Академический Документы
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Культура Документы
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
100505
Region I
Division
District
Grade Level
MAGSINGAL III
PARENTS
Section
GUARDIAN (If not Parent) Name Relation-ship Contact Number of Parent or Guardian
LRN
Sex (M/F)
MOTHER TONGUE
RELIGION
Barangay
Municipality/ City
Province
100504120040
Dumadag, Dharwin Viloria Dumadag, Rhenan Urayani Guiang, Jerick Ullero Marquez, Folimar Cardenas Marquez, Harry Garcia Paminta, Mark Lander Ceria Tamag, Denmark Pasco Tara, Dan Harell Garcia Torda, Diter Baruela Uclusin, Christian Bert Tabalbag Uclusin, Rexnan John Ponce Uclusin, Rich Angelo Ulopani Uganiza, John Hero Jireh Siploc Urro, Cliford Jay Utrera Verida, Mark John T Ceria, Cristel Mae Dumadag Ceria, Rubelyn Pascual Ceria, Wendie Ceria Pasco. Lesly Beronia Ramos, Annie Rose Molina Taberna, Ana Joy Ujano Urayani, Erica Mae Faustino Urro, Angel Corpuz
M M M M M M M M M M M M M M M F F F F F F F F
3/31/05 7/29/05 10/13/05 10/1/04 6/29/05 5/23/05 3/6/05 8/2/05 10/23/05 12/23/04 1/13/05 8/14/05 9/26/04 6/15/04 6/4/04 3/21/05 10/22/04 5/22/05 12/15/04 8/20/02 8/14/04 11/7/04 4/10/05
9 8 8 9 8 8 9 8 9 9 9 8 9 9 9 9 10 8 9 11 9 9 8
ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO ILOCO
ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO ILOCANO
100504100008
100504100009
100504100023
10028100011
100504100013
100504100017
100504120041
100504100019
100504100020
ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC RoMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC PENTECOST ROMAN CATHOLIC ROMAN CATHOLIC PENTECOST ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC PENTECOST ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC ROMAN CATHOLIC
MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO MARATUDO
MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL MAGSINGAL
VILORIA, DIONICIA V.
9355861086
ILOCOS SUR DUMADAG,REYNALDO URAYANI, MAXIMINA A. ILOCOS SUR GUIANG, RICKY ILOCOS SUR MARQUEZ, FELMAR ILOCOS SUR MARQUEZ, RICHARD ILOCOS SUR PAMINTA, LARNIE ILOCOS SUR TAMAG, DOMINGA P. ILOCOS SUR TARA, EFREN JR. A. ULLERO, JOCELYN G. CARDENAS, LOIDA GARCIA, QUEENIE G. CERIA, MELANIE U. PASCO, DOMINGA V. GUZMAN, ANICETA 9068396854
100504100021
100504100022
ILOCOS SUR TORDA, TEODORO JR. BARUELA, MELBA M. T. TABALBAG, FRANCISCA ILOCOS SUR UCLUSIN, ROBERTO U. ILOCOS SUR UCLUSIN, JOVITO PONCE, RACHELLE ANN V. ILOCOS SUR UCLUSIN, RICKSON ULOPANI, ANGELINE ILOCOS SUR UGANIZA, JOMEL V. ILOCOS SUR URRO, WILMER ILOCOS SUR VERIDA, MARLON ILOCOS SUR CERIA, MARIO ILOCOS SUR CERIA, ROMEO ILOCOS SUR CERIA, EUFEMIA ILOCOS SUR PASCO, RICHARD ILOCOS SUR RAMOS, REYNALDO ILOCOS SUR TABERNA, GENARO SIPLOC, HELEN T. UTRERA, RONALYN U. TABUCOL, MARIBEL DISEASED PASCUAL, VANESSA T. CERIA, EUFEMIA P. BEROA, LORENDA B. MOLINA, ROSELIA M. UJANO, CECILIA T.
9202236595
100504120042
100504120043
100504120044
100504100001
9166413633
100504100005
100504100006
100504120045
9161992181
100504120046
100504100016
100504100024
100504100025
ILOCOS SUR URAYANI, EDILBERTO FAUSTINO, ROSEMARIE M. ILOCOS SUR URRO, ROBERT CORPUZ, MARVELYN D.
9279919840 9459503121
ADDRESS LRN NAME (Last Name, First Name, Middle Name) Sex (M/F) AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June MOTHER TONGUE IP (Ethnic Group) RELIGION House #/ Street/ Sitio/ Purok Municipality/ City
PARENTS Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name)
Barangay
Province
Prepared by:
Certified Correct:
ADDRESS LRN NAME (Last Name, First Name, Middle Name) Sex (M/F) AGE as of BIRTH DATE 1st Friday (mm/dd/ yyyy) June MOTHER TONGUE IP (Ethnic Group) RELIGION House #/ Street/ Sitio/ Purok Municipality/ City
PARENTS Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name)
Barangay
Province
Indicator
Transferred Out Transferred IN Dropped Late Enrollment
Code
Required Information
Code
CCT B/A LWD ACL
Required Information
CCT Control/reference number & Effectivity Date Name of school last attended & Year Specify Specify Level & Effectivity Data
REGISTERED
BoSY
EoSY
Prepared by:
Certified Correct:
T/O Name of Public (P) Private (PR) School & Effectivity Date T/I Name of Public (P) Private (PR) School & Effectivity Date
MALE (Signature of Adviser over Printed Name) FEMALE TOTAL (Signature of School Head over Printed Name)
DRP Reason and Effectivity Date LE Reason (Enrollment beyond 1st Friday of June)
BoSY Date:
EoSYDate:
BoSY Date:
EoSYDate:
Certified Correct:
Certified Correct:
BoSY Date:
EoSYDate:
100504
2013-2014
July, 2013 I
29
M
Section
30
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25
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26
F
31
W TH F
REMARKS (If DROPPED OUT, state reason, p legend number 2. If TRANSFERRED IN/OUT, write the name ABSENT TARDY
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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29
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30
T
31
W TH F
REMARKS (If DROPPED OUT, state reason, p legend number 2. If TRANSFERRED IN/OUT, write the name ABSENT TARDY
0 0 0 0 0 0 0 0 0 0
15 30
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GUIDELINES: 1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. 2. Dates shall be written in the columns after Learner's Name. 3. To compute the following: Registered Learners as of end of the month a. Percentage of Enrolment = Enrolment as of 1st Friday of the school year Total Daily Attendance b. Average Daily Attendance = Number of School Days in reporting month Average daily attendance c. Percentage of Attendance for the month = Registered Learners as of end of the month 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 School Form 4. Once signed by the principal, this form should be returned to the adviser. 5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of dropping out. 6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. * Beginning of School Year cut-off report is every 1st Friday of the School Year
1. CODES FOR CHECKING ATTENDANCE (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes) 2. REASONS/CAUSES FOR DROPPING OUT a. Domestic-Related Factors a.1. Had to take care of siblings a.2. Early marriage/pregnancy a.3. Parents' attitude toward schooling a.4. Family problems b. Individual-Related Factors b.1. Illness b.2. Overage b.3. Death b.4. Drug Abuse b.5. Poor academic performance b.6. Lack of interest/Distractions b.7. Hunger/Malnutrition c. School-Related Factors c.1. Teacher Factor c.2. Physical condition of classroom c.3. Peer influence d. Geographic/Environmental d.1. Distance between home and school d.2. Armed conflict (incl. Tribal wars & clanfeuds) d.3. Calamities/Disasters e. Financial-Related e.1. Child labor, work f. Others (Specify)
* Enrolment as of (1st Friday of June) Late Enrollment during the month (beyond cut-off) Registered Learners as of end of the month Percentage of Enrolment as of end of the month Average Daily Attendance Percentage of Attendance for the month Number of students absent for 5 consecutive days:
Drop out Transferred out Transferred in I certify that this is a true and correct report. TERESITA A. UTRERA (Signature of Teacher over Printed Name) Attested by: GEOFFREY T. UNIDA (Signature of School Head over Printed Name)
x 100
x 100
PED OUT, state reason, please refer to legend number 2. D IN/OUT, write the name of School.)
PED OUT, state reason, please refer to legend number 2. D IN/OUT, write the name of School.)
Summary
M 15 0 15 F 15 0 15 TOTAL 30 0 30
100 15
100%
0.0%
100 15
100
0%
100 30
100
0.0%
0 0 0
0 0 0
0 0 0
TRERA
rinted Name)
UNIDA
er Printed Name)
Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title REMARKS/ACTION TAKEN (Please refer to the legend on last page)
Date Returned
Subject Area & Title NO. LEARNER'S NAME (Last Name, First Name, Middle Name) Issued
Subject Area & Title REMARKS/ACTION TAKEN (Please refer to the legend on last page)
Date Returned
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 copies of this form may be used if needed. In case of lost/unreturned books, 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 (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). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012. Prepared By:
Region
Division
SECTION
NAME OF ADVISER
ATTENDANCE
DROPPED OUT
Daily Average
M F T
(A+B) Cumulative (A+B) Cumulative (A+B) (A) Cumulative as (A) Cumulative as (A) Cumulative as (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 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
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: 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 Page _____ of _____ pages Prepared and Submitted by:
I 100504
Division
LRN
INCOMPLETE SUBJECT/S GENERAL (This column is for K to 12 Curriculum and remaining RBEC in High AVERAGE ACTION TAKEN: School. Elementary grades level that are still implementing RBEC need (Numerical Value in 2 PROMOTED, not to fill up these columns) decimal places and 3 IRREGULAR or decimal places for From previous school years RETAINED honor learners, and completed as of end of current As of end of current School Year Descriptive Letter) School Year
75.14 D 76.17 D 85.18 P 76.50 D 77.53 D 75.32 D 87.43 P 77.28 D 75.57 D 77.11 D 75.00 D 75.00 D 75.50 D 84.03 AP 79.26 D PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED
BEGINNNING (B: 74% and below) DEVELOPING (D: 75%-79%) APPROACHING PROFICIENCY (AP: 80%-84%) PROFICIENT (P: 85% -89%) ADVANCED (A: 90% and above) IRREGULAR PROMOTED
100504120001 100504120002 100504120003 100504120004 100504120005 100504120007 100504120008 100504120031 100504120011 100504 130021 100504130022 100504120013 100504110011 100504120012 100504110020
AWILI, Al Prince Vagay BARROTA, Ronald Barrota BAYLE, John Nikko Urro CERIA, Denver Kim Ullero CERIA, Dustine Michael Barrota CERIA, Runel Pascual DE GUZMAN, Mark Ian Umbay DUMADAG, C Jay Pasco PAGAO, John Carlo Pasco PASCO, Lester Beroa RAMOS, Reneal Molina RETON, James Ujano TORDA, De Jay Baruela UGALDE, Neil Adrian Oliveros URRO, Kevin Utrera
SUMMARY TABLE
STATUS
MALE
15
RETAINED
LEVEL OF PROFICIENCY
MALE
12
15
TOTAL MALE
LRN
INCOMPLETE SUBJECT/S GENERAL (This column is for K to 12 Curriculum and remaining RBEC in High AVERAGE ACTION TAKEN: School. Elementary grades level that are still implementing RBEC need (Numerical Value in 2 PROMOTED, not to fill up these columns) decimal places and 3 IRREGULAR or decimal places for From previous school years RETAINED honor learners, and completed as of end of current As of end of current School Year Descriptive Letter) School Year
100504 130025 100504 130026 100504120015 100504120016 100504120017 100504120018 100504120019 100504120020 100504120021 100504120022 100504120023 100504120024 100504120025 100504120029 100504120026
ALMAZAN, Jamaica Almazan BERAMI, Irene Ramos CAGUNGAO, April Joy Urro CERIA, Devine Althea Barrota CERIA, Lyka Jane Ullero DUMADAG, Angelica Viloria PAMINTA, Leslie Ann Ceria PASION, Ashley Nicole Marquez TABULOC, Bea Francine Kate Asuncion TAMAG, Angellie Pearl Guiang TOLENTINO, Abegail Pasco TUGADE, Vanessa Mae Duran UCLUSIN, Nympha Rosario UMBAY, Winie Romero URRO, Jenny Vic Ramos
75.14 D 76.78 D 80.08 AP 83.11 AP 81.78 AP 86.91 P 82.28 AP 87.02 P 88.69 P 83.65 AP 79.42 D 75.00 D 87.21 P 76.17 D 75.00 D
PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED PROMOTED
PREPARED BY: TERESITA A. UTRERA Class Adviser CERTIFIED CORRECT & SUBMITTED: GEOFFREY T. UNIDA School Head
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 sub teachers. The class adviser should compute for the General Average.
3. On the summary table, reflect the total number of learners promoted, retained and *irregular (*for grad onwards only) and the level of proficiency according the individual General Average.
4. Must tally with the total enrollment report as of En School Year GESP /GSSP (EBEIS) 5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent
15 30
MARY TABLE
FEMALE TOTAL
15
30
F PROFICIENCY
FEMALE TOTAL
18
ITA A. UTRERA
EY T. UNIDA
ol Head
L R. LAZO, Ed. D.
on Representative
TACUYCUY, CESO VI
Division Superintendent
evels
e Adviser. Final rating per aken from the record of subject ser should compute for the
e, reflect the total number of ned and *irregular (*for grade 7 evel of proficiency according to verage.
Region
SUMMARY TABLE
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
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
BEGINNNING (B: 74% and below) DEVELOPING (D: 75%-79%) APPROACHING PROFICIENCY (AP: 80%-84%) PROFICIENT (P: 85% -89%) ADVANCED (A: 90% and above)
TOTAL
GUIDELINES: 1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total. 2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year. 3. The Report on Promotion per grade level is reflected in the End of School Year Report of GESP/GSSP. 4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List, Form 29-Teacher Program and Form 31-Summary Information of Teachers)
Region
Number of Incumbent
Number of Incumbent
Fund Source
Position/ Designation
Major/ Specialization
Minor
Daily Program (time duration) Subject Taught (include Grade & Total Actual Section), Advisory Class DAY From To Teaching & Other Ancillary (M/T/W/ (00:00) (00:00) Minutes per Assignments TH/F) Week
Remarks (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)
Fund Source
Position/ Designation
Major/ Specialization
Minor
Daily Program (time duration) Subject Taught (include Grade & Total Actual Section), Advisory Class DAY From To Teaching & Other Ancillary (M/T/W/ (00:00) (00:00) Minutes per Assignments TH/F) Week Ave. Minutes per Day
Remarks (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)
Ave. Minutes per Day 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 SF 7 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. Submitted by:
(Signature of School Head over Printed Name) Updated as of: ___________________________ School Form 7, Page ___ of ________
1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion will be used to all grade/ 2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.
3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Other grade/year level wil 4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or the current form 3) 5. In the future, the format of the modified forms may be adjusted to align with the most recent policy of K to 12 program.
omotion will be used to all grade/year levels both elementary and secondary, RBEC and K to 12