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(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
Region
School ID
Division
District
School Name
School Year
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
Section
Grade Level
NAME OF PARENTS
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
LRN
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME OF PARENTS
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Code
Required Information
Indicator
Code
Required Information
BoSY
Transferred Out
T/O
CCT Recipient
CCT
MALE
Transferred IN
T/I
Balik-Aral
B/A
FEMALE
EoSY
Prepared by:
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
LRN
Dropped
Late Enrollment
DRP
LE
Sex
(M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
LWD
ACL
NAME OF PARENTS
RELIGION
House # / Street/Sitio/
Purok
Specify
Specify Level & Effectivity Data
Barangay
Municipality/ City
Province
TOTAL
BoSY Date:
EoSYDate:
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
REMARK/S
Contact Number
(Parent /Guardian)
Name
Relationship
Certified Correct:
REMARK/S
Contact Number
(Parent /Guardian)
Name
EoSYDate:
Relationship
BoSY Date:
EoSYDate:
School ID
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Grade Level
(1st row for date, 2nd row for Day: M,T,W,TH,F)
Section
Total for the Month
ABSENT
TARDY
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
x 100
x 100
Month:
blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive days of absences or those with
potentials of dropping out
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.
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)
(Signature of Teacher o
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
TARDY
Attested by:
(Signature of
ay of June)
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
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:_____
NO.
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
Returned
Issued
Returned
Date
Date
B. In ColumnDate
Remark/Action Taken, codes Date
are: LLTR=Secured Letter fromDate
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
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NEG).
References:
DO#23, s.2001,
DO#25, s.2003,
DO#14, 2.2012.
Date
Issued
Date
Returned
Date
Returned
Date
Returned
Region
Division
District
School ID
School Name
School Year
ATTENDANCE
GRADE/
YEAR
LEVEL
NAME OF ADVISER
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Re
(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
(A+B) Cumulative as
of End of the 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 forms shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
(Signature of
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.
(A) Cumulative as of
Previous Month
M
(A+B) Cumulative as
of End of the Month
M
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 3
decimal places for honor
learner, 2 for non-honor &
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 still implementing RBEC need not to fill up this
column)
Completed as of end of current SY
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL MALE
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
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 still implementing RBEC need not to fill up this
column)
Completed as of end of current SY
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
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 still implementing RBEC need not to fill up this
column)
Completed as of end of current SY
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:
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
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
75%-79%)
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of 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 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
School Year
GRADE 12
TOTAL
TOTAL
MALE
FEMALE
TOTAL
TOTAL
MALE
FEMALE
TOTAL
NDENT
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
Region
Division
School Name
District
Number of
Incumbent
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
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
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
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
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
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 .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall also serve as inventory list of school
personnel.
(Signature
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
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.
Major/ Specialization
Minor
DAY
(M/T/W/TH
/F)
From
(00:00)
School Year
d Funding Sources
Fund Source
(SEF, PTA, NGO's etc.)
Number of Incumbent
Teaching
NonTeaching
ed by:
d as of: ___________________________
School Form 7, Page 2 of ________