Professional Documents
Culture Documents
School Forms 1 7
School Forms 1 7
School Forms 1 7
NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)
7 Total Male
8 Total Female
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date
Dropped DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
ADDRESS
AGE as of
BIRTH DATE MOTHER IP
1st Friday RELIGION House #/ Street/
(mm/dd/ yyyy) TONGUE (Ethnic Group)
June Sitio/ Barangay
Purok
chool & Effectivity Date B/A Name of school last attended & Year
LWD Specify
iday of June) ACL Specify Level & Effectivity Data
ol Register
Background and Profile)
Prepared by:
REGISTERED BoSY EoSY
TOTAL 15
BoSY Date: EoSYDate:
KALANTAS
IAN
REMARKS
(If not Parent)
Contact Number of
Parent or
Guardian (Please refer to the
Relation-ship
legend on last page)
CCT
CCT
CCT
CCT
CCT
CCT
Certified Correct:
FATIMA V. SORIANO
(Signature of School Head over Printed Name)
Report for the Month of MAY Learner Attendance Conversion Tool LACT 1
0 22
0 22
0 22
0 22
0 22
0 22
0 22
7 7 7 7 7 7 7 7 0 154
0 22
0 22
0 22
0 22
0 22
0 22
0 22
0 22
8 8 8 8 8 8 8 8 8 0 176
15 15 15 15 15 15 15 15 15 0 330
0.0%
0.0%
0%
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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 MIKHAELA MAY M. MATABANG
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
JANINE ALYANA J. PERLAS
(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Ret
(This replaces Form 1 & Inventory of Textbooks)
4 CARIDA, KAYLE, PETERO 8/23/2022 6/30/2023 8/23/2022 6/30/2023 8/23/2022 6/30/2023 8/23/2022 6/30/2023
5 DOSTER, JASMIN KAYE, JULATON 8/23/2026 6/30/2027 8/23/2026 6/30/2027 8/23/2026 6/30/2027 8/23/2026 6/30/2027
7 ESCOBIDO, LORELYN, ALVAREZ 8/23/2028 6/30/2029 8/23/2028 6/30/2029 8/23/2028 6/30/2029 8/23/2028 6/30/2029
2022-2023
Section KALANTAS
ESP 8 MAPEH 8 TLE 8 Subject Area & Title
REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned
7 7 7 7 7 7 7 7
8 8 8 8 8 8 8 8
15 15 15 15 15 14 15 15
ease provide information with the following code: Prepared By:
M F T M F T M F T M F T M F
GRADE 7 AGONCILLO KARISSA ANN M. DATO-ON 12 13 25 11 12 23 92 92 92 0 0 0 0 0
GRADE 7 BONIFACIO KEISHA S. BARBOZA 15 10 25 13 9 22 87 90 88 0 0 0 0 0
GRADE 8 ANAHAW KATHERIN M. REBADULLA 15 20 35 13 18 31 87 90 89 0 0 0 0 0
GRADE 8 KALANTAS VANESSA J. DATUIN 10 20 30 9 19 28 95 95 93 0 0 0 0 0
GRADE 9 ACACIA ANGEL J. DE VERA 25 20 45 24 18 42 96 90 93 0 0 0 0 0
GRADE 9 GINTO ARABELLA T. BATO 15 15 30 15 15 30 100 100 100 0 0 0 0 0
GRADE 10 ALKALINE KIMBERLY O. ARAGON 15 15 30 14 15 29 93 100 97 0 0 0 0 0
GRADE 10 DYAMANTE MICHAEL M. PATAYAN 20 20 40 18 19 37 90 95 93 0 0 0 0 0
GRADE 11 HUSTISTA KENNETH O. CASTRO 20 15 35 18 14 32 90 93 91 0 0 0 0 0
GRADE 11 RIZAL JEANINE F. REGPALA 10 15 25 9 14 23 90 93 92 0 0 0 0 0
GRADE 12 GENESIS VIENNA C. BOQUIREN 25 15 40 24 14 38 96 93 95 0 0 0 0 0
GRADE 12 PSALMO ANNE D. MALICDEM 15 25 40 14 23 37 93 92 93 0 0 0 0 0
SECONDARY:
GRADE 7 27 23 50 24 21 45 89 91 90 0 0 0 0 0
GRADE 8 25 40 65 22 37 59 88 93 91 0 0 0 0 0
GRADE 9 40 35 75 39 33 72 98 94 96 0 0 0 0 0
GRADE 10 35 35 70 32 34 66 91 97 94 0 0 0 0 0
GRADE 11 30 30 60 27 28 55 90 93 92 0 0 0 0 0
GRADE 12 40 40 80 38 37 75 95 93 94 0 0 0 0 0
TOTAL 197 203 400 182 190 372 92 94 93 0 0 0 0 0
GUIDELINES:
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
T M F T M F T M F T M F T M F T M F T M F T
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0
Prepared and Submitted by:
nth.
MIKHAELA MAY M. MATABANG
(Signature of School Head over Printed Name)
School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
PROMOTED 6 9 15 7 8 15 8 7 15 9 6 15 6
IRREGULAR 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
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
BEGINNNING
0 0 0 0 0 0 0 0 0 0 0 0 0
(B: 74% and below)
DEVELOPING
2 1 3 1 3 4 2 0 2 3 0 3 0
(D: 75%-79%)
APPROACHING
PROFICIENCY 1 4 4 2 2 4 2 3 5 2 3 5 3
(AP: 80%-84%)
PROFICIENT
2 3 5 2 2 4 2 3 5 1 3 4 2
(P: 85% -89%)
ADVANCED
1 0 1 2 1 3 2 1 3 3 0 3 1
(A: 90% and above)
TOTAL 6 8 15 7 8 15 8 7 15 9 6 15 6
Prepared and Submitted by: MIKHAELA MAY M. MATABANG Reviewed & Validated by: JANINE ALYANA J. PERLAS Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE
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.
el of Proficiency
Pangasinan I, Lingayen
9 15 7 8 15 43 47 90
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 2 1 2 3 9 8 17
2 5 4 2 6 14 17 31
3 5 1 2 3 10 16 26
2 3 1 2 3 10 6 16
9 15 7 8 15 43 47 90
FATIMA V. SORIANO
SCHOOLS DIVISION SUPERINTENDENT
ool total.
School Form 7 (SF7) School Personnel Assignment List and Basic Pr
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appoint
Title of Designation
Title of Plantilla Position Title of Plantilla Position (as it appears in
Number of Number of
(as it appears in the appointment (as it appears in the appointment the contract/document: Teacher, Clerk,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Security Guard, Driver 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
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 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.
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.
nment List and Basic Profile
, Form 19-Assignment List,
ormation of Teachers)
School Year
Number of
Title of Designation Appointment:
Incumbent
(as it appears in (Contractual, Fund Source
he contract/document: Teacher, Clerk, Substitute, (SEF, PTA,
Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching
Submitted by:
sonnel during the school year, an
ank down to the lowest. (Signature of School Head over Printed Name)