Act 7accomplishing Reports Forms

Activity 1
ACCOMPLISHING SCHOOL FORMS AND

OTHER RELATED REPORTS
Teaching
Internship
e-Portfolio
Activity
Teaching Intern
1
Activity 7
ACCOMPLISHING REPORTS/ FORMS
My Aims/Purposes
At the end of the activity, I should be able to:
a. identify all the school forms and their uses; and

b. accomplish each school form and other related reports.
My Responsibilities
Aside from teaching, teaching interns are oriented and guided to accomplish forms
that are being required by the school. These forms contain information and data which are
useful to keep track of their progress, enrollment details among others.
a. The following are the modified school forms that you need to familiarize to
accomplish them easily.
LIST OF MODIFIED SCHOOL FORMS
CODES AND DESCRIPTION TO BE MODE OF SCHEDULE

TITLE PREPARED PREPARATION
BY
SF 1- School Master List of Class LIS Beginning of
Register Class Enrollment Adviser School Year
(BoSY) and
as needed
SF 2- Learner’s Recording of Class Partially through Daily
Daily Class attendance, Adviser LIS and manual
Attendance absence,
tardiness
(template with
learners’ name)
SF 3- Books List of books (by Class Partially through Beginning of
Issued and title) issue to/ Adviser LIS and manual School Year
Return returned by (BoSY) and
learners End of School
Year (EoSY)
SF 4- Summary Enrollment count/ School Head LIS Monthly
Enrollment and transferred in/ out
2
Movement of and dropout by
Learners grade level
(Summary of
SF2)
SF 5- Report List of Promoted/ Class LIS EoSY
on Promotion Retained by Adviser
Class
SF 6- Summary Number of
Report on Promoted/
Promotion Retained by
Grade Level
(Summary of
SF5)
SF 7- Inventory List of school School Head Manual BoSY or as
of School personnel with (originally needed
Personnel basic profile and designed in
teaching load/ Human Resource
assignment Information
System)
SF 8- Learner Per learner Class LIS BoSY or
Basic Health assessment of Adviser/ EoSY
Profile Body Mass Index MAPEH
teachers
SF 9- Learner Individual Class Manual Quarterly
Progress academic, Adviser
Report Card behavioral and
attendance
report by quarter
(formerly Form
138)
SF 10- Individual Class Manual EoSY
Learner’s academic record Adviser
Permanent by quarter and
Academic SY (Simplified
Record and standard
from former Form
137)
Reference: DO No. 4, s. 2014 and DO No. 11, s. 2018
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IMPORTANT TO NOTE!
After knowing the different forms, here are the initial task of teacher- adviser
pursuant to the DepEd Order No. 11, s. 2018. This task is to ensure the quality and
consistency of the learner information. Kindly ask the assistance of your faculty experts in
elucidating the steps below.
1. At the beginning of the school year, collect supporting documents like PSA Birth
Certificate, Baptismal Certificate and the like to establish the identity of each learner
assigned per class.
2. If the learner is from other school, the teacher adviser will coordinate and validate the
transfer of the Learner’s Permanent Academic Record. Guideline for the transfer of
the learner’s academic records as provided in DO No. 54, s. 2016 shall be properly
observed.
3. Diligently encode the learners basic information into the Learner Information System
(LIS) to avoid issues in data accuracy and reliability. The learner’s academic records
shall be the basis for enrolling or validating the said learner in the Learner Information
System (LIS).
4. After encoding all the information in the LIS, the class adviser can generate FS 1 using
his/ her system account. This shall become the official enrollment list of his/ her class
and shall be used as reference in any other reporting that requires the list of officially
enrolled learners.
5. The class adviser shall also download SF2 from the LIS with pre- loaded names of
learners. This learner daily attendance report shall be forwarded to the school head
assessment and consolidation, and to serve as reference for the consolidated report
on monthly movements of learners as required in SF4 or the Monthly Learner
Movement and Attendance Report.
6. At the end of the school year, once the computation of final rating for each learning
area is done, transfer the grades from the class record into SF10. Noted that SF 10
should not be prepared quarterly to avoid erasures in the document by ensuring that
only final grades are recorded. The validated SF10 will be the basis for updating each
learner’s status (promoted, conditionally promoted or retained) in the LIS as of end of
school year. Provisions stipulated in DepEd Order No. 58, s. 2017 Section IV,
paragraphs D & E and DepEd Order No. 69, s. 2016 Section IV, Paragraph B shall be
strictly observed. SF5 and SF6 or the Report on Promotion and Level of Proficiency
sand the Summarized Report on Promotion and Level of Proficiency, respectively, for
each class can be generated from the LIS using the school level access accounts.
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7. The SF5K shall be used for Kindergarten as validated by the Early Childhood Care
and Development (ECCD) Checklist post- test result and the Kindergarten Progress
Report Class Advisers in Kindergarten are not required to prepare SF-10 ES (formerly
known as Form 137)
8. These four (4) SFs (SF1, SF4- February & March, SF5 and SF6) generated from the
LIS shall be the focus of checking and should be supported by the appropriate
documents.
9. For graduating/ moving u levels (Kinder, Grade 6 and 10, 12) the class adviser shall
also prepare awards and/ or certificates in accordance with DO No. 36, s. 2016 or the
most recent applicable guidelines. The learner information on these awards and
certificates should be checked against SF1 Consistency.
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ACCOMPLISHMENT OF DEPED FORMS
School Form 1 (SF 1) - School Register
Reference: DO No. 4 s. 2014
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DESCRIPTIONS OF THE DATA ELEMENT
To have consistency in the information given in the form, refer to the following element below.
These serve as your guide in encoding the data.
1. School ID- A six digit- number assigned to a school recognized in EBEIS.
2. School Year- The prescribed period of time when schools offer daily instruction. It covers 10
months of regular schooling starting month of June (Beginning of School Year) up to the month
of March (End of School Year) of the following year.
3. School Name- Official name of school as registered in DepEd and EBEIS.
4. Grade Level- A degree/ stage of a learner classified according to age and progress.
5. Section- A group of pupils/ students convened together to receive instruction in a given course
or subject.
6. Learner Reference Number (LRN)- Twelve (12)- digit number which the pupil, student or
learner shall keep while completing the basic education program, regardless of transfer to
another school or learning center in the public or private sector and promoting/ moving up to
the secondary level. (DO 22, s. 2012)
7. Name of Learner- Name of an individual as reflected in the birth certificate or equivalent

document seeking basic literacy and functional life- learning skills.
8. Sex (Male or Female)- Learner’s biological and physiological sex as reflected in the birth
certificate or equivalent document.
9. Birth Date- Date of birth of the learner as reflected in the birth certificate or equivalent
document.
10. Place of Birth (Province)- Name of province where the learner was born as reflected in the
birth certificate or equivalent document.
11. Age by June (1st Friday)- The actual age in years of a learner as of last birthday by the 1st
Friday of each school calendar year.
12. Mother Tongue- The language first learned by a learner; there are 19 major languages
identified in the recent DepEd Order which are: Tagalog, Kapampangan, Pangasinense, Iloko,
Bikol, Cebuano, Hiligaynon, Waray, Tausug, Maguondanaoan, Maranao, Chabacano,
Ybanag, Ivatan, Sambal, Aklanon, Kinaray-a, Yakan and Surigaonon. (DO 16, s. 2012 and
DO 28, s. 2013)
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13. IP (Specify ethnic group)- A group of people or homogenous societies identified by self-
ascription and ascription by others, who have continuously lived as organized community on
communaly bounded and defined territory.
14. Religion- The religious belief of the learner. For Muslim learners, “Islam” will be written
instead of Muslim under this column.
15. House #/ Street, Brgy., Municipality, Province- Refer to the place/ location where the
learner currently holds residence.
16. Name of Father- The name of the father of the learner as reflected in the birth certificate or
equivalent document.
17. Name of Mother- The name of the mother of the learner as reflected in the birth certificate or
18. Name of Guardian- The person who oversees the welfare of the learner in behalf of the
parents.
19. Relationship to the Guardian- The relationship between the learner and the guardian.
20. Contact Number (of Parents/ Guardian)- Contact number of the parents and/ or the guardian
of the learner.
21. Remark/s- Additional information about the learner’s status or particular condition.
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School Form 2 (SF 2) - Daily Attendance Report of Learners
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In order to have consistency in the information given in the form, refer to the
following element below. These serve as your guide in encoding the data.
or subject.
6. Month- Month covered in the report.
7. Learner’s Name- Name of the individuals as reflected in the birth certificate or

8. Date (Daily)- School day (Monday, Tuesday, Wednesday, Thursday and Friday) and
date in month being reported.
9. Total number of Days Absent (per pupil)- Total number of absences of each learner
in the month reported.
10. Total number of days Tardy (per pupil)- Total number of times a learner was late or
spent less than the required time in school (under time including of classes) during the
month reported.
11. Remarks- Addition information about the learner’s status or particular condition.
12. Enrolment as of 1st Friday of June- The total number of enrolled learners as of 1st
Friday of June.
13. Late enrolment- Learners who reported to school beyond the cut- off of BoSY. This
reflects only the number of late enrollees during the month being reported and not the
cumulative total.
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14. Registered Learner as of end of the month- The actual number of learners who are
officially enrolled and registered (including transferred in) as of the last day of classes
for the month being reported. Learners who are dropped/ transferred out during the
month or prior the last day of classes for the month must not be added.
15. Percentage of Enrolment (registered learner as of end of the month over
Enrolment as of July 31)- The percentage (%) of the number of registered learners
with a computation of:
𝑅𝑒𝑔𝑖𝑠𝑡𝑒𝑟𝑒𝑑 𝐿𝑒𝑎𝑟𝑛𝑒𝑟𝑠 𝑎𝑠 𝑜𝑓 𝑒𝑛𝑑 𝑜𝑓 𝑡ℎ𝑒 𝑚𝑜𝑛𝑡ℎ
Percentage = 𝑥 100
𝐸𝑛𝑟𝑜𝑙𝑚𝑒𝑛𝑡 𝑎𝑠 𝑜𝑓 1𝑠𝑡 𝐹𝑟𝑖𝑑𝑎𝑦 𝑜𝑓 𝐽𝑢𝑛𝑒
16. Average Daily Attendance- The average daily number of learners attending classes
during the month being reported.
17. Percentage of Attendance for the month- The percentage of the attendance for
the current month with a computation of:
𝑇𝑜𝑡𝑎𝑙 𝐷𝑎𝑖𝑙𝑦 𝐴𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑐𝑒
Percentage of Attendance for the Month =
𝑅𝑒𝑔𝑖𝑠𝑡𝑒𝑟𝑒𝑑 𝐿𝑒𝑎𝑟𝑛𝑒𝑟 𝑎𝑠 𝑜𝑓 𝐸𝑛𝑑 𝑜𝑓 𝑡ℎ𝑒 𝑀𝑜𝑛𝑡ℎ
18. Number of students with 5 consecutive days of absences- Total number of

learners who did not attend class for 5 consecutive days which can be used as basis
for home visitation.
19. Drop out (M/F/Total)- Total number of learners aggregated left school before
completing the prescribed grade level within the specified school year from 1 st Friday
of school calendar days to March 31 and should not be included in the total enrollment
as of the same date.
20. Transferred In (M/F/Total)- Total number of learners aggregated by male and female
who entered from one school to another either government or private from 1st Friday
of school calendar days to March 31. Learners who transferred in must be included
when reporting total number of learners as of the end of the month being reported.
21. Transferred Out (M/F/Total)- Total number of learners who left the school to enter
another school as evidenced by a request for permanent record (FORM 137) from 1st
Friday of school calendar days to March 31. Learners who transferred out should not
be included in the total enrollment as of the same date.
22. Signature of Teacher- The name and signature of the teacher who prepared the form.
23. Signature of School Head- The name and signature of the school head attesting the
correctness of form.
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School Form 3 (SF3)- Books Issued and Returned
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or subject.
7. Learner’s Name- Name of the individuals as reflected in the birth certificate or

8. Title of the Book & Reference for what subject area- The name of the book given
to each learner. The subject area to which the book is issued should also be reflected.
9. Date Issued- The day the learner received the book allotted to him/ her.
10. Date Returned- The day the learner returned the book allotted to him/ her. (In cases
of losses/ unreturned, applicable code will be written in this column. Codes are: FM-
Force Majeure, TDO- transferred/ Dropout, NEG- Negligence)
11. Remarks/ Action Taken- May provide additional information for lost/ unreturned or
damaged books. Actions taken by the teachers are coded with the following
description: LLTR= secured Letter form the Learner duly signed by parent/ guardian
(for 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).
12. Total Male- Total number of registered male learners.
13. Total Female- Total number of registered female learners.
14. Total Learners- Total Registered learners.
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15. Total Copies Issued- The total number of copies of each textbook issued by the
teacher to the learners.
16. Total Copies Returned- The total number of returned textbooks by the learners to the
teacher.
17. Signature of Teacher- The signature above printed name of the teacher who
prepared the form.
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School Form 4 (SF4) - Monthly Learners’ Movement and Attendance
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DESCRIPTION OF THE DATA ELEMENT
or subject.
6. Name of Adviser- The person in the school assigned to supervise, guide and direct a
specific class and actual teaching to his/ her assigned class and other classes, if there
is any.
8. Registered Learners (As of end of the Month) (M/F/Total)- The number of learners
(M/F/Total) who are enrolled and registered in the school in the current month.
9. Attendance: Daily Average- This is the average daily attendance of learners by section/
grade/ and total for school divided by the total number of school days for the month.
𝑇𝑜𝑡𝑎𝑙 𝐷𝑎𝑖𝑙𝑦 𝐴𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑐𝑒

𝐴𝑣𝑒𝑟𝑎𝑔𝑒 𝐷𝑎𝑖𝑙𝑦 𝐴𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑐𝑒 =
𝑁𝑢𝑚𝑏𝑒𝑟 𝑜𝑓 𝑆𝑐ℎ𝑜𝑜𝑙 𝐷𝑎𝑦𝑠 𝑖𝑛 𝑟𝑒𝑝𝑜𝑟𝑡𝑖𝑛𝑔 𝑀𝑜𝑛𝑡ℎ
10. Attendance: Percentage for the Month- The percentage of the attendance for the current
month with a computation of:
𝐴𝑣𝑒𝑟𝑎𝑔𝑒 𝐷𝑎𝑖𝑙𝑦 𝐴𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑐𝑒
𝑃𝑒𝑟𝑐𝑒𝑛𝑡𝑎𝑔𝑒 𝑜𝑓 𝐴𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑐𝑒 𝑓𝑜𝑟 𝑡ℎ𝑒 𝑚𝑜𝑛𝑡ℎ = 𝑥 100
𝑅𝑒𝑔𝑖𝑠𝑡𝑒𝑟𝑒𝑑 𝐿𝑒𝑎𝑟𝑛𝑒𝑟𝑠 𝑎𝑠 𝑜𝑓 𝑒𝑛𝑑 𝑜𝑓 𝑡ℎ𝑒 𝑚𝑜𝑛𝑡ℎ
11. Drop out Cumulative as of Previous Month (M/F/Grand Total)- Total number of learners
(male/female/grand total) who left school in the previous months.
12. Drop out for the Month (M/F/Grand Total)- Total number of learners (male/ female/ grand
total) who left school in the current month.
13. Drop out Cumulative as of End of the Month (M/F/Grand Total)- The number of learners
male/ female/ grand total who left schooling from the previous months and the current month.
14. Transferred out Cumulative as of Previous Month (M/F/Grand Total)- Total number of
learners aggregated by male and female who move out of original school where he is officially
enrolled to enter another school from the previous months after enrollment.
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15. Transferred out for the Month (M/F/Grand Total)- Total number of learners (male/ female/
grand total) who move out from the original school where he is officially listed to another school
in a current month.
16. Transferred out Cumulative as of End of the Month (M/F/Grand Total)- Total number of
learners who move out from the original school where he is officialy listed to another school.
17. Transferred In Cumulative as of Previous the Month (M/F/Grand Total)- The number of
learners (male/ female/ grand total) who move in from one school where he is officially enrolled
to a new enter school from the previous months after enrollment.
18. Transferred In For the Month (M/F/Grand Total)- The number of learners (male/ female/
grand total) who move in from one school where he is officially enrolled and transferred in from
another school in a current month.
19. Transferred In Cumulative as of End of the Month (M/F/Grand Total)- The number of
learners (male/ female/ grand total) who move in from one school where he officially enrolled
but opt to transfer to another school from the previous months after enrollment including the
current month.
20. Name Signature of School Head- The name and signature of the school head who prepared
the form.
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School Form 5 (SF5)- Report on Promotion and Level of Proficiency
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1. School ID- A six- digit number assigned to a school recognized in EBEIS.
2. Curriculum- Systematic group of experiences or sequences of courses or subject

required for graduation or certification in each level of education. For Grade levels
implementing K to 12 Basic Education Curriculum, “K to 12 BEC” will be reflected.
For the remaining grade/ year level, “Restructured BEC” will be written.
3. School Year- The prescribed period of time when schools offer daily instruction. It
covers 10 months of regular schooling starting month of June (Beginning of School
Year) up to the month of March (End of School Year) of the following year.
6. Section- A group of pupils/ students convened together to receive instruction in a

given course or subject.
7. Learner Reference Number (LRN)- Twelve (12)- digit number which the pupil,
student or learner shall keep while completing the basic education program,
regardless of transfer to another school or learning center in the public or private
sector, and promoting/ moving up to the secondary level. (DO 22, s. 2012)
8. Learner’s Name- Name of an individual as reflected in birth certificate or equivalent

document.
9. General Average- The average rating of a student in all subject areas taken in a
given school year written in a numerical value of 3 decimal places for honor students
and two for non- honors. Equivalent Descriptive Letter Value should be written in
close parenthesis. Leave this column blank for irregular learners or learners with
subject deficiencies.
10. Action Taken- Status of Learner as of end of School Year using the following
categories:
• Promoted: Satisfied requirements in all subject areas.
• Irregular: with incomplete subject/s, this category implies that the learner is
promoted to the next level but with deficiencies in one or more subject area/s.
As per D.O. #73, s. 2012 section G page 5, “If by the end of the school year,
the students are still at the Beginning level, they shall be required to take
summer classes”. Special instruction for grade 1 children under the K to 12
Basic Education Program was issued on March 2013 (D.M. 46, s. 2013).
• Retained: Learner who was not able to complete even one subject area.
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11. Incomplete Subject/s (completed as of end of SY)- The subject area from the
previous level taken by the student in the current school year because of previous
subject deficiency that he/she has passed in the current SY. This column is for K to
12 Curriculum and the remaining RBEC in high school.
12. Incomplete Subject/s as of End of the current SY- The subject/s currently
undertaken the learner for the current School Year but failed to pass. This column
is for K to 12 Curriculum and the remaining RBEC in high school.
13. Summary Table- Promoted (M/F/ Grand Total)- The number of learners
(male/female/grand total) who are promoted to the next grade level for the next
school year.
14. Summary Table- Irregular (M/F/ Grand Total)- The number of learners
(male/female/grand total) who are promoted to the next grade level for the next
school year but with deficiency in some subject. (Applicable only to K to 12
Curriculum).
15. Summary Table- Retained (M/F/Grand Total)- The number of learners

(male/female/grand total) retained in the same grade level for the next school year.
16. Level of Proficiency- Beginning (M/F/Grand Total)- The number of learners

(male/female/grand total) who are at the beginning level or whose numerical grade
is 74% and below.
17. Level of Proficiency- Developing (M/F/Grand Total)- The number of learners

(male/female/grand total) who are at the developing level or whose numerical grade
ranges from 75% to 79%.
18. Level of Proficiency- Approaching (M/F/Grand Total)- The number of learners

(male/female/grand total) who are at the approaching level or whose numerical
ranges from 80% to 84%.
19. Level of Proficiency- Proficient (M/F/Grand Total)- The number of learners

(male/female/grand total) who are at the proficient level or whose numerical ranges
from 85% to 89%.
20. Level of Proficiency- Advanced (M/F/Grand Total)- The number of learners

(male/female/grand total) who are at the advanced level or whose numerical ranges
from 90% and above.
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21. Name and Signature of Class Adviser- The name and signature of the teacher
who prepared the form.
22. Name and Signature of School Head- The name and signature of the school head
attesting the veracity of this form.
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School Form 6 (SF6)- Summarized Report on Promotion and Level of
Proficiency
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covers 10 months of regular schooling starting month of June (Beginning of School
Year)
4. Promoted (M/F/Grand Total)- Total number of learners (male/female/grand total)

in a certain grade level who are promoted for the next grade level for the next school
year.
5. Irregular (M/F/Grand Total)- Total number of learners (male/female/grand total)

who are promoted for the next grade level for the next school year but with
deficiency in some subject areas. (Applicable only to K to 12 Curriculum)
6. Retained (RBEC) (M/F/Grand Total)- Total number of learners (male/female/grand

total) in a certain grade level who are in the beginning level of proficiency.
7. Level of Proficiency Beginning (M/F/Grand Total)- Total number of learners

(male/female/grand total) in a certain grade level who are in the beginning level of
proficiency.
8. Level of Proficiency Developing (M/F/Grand Total)- Total number of learners

(male/female/grand total) in a certain grade level who are in the developing level of
proficiency.
9. Level of Proficiency Approaching (M/F/Grand Total)- Total number of learners

(male/female/grand total) in a certain grade level who are in the approaching level
of proficiency.
10. Level of Proficiency Proficient (M/F/Grand Total)- Total number of learners

(male/female/grand total) in a certain grade level who are in the proficient level of
proficiency.
11. Level of Proficiency Advanced (M/F/Grand Total)- Total number of learners

(male/female/grand total) in a certain grade level who are in the advanced level of
proficiency.
12. Name and Signature of School Head- The name and signature of the school
head who prepared this form.
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13. Name and Signature of DPO/ EPS- The name and signature of the Division’s
Planning Officer or EPS who reviewed and validated this form.
14. Name and Signature of Schools Division Superintendent- The name and
signature of the Schools Division Superintendent attesting the veracity of this form.
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School Form 7 (SF7)- School Personnel Assignment List and Basic Profile
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covers 10 months of regular schooling starting a month of June (Beginning of
School Year) up to the month of March (End of School Year) of the following year.
4. (A) Nationally Funded Teaching Related Items (Summary Table) Title of

Plantilla Position- Teaching and teaching- related Plantilla positions including
those with provisional appointments, Title of Plantilla as reflected in the PSI- POP
and/ or appointed (generic, where applicable).
5. Number of Incumbent- The total number of personnel occupying the said Plantilla
Position.
6. (B) Nationally- Funded Non- Teaching Items- Non- Teaching Plantilla positions
approved by DBM whose positions are not engaged in classroom teaching but
assist in the administrative work.
7. (C) Other Appointments and Funding Sources- Title Designation and Nature of
Appointment Designations as reflected in the contract or other related document.
8. Number of Teaching & Non- Teaching Incumbent/s- The total number of teacing
and non- teaching incumbents who are not holding Plantilla/ regular position.
9. Name of Personnel- Employee’s complete name as reflected in the birth

certificate.
10. Sex- Employee’s sex as reflected in the birth certificate.
11. Fund Source- Name of the institution or source that finances the employment of
the particular employee.
12. Position/ Designation- The official item or position assigned to an employee as

reflected in the appointment paper, contract or equivalent document signed by the
approving authority.
13. Name of Appointment/ Employment Status- Appointment given to an employee

as reflected in the appointment paper.
14. Educational Qualification Degree- Highest Educational Attainment.

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15. Educational Qualification- Area of specialization/ field of study or specialized
Training.
16. Subject Taught (include Year and Section) Advisory Class & Other
Assignment (Please Specify)- Indicate subject areas being taught.
17. Daily Program- The daily schedule of the teacher for the subject areas he/ she
handles on a weekly basis.
18. Average Teaching Minutes per Day- Add the total number of minutes per day for
each subject area and divide by 5 days.
19. Remarks- Particular information about the personnel.
20. Name and Signature of School Head- The name and signature of the school
head who prepared this form.
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OTHER FORMS NEEDED
School Form 8 (SF8)- Learner’s Basic Health and Nutrition Report
This form is also necessary to accomplish and it is done at the beginning of the School
Year assisted by the school nurse. This procedure may be repeated as deemed necessary
to measure the improvement of the child’s health before the end of the school year.
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School Form 9 (SF9)- Learner Progress Report Card
This form is formerly named as Form 138 or the Progress Report Card. No particular
guidelines have been made by DepEd about this form. You may ask for assistance from
your Practice Teaching Supervisor to fill- out this form. The format and content of the
existing Progress Report Card as prescribed by DO 8, s. 2015 will still be adopted in all
grade levels except Kinder.
Front Page
Back Page
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School Form 10 (SF10)- Learner’s Permanent Academic Record
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POINTS TO REMEMBER!
1. SF- 10- ES form is mandatory to all public schools. You can download the excel
format of this in the website of DepEd or in the LIS of your school. After
downloading, copy- paste some repeated information in SF1 such as Learner
Profile and LRN. You can also encode other required information about the school.
2. If the learner transferred school before the issuance of DO 58, s. 2017 and the
originating school only submitted FORM 137, the receiving school is the one
responsible to do SF10 and just copy the grades and put it on the required quarter
and add it to a required quarter of the receiving school. The FORM 137 should be
attached to the SF10 made by the receiving school.
3. If the transfer happens during December the originating school should continue to
do SF10 and put some remarks transferred out to new school with effective date.
This will only be valid if there is a signature of the responsible person and seal
coming from originating school. After receiving the form, the receiving school will
put some information in the box, they will copy all information given by originating
school and create a new box to easily compute the grades of the learner.
4. Separate the printing of page 1 and page 2 is recommended instead of back to back
printing to ensure the cleanliness of the paper especially in putting the seal later on.
If two copies are not enough, then you can print additional page.
5. Don’t use hard bond paper in SF10, this is not possible in printing and may cause
some problem in mailing because you cannot fold also this form. Instead use
ordinary bond paper that can be printed in an ordinary printer. The purpose of this
modified school form is to make this simple, cheaper and easier.
6. If there are some changes in the name or information of the learner, it is not allowed
to create new SF10 because of the signatories. You can have some alterations/
adjustment but should have countersigned by the school head.
7. Putting logo of the school and picture of the learner is strictly prohibited.
32
My Observation and Insights
Directions: Write your insights about your experience after accomplishing the different
forms. How do these give significant contribution to your learning experience as a practice
teacher?
Each school forms serves different functions. With the help of school form 1, the teacher
is able to identify the personal information of the student enrolled in his/her class. The school
form 2 pertains to record of student’s attendance. The absences and tardiness are located in
here. This was checked daily to evaluate who needed advice about the performances in
attending the class. The school learning materials are important so that the next batch will be
able to utilize them thus the SF3 is formulated. We can see the books borrowed and returned
listed in here. For SF4, number of students enrolled, transferred and dropouts where seen.
Then, as per the SF5, promoted or retained students are identified. For SF6, number of
promoted/ retained by grade level (summary of SF 5). For SF7 list of school personnel with
basic profile and teaching load/assignment. For SF8 per learner assessment of body mass
index. For SF9 individual academic, behavioral and attendance report by quarter (formerly
Form 138). For S10 individual academic record by quarter and SY (simplified and standardized
from former Form 137. Those are some of the school forms that is accomplished by the
teachers and the principal depending on the form. It serves different purposes and importance.
As a practice teacher we arable to evaluate and engage ourselves in making forms, files and
documents which are done by our teachers and principals.
33
School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
School ID Region 1 Division SAN CARLOY CITY District V-B
School Name ABANON NATIONAL HIGH SCHOOL School Year 2023-2024 Grade Level 9 Section A
AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
of June BIRTH IP Contact Number
NAME Sex BIRTH DATE MOTHER
LRN PLACE (Specify RELIGION (Parent
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (nos. of TONGUE
(Province) Ethnic Group) House # / /Guardian)
years as Father (1st name only if family name Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province Name Relationship
per last identical to learner) Middle & Last Name) legend on last page)
Purok
birthday)
11302002001
F 09/04/2008 15 SCCP Pangasinan Christianity #167 Agdao San Carlos Pangasinan Aquino, Joselito B. Cayabyab, Jobelle B. 9452616633
Aquino,Joselle C.
11302002002
F 05/07/2009 15 SCCP Pangasinan Christianity #45 Calobaoan San Carlos Pangasinan Borreto, Ricardo M. Pidlaoan, Rose D. 9309539944
Borreto, Rohelle Joy P.
11302002003
F 01/25/2008 16 SCCP Pangasinan Christianity #59 Calobaoan San Carlos Pangasinan Castro, Nilo D. Florez, Nida V. 9352648835
Castro, Noemi Ann F.
11302002004
F 02/09/2009 15 SCCP Pangasinan Christianity #276 Caoayan Kiling San Carlos Pangasinan De Guzman, Robin A. Mamaril, Ruby B. 9451272455
De Guzman, Rachelle M.
11302002005
M 05/10/2009 15 SCCP Pangasinan Christianity #178 Abanon San Carlos Pangasinan Dela Cruz, Kerwin D. Dela Cruz, Kimberly N. 9309546799
Dela Cruz, Kervy D.
11302002006
F 07/29/2009 14 SCCP Pangasinan Christianity #89 Anando San Carlos Pangasinan De Vega, Mario A. Arenas, Mary Jane R. 9458762345
De Vega, Mary Grace A.
11302002007
F 05/12/2009 15 SCCP Pangasinan Christianity #19 Anando San Carlos Pangasinan De Vera, Gerald S. Jones, Gemma Lyn G. 9309635118
De Vera, Gemma Rose J.
11302002008
F 10/06/2009 14 SCCP Pangasinan Christianity #09 Anando San Carlos Pangasinan Ferrer, Armando D. Bautista, Annalyn L. 9452346944
Ferrer, Anne B.
11302002009
F 07/10/2009 14 SCCP Pangasinan Christianity #219 Calobaoan San Carlos Pangasinan Frias, Jomar M. Mislang, Joceyn F. 9361126788
Frias, Jonalyn M.
11302002010
M 08/15/2008 14 SCCP Pangasinan Christianity #125 Abanon San Carlos Pangasinan Mamaradlo, Dominador D. Pidlaoan, Danica V. 9456782345
Mamaradlo, Donald P.
11302002011
M 05/16/2009 15 SCCP Pangasinan Christianity #345 Calobaoan San Carlos Pangasinan Melitar, Jerry B. Cayabyab, Joy L. 9309872345
Melitar, Jeremy C.
11302002012
F 07/17/2008 15 SCCP Pangasinan Christianity #67 Abanon San Carlos Pangasinan Pudadera, Joemar T. Sarmiento, Marie S. 9567886899
Pudadera, Eumarie S.
My Exhibits (Evidences/Documentations)
11302002013
M 03/11/2008 16 SCCP Pangasinan Christianity #196 Abanon San Carlos Pangasinan Quinones, Charles D. Sarmiento, Cherry Joy S. 9309529948
Quinones, Charles, Dave S.
11302002014
F 05/19/2009 14 SCCP Pangasinan Christianity #45 Caoayan Kiling San Carlos Pangasinan Rodriguez, Cristopher D. Baysic, Cherry Lyn C. 9451236955
Rodriquez, Cherry Ann B.
11302002015
F 05/14/2009 15 SCCP Pangasinan Christianity #16 Abanon San Carlos Pangasinan Rosario, Ernesto B. Mislang, Jelly F. 9345678423
Rosario, Venusly M.
11302002016
F 02/21/2009 15 SCCP Pangasinan Christianity #278 Agdao San Carlos Pangasinan Viray, Mario D. Rosario, Mary Joy V. 9309543466
Viray, Myla R.
Attach a sample SF-1 that you have accomplished.
List and code of Indicators under REMARK column

Prepared by: Certified Correct:
Indicator Code Indicator Code Required Information BoSY EoSY
Transferred Out T/O CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 4 4
RICAJOY DS. CALIMLIM CHRISTINE P. ESTABILLO
(Signature of Adviser over Printed Name)
Transferred IN T/I Balik-Aral B/A Name of school last attended & Year FEMALE 12 12
Dropped DRP Learner With Dissability LWD Specify TOTAL 16 16

Late Enrollment LE Accelarated ACL Specify Level & Effectivity Data BoSY Date: BoSY Date:
EoSYDate: EoSYDate:
34
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 103020 School Year 2023-2024 Report for the Month of MARCH
Name of School ABANON NATIONAL HIGH SCHOOL Grade Level 9 Section A
(1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the REMARK/S (If DROPPED OUT, state reason,
LEARNER'S NAME 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29
Month please refer to legend number 2.
(Last Name, First Name, Middle Name) F If TRANSFERRED IN/OUT, write the name of
M T W TH M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY School.)
1. Aquino,Joselle C. A A 2 0
2. Borreto, Rohelle Joy P. A A 2 0
3. Castro, Noemi Ann F. A 1 0
4. De Guzman, Rachelle M. A T 1 1
5. De Vega, Mary Grace A. A 1 0
6. De Vera, Gemma Rose J. 0 0
7. Ferrer, Anne B. 0 0
8. Frias, Jonalyn M. 0 0
9. Pudadera, Eumarie S. A T 1 1
10.Rodriquez, Cherry Ann B. A 1 0
11. Rosario, Venusly M. A 1 0
12. Viray, Myla R. A 1 0
MALE | TOTAL Per Day

3
4
1. Dela Cruz, Kervy D. A 1 0
2. Quinones,Charles Dave S. A A 2 0
3. Mamaradlo, Donald P. T A 1 1
4. Melitar, Jeremy C. T 0 1
FEMALE | TOTAL Per Day 10 11 11 11 11 11 11 12 12 12 12 12 11 12 12 12 11 11 11 12 12
Combined TOTAL PER DAY 13 15 15 15 15 15 14 16 16 16 16 16 15 16 16 16 15 14 14 16 16
Summary for the

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE 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
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June) 4 12 16
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Percentage of Enrolment = x 100 0 0 0
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month 4 12 16
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month 100 100 100
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems
b. Individual-Related Factors Average Daily Attendance 3.76 21.9 25.66
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
Percentage of Attendance for the month 94% ##### 85.33%
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive b.3. Death Number of students with 5 consecutive days of
0.0%
0.0%
0%
days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
Drop out 0 0 0
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred in 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school
RICAJOY DS. CALIMLIM
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work CHRISTINE P. ESTABILLO
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
35
School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)
School ID 113020 School Year 2023-2024

School Name Abanon National High School Grade Level 9 Section A
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
REMARK/ACTION TAKEN
LEARNER'S NAME
NO. (Please refer to the legend on last
(Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date Date page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Dela Cruz, Kervy D.
10/11/23 5/17/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
Mamaradlo, Donald P.
10/11/23 5/17/24 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24
Melitar, Jeremy C.
10/11/23 5/17/24 10/05/23 05/17/24 10/04/23 05/19/24
Quinones, Charles, Dave S.
10/11/23 5/17/24 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
TOTAL FOR MALE | TOTAL COPIES 4 4 2 2 4 4 4 4 2 2
Aquino, Joselle C.
10/11/23 05/17/24 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
Borreto, Rochelle Joy P.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
Castro, Noemi Ann F.
10/11/23 05/17/24 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24
De Guzman, Rachelle M.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24
De Vega, Mary Grace A.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
De Vera, Gemma Rose J.
10/11/23 05/17/24 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24
Ferrer, Anne B.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24
Frias, Jonalyn M.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
Pudadera, Eumarie S.
10/11/23 05/17/24 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
Rodriguez, Cherry Ann B.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24
Rosario, Venusly M.
10/11/23 05/17/24 10/05/23 05/17/24 10/04/23 05/19/24
Viray, Myla R.
10/11/23 05/28/1724 10/19/23 05/09/24 10/05/23 05/17/24 10/04/23 05/19/24 10/10/23 05/10/24
TOTAL FOR FEMALE | TOTAL COPIES 12 12 5 5 12 12 12 12 6 6
TOTAL LEARNERS | TOTAL COPIES 16 16 7 7 16 16 16 16 8 8

GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence RICAJOY DS. CALIMLIM
3. The Total Number of Copies issued at BoSY 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 (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
36
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Region 1 Division SAN CARLOS District V- B

School ID 103020
School Name Abanon National High School School Year 2023-2024 Report for the Month of MAY
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 of Previous Month of Previous Month
Month 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
Ricajoy Calimlim G-9 A 10 11 21 8.7 9.71 18 41.1 46.2 85.7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Baby Jane Palisoc G-9 B
7 8 15 6.57 7.52 14.1 43.8 50.1 93.9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Danica Ferrer G-9 C
10 10 20 9.23 8.38 17.7 44 39.9 84.3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 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 CHRISTINE P. ESTABILLO
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.
37
School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
Region 1 Division SAN CARLOS District V-B
103020
School ID School Year 2023-2024 Curriculum
School Name ABANON NATIONAL HIGH SCHOOL Grade Level 9 Section A
INCOMPLETE SUBJECT/S
GENERAL
AVERAGE
(This column is for K to 12 Curriculum and remaining RBEC in
ACTION TAKEN: High School. Elementary grades level that still implementing
(Numerical Value in
LEARNER'S NAME PROMOTED,
LRN
(Last Name, First Name, Middle Name)
3 decimal places for
*IRREGULAR or
RBEC need not to fill up this column)
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the current SY
SY
1130202002005 Dela Cruz, Kervy D.
89 PROMOTED SUMMARY TABLE
1130202002010 Mamaradlo, Donald P. 92 PROMOTED
STATUS MALE FEMALE TOTAL
1130202002011 Melitar, Jeremy C. 94 PROMOTED

PROMOTED 4 12 16
1130202002013 Quinones, Charles, Dave S. 95 PROMOTED
*IRREGULAR 0 0 0
RETAINED 0 0 0
LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
BEGINNNING
(B: 74% and 0 0 0
below)
DEVELOPING
0 0 0
(D: 75%-79%)
APPROACHING
PROFICIENCY 0 0 0
(AP: 80%-84%)
PROFICIENT
1 5 6
(P: 85% -89%)
ADVANCED
(A: 90% and 3 7 10
TOTAL MALE above)
11302002001 Aquino, Joselle C. 88 PROMOTED
11302002002 Borreto, Rochelle Joy P. 90 PROMOTED PREPARED BY:
11302002003 Castro, Noemi Ann F. 93

PROMOTED RICAJOY DS. CALIMLIM
11302002004 De Guzman, Rachelle M. 91 Class Adviser

PROMOTED
113020022006 De Vega, Mary Grace A. 88 (Name and Signature)

PROMOTED
113020022007 De Vera, Gemma Rose J. 89

PROMOTED
113020022008 Ferrer, Anne B. 87

PROMOTED CERTIFIED CORRECT & SUBMITTED:
113020022009 Frias, Jonalyn M. 95

PROMOTED CHRISTINE P. ESTABILLO
113020022012 Pudadera, Eumarie S. 95 School Head
PROMOTED
113020022014 Rodriguez, Cherry Ann B. 89 (Name and Signature)
PROMOTED
113020022015 Rosario, Venusly M. 94
PROMOTED
113020022016 Viray, Myla R. 90
PROMOTED REVIEWED BY:
(Name and Signature)
Division Representative
GUIDELINES:
1. For All Grade/Year Levels

38
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
School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced Form 20)
School ID 103020 Region 1 Division SAN CARLOS
School Name Abanon National High School District V-B School Year 2023-2024
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 9 11 20 7 8 15 11 10 21 9 15 24 8 15 23 7 7 14 14 8 22
IRREGULAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RETAINED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Nos. of BEGINNNING
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(B: 74% and below)
Nos. of DEVELOPING
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(D: 75%-79%)
Nos. of APPROACHING
PROFICIENCY 0 2 2 0 1 1 0 2 2 0 4 4 5 2 7 2 1 3 0 2 2
(AP: 80%-84%)
Nos. of PROFICIENT
7 6 13 5 4 9 1 5 6 6 5 11 2 8 10 2 4 6 9 3 12
(P: 85% -89%)
Nos. of ADVANCED
2 3 5 2 3 5 3 7 10 3 6 9 1 5 6 3 2 5 5 3 8
(A: 90% and above)
TOTAL 9 11 20 7 8 15 4 12 16 9 15 24 8 15 23 7 7 24 14 8 22
Prepared and Submitted by: CHRISTINE P. ESTBILLO 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 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
39
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(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 103020 Region 1 Division San Carlos

School Name Abanon National High School District V-B School Year 2023-2024
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Appointment: Number of
Title of Designation
Title of Plantilla Position Title of Plantilla Position (Contractual, Fund Source Incumbent
Number of Number of (Designation as appeared in the
(as appeared in the appointment (as appeared in the appointment Substitute, (SEF, PTA, NGO's
Incumbent Incumbent contract/document: Teacher, Clerk, Volunteer, others Non-
document/PSIPOP) document/PSIPOP) etc.) Teaching
Security Guard, Driver etc.) specify) Teaching
HT lll 1
MASTER TEACHER 1
TEACHER lll 5
EDUCATIONAL QUALIFICATION * Daily Program (time duration)

Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel (include Grade & Total Actual Detailed Items,
Fund Position/ Appointment/
Identification (Arrange by Position, Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number - Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
T.I.N.) Status Graduate Specialization (00:00) (00:00)
Ancillary Assignment TH/F) Assignment IP's -Ethnicity)
per Week
MAPEH M-F 9:00 10:00 300
MAPEH M-F 10:00 11:00 300
APAN M-F 11:00 12:00 300
APAN M-F 1:00 2:00 300
TLE/APAN APAN M-F 2:00 3:00
1357913 MISHEIL C. RABILAS F REG. 300
NAT'L
MAED
HEAD TEACHER
SOCIAL STUDIES
Ave. Minutes per Day 300

TLE 300
TLE 300
TLE 300
TLE 300
24682468 FERNANDO M. ONIA M BSE/MAED TLE 300
REG.
NAT'L
MASTER TEACHER
HOME ECONOMICS
Ave. Minutes per Day 300
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 SY, updated Form 19
must submit to the Division Office . CHRISTINE P. ESTABILO
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 (Signature of School Head over Printed Name)
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. Updated as of: ___________________________
4. * Daily Program Column is for teaching personnel only.
School Form 7, Page 2 of ________
40
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name Abanon National High School District V-B Division SAN CARLOS Region 1
School ID 103020 Grade 9 Section A Track/Strand (SHS) School Year 2023-2024
Learner's Name (Last Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN Name, First Name, Name Extension, Middle Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Name) (kg/m²) Category
MALE
1 1130202002005 Dela Cruz, Kervy D. 15 50 1.55 2.4025 20.81 NORMAL NORMAL
2 1130202002010 Mamaradlo, Donald P. 14 54 1.57 2.4649 23.13 NORMAL NORMAL
3 1130202002011 Melitar, Jeremy C. 15 51 1.54 2.3716 21.5 NORMAL NORMAL
4 1130202002013 Quinones, Charles Dave S. 16 52 1.55 2.4025 21.64 NORMAL NORMAL
FEMALE
1 1130202002001 Aquino, Joselle C. 15 55 1.5 2.25 24.44 NORMAL NORMAL
2 1130202002002 Borreto, Rochelle Joy P. 15 45 1.49 2.2201 20.26 NORMAL NORMAL
3 1130202002003 Castro, Noemi Ann F. 16 43 1.52 2.3104 18.61 NORMAL NORMAL
4 1130202002004 De Guzman, Rachelle M. 15 50 1.53 2.3409 21.35 NORMAL NORMAL
5 1130202002006 De Vega, Mary Grace A. 14 52 1.49 2.2201 23.42 NORMAL NORMAL
6 1130202002007 De Vera, Gemma Rose J. 15 47 1.48 2.1904 21.46 NORMAL NORMAL
7 1130202002008 Ferrer, Anne B. 14 49 1.5 2.25 21.77 NORMAL NORMAL
8 1130202002009 Frias, Jonalyn M. 14 45 1.5 2.25 20 NORMAL NORMAL
9 1130202002012 Pudadera,Eumarie S. 15 45 1.48 2.1904 20.54 NORMAL NORMAL
10 1130202002014 Rodriguez, Cherry Ann B. 14 46 1.52 2.3104 19.91 NORMAL NORMAL
11 1130202002015 Rosario, Venusly M. 15 44 1.49 2.2201 19.99 NORMAL NORMAL

12 1130202002016 Viray, Myla R. 15 48 1.5 2.25 21.33 NORMAL NORMAL
SUMMARY TABLE
Nutritional Status Summary Table Height for Age (HFA) Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 4 4 7
FEMALE 12 12 12
TOTAL 16 16 16
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

05/07/2024 RICAJOY DS. CALIMLIM
SFRT 2017
41
ABANON NATIONAL HIGH SCHOOL
Rosario, Venusly Mislang

1130202002015
15 Sex: FEMALE
9 Section: Grade 9 A
2023-2024
CHRISTINE P. ESTABILLO RICAJOY DS. CALIMLIM
42
43
SF10-JHS
Republic of the Philippines
Department of Education
Learner Permanent Academic Record for Junior High School (SF10-JHS)
(Formerly Form 137)
LEARNER'S INFORMATION
LAST NAME: ROSARIO FIRST NAME: VENUSLY NAME EXT. (Jr,I,II): MIDDLE NAME: MISLANG
Learner Reference Number (LRN): 110302002001 Birthdate (mm/dd/yyyy): 05/09/2009 Sex: FEMALE
ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: Citation (if Any):
Name of Elementary School: ABANON CENTRAL SCHOOL School ID: 102236 Address of School: ABANON SCCP
Other Credential Presented
PEPT Passer Rating: ALS A & E Passer Rating: Others (Pls. Specify):
Date of Examination/Assessment (mm/dd/yyyy): Name and Address of Testing Center:
SCHOLASTIC RECORD
School: School ID: District: Division: Region:
Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 94 93 95 95 94 PASSED
English 96 95 94 95 95 PASSED
Mathematics 97 98 98 98 98 PASSED
Science 94 94 95 94 94 PASSED
Araling Panlipunan (AP) 90 91 92 91 91 PASSED
Edukasyon sa Pagpapakatao (EsP) 91 91 93 92 92 PASSED
Technology and Livelihood Education (TLE) 93 96 97 96 96 PASSED

MAPEH 93 93 94 94 94 PASSED
Music 94 94 94 95 94 PASSED
Arts 94 95 95 96 95 PASSED
Physical Education 93 94 94 93 94 PASSED
Health 90 90 92 93 92 PASSED
General Average 94
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u
Recomputed
Learning Areas Final Rating Remedial Class Mark Remarks
Final Grade
44
School: School ID: District: Division: Region:
Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:

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Activity 1

ACCOMPLISHING SCHOOL FORMS AND

At the end of the activity, I should be able to:

a. identify all the school forms and their uses; and

LIST OF MODIFIED SCHOOL FORMS

CODES AND DESCRIPTION TO BE MODE OF SCHEDULE

School Form 1 (SF 1) - School Register

Reference: DO No. 4 s. 2014

1. School ID- A six digit- number assigned to a school recognized in EBEIS.

3. School Name- Official name of school as registered in DepEd and EBEIS.

7. Name of Learner- Name of an individual as reflected in the birth certificate or equivalent

Reference: DO No. 4 s. 2014

1. School ID- A six digit- number assigned to a school recognized in EBEIS.

3. School Name- Official name of school as registered in DepEd and EBEIS.

6. Month- Month covered in the report.

7. Learner’s Name- Name of the individuals as reflected in the birth certificate or

18. Number of students with 5 consecutive days of absences- Total number of

Reference: DO No. 4 s. 2014

1. School ID- A six digit- number assigned to a school recognized in EBEIS.

3. School Name- Official name of school as registered in DepEd and EBEIS.

6. Month- Month covered in the report.

7. Learner’s Name- Name of the individuals as reflected in the birth certificate or

12. Total Male- Total number of registered male learners.

13. Total Female- Total number of registered female learners.

14. Total Learners- Total Registered learners.

Reference: DO No. 4 s. 2014

1. School ID- A six digit- number assigned to a school recognized in EBEIS.

3. School Name- Official name of school as registered in DepEd and EBEIS.

5. Month- Month covered in the report.

𝑇𝑜𝑡𝑎𝑙 𝐷𝑎𝑖𝑙𝑦 𝐴𝑡𝑡𝑒𝑛𝑑𝑎𝑛𝑐𝑒

Reference: DO No. 4 s. 2014

1. School ID- A six- digit number assigned to a school recognized in EBEIS.

2. Curriculum- Systematic group of experiences or sequences of courses or subject

4. School Name- Official name of school as registered in DepEd and EBEIS.

6. Section- A group of pupils/ students convened together to receive instruction in a

8. Learner’s Name- Name of an individual as reflected in birth certificate or equivalent

15. Summary Table- Retained (M/F/Grand Total)- The number of learners

16. Level of Proficiency- Beginning (M/F/Grand Total)- The number of learners

17. Level of Proficiency- Developing (M/F/Grand Total)- The number of learners

18. Level of Proficiency- Approaching (M/F/Grand Total)- The number of learners

19. Level of Proficiency- Proficient (M/F/Grand Total)- The number of learners

20. Level of Proficiency- Advanced (M/F/Grand Total)- The number of learners

Reference: DO No. 4 s. 2014

1. School ID- A six- digit number assigned to a school recognized in EBEIS.

3. School Name- Official name of school as registered in DepEd and EBEIS.

4. Promoted (M/F/Grand Total)- Total number of learners (male/female/grand total)

5. Irregular (M/F/Grand Total)- Total number of learners (male/female/grand total)

6. Retained (RBEC) (M/F/Grand Total)- Total number of learners (male/female/grand

7. Level of Proficiency Beginning (M/F/Grand Total)- Total number of learners

8. Level of Proficiency Developing (M/F/Grand Total)- Total number of learners

9. Level of Proficiency Approaching (M/F/Grand Total)- Total number of learners

10. Level of Proficiency Proficient (M/F/Grand Total)- Total number of learners

11. Level of Proficiency Advanced (M/F/Grand Total)- Total number of learners

Reference: DO No. 4 s. 2014

1. School ID- A six- digit number assigned to a school recognized in EBEIS.

3. School Name- Official name of school as registered in DepEd and EBEIS.

4. (A) Nationally Funded Teaching Related Items (Summary Table) Title of

9. Name of Personnel- Employee’s complete name as reflected in the birth

10. Sex- Employee’s sex as reflected in the birth certificate.

12. Position/ Designation- The official item or position assigned to an employee as

13. Name of Appointment/ Employment Status- Appointment given to an employee

14. Educational Qualification Degree- Highest Educational Attainment.

19. Remarks- Particular information about the personnel.

Reference: DO No. 4 s. 2014