Академический Документы
Профессиональный Документы
Культура Документы
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
301000
School Name
Region III
Division
Victoria NHS
Tarlac
School Year
2014 - 2015
Grade: Grade 7
ADDRESS
PAR
Sex (M/F)
BIRTH DATE
(mm/dd/yyyy)
106784070001
04-23-2002
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
REMIGIO V. AFABLE
106793070001
01-15-2002
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
ROMEO T. AQUINO
106784070003
10-18-2002
11
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
GILBERT G.
CORTEZ
106784070007
07-11-2002
11
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
MELANIO G.
BALTAZAR
106796070012
7/6/2001
12
Iloko
N/A
Christianity
N/A
SAN JACINTO
VICTORIA
TARLAC
GILBERT G.
CORTEZ
106791070006
07-02-2000
13
Iloko
N/A
Christianity
N/A
LALAPAC
VICTORIA
TARLAC
RENANTE
CALINGACION
106793060008
08-04-2000
13
Iloko
N/A
Christianity
N/A
PALACPALAC
VICTORIA
TARLAC
GIL CASTILLO
106793070010
12-03-2001
12
Iloko
N/A
Christianity
N/A
PALACPALAC
VICTORIA
TARLAC
JULY. C CATABAY
106784070016
09-22-2000
13
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
VICTOR S. CORTEZ
106786070008
9/14/2002
12
Iloko
N/A
Christianity
N/A
BATANGBATANG
VICTORIA
TARLAC
RANDY V. GABAON
301000110274
02-04-2000
14
Iloko
N/A
Christianity
N/A
CABULUAN
VICTORIA
TARLAC
FAUSTO GABRIEL
106784070035
04-14-2000
14
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
VICTORINO
GAMENG JR.
106784070038
06-30-2002
11
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
JERRY GAPINGAN
106784070039
05-31-2002
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
LAUDENCIO
GATMIN
301000140125
8/26/1998
15
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
JONARD PASCUA
SR.
106784070048
10-22-2000
13
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
JUDY QUIJANO
106784070051
11-13-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
BRAULIO RAGMA
106664070033
09-13-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
ROJAN ROSETE
106793070028
7/19/2000
13
Iloko
N/A
Christianity
N/A
PALACPALAC
VICTORIA
TARLAC
MELENCIO
SACATANI
106784070059
10-07-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
JONATHAN SAGUN
LRN
NAME
(Last Name, First Name, Middle Name)
AGE as
of 1st
Friday
June
MOTHER
TONGUE
(Grade 1
to 3 Only)
IP
(Ethnic
Group)
RELIGION
House #/
Street/ Sitio/
Purok
Barangay
Municipality/ City
Province
Father's Name
(Last Name, First
Name, Middle
Name)
er
rade 7
Section
CHRONICLES
GUARDIAN
(if Not Parent)
PARENTS
REMARKS
Father's Name
Last Name, First
Name, Middle
Name)
Mother's Maiden
Name (Last Name,
First Name, Middle
Name
Relationship
Contact
Number of
Parent or
Guardian
EMIGIO V. AFABLE
ANABELLE B.
MENDOZA
ANABELLE AFABLE
N/A
N/A
ROMEO AQUINO
N/A
N/A
OFELIA DOMINGO
SATURNINO
BACTAD
N/A
N/A
MELANIO G.
BALTAZAR
NORA T. BICERA
MELANIO
BALTAZAR
N/A
N/A
GILBERT G.
CORTEZ
NATIVIDAD SABALA
GILBERT G.
CORTEZ
N/A
N/A
RENANTE
CALINGACION
JENNY APOLONIO
JENNY APOLONIO
N/A
N/A
GIL CASTILLO
RAMONES
GIL CASTILLO
N/A
N/A
JULY. C CATABAY
MYLA FERNANDEZ
DOLORES
CATABAY
N/A
N/A
CTOR S. CORTEZ
ZENY A. CAPULONG
VICTOR CORTEZ
N/A
N/A
ANDY V. GABAON
ANA HAZEL V.
ANTALAN
ANA HAZEL
GABAON
N/A
N/A
FAUSTO GABRIEL
LUCENA VICENTE
LUCENA GABRIEL
N/A
N/A
VICTORINO
GAMENG JR.
AURORA C. BAUN
VICTORINO
GAMENG SR
N/A
N/A
ERRY GAPINGAN
LEA B. OCA
JERRY GAPINGAN
N/A
N/A
LAUDENCIO
GATMIN
GLORIA I.
GARNADOZO
LAUDENCIO
GATMIN
N/A
N/A
ONARD PASCUA
SR.
RHODORA BELLO
JONARD PASCUA
SR.
N/A
N/A
JUDY QUIJANO
JOSEFINA VALDEZ
JUDY QUIJANO
N/A
N/A
BRAULIO RAGMA
BEVERLY S. GABRIEL
BRAULIO RAGMA
N/A
N/A
ROJAN ROSETE
JOCELYN PERALTA
JOCELYN ROSETE
N/A
N/A
MELENCIO
SACATANI
MARIVIC V.
FRANCISCO
MELENCIO
SACATANI
N/A
N/A
ONATHAN SAGUN
MARCELO
JONATHAN SAGUN
N/A
N/A
(Please refer to
the legend on last
page)
106786120029
09-22-2002
11
Iloko
N/A
Christianity
N/A
BATANGBATANG
VICTORIA
TARLAC
DONALD M.
SOLIVEN
106784070068
11-12-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
SATURNINO B.
VALDOZ
106788070002
7/16/2002
11
Iloko
N/A
Christianity
N/A
CABULUAN
VICTORIA
TARLAC
DEMETRIO BALANA
JR.
106793070003
08-22-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
REYNALDO BALBIN
136213070002
02-21-2002
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
ARIEL A. BALBIN
106784070011
02-14-2002
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
MARLON F.
BUDANIO
106784070014
09-26-1999
14
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
GERARDO
CORDOBA SR.
106784070017
01-26-2000
14
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
N/A
106793070011
02-10-2002
12
Iloko
N/A
Christianity
N/A
PALACPALAC
VICTORIA
TARLAC
ARTHUR DONES
106791070018
12-06-2001
12
Iloko
N/A
Christianity
N/A
LALAPAC
VICTORIA
TARLAC
MARVIN
MAGBALITA
106784120138
2/18/2000
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
JESUS MANZANO
106784070044
12-02-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
106784070047
07-26-2002
11
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
106784070056
01-08-2002
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
106793070030
01-01-2002
12
Iloko
N/A
Christianity
N/A
PALACPALAC
VICTORIA
TARLAC
106793070032
11-21-2001
12
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
JONNY SERRANO
106788070026
11-29-2001
12
Iloko
N/A
Christianity
N/A
CABULUAN
VICTORIA
TARLAC
ROMMEL L.
SUBAYNO
106784070065
09-25-1999
14
Iloko
N/A
Christianity
N/A
BALAYANG
VICTORIA
TARLAC
ALBINO TORRES
105479120077
06-26-2002
11
Iloko
N/A
Christianity
N/A
LICAB
NUEVA ECIJA
EFREN B.
PANGALIMAN
ANATALIO S.
PASTIDIO R.
LEONARDO E.
RENOJO
RONALDO
SACATANI
LEONARDO G.
VELUZ
39 <=== COMBINED
Indicator
CCT Receipient
CCT
Balik Aral
B/A
Learner With
Disability
Accelerated
LWD
Specify
ACL
REGISTERED
BoSY
MALE
22
FEMALE
17
TOTAL
39
EoSY
DONALD M.
SOLIVEN
MICHELLE G.
GABAON
DONALD SOLIVEN
N/A
N/A
SATURNINO B.
VALDOZ
MYLENE P.
FERNANDEZ
SATURNINO
VALDOZ
N/A
N/A
MARILYN BALANA
N/A
N/A
MARGIE POLIDO
JERRY BALBIN
N/A
N/A
ARIEL A. BALBIN
SHARON CANAYON
PAWID
ARIEL BALBIN
N/A
N/A
MARLON F.
BUDANIO
REMDIOS G.
BARROGA
MARLON BUDANIO
N/A
N/A
GERARDO
CORDOBA SR.
MARITES RAMONES
N/A
N/A
N/A
MERCEDITA YUZON
N/A
N/A
ARTHUR DONES
MARITES VALDOZ
N/A
N/A
MARVIN
MAGBALITA
MARY JANE A.
AQUINO
MARVIN
MAGBALITA
N/A
N/A
ESUS MANZANO
MARICHELLE CASIDO
JESUS MANZANO
N/A
N/A
N/A
N/A
N/A
N/A
EMETRIO BALANA
JR.
EYNALDO BALBIN
EFREN B.
PANGALIMAN
ANATALIO S.
PASTIDIO R.
LEONARDO E.
RENOJO
RONALDO
SACATANI
MYRNA S. MENDOZA
LEONARA G.
SALOMATAR
MARITES
CORDOBA
MERCIDITA DE
GUZMAN
MARIA TERESA
POLIDO
MYRNA
PANGALIMAN
ANATALIO
PASTIDIO
GINAELI M. NACENO
JANET NACENO
N/A
N/A
AILYN G. ALZAGA
AILYN SACATANI
N/A
N/A
ONNY SERRANO
LORNA LEONA
JONNY SERRANO
N/A
N/A
ROMMEL L.
SUBAYNO
GLORIA B ESQUILLO
ROMMEL L
SUBAYNO
N/A
N/A
ALBINO TORRES
OROSA
ALBINO TORRES
N/A
N/A
LEONARDO G.
VELUZ
MELODY V.
REVOLLEDO
MELODY R VELUZ
N/A
N/A
Certified Correct:
Prepared by;
AMELIA I. CACHERO
(Signature of School Head over Printed Name)
BoSY Date:
EoSY Date:
BoSY Date:
EoSY Date:
Revision 3
School ID
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
301000
2014-2015
JUNE
Grade Level
Section
CHRONIC
Total for the Month
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
H
O
22
22
22
22
22
22
22
22
L
I
22
22
22
22
22
22
22
22
22
22
22
22
TH
A
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
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
x 100
x 100
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
Month:
JUNE
MELODY L
(Signature of Teacher over Printed Name)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Form 2 : Page ___ of ________
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
20
Summary
M
TOTAL
22
17
39
he month
beyond cut-off)
22
17
39
100
100
100
ge Daily Attendance
22
17
39
100%
100%
100%
ransferred out
Transferred in
orrect report.
Printed Name)
School ID
School Year
301000
Name of School
2014-2015
JULY
Grade Level
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
CHRONIC
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
LEARNER'S NAME
(Last Name, First Name, Middle Name)
M
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
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
x 100
x 100
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
Month:
JULY
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
22
Summary
M
TOTAL
22
17
39
he month
beyond cut-off)
22
17
39
100
100
100
ge Daily Attendance
22
17
39
100%
100%
100%
ransferred out
Transferred in
orrect report.
School ID
School Year
301000
Name of School
2014-2015
AUGUST
Grade Level
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
CHRONIC
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
TH
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
22
LEARNER'S NAME
(Last Name, First Name, Middle Name)
M
TH
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
39
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
x 100
x 100
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
Month:
AUGUST
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
TH
11
12
13
14
15
18
19
20
21
22
25
26
27
28
TH
TH
TH
TH
29
F
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
19
Summary
M
TOTAL
22
17
39
he month
beyond cut-off)
22
17
39
100
100
100
ge Daily Attendance
22
17
39
100
100
ransferred out
Transferred in
orrect report.
School ID
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
301000
2014-2015
SEPTEMBER
Grade Level
Section
CHRONIC
Total for the Month
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
TH
15
21
22
22
22
21
22
21
22
21
21
21
21
22
21
20
21
21
22
22
20
21
22
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
17
17
17
17
17
17
17
17
16
16
17
17
17
17
16
17
17
17
17
17
17
17
38
39
39
39
38
39
38
39
37
37
38
38
39
38
36
38
38
39
39
37
38
39
18
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
x 100
x 100
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
Month:
SEPTEMBER
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Form 2 : Page ___ of ________
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
22
TOTAL
22
17
39
he month
beyond cut-off)
22
17
39
100
100
100
ge Daily Attendance
21.3182 16.8636
196.10
99.198
0
96.9
0
38.1818181818
Drop out
ransferred out
Transferred in
orrect report.
School ID
Name of School
10
11
12
13
14
15
16
17
18
19
20
21
22
OCTOBER
Grade Level
Section
CHRONIC
Total for the Month
2014-2015
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
School Year
301000
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
M
9
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
x 100
x 100
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
Month:
OCTOBER
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
TH
TH
TH
TH
TH
31
F
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
23
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
TOTAL
School ID
School Year
301000
Name of School
10
11
12
13
14
15
16
17
18
19
20
21
22
NOVEMBER
Grade Level
Section
TH
4
T
5
W
6
TH
7
F
10
M
11
T
12
W
13
TH
CHRONIC
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2014-2015
14
F
17
M
18
T
19
W
20
TH
21
F
24
M
25
T
26
W
27
TH
28
F
ABSENT
TARDY
3
M
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
TH
4
T
5
W
6
TH
7
F
10
M
11
T
12
W
13
TH
14
F
17
M
18
T
19
W
20
TH
21
F
24
M
25
T
26
W
27
TH
28
F
ABSENT
TARDY
10
11
12
13
14
15
16
17
x 100
x 100
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
Month:
NOVEMBER
(Signature of Teacher ov
3
M
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
TH
4
T
5
W
6
TH
7
F
10
M
11
T
12
W
13
TH
14
F
17
M
18
T
19
W
20
TH
21
F
24
M
25
T
26
W
27
TH
28
F
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
20
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
TOTAL
School ID
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
10
11
12
13
14
15
16
17
18
19
20
21
22
School Year
301000
2014-2015
DECEMBER
Grade Level
Section
CHRONIC
Total for the Month
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
LEARNER'S NAME
(Last Name, First Name, Middle Name)
9
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
x 100
x 100
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
Month:
DECEMBER
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Form 2 : Page ___ of ________
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
31
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
15
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
TOTAL
School ID
School Year
301000
Name of School
10
11
12
13
14
15
16
17
18
19
20
21
22
JANUARY
Grade Level
Section
TH
CHRONIC
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2014-2015
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
TH
TH
TH
TH
ABSENT
TARDY
LEARNER'S NAME
(Last Name, First Name, Middle Name)
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
TH
TH
TH
TH
TH
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
340
ABSENT
TARDY
10
11
12
13
14
15
16
17
x 100
x 100
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
Month:
JANUARY
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
T
TH
12
13
14
15
16
19
20
21
22
23
26
27
28
29
TH
TH
TH
TH
30
F
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
20
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
TOTAL
School ID
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
301000
2014-2015
FEBRUARY
Grade Level
Section
CHRONIC
Total for the Month
10
11
12
13
16
17
18
19
20
23
24
25
26
27
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
12
13
16
17
18
19
20
23
24
25
26
27
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
340
x 100
x 100
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
Month:
FEBRUARY
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Form 2 : Page ___ of ________
10
11
12
13
16
17
18
19
20
23
24
25
26
27
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
20
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
TOTAL
School ID
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
301000
2014-2015
MARCH
Grade Level
Section
CHRONIC
Total for the Month
10
11
12
13
16
17
18
19
20
23
24
25
26
27
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
18
19
20
21
22
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
12
13
16
17
18
19
20
23
24
25
26
27
TH
TH
TH
TH
TH
ABSENT
TARDY
10
11
12
13
14
15
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
340
x 100
x 100
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
Month:
MARCH
(Signature of Teacher ov
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Form 2 : Page ___ of ________
10
11
12
13
16
17
18
19
20
23
24
25
26
27
TH
TH
TH
TH
TH
ABSENT
TARDY
Attested by:
(Signature of S
CHRONICLES
REMARKS (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Summary
20
he month
beyond cut-off)
ge Daily Attendance
Attendance for the month
ransferred out
Transferred in
orrect report.
TOTAL
School ID
School Year
School Name
NO.
Section
Grade Level
Subject Area & Title
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Date
Returned
Issued
NO.
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Date
Returned
Issued
In case of lost/unreturned books, please provide information with the following code:
Prepared By:
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.
Date BoSY:_____
Date
Returned
Date
Returned
School ID
Region
Division
District
School Name
GRADE/
YEAR LEVEL
School Year
SECTION
NAME OF ADVISER
REGISTERED
LEARNERS
(As of End of the
Month)
M
ATTENDANCE
Daily Average
M
DROPPED OUT
Rep
(A) Cumulative as of
Previous Month
M
TRANSFERRED OUT
(A+B) Cumulative as
of End of the Month
M
(A) Cumulative as of
Previous Month
M
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
(A+B) Cumulative as
of End of the Month
M
(Signature of S
Page _____ of _____ pages
(A+B) Cumulative as
of End of the Month
M
Region
Region III
School ID
Division
Tarlac
301000
School Name
School Year
2014 - 2015
Victoria NHS
Grade Level
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Grade 7 (Year
Section
INCOMPLETE SUBJECT/S
GENERAL AVERAGE
LRN
Curriculum
(This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
ACTION TAKEN:
grades level that are still implementing RBEC
(Numerical Value in 2 decimal places PROMOTED, IRREGULAR or
RETAINED
and 3 decimal places for honor
learners, and Descriptive Letter)
From previous school years completed as
As of end of current School Year
of end of current School
MALE
106784070001 AFABLE , MIKE ANGELO MENDOZA
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
ency
CHRONICLES
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
22
17
39
IRREGULAR
RETAINED
MALE
BEGINNING
(B: 74% and below)
DEVELOPING
(75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85%-89%)
ADVANCED
(A: 90% and above)
FEMALE
TOTAL
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PROMOTED
PREPARED BY:
MELODY LACAYANGA MEJIA
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED BY:
GUIDELINES:
1. For All Grade/Year Levels.
2. To be prepared by the Adviser. Final rating per subject area should be taken from the record of
subject teachers. The class Adviser should compute for the General Average.
3. On the summary table, reflect the total number of learners promoted, retained and *irregular (*for
grade 7 onwards only) and the level of proficiency according to the individual General Average.
4. Must tally with the total enrollment report as of End of School Year GESP /GSSP (EBEIS).
5. Protocols of validation and submission is under the
PROMOTED
PROMOTED
Region
Division
School ID
District
School Year
Curriculum
School Name
LRN
Grade Level
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Section
INCOMPLETE SUBJECT/S
(This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
grades level that are still implementing RBEC need not to fill up these columns)
From previous school years completed as
of end of current School Year
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL MALE
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
grades level that are still implementing RBEC need not to fill up these columns)
From previous school years completed as
of end of current School Year
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This
column is for K to 12 Curriculum and remaining RBEC in High School. Elementary
grades level that are still implementing RBEC need not to fill up these columns)
From previous school years completed as
of end of current School Year
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
FEMALE
TOTAL
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
REVIEWED BY:
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating per subject area should
be taken from the record of subject teachers. The class adviser
should compute for the General Average.
3. On the summary table, reflect the total number of learners
promoted, retained and *irregular (*for grade 7 onwards only) and the
level of proficiency according to the individual General Average.
4. Must tally with the total enrollment report as of End of School Year
GESP /GSSP (EBEIS)
5. Protocols of validation & submission is under the discretion of the
Schools Division Superintendent
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
85% -89%)
(P:
ADVANCED
90% and above)
(A:
TOTAL
Noted by:
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.
School Year
GRADE 12
NDENT
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
Region
Division
School Name
District
Number of
Incumbent
Appointment:
(Contractual,
Substitute, Volunteer,
others specify)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Daily Program (t
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes p
Ave. Minutes p
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Daily Program (t
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
GUIDELINES:
Submitted by:
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an updated Form 19 must be submitted to the
Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
(Sig
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Daily Program (t
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
Updated as of: _
School Year
Teaching
NonTeaching
To (00:00)
Total Actual
Teaching
Minutes per
Week
To (00:00)
Total Actual
Teaching
Minutes per
Week
ubmitted by:
To (00:00)
Total Actual
Teaching
Minutes per
Week