School Form 1 (SF 1) School Register

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

School ID 405168 Region Division Misamis Oriental District MEDINA

School Name ST. ISIDORE SCHOOL OF MEDINA, MIS. OR., School Year 2022-2023 Grade Level 7 Section ST. MATTHEW

ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S

IP
BIRTH
NAME Sex AGE as of MOTHER (Specify Contact Number
LRN DATE (mm/ RELIGION
(Last Name, First Name, Middle Name) (M/F) August TONGUE Ethnic (Parent /Guardian)
dd/yy) House # /
Group) Father (Last Name, First Mother (Maiden: Last Name, First (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province Name Relationship
Name, Middle Name) Name, Middle Name) legend on last page)
Purok

ROMAN
1 #FMT ABIAN, EDISON AISA M 07/25/10 12 CEBUANO
CATHOLIC
PUROK 1 MAANAS MEDINA MIS. OR. ABIAN, EDMUND ALMONIA AISA, EDITHA LABISTE 9368409548
ROMAN
2 #FMT ALEGADO, JOSH TIMOTHY LIGAHON M 10/19/10 12 CEBUANO
CATHOLIC
MAANAS MEDINA MIS. OR. ALEGADO, OWEN MAXILOM LIGAHON, SHANGRILA ESPINA 9061681407
ROMAN BALABAG, VERGEL
3 #FMT BALABAG, IAN MIGUEL DETUYA M 09/16/09 12 CEBUANO PUROK 1 NORTH POB. MEDINA MIS. OR. DETUYA, MARIA CERYLL GORGONIO 9367805780
CATHOLIC YARE
ROMAN
4 #FMT BANANIA, PRINCE CARL BONACHITA M 7/3/09 13 CEBUANO
CATHOLIC
PUROK 1 BULWA MEDINA MIS. OR. BANANIA, ARIS BONACHITA, FLORDELIZ GAYLAWAN 9554685880
BORN AGAIN CORDOVA, PRIMO JR.
5 #FMT CORDOVA, PAUL JOSEPH CARUMBA M 03/25/11 11 CEBUANO
CHRISTIAN
PUROK 3 SOUTH POB. MEDINA MIS. OR. AMPARO
CARUMBA, JANIA 9566556478
ROMAN DUMANGCAS, LEONARD
6 #FMT DUMANGCAS, RALP LYNDON TIOXON M 03/15/10 12 CEBUANO
CATHOLIC
PUROK 1 BULWA MEDINA MIS. OR. DILAG
TIOXON, GRACE NERCUIT 9918544981
ROMAN
7 #FMT EDULAN, JOHN DAVE LACRE M 6/7/10 12 CEBUANO
CATHOLIC
PUROK 5 SAN JOSE MEDINA MIS. OR. EDULAN, PEPITO ADLAON LACRE, ROSELIA SALON 9355089117
ROMAN
8 #FMT GALIDO, TRISTAN NIÑO BUHION M 01/16/10 12 CEBUANO
CATHOLIC
PUROK 1 CABUG TALISAYAN MIS. OR. GALIDO, ROSEL FERNANDEZ BUHION, JONAH CATALAN 9166887487
BORN AGAIN
9 #FMT GUIMARAS, CLYEJON HART SEPRADO M 9/10/10 12 CEBUANO
CHRISTIAN
PUROK 4 DIG-AGUYAN MEDINA MIS. OR. GUIMARAS, AQUILINO O. SEPRADO, JOCELYN TUSO 9659978207
ROMAN
127817150102 MACAS, ZAIJAN AWAYAN M 09/14/10 12 CEBUANO
CATHOLIC
PUROK 1 CABUG MEDINA MIS. OR. MACAS, NONILON MOLE AWAYAN, ALMA ABUHAN 9759471652
10

ROMAN MAQUIDATO, RONAN

127832150019 MAQUIDATO, RONAR KENN REMENTIZO M 2/3/10 12 CEBUANO
CATHOLIC
PUROK 3 TUP-ON MEDINA MIS. OR. ODCHIGUE
REMENTIZO, ARLYN SALVACION 9978603957
11

ROMAN
405168150449 OFIAZA, CRIS KOBE M 05/23/09 13 CEBUANO
CATHOLIC
PUROK 4 CABUG MEDINA MIS. OR. OFIAZA, ALPHA AMOR MONTENEGRO 9568449391
12

ROMAN
405168150434 PAULLO, PAUL JAKE CACHO M 3/1/10 12 CEBUANO
CATHOLIC
PUROK 6 NORTH POB. MEDINA MIS. OR. PAULLO, NOEL ABAO CACHO, MARICEL ALBIA 9655340173
13

ROMAN PRIMERO, EMMANUEL IAN

405168150453 PRIMERO, ZENDRYC IAN MUTIA M 05/30/10 12 CEBUANO
CATHOLIC
PUROK 1 NORTH POB. MEDINA MIS. OR. UY
MUTIA, MARIE JUDITH NAVARRO 9658536600
14

ROMAN REGALADO, JUNNETH ANN FE

405168160018 RENDON, GLAIZER JEOF REGALADO M 4/11/10 12 CEBUANO
CATHOLIC
PUROK 2 MAANAS MEDINA MIS. OR. RENDON, JAFRI JALOG
PATALINGHUG 9659066305
15

ROMAN
405168150458 ROMBO, RENVIL QUIBADO M 08/14/09 13 CEBUANO
CATHOLIC
PERLITAS NORTH POB. MEDINA MIS. OR. ROMBO, RENIE GALERA QUIBADO, VILMA LAGRIA 9924843113
16
 ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
IP
BIRTH
NAME Sex AGE as of MOTHER (Specify Contact Number
LRN DATE (mm/ RELIGION
(Last Name, First Name, Middle Name) (M/F) August TONGUE Ethnic (Parent /Guardian)
dd/yy) House # /
Group) Father (Last Name, First Mother (Maiden: Last Name, First (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province Name Relationship
Name, Middle Name) Name, Middle Name) legend on last page)
Purok

ROMAN
488073150034 ADANZA, MARIA KARRELLE MANANQUIL F 10/19/10 12 CEBUANO
CATHOLIC
PUROK 3 TUP-ON MEDINA MIS. OR. ADANZA, RITO JR. NALASA MANANQUIL, LEA KRISTY 9061008156
1

ROMAN
127814150012 APALISOC, HARLYN SIOC F 07/27/10 12 CEBUANO
CATHOLIC
PUROK 1 BULWA MEDINA MIS. OR. APALISOC, RONILO ABAO SIOC, JELYN HARRA SABIJON 9613484169
2

ROMAN ARABIANA, JON MICHAEL

127821150052 ARABIANA, MICHAELLA ACUT F 10/6/10 12 CEBUANO
CATHOLIC
PUROK ROXAS SAN LUIS GINGOOG MIS. OR. GUILLENA
ACUT, YANNIE BUNCAG 9974338329
3

ARAGO, ROGERBERT
107405150008 ARAGO, XILLE PRINCESS GABULE F 07/29/10 12 CEBUANO INC PUROK 2 CABUG MEDINA MIS. OR. MAGNAYE
GABULE, GIRLY ROMANOS 9457139049
4

ROMAN
127484150014 CABANA, ELAIZA JEAN PABOHOT F 10/17/10 12 CEBUANO
CATHOLIC
PUROK 1 MAANAS MEDINA MIS. OR. CABANA, ELMER DAGUPLO PABOHOT, ELEEN SUMALPONG 9663559692
5

ROMAN
405168150435 CALLE, PRECIOUS MARY NIEL SY F 9/3/09 13 CEBUANO
CATHOLIC
PUROK 2 MAANAS MEDINA MIS. OR. CALLE, RONELO RONCO SY, MARY ANN CABANA 9069013494
6

ROMAN
405168150440 GAID, ATHEA JAYNE ESCOBAL F 11/23/09 13 CEBUANO
CATHOLIC
PUROK 7 NORTH POB. MEDINA MIS. OR. GAID, JASON DALANGIN ESCOBAL, MAJELYN CRANZO 9457123161
7

ROMAN GONZAGA, FEDELITO

461510150088 GONZAGA, LIEZELLE ZIANZEN CAGULADA F 12/26/10 12 CEBUANO
CATHOLIC
PUROK 3 PORTULIN MEDINA MIS. OR. MALIGALIG
CAGULADA, LIEZEL GONZALES 9533853981
8

ROMAN GUILLENA, JUNREY

127821150026 GUILLENA, LIZ LAVINIA TAGOCTOC F 11/4/10 12 CEBUANO
CATHOLIC
PUROK ROXAS SAN LUIS GINGOOG MIS. OR. REYNALDA
TAGOCTOC, MARY IVY PEÑALOSA 9263302938
9

ROMAN
127832150037 IGNALIG, JANDIE MAE CARALDE F 9/1/10 12 CEBUANO
CATHOLIC
PUROK 1 TUP-ON MEDINA MIS. OR. IGNALIG, JONEL SABUGA CARALDE, MARIA LIZA BEDRO 9675201443
10

ROMAN JALOG, BERTOLDO

127821150053 JALOG, TRECIA MAE TABAMO F 05/24/10 12 CEBUANO
CATHOLIC
PUROK 2 MAANAS MEDINA MIS. OR. SABACAJAN
TABAMO, CHALISME SACABIN 9050981919
11

ROMAN
127827160003 MADELO, MAKIESHA JANE F 09/21/10 12 CEBUANO
CATHOLIC
SAN JOSE MEDINA MIS. OR. MAELO, JAHANNA JANE ZAMBRANO 9350957476
12

ROMAN MADLOS, MARK GLENN

405168150446 MADLOS, JOHANNA MARIE OLARIO F 10/6/09 13 CEBUANO
CATHOLIC
EBARLE ST. NORTH POB. MEDINA MIS. OR. WAHIMAN
OLARIO, MARIA SOL JOAN DACUYAN 9270061277
13

ROMAN
106109150019 MALLARI, ANDREA UCAT F 03/16/10 12 CEBUANO
CATHOLIC
PUROK 6 MAANAS MEDINA MIS. OR. MALLARI, ROMEL ISIP UCAT, ANNA LISSA VALLAR 9957550935
14

ROMAN MAÑUS, RUDY ANTHONY

127940150967 MAÑUS, ZYREL SAJULGA F 09/27/10 12 CEBUANO
CATHOLIC
PUROK 7 NORTH POB. MEDINA MIS. OR. BERSANO SAJULGA, CECILIA DAGONDON 9678839704
15

ROMAN MAQUIDATO, ALBERT

127832150040 MAQUIDATO, JANDAE BULINGIT F 01/14/10 12 CEBUANO
CATHOLIC
PUROK 2 TUP-ON MEDINA MIS. OR. LABADAN
BULINGIT, DAYLIN OCOT 9658975242
16

ROMAN
405168160020 PON, PRINCESS JASTINE ESCALERA F 07/22/10 12 CEBUANO
CATHOLIC
PUROK 2 NORTH POB. MEDINA MIS. OR. PON, RODELO CADELIÑA ESCALERA, ROSEMARY SAMBOLOT 9759414711
17

ROMAN PABILLAN, MARK

405168150452 PABILLAN, JELOU MAE NERI F 08/20/09 13 CEBUANO
CATHOLIC
CABUG MEDINA MIS. OR. JEFFERSON BATOCTOY
NERI, LOUIN 9356582763
18

ROMAN
405168160021 RABOSA, REANNA MARIC BASAÑES F 06/14/10 12 CEBUANO
CATHOLIC
PUROK 7 NORTH POB. MEDINA MIS. OR. RABOSA, ERWIN SUMASTRE BASAÑES, CORAZON FUERTES 9067220806
19

ROMAN
405168150457 REFORMINA, JULI A JEAN F 6/3/2009 13 CEBUANO
CATHOLIC
PUROK 1 NORTH POB. MEDINA MIS. OR. DELA CRUZ, JEANETTE R 9067308040
20

ROMAN
405198150040 STRAGEVICH, CHRISTINA ANAYA F 03/26/10 12 CEBUANO
CATHOLIC
NORTH POB. MEDINA MIS. OR. STRAGEVICH, MARKUS ANAYA, ELY LABANES 9177043922
21

ROMAN
127823150100 TEJADA, LESLIE F 08/28/10 12 CEBUANO
CATHOLIC
PUROK 4 DUKA MEDINA MIS. OR. TEJADA, MARIE CHRIS BACOLCOL 9053777131
22

List and code of Indicators under REMARK column

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

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 16
KYRA LEE A. ANACAYA MARILOU A. MARISTELA
(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 22
Dropped DRP Reason and Effectivity Date LWD Specify
TOTAL 38
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 replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 405168 School Year 2021-2022 APRIL

Name of School ST. ISIDORE SCHOOL OF MEDINA, MIS. OR., INC. Grade Level GRADE 7 Section ST. MATTHEW

(1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME REMARK/S (If DROPPED OUT, state reason,
1 2 4 5 6 7 8 9 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 please refer to legend number 2.
(Last Name, First Name, If TRANSFERRED IN/OUT, write the name of
Middle Name) M T W TH F S M T W TH F S M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)

1 BACLAYO, MYKO JADE

2 BIÑA, GABRIEL RAE
3 CABOTAJE, ABNER JADE OBEDENCIO
4 CASING, GIAN PATRICK
5 CASING, KLIENT ABAD
6 CUBAO, JHAMYIER ALBA
7 DAIZON, REGIE BAO
8 ESTRADA, JAYPERZON JAGUIT
9 LEONES, YHRON JOCK PEJ CRUZADO
10 LIGAHON, ANDREI MIGUEL BULADACO
11 MERCADO, PAU
12 MICULOB, CHRIS ERICK
13 MOYA, FRICH ANGELO EXZUR BARCELONA
14 PATUASIC, CYRUS DHEO
15 SABAS, JOHN CLARK BUHION
16 SALAGANTIN, LENARD SABUCEDO
17 SALIBIO, JAY
18 SALISE, BRYAN
19 VOSOTROS, XIAN DOUGLAS
 (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME REMARK/S (If DROPPED OUT, state reason,
1 2 4 5 6 7 8 9 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 please refer to legend number 2.
(Last Name, First Name, If TRANSFERRED IN/OUT, write the name of
Middle Name) M T W TH F S M T W TH F S M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
MALE | TOTAL Per Day

1 ANAJAO, TRISH RICAELLA JADMAN

2 BALASABAS, LEIGH
3 BORRA, KIDDA SALEM
4 BUTON, SAMANTHA PAIGE
5 CALUNANGAN, ALTHEA
6 DALIT, GWEN
7 IBDAO, LEEJAYMAE CUBOS
8 JUMO, QUEEN ELIZABETH PADILLA
9 LEGARIA, CHRISTINE JOY ADANZA
10 MACAS, MARY JOY
11 MADELO, JANEEVA JANE ZEMBRANO
12 MAGADIA, KYRIE QLETZ
13 OMAR, CHIZKA
14 PAGLINAWAN, KATE AUDREY GUITERREZ

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
Summary for the
GUIDELINES: Month: No. of Days of
Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
2. Dates shall be written in the preceding columns beside Learner's Name.
* Enrolment as of (August)
3. To compute the following:
Registered Learner as of End of the Month Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June (beyond cut-off)
Total Daily Attendance
b. Average Daily Attendance = Registered Learner as of end of the month
Number of School Days in reporting month
Average daily attendance Percentage of Enrolment as of end of the month
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month
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 the School Form 4. Once signed by the principal, this form should be returned to the adviser. Percentage of Attendance for the month

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of absences Number of students with 5 consecutive days of
or those with potentials of dropping out absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
Drop out
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
Transferred out

Transferred in

I certify that this is a true and correct report.

KYRA LEE A. ANACAYA

(Signature of Teacher over Printed Name)

Attested by:
 (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME REMARK/S (If DROPPED OUT, state reason,
1 2 4 5 6 7 8 9 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 please refer to legend number 2.
(Last Name, First Name, If TRANSFERRED IN/OUT, write the name of
Middle Name) M T W TH F S M T W TH F S M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
MARILOU A. MARISTELA
School Form 2: Page 2 of ________ (Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID 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 & T

LEARNER'S NAME
NO. (Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES

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

LEARNER'S NAME
NO. (Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

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 copy/ies of this form may use if needed.
In case of losses/unreturned, please provide information with the following code:
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
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
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.
Books Issued and Returned
m 1 & Inventory of Text Book)

Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the
Date Date legend on last page)
Returned Issued Returned
 Subject Area & Title Subject Area & Title

REMARK/ACTION TAKEN
(Please refer to the
Date Date legend on last page)
Returned Issued Returned

Prepared By:

d, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

n Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
prepared letter/report duly noted by School Head for submission to School Property
PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________

School Form 3: Page 2 of ________

 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region X Division Misamis Oriental District Medina

School ID 405168

School Name St. Isidore School School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative (A+B) Cumulative (A+B)
Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
LEVEL Month) 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
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:

GUIDELINES: Prepared and Submitted by:

1. This forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head over Printed Name)
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region X Division MISAMIS ORIENTAL District MEDINA

School ID 405168 School Year 2021-2022 Curriculum New

School Name ST. ISIDORE SCHOOL OF MEDINA, MIS. OR., INC. Grade Level VII Section ST. MATTHEW

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
GENERAL AVERAGE School. Elementary grades level that still implementing RBEC need not to
(Numerical Value in 3 ACTION TAKEN: fill up this column)
LEARNER'S NAME decimal places for PROMOTED,
LRN
(Last Name, First Name, Middle Name) honor learner, 2 for *IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of
as of End of the current SY
current SY

#FMT BACLAYO, MYKO JADE JADMAN 90.003 PROMOTED SUMMARY TABLE

#FMT BIÑA, GABRIAL RAE ANTHONY NARANJO 91.007 PROMOTED STATUS MALE FEMALE TOTAL

#FMT CABOTAJE, ABNER JADE OBEDENCIO 87.03 PROMOTED

PROMOTED 18 14 32
#FMT CASING, GIAN PATRICK MARTINEZ 90.000 PROMOTED

#FMT CASING, KLIENT ABAD 87.08 PROMOTED

*IRREGULAR 0 0 0
#FMT CUBAO, JHAMYIER ALBA 91.000 PROMOTED

#FMT DAIZON, REGIE BAO 86.05 PROMOTED

RETAINED 0 0 0
#FMT ESTRADA, JAY PERZON JAGUIT 87.04 PROMOTED

#FMT LEONES, YHRON JOCK PEJ CRUZADO 90.000 PROMOTED

127817150064 LIGAHON, ANDREI MIGUEL BULADACO 87.00 PROMOTED LEVEL OF PROFICIENCY

405168150063 MERCADO, PAU MIKEL BALACUIT 92.000 PROMOTED MALE FEMALE TOTAL

127823140104 MICULOB, CHRIS ERICK ROMICS SUAZO 92.003 PROMOTED BEGINNNING

(B: 74% and 0 0 0
127817140013 MOYA, FRICH ANGELO EXZUR BARCELONA 90.000 PROMOTED below)

127826140041 PATUASIC, CYRUS DHEO 91.005 PROMOTED DEVELOPING (D:

75%-79%) 0 0 0
127817150212 SABAS, JOHN CLARK BUHION 91.007 PROMOTED
APPROACHING
127825130006 SALAGANTIN, LENARD SABUCEDO 88.05 PROMOTED
PROFICIENCY
(AP: 1 1 2
201502140012 SALIBIO, JAY UYGUANCO 83.07 PROMOTED 80%-84%)

405168150067 SALISE,BRYAN LOUISE TAYTAY 92.006 PROMOTED PROFICIENT

(P: 85% -89%) 6 8 14

ADVANCED (A:
90% and above) 11 5 16
 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
GENERAL AVERAGE School. Elementary grades level that still implementing RBEC need not to
(Numerical Value in 3 ACTION TAKEN: fill up this column)
LEARNER'S NAME decimal places for PROMOTED,
LRN
(Last Name, First Name, Middle Name) honor learner, 2 for *IRREGULAR or
non-honor & RETAINED
Descriptive Letter) Completed as of end of
as of End of the current SY
current SY

18 TOTAL MALE

461510150110 ANAJAO, TRISH RICAELLA JADMAN 90.002 PROMOTED

405166150016 BALASABAS, LEIGH LIM 87.03 PROMOTED PREPARED BY:

127817140278 BAUYAN, CRISSA MAE 87.03 PROMOTED KYRA LEE A. ANACAYA

405168160003 BORRA, KIDDA SALEM 87.03 PROMOTED Class Adviser

405168150078 BUTON, SAMANTHA PAIGE OCIO 89.02 PROMOTED (Name and Signature)

405168150076 CALUNANGAN, ALTHEA QUIDET 86.08 PROMOTED

408269160031 DALIT, GWEN DAHITELA 88.03 PROMOTED CERTIFIED CORRECT & SUBMITTED:

127818140010 IBDAO, LEEJAYMAE CUBOS 91.003 PROMOTED MARILOU A. MARISTELA

128007140071 JUMO, QUEEN ELIZABETH PADILLA 88.004 PROMOTED School In Charge

461510150118 LEGARIA, CHRISTINE JOY ADANZA 90.003 PROMOTED (Name and Signature)

127817140288 MACAS, MARYJOY AWAYAN 82.01 PROMOTED

127827160005 MADELO, JANEEVA JANE ZEMBRANO 90.006 PROMOTED REVIEWED BY:

127817140314 MAGADIA, KYRIE QLETZ 85.00 PROMOTED

405166160008 OMAR, CHIZKA 88.01 PROMOTED (Name and Signature)

128063150054 PAGLINAWAN, KATE AUDREY GUTIERREZ 90.000 PROMOTED 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
teacher. The class adviser should make the
computation of 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 tallied with the total enrollment report as of End

of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain under

the discretion of the Schools Division Superintendent
14 TOTAL FEMALE

32 COMBINED School Form 5: Page 2 of __2______

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

School ID Region x Division Misamis Oriental

School Name District Medina

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

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

Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of ADVANCED
(A: 90% and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVIS
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
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 will remain under the discretion of the Schools Division Superintendent
ummarized Report on Promotion
el of Proficiency
replaced Form 20)

Misamis Oriental

Medina School Year

GRADE 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

SCHOOLS DIVISION SUPERINTENDENT

ute the Total for Grade Level in order to reflect the result in each data field.
 School Form 7 (SF7) School Personnel Assignment List and Basic P
(This replaced 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 X Division Misamis Ori

School Name District Medina

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) O
Title of Designation
Title of Plantilla Position Title of Plantilla Position (Designatio
Number of Number of
(as appeared in the appointment (as appeared in the appointment appeared in the contract/docume
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, D
etc.)

EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number - Position, Descending) Minor
T.I.N.) Status Graduate Specialization
 EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number - Position, Descending) Minor
T.I.N.) Status Graduate Specialization

GUIDELINES:
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 SY, updated Form 1
must submit 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. This form
shall also serve as inventory list of school personnel.
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.
hool Personnel Assignment List and Basic Profile
-Monthly Status Report for Teachers, Form 19-Assignment List,
Program and Form 31-Summary Information of Teachers)

Misamis Oriental
Medina School Year

(C ) Other Appointments and Funding Sources

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

* Daily Program (time duration)

Remark/s (For
Subject Taught (include
Total Actual Detailed Items,
Grade & Section),
Indicate name of
Advisory Class & Other DAY From To
Teaching
Ancillary Assignment (M/T/W/ (00:00) (00:00) Minutes school/office, For IP's
TH/F) Assignment -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 * Daily Program (time duration)
Remark/s (For
Subject Taught (include
Total Actual Detailed Items,
Grade & Section),
Indicate name of
Advisory Class & Other DAY From To
Teaching
Ancillary Assignment (M/T/W/ (00:00) (00:00) Minutes school/office, For IP's
TH/F) Assignment -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Submitted by:
movement of teachers and other personnel during SY, updated Form 19

nd should be listed from the highest rank down to the lowest. This form (Signature of School Head over Printed Name)

Updated as of: ___________________________

School Form 7, Page 2 of ________