School Form 9 (formerly Form 138)

Republic of the Philippines

DEPARTMENT OF EDUCATION
REPORT ON ATTENDANCE Region I
Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Total SCHOOLS DIVISION OFFICE OF PANGASINAN II
No. of Sison District
School 500377-BANTAY INSIK INTEGRATED SCHOOL
Days
No. of Name: MONTEMAYOR, RYAN JR. T.
School
Days Age: 12 Sex: MALE
Presen
t
Grade: 7 Section: O
No. of School Year: 2022-2023 LRN: 102019150008
School
Days Dear Parent,
Absent
This report card shows the ability and the progress your child
has made in the different learning areas as well as his/her progress in
character development.
The school welcomes you if you desire to know more about the
PARENT’S /GUARDIAN SIGNATURE progress of your child.
WILLY A. OCUMEN
Adviser
FLORENCE B. CABUAG, PhD
First Quarter ______________________________ School Head
CERTIFICATE OF TRANSFER
Second Quarter ______________________________
Admitted to Grade ___ ____ Section ___
Eligibility for Admission to Grade _________
Third Quarter ______________________________ Approved:
FLORENCE B. CABUAG, PhD WILLY A. OCUMEN
Fourth Quarter ______________________________ School Head Adviser
Cancellation of Eligibility to Transfer
Admitted in: ______________________________
Date: ____________________________________

FLORENCE B. CABUAG, PhD

School Head
 REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
Quarter
Quarter Final Core Values Behavior Statements
Learning Areas Remarks 1 2 3 4
1 2 3 4 Rating
Expresses one’s spiritual
Filipino beliefs while respecting the
1. Maka- spiritual belief of others
English Diyos Show adherence to ethical
Mathematics principles by upholding truth
Is sensitive to individual, social,
Science and cultural differences
2. Makatao
Araling Panlipunan (AP) Demonstrates contributions
towards solidarity
Edukasyon sa Pagpapakatao (EsP)
Cares for the environment and
Technology and Livelihood 3. Maka
utilizes resources wisely,
Education (TLE) Kalikasan judiciously, and economically
MAPEH
Demonstrates pride in being a
Music Filipino; exercises the rights
Arts and responsibilities of a
PE 4. Maka Filipino citizen
Health bansa Demonstrate appropriate
behavior in carrying out
activities in the school,
General Average community, and country
REPORT ON LEARNER’S OBSERVED VALUES
Learning Q1 Q2 Q3 Q4
Modality Marking Non-numerical Rating
AO Always Observed
Description Grading Scale Remarks SO Sometimes Observed
Outstanding 90 – 100 Passed RO Rarely Observed
Very Satisfactory 85 – 89 Passed NO Not Observed
Satisfactory 80 – 84 Passed
Fairly Satisfactory 75 – 79 Passed
Did Not Meet Below 75 Failed
Expectations