School Form 1 (SF 1) School Register

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

School ID 131276 REGION XII Division GENERAL SANTOS CITY District 1ST

School DADIANGAS
Name WEST CENTRAL ELEMENTARY SCHOOL School Year 2022-2023 Grade Level 2 Section GRAPES
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Mother's Maiden Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Father's Name (Last Name, (Please refer to the
June Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name Relation-ship Guardian
First Name, Middle Name) legend on last page)
Purok Name)

136741120729 ABRAZADO, JOHN MAR LAUNIO M 11/20/2015 6 CEBUANO TAUSUG MUSLIM SAFI VILLAGE CALUMPANG GSC SOUTH COT. ABRAZADO, LAUNIO, MICHELLE 9166648556
ALEJANDRO GOMEZ FLORES
136741121485 AMORILLO, YOUSEF ANDREI REYES M 02/16/2015 7 TAGALOG CATHOLIC STO. NINO APOPONG GSC SOUTH COT. AMORILLO, JOSEPH REYES, ANDREA TUPAS 9767685467
TIBAG
136741120754 AMORILLO, YOUSEF ANDREI REYES M 05/13/2015 7 TAGALOG CATHOLIC ZONE 2B BULA GSC SOUTH COT. AQUINO, MIGUEL
YUSOP
BERGONIA, ANNA MAE
VALDEZ
9678544325

136741121034 AREVALO, SHEEN LEE MINIMO M 05/29/2015 7 CEBUANO INC ZONE 2B BULA GSC SOUTH COT. AREVALO, JO TIO MINIMO, SHIKINAH LEE 9888435223

136741120730 AREVALO, SHEEN LEE MINIMO M 06/14/2015 6 CEBUANO MARANAO MUSLIM FATIMA SILWADAD.WEST GSC SOUTH COT. BAYSIC, ANGELO GASTON, ANABELLE 9055564744
LOPEZ
136741120731 BLAQUERA, ANDRE ROMAN ARCENAL M O1/25/2014 8 CEBUANO CATHOLIC SAN JUAN SIL DAD.WEST GSC SOUTH COT. BLAQUERA, ARNOLD ARCENAL, MANILYN 9123334760
ARMIE REYNES
136741120759 BOLANIO, DION JUSTINE DOMINGO M O9/14/2015 6 CEBUANO BORN AGAIN NARANGITA DAD.SOUTH GSC SOUTH COT. BOLANIO, ADONIS DOMINGO, AIZA PELONIO 9088740356
MARQUEZ
136741120006 BRIGOLE, JOHN ELMER VELASCO M 11/20/2015 6 CEBUANO INC BULAONG EXTLABANGAL GSC SOUTH COT. BRIGOLE, JOHN VELASCO, JONAIZA 9677054227
AMORES MANLONES
136741120778 CABALQUINTO, KRISTAL PENA F 12/25/2015 6 CEBUANO CATHOLIC LOTE ACHAROCALUMPANG GSC SOUTH COT. CABALQUINTO, PENA, ROSEMARY LUPIN 970065650
FERDINAND
136741120763 CALE, FIONA MAGBANUA F O8/05/2015 6 CEBUANO CATHOLIC PUTING BATO CALUMPANG GSC SOUTH COT. CALE, JONEL RAMIREZ MAGBANUA, RACHELLE 9230057391
GO
136741120467 COSARIO, DIANNA LIM F 03/20/2015 7 CEBUANO CATHOLIC STA.CRUZ SIL DAD.WEST GSC SOUTH COT. COSARIO, MICHAEL LIM, ISABEL DAZA 9100450602
JOSEPH
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Mother's Maiden Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Father's Name (Last Name, (Please refer to the
June Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name Relation-ship Guardian
First Name, Middle Name) legend on last page)
Purok Name)

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Mother's Maiden Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Father's Name (Last Name, (Please refer to the
June Sitio/ Barangay Municipality/ City Province Name, First Name, Middle Name Relation-ship Guardian
First Name, Middle Name) legend on last page)
Purok Name)

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 126900 School Year 2022-2023 Report for the Month of OCTOBER

Name of School CONEL CENTRAL ELEMENTARY SCHOOL Grade Level 2 Section MADRIDEÑOS

(1st row for date) Total for the Month

LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 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
ABRAZADO, JOHN MAR LAUNIO

AMORILLO, YOUSEF ANDREI REYES

AMORILLO, YOUSEF ANDREI REYES

AREVALO, SHEEN LEE MINIMO

Baysic, Andrie Gaston

Blaquera, Andre Roman Arcenal

Bolanio, Dion Justine Domingo

Brigole, John Elmer Velasco

MALE | TOTAL Per Day

CABALQUINTO, KRISTAL PENA

CALE, FIONA MAGBANUA

COSARIO, DIANNA LIM

Dizon, Aira De-Asis

Estrella, Lyka Jane Flores

Fontanilla, Ivy Shane Santos

Gomez, Alicia Ramirez

 (1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 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

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
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. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Classes: M F TOTAL
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)
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
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
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
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
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
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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
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 REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First 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 ________
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 131276 School Year 2022-2023

School Name DADIANGAS WEST CENTRAL ELEMENTARY SCHOOL Grade Level 2 Section GRAPES
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
FILIPINO MATHEMATICS SCIENCE ENGLISH EDUKASYON SA ARALING MOTHER TONGUE MAPEH
LEARNER'S NAME PAGPAPAKATAO PANLIPUNAN 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

1 Abrazado, John Mar Launio 07/22/2022 03/18/2023 07/22/2022 03/18/2023 07/22/2022 03/18/2023 07/22/2022 03/18/2023 07/22/2022 03/18/2023 07/22/2022 03/18/2023 07/22/2022 03/18/2023 07/22/2022 03/18/2023
Amorillo, Yousef Andrie Reyes
2 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2022 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023
Arevalo, Sheen Lee Minimo
3 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023
Baysic, Andrie Gaston
4 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023
Blaquera, Andre Roman Arcenal
5 07/22/2022 03/23/2023 07/22/2022 03/23/2023 07/22/2022 03/23/2023 07/22/2022 03/23/2023 07/22/2022 03/23/2023 07/22/2022 03/23/2023 07/22/2022 03/23/2023 07/22/2022 03/23/2023
Bolanio, Dion Justine Domingo
6 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023
Brigole, John Elmer Velasco
7 07/22/2022 03/26/2023 07/22/2022 03/26/2023 07/22/2022 03/26/2023 07/22/2022 03/26/2023 07/22/2022 03/26/2023 07/22/2022 03/26/2023 07/22/2022 03/26/2023 07/22/2022 03/26/2023

TOTAL FOR MALE | TOTAL COPIES 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8

Cabalquinto, Kristal Pena
07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023 07/22/2022 03/20/2023
Cale, Fiona Magbanua
07/22/2023 03/15/2023 07/22/2022 03/15/2023 07/22/2022 03/15/2023 07/22/2022 03/15/2023 07/22/2022 03/15/2023 07/22/2022 03/15/2023 07/22/2022 03/15/2023 07/22/2022 03/15/2023
Cosario, Dianna Lim
07/22/2023 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023
Dizon, Aira De-Asis
07/22/2023 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023 07/22/2022 03/16/2023
Estrella, Lyka Jane Flores
07/22/2023 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023
Fontanilla, Ivy Shane Santos
07/22/2023 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023 07/22/2022 03/25/2023
Gomez, Alicia Ramirez
07/22/2023 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2022 03/22/2023 07/22/2023 03/22/2023

TOTAL FOR FEMALE | TOTAL COPIES 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7

TOTAL LEARNERS | TOTAL COPIES 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15

 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
FILIPINO MATHEMATICS SCIENCE ENGLISH EDUKASYON SA ARALING MOTHER TONGUE MAPEH
LEARNER'S NAME PAGPAPAKATAO PANLIPUNAN 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

In case of lost/unreturned books, please provide information with the following code: Prepared By:

2 A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence KEIAN MARIE P. ESTALANE
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for
3 code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property (Signature over printed name)
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
4 DO#14, 2.2012. Date BoSY:____________ Date EoSY: ___________

6 School Form 3: Page ___ of ________

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5. All textbooks being used must be included. Additional copies of this form may be used if needed.
 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 the Daily Average Percentage for (A) Cumulative as (B) For the Month as of End of the (A) Cumulative as (B) For the Month as of End of the (A) Cumulative as (B) For the Month Cumulative as of
LEVEL 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 Division District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing
(Numerical Value in 2
LEARNER'S NAME PROMOTED, RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

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
GENERAL
(This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing
(Numerical Value in 2
LEARNER'S NAME PROMOTED, RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year ADVANCED
(A: 90% and
TOTAL MALE above)

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

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
 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE
ACTION TAKEN: High School. Elementary grades level that are still implementing
(Numerical Value in 2
LEARNER'S NAME PROMOTED, RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE

COMBINED School Form 5: Page ____ of ________

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