, JAMES JARRED RIVERA MARY VILLAGE
105142130029 M 04/26/2008 13 CATHOLIC BLK 204 LOT 11 MUZON SAN JOSE DEL MOHAMED, SOLAIN CASTILLO, CATTLEYA 9451839885
MERCIALES, CARL JESTER CASTILLO TAGALOG BULACAN MAHMAUD ALVAREZ,
PHASE 2, METRO MONTE
136426140430 M 10/18/2008 13 CATHOLIC GATEPASONG
1303 SAN VICENTE MONTALBAN, KEITH PAR, RODINA BARCENAS 9498660075
TAGALOG STA. MARIA BULACAN GONZALES
MONTALBAN, KEITH PHILLIP PAR KASAY ST.
100616140036 M 04/12/2008 13
TAGALOG
CATHOLIC 15 MATANG TUBIG GUYONG LOTE
STA. MARIA BULACAN
RAGASA, JR. SAMUEL TALANIA, KAREN I. URBINA, ROGELIO F. UNCLE 9152776261
RAGASA, JASPER CARL TALANIA ST.
400969151419 M 08/29/08 13 CATHOLIC 1041 YAKAL ST. STA. CLARA RAMOLETE, JOSELITO DEL ROSARIO, ELISA 9229665881
RAMOLETE, JOHN BENEDICT DEL ROSARIO TAGALOG STA. MARIA BULACAN CASTILLO
VALONDO
106509140183 M 02/25/2007 14 CATHOLIC BLK 6 LOT 61 EL CAYPOMBO ROBERT C SASPA, ROBERT C. LOPLOP, HENA KHRISTINA 9164315798
SASPA, XYRILLE HART LOPLOP TAGALOG STA. MARIA BULACAN D.
PPUEBLO DEL RIO
407184150190 M 07/21/2008 13 TAGALOG BORN BLK 18 LOT 1 STA. CLARA STA. MARIA BULACAN SINGH, HARJIT SINGH, MAAN 9567780320
SINGH, ,YUAN GABRIEL GUIANG AGAIN GLENDALE RES.
136720130232 M 02/13/2008 13 TAGALOG CATHOLIC 443 F. HALILI BAGBAGUIN STA. MARIA BULACAN N/A TEMPLO, MARY ANNE R. MARY ROSE HALILI AUNT 9664484552
TEMPLO, BRIAN JUSTINE TENESES
406569150172 M 12/04/2007 14 CATHOLIC BLK 15 LOT STA. CLARA N/A UMAYAM RUBY ANNE 9062605848
UMAYAM, LLOYD REIGN BERNAL TAGALOG STA. MARIA BULACAN
1GLENDALE RES.
400945150331 M 07/17/2008 13 CATHOLIC 1795 MAPAYAPA ST. STA. CRUZ VILLIARIAS, ALVIN S. GLORIOSO, NANETTE C. 9178790615
VILLARIAS, NICK ALISON GLORIOSO TAGALOG STA. MARIA BULACAN
 ADDRESS PARENTS GUARDIAN (If not Parent) REMARKS
AGE
LRN
NAME Sex BIRTH DATE as of 1st MOTHER IP
RELIGION
Contact Number of Learning
(M/F) (mm/dd/ yyyy) Friday TONGUE (Ethnic Group) Father's Name Mother's Maiden Name Parent or Guardian Modality
(Last Name, First Name, Middle Name) House #/ Street/ Sitio/
Barangay Municipality/ City Province (Last Name, First Name, Middle (Last Name, First Name, Middle Name Relation-ship
(Please refer to the legend on
June Purok last page)
Name) Name)

FEMALE

F 02/09/2008 13 CATHOLIC 0198 PULANG LUPA CATMON ADRIANO, ELMER DELA ROSA VILLANUEVA, MINA JOY 9156419442
ADRIANO, ELLAINE JOY VILLA1NUEVA TAGALOG STA. MARIA BULACAN

105168130319 F 03/07/2008 13 CATHOLIC FRANCISCA HOMES SAN JOSE BARCELON, ROMEL ESPEJO, NORMA 9707382404
BARCELON, SHANE KATHLEEN TAGALOG STA. MARIA BULACAN GAMARCHA
JIL 9209 PATAG TAJAN
105152130107 F 05/05/2008 13 CATHOLIC 0558 CENTRAL CATMON CALDERON, JOSELITO LACAP GRAVADOR, JENNIFER 9236789927
CALDERON, JANNAH MHYCA GRAVADOR TAGALOG STA. MARIA BULACAN
REYES
F 09/27/2008 13 CATHOLIC BLK 54 LOT 15 CAYSIO CRUDO, MARIO SECRETARIO COBACHA, RICHELLE S. 9288699666
CRUDO, TRISHA MAE COBACHA TAGALOG STA. MARIA BULACAN

105168130154 F 08/18/2008 13 CATHOLIC 80 C IGNACIO ST. POBLACION N/A ALICIA DELA CRUZ, ALICIA 9438663033
DELA CRUZ, AYESHA LOU SISON TAGALOG STA. MARIA BULACAN

105168130116 F 09/24/2008 13 CATHOLIC 1517 BYPASS ROAD STA. CRUZ DELA RAMA, ROE DREXZER ROSARIO, MERLITA 9171473042
DELA RAMA, JAYCEE RHIANNA DEL ROSARIO TAGALOG STA. MARIA BULACAN

418604150158 ENRIQUEZ, NATHALIE CLAIRE ALZAGA F 06/12/2008 13 TAGALOG CATHOLIC BLK 33 LOT 9 EL M.SAPA STA. MARIA BULACAN ENRIQUEZ, CIDRIC M. ALZAGA, LORAINE T. 9560837818
PUEBLO DEL RIO
105152130109 F 05/26/2008 13 CATHOLIC SUBD.
0164 LUWASAN CATMON EUGENIO, EDWIN L. GUTIERREZ, JOAN CRUZ 9566236131
EUGENIO, GLAIZE ALTHEA GUTTIEREZ TAGALOG STA. MARIA BULACAN

105168130086 EUGENIO, PHOEBIE ANNE BERNIER F 02/01/2008 13 TAGALOG CATHOLIC A. DOOR 5 POBLACION STA. MARIA BULACAN EUGENIO, JUANITO JR. C. BERNIER, ROSALIE M. 916776659
BONIFACIO ST
400945150339 F 04/22/2008 13 CATHOLIC GULOD
1064 SUBD. SAN JOSE FLORES, MICHAEL M. USI, MARYLYN 9183449355
FLOREZ, MIKYLA ASHANTI USI TAGALOG STA. MARIA BULACAN
PATAG
400875150156 FRANCISCO, PRINCESS RYAN ABADIEZ
F 12/02/2008 13
TAGALOG
CATHOLIC 77 SITIO GIPIT SAN JOSE
STA. MARIA BULACAN
FRANCISCO, RYAN M. ABADIEZ, MANILYN B. 9365405903
PATAG
105157150176 GERONIMO, SYESHA CASSANDRA DEL ROSARIO F 08/18/2008 13 TAGALOG CATHOLIC 389 LALAKHAN STA. MARIA BULACAN GERONIMO, ULYSSES R. DEL ROSARIO, 9256081808
CHRISTINE URIARTE
105147130386 GONZALES, WINGIE MAY DEL ROSARIO F 10/09/2008 13 TAGALOG CATHOLIC BLK 15 LOT 35 CAYPOMBO STA. MARIA BULACAN GONZALES, EDWIN DEL ROSARIO, MARGIE 9254840032
BRIGHT HOMES
400954150160 F 06/21/2008 13 INC SUBD.
123 CENTRO ST., GUYONG INGAL, LEOPOLDO . DELA RAMA, MA. 9176370098
INGAL, PAULEEN KYLA HERNANDEZ TAGALOG STA. MARIA BULACAN ASUNCION H.
105168130289 F 08/28/2008 13 CATHOLIC BLK 7 LOT 14 DULONG BAYAN LIM, OLIVER TAGHAP BALTAZAR, BEATRIZ 9332686476
LIM, CHINA HEART BALTAZAR TAGALOG STA. MARIA BULACAN
AMBER HOMES OBINA
F 03/12/2008 13 CATHOLIC SUBD.
3RD PAG ASA ST. TAAL ORTEGA, ROBERTO B. LASCANAS, LORENA 9770966783
ORTEGA, ANGELA LASCANAS TAGALOG BOCAUE BULACAN

158531130248 RAPADA, JAHANNA LUJILE ELISAN F 06/29/2008 13 TAGALOG CATHOLIC BLK.19 LOT 36 SAN JOSE STA. MARIA BULACAN RAPADA, JEFFREY ELISAN, ELISAN 9224842365
BURGANDY HOMES PATAG
400963510054 VIAGEDOR, GABRIELLE GENESIS BURDEOS F 12/02/2007 14 TAGALOG CATHOLIC MELON ST TUMANA STA. MARIA BULACAN VIAGEDOR, ROMMEL P. BURDEOS, MA. 9154111916
ARGENTINA GERONA
105168140021 F 10/04/2007 13 CATHOLIC 45 R. G. NICOLAS ST.POBLACION ENRICO NICOLAS DEL YAMBAO, PERLITA 9165744977
VILLAMOR, MARY NIÑA YAMBAO TAGALOG STA. MARIA BULACAN ARARACAP
ROSARIO

Prepared by: Certified Correct:

Code Required Information Code Required Information REGISTERED BoSY EoSY

T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 26 RENATO A. LOTO JR.
WILLAM DC. ENRIQUE, PhD.
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE 19
DRP Reason and Effectivity Date LWD Specify 08/02/2021 04/30/2022 08/02/2021 04/30/2022
TOTAL 45
LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:

ADORITA P. CHICO
Generat ed thru LIS
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 400969 School Year 2021-2022 Report for the Month of AUGUST

Name of School SACRED HEART ACADEMY OF STA.MARIA (BULACAN) INC Grade Level 7 Section PYTHAGORAS

(1st row for date) Total for the Month

LEARNER'S NAME 23 REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 31 to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
1 ALEJANDRO, REIGNALD E M N 0
2 ASIS, MARKUZ ELY SESGUNDO E A A 0
3 BANAWA, JOSAINTHE ROMAGOS E R T 0
4 BENITEZ, ROB MATTHEW GACUS E C I 0
5 BULAWIN, YUAN JAMES BACERRA E E O 0
6 CANTON, LEBRONE JAMES CAPULONG E L N 0
7 VILLARIAS, NICK ALISON GLORIOSO E O A 0
8 CONCEPCION, CARL JOEL SALUD E L 0

9 DELA CRUZ, CEDRIC MARTINEZ E H. 0

10 DIAZ, PAOLO ROQUE
11 ESPAYOS, JOHN APOLLO PASCUAL
12 FELICIANO, BRYAN DENNIEL RAMOS
13 GO, DAVIDSON MIGUEL VENTURA
14 GONZALEZ, RUSSELL VERGARA
15 HERMOGENES, BRENT KEIO
16 LACUNA, REYDEL MENDOZA
17 MATAAC, JAMES JARRED RIVERA
18 MERCIALES, CARL JESTER CASTILLO
19 MONTALBAN, KEITH PHILLIP PAR
20 RAGASA, JASPER CARL TALANIA
21 RAMOLETE, JOHN BENEDICT DEL ROSARIO E
E D H 0
E E E 0
E L R 0
E O 0
E P E 0
E I S 0
E L 0
E A D 0
E R A 0
E Y 0
E 0
0

22 SASPA, XYRILLE HART LOPLOP E 0

23 SINGH, ,YUAN GABRIEL GUIANG E 0
24 TEMPLO, BRIAN JUSTINE TENESES E 0
25 UMAYAM, LLOYD REIGN BERNAL E 0
26 VILLARIAS, NICK ALISON GLORIOSO E 0

MALE TOTAL Per Day 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 0 0 0

FEMALE

1 ADRIANO, ELLAINE JOY VILLA+B39:E51NUEVA E M N 0

2 BRCELON, SHANE KATHLEEN E A A 0

3 CALDERON, JANNAH MHYCA GRAVADOR E R T 0
 (1st row for date) Total for the Month
LEARNER'S NAME 23 REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 31 to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
4 CRUDO, TRISHA MAE COBACHA E C I 0
5 DELA CRUZ, AYESHA LOU SISON E E O 0
6 DELA RAMA, JAYCEE RHIANNA DEL ROSARIO E L N 0
7 ENRIQUEZ, NATHALIE CLAIRE ALZAGA E O A 0
8 EUGENIO, GLAIZE ALTHEA GUTTIEREZ E L 0
9 EUGENIO, PHOEBIE ANNE BERNIER E H 0
10 FLOREZ, MIKYLA ASHANTI USI E H 0
11 FRANCISCO, PRINCESS RYAN ABADIEZ E D E 0
12 GERONIMO, SYESHA CASSANDRA DEL ROSARIO E E R 0
13 GONZALES, WINGIE MAY DEL ROSARIO E L O 0
14 INGAL, PAULEEN KYLA HERNANDEZ E E 0
15 LIM, CHINA HEART BALTAZAR E P S 0
16 ORTEGA, ANGELA LASCANAS E I 0
17 RAPADA, JAHANNA LUJILE ELISAN E L D 0
18 VIAGEDOR, GABRIELLE GENESIS BURDEOS E A A 0
19 VILLAMOR, MARY NIÑA YAMBAO E R Y 0

FEMALE | TOTAL Per Day 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 0 0 0

Combined TOTAL PER DAY 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 0 0 0

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 26 19
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 26 19 46
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems 100 100 100
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness 26 19 45
Average Daily Attendance
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 100% 100 100
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days:

0.0%

0.0%
0%
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 3 3 6
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related RENATO A. LOTO JR.
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ WILLAM DC. ENRIQUE, Ph.. D
(Signature of School Head over Printed Name)
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 400969 School Year 2021-2022 Report for the Month of SEPTEMBER

Name of School SACRED HEART ACADEMY OF STA.MARIA (BULACAN) INC Grade Level 7 Section PYTHAGORAS

(1st row for date) Total for the Month

LEARNER'S NAME 26 REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
1 ALEJANDRO, REIGNALD

2 ASIS, MARKUZ ELY SESGUNDO 0

3 BANAWA, JOSAINTHE ROMAGOS 0

4 BENITEZ, ROB MATTHEW GACUS 0

5 BULAWIN, YUAN JAMES BACERRA 0

6 CANTON, LEBRONE JAMES CAPULONG 0

7 VILLARIAS, NICK ALISON GLORIOSO 0
8 CONCEPCION, CARL JOEL SALUD 0

9 DELA CRUZ, CEDRIC MARTINEZ 0

10 DIAZ, PAOLO ROQUE 0

11 ESPAYOS, JOHN APOLLO PASCUAL 0

12 FELICIANO, BRYAN DENNIEL RAMOS 0

13 GO, DAVIDSON MIGUEL VENTURA 0

14 GONZALEZ, RUSSELL VERGARA 0

15 HERMOGENES, BRENT KEIO 0

16 LACUNA, REYDEL MENDOZA 0

17 MATAAC, JAMES JARRED RIVERA 1

18 MERCIALES, CARL JESTER CASTILLO 0

19 MONTALBAN, KEITH PHILLIP PAR 0

20 RAGASA, JASPER CARL TALANIA 0

21 RAMOLETE, JOHN BENEDICT DEL ROSARIO 0

22 SASPA, XYRILLE HART LOPLOP 0

23 SINGH, ,YUAN GABRIEL GUIANG 0

24 TEMPLO, BRIAN JUSTINE TENESES 0

25 UMAYAM, LLOYD REIGN BERNAL 0

26 VILLARIAS, NICK ALISON GLORIOSO 0

MALE TOTAL Per Day 25 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 1
FEMALE

1 ADRIANO, ELLAINE JOY VILLA+B39:E51NUEVA 0

2 BRCELON, SHANE KATHLEEN 0

3 CALDERON, JANNAH MHYCA GRAVADOR 0

 (1st row for date) Total for the Month
LEARNER'S NAME 26 REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
4 CRUDO, TRISHA MAE COBACHA 0

5 DELA CRUZ, AYESHA LOU SISON 0

6 DELA RAMA, JAYCEE RHIANNA DEL ROSARIO 0

7 ENRIQUEZ, NATHALIE CLAIRE ALZAGA 0

8 EUGENIO, GLAIZE ALTHEA GUTTIEREZ 0

9 EUGENIO, PHOEBIE ANNE BERNIER 0

10 FLOREZ, MIKYLA ASHANTI USI 0

11 FRANCISCO, PRINCESS RYAN ABADIEZ 0

12 GERONIMO, SYESHA CASSANDRA DEL ROSARIO 0

13 GONZALES, WINGIE MAY DEL ROSARIO 0

14 INGAL, PAULEEN KYLA HERNANDEZ 0

15 LIM, CHINA HEART BALTAZAR 0

16 ORTEGA, ANGELA LASCANAS 0

17 RAPADA, JAHANNA LUJILE ELISAN 0

18 VIAGEDOR, GABRIELLE GENESIS BURDEOS 0

19 VILLAMOR, MARY NIÑA YAMBAO 0

FEMALE | TOTAL Per Day 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 26 1

Combined TOTAL PER DAY 44 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 1

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 26 19
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 26 19
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems 100 100 100
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness 0.96 100 100.96
Average Daily Attendance
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 4% 5.26 8.86
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days:
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 1 2 3
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related RENATO A. LOTO JR.
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
 (1st row for date) Total for the Month
LEARNER'S NAME 26 REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27 28 29 30 to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
Attested by:
School Form 2 : Page ___ of ________ WILLAM DC. ENRIQUE, Ph.. D
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 400969 School Year

School Name Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

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

LEARNER'S NAME REMARKS/ACTION TAKEN

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

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES:
1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
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 (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
DO#14, 2.2012.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
LEVEL the Month) the Month of Previous Month
Month
of Previous Month
Month
of Previous Month
End of the Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T

ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES: Prepared and Submitted by:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
 (Signature of School Head over Printed Name)
Page _____ of _____ pages
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region 3 Division BULACAN District STA. MARIA

School ID 400969 School Year 2020-2021 Curriculum K TO 12

School Name Grade Level 7 Section CHRONICLES

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that are still implementing
ACTION TAKEN:
LEARNER'S NAME GENERAL RBEC need not to fill up these columns)
LRN PROMOTED, CONDITIONAL
(Last Name, First Name, Middle Name) AVERAGE
or RETAINED
From previous school years
completed as of end of current As of end of current School Year
School Year

PROMOTED
400969152346 CHICO, ADORITA PALOMARES 88
WITH HONORS SUMMARY TABLE

PROMOTED
STATUS MALE FEMALE TOTAL
WITH HIGHEST HONORS

PROMOTED
PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and
above)
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that are still implementing
ACTION TAKEN:
LEARNER'S NAME GENERAL RBEC need not to fill up these columns)
LRN PROMOTED, CONDITIONAL
(Last Name, First Name, Middle Name) AVERAGE
or RETAINED
From previous school years
completed as of end of current As of end of current School Year
School Year ADVANCED
(A: 90% and
20 TOTAL MALE above)

PREPARED BY:

WILLAM DC. ENRIQUE, PhD.

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

WILLAM DC. ENRIQUE, PhD.

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

Division Representative

GUIDELINES:

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per

subject area should be taken from the record of subject
teachers. The class adviser should compute for the
General Average.

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

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

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

of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent
TOTAL FEMALE
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that are still implementing
ACTION TAKEN:
LEARNER'S NAME GENERAL RBEC need not to fill up these columns)
LRN PROMOTED, CONDITIONAL
(Last Name, First Name, Middle Name) AVERAGE
or RETAINED
From previous school years
completed as of end of current As of end of current School Year
School Year

COMBINED School Form 5: Page __2__ of _2_______

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

School ID Region Division

School Name District School Year

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

BEGINNNING
(B: 74% and below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per grade level is reflected in the End of School Year Report of GESP/GSSP.
4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division

School Name District School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

Number of
Title of Designation Appointment:
Incumbent
Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

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

Ave. Minutes per Day

Ave. Minutes per Day

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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an
updated Form 19 must be submitted to the Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Employee Remarks (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section), Total Actual
Detailed Items,
(Arrange by Sex Indicate name of
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Week

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________