School Forms 4

School ID Region Di
School Name
AGE as of 1st
Friday of June
NAME BIRTH DATE BIRTH PLACE MOTHER

LRN Sex (M/F)
(Last Name, First Name, Middle Name) (mm/ dd/yy) (Province) TONGUE
(nos. of years
as per last
birthday)
Code Required Information Indicator
T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient
T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral
DRP Reason and Effectivity Date Learner With Dissability
LE Reason (Enrollment beyond 1st Friday of June) Accelarated
Division District
School Year Grade Level
ADDRESS NAME OF PA
IP
(Specify Ethnic RELIGION
Group) House # /
Father (1st name only if family
Street/Sitio/ Barangay Municipality/ City Province
name identical to learner)
Purok
Code Required Information BoSY EoSY
CCT CCT Control/reference number & Effectivity Date MALE
B/A Name of school last attended & Year FEMALE
LWD Specify
TOTAL
ACL Specify Level & Effectivity Data
Section
AME OF PARENTS GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent /Guardian)
Mother (Maiden: 1st Name, Middle & (Please refer to the legend
Name Relationship
Last Name) on last page)
Prepared by: Certified Correct:
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
BoSY Date: EoSYDate: BoSY Date: EoSYDate:

School Form 2 (SF2) Daily Atte
(This replaced Form 1, Form 2 & STS Form
School ID 304895 School Year 2015 - 2016
Name of School LINGIG NATIONAL HIGH SCHOOL
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F
(Last 1
Name, First Name, Middle Name)
F
1 ANDRADE , Recarte
2 ASIS , Edward
3 BALMORI , Felix
4 BANTAYAN , Erl Khaille
5 CARI-CARI , John Lloyd
6 DOLLESIN , Renel A.
7 ESCOBAL , Rosalino
8 LARGO , Shan Jazzi
9 LIGAN , Jayvee
10 LINAZA , Jhon Lloyd
11 LINGCAY , Mark Christian
12 MARSALTE , Juven
13 ONIOT , Renzo
14 ONSING , Frexan
15 ORILLO , Neljun
16 PAZO , Wawie
16 SERASPE , Jether
MALE | TOTAL Per Day 17

1 ALANO , Lyka
2 BAGO , Lowelyn
3 BERNALES , Rhymary
4 BONITE , Stella Marie
5 CABUDBUD , Celerine Kirby
6 CONSUEGRA , Bryce
7 COSEP , Camille
8 DELA VEGA , Kyla Raj Marie
9 DIANGCO , Charmee
10 GALOS , Rochell
11 INDOYON , Lyca
12 LOZANO , Jouanie Mae
13 MALUBAY , Lolievelle
14 MAQUIDIOS , Noli Rose
15 MARGATE , Rosemen
16 ORILLO , Janna
17 PAMOSO , Melissa
18 RUIZ , April Grace
19 SARMIENTO , Ivy Rose
20 SORONIO , Keyna
21 TANGMUAN , Lanielyn
22 TOROBA , Jessa Mae
FEMALE | TOTAL Per Day 22
Combined TOTAL PER DAY 39
GUIDELINES: 1. CODES FOR CHE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
blank- Present; (x)- A
2. Dates shall be written in the preceding columns beside Learner's Name.
Commer, Lower for Cu
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSE
Percentage
a. of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related F
Average Daily Total Daily Attendance a.1. Had to take care of
b.
Attendance = Number of School Days in reporting month a.2. Early marriage/pre
Average daily attendance a.3. Parents' attitude to
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems
b. Individual-Related
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
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 days b.3. Death
of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 b.5. Poor academic per
every grading period b.6. Lack of interest/D
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.7. Hunger/Malnutriti
c. School-Related Fac
c.1. Teacher Factor
c.2. Physical condition
c.3. Peer influence
d. Geographic/Enviro
d.1. Distance between
d.2. Armed conflict (in

d.3. Calamities/Disaste
e. Financial-Related
School Form 2: Page 2 of ________ e.1. Child labor, work
f. Others
ily Attendance Report of Learners
& STS Form 4 - Absenteeism and Dropout Profile)
Report for the Month of APRIL
Grade Level 7 Section VIRTUOUS
M,T,W,TH,F) Total for the Month REMARK/S (If DROPPED OUT, state reason,
1 please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
PRESENT ABSENT TARDY School.)
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
17 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
1 0
22 0
39 0
S FOR CHECKING ATTENDANCE No. of Days of Classes: Summary for the Month
Month : APRIL
1
M F
esent; (x)- Absent; Tardy (half shaded= Upper for Late
Lower for Cutting Classes) * Enrolment as of (1st Friday of June) 17 25
ONS/CAUSES OF DROP-OUTS Late Enrollment during the month (beyond

0 0
tic-Related Factors cut-off)
o take care of siblings
Registered Learner as of end of the month 17 22
marriage/pregnancy
ts' attitude toward schooling
Percentage of Enrolment as of end of the month 100 88
y problems
dual-Related Factors Average Daily Attendance 17 22
Percentage of Attendance for the month 100 100
Number of students with 5 consecutive days of absences: 0 0

Abuse
academic performance
Drop out 0 1
of interest/Distractions
er/Malnutrition
Transferred out 0 2
-Related Factors
er Factor
Transferred in 0 0
cal condition of classroom
nfluence
aphic/Environmental I certify that this is a true and correct report.
nce between home and school
IVY B. SOLIS
d conflict (incl. Tribal wars & clanfeuds)
(Signature of Teacher over Printed Name)
mities/Disasters
ial-Related Attested by:
labor, work MAXIMO G. YPARRAGUIRE Jr. , Ed.D.
(Signature of School Head over Printed Name)
state reason,
er 2.
e the name of
the Month
TOTAL
42
39
94
39
100
0
School Form 3 (SF3) Books Issued a
(This replaced Form 1 & Inventory of Text Boo
School ID School Year
School Name Grade Level

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
LEARNER'S NAME
NO. (Last Name, First Name, Middle Name)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned
TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with the f
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: Tr
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 f
prepared letter/report duly noted by School Head for submission to Sch
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
ssued and Returned
y of Text Book)
Section
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned
ion with the following code: Prepared By:
ure, TDO: Transferred/Dropout, NEG=Negligence

cured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher (Signature over printed name)
mission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
#14, 2.2012. Date BoSY:____________ Date EoSY: ___________
School Form 3: Page 2 of ________

School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absentee
School ID 304895 Region CARAGA Division SURIGAO DEL
School Name LINGIG NATIONAL HIGH SCHOOL
ATTENDANCE DROPPED
GRADE/ REGISTERED LEARNER (As

MONTH YEAR SECTION of End of the Month) (A) Cumulative as of
LEVEL Daily Average Percentage for the Month Previous Month
(B) For the M
M F T M F T M F T M F T M
JUNE, 2016 7 VIRTUOUS 26 17 43 26 17 43 100% 100% 100% 0 0 0 0
JULY, 2016 7 VIRTUOUS 26 17 43 25 17 42 96% 100% 98% 0 0 0 0
AUGUST, 2016 7 VIRTUOUS 26 17 43 24 16 40 92% 94% 93% 0 0 0 0
SEPTEMBER, 2016 7 VIRTUOUS 25 17 42 23 16 39 92% 94% 93% 0 0 0 1
OCTOBER, 2016 7 VIRTUOUS 25 17 42 22 15 37 88% 88% 88% 1 0 0 0
NOVEMBER, 2016 7 VIRTUOUS 25 17 42 22 16 38 88% 94% 91% 0 0 0 0
DECEMBER, 2016 7 VIRTUOUS 25 17 42 22 15 37 88% 88% 88% 0 0 0 0
JANUARY, 2017 7 VIRTUOUS 25 17 42 24 16 40 96% 94% 95% 0 0 0 0
FEBRUARY, 2017 7 VIRTUOUS 25 17 42 0 0 0 0
MARCH, 2017 7 VIRTUOUS 25 17 42 0 0 0 0
APRIL, 2017 7 VIRTUOUS 25 17 42 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
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.
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 grad
Learner's Movement and Attendance
Form 4-Absenteeism and Dropout Profile)
RIGAO DEL SUR District LINGIG I
School Year 2016 - 2017 Report for the Month of JUNE, 2016 - APRIL, 2017
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of (A+B) Cumulative as of (A) Cumulative as of (A+B) Cumulative as
(B) For the Month (B) For the Month (B) For the Month
End of the Month Previous Month End of the Month Previous Month of End of the Month
F 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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:
IVY B. SOLIS
(Signature over Printed Name)
column per grade/year level.

School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absenteeis
Region CARAGA Division SURIGAO DEL SUR

School ID 317901
School Name NURCIA IS
ATTENDANCE DROPPED OUT

REGISTERED
GRADE/ LEARNER (As
NAME OF ADVISER YEAR SECTION of End of the Month) Percentage for the (A) Cumulative as of
LEVEL Daily Average Previous Month
(B) For the Month
Month
M F T M F T M F T M F T M F
GANANCIAS, GRACE C. 7 Florence 22 12 34 21.1 11.83 32.96 96% 99% 97% 0 0 0 0 0
ARREZA, AIZA S. 8 Darwin 9 12 21 9 12 21 100% 100% 100% 0 0 0 0 0
ESTAL, VIVIAN R. 9 Edison 6 7 13 5.81 6.77 12.58 97% 97% 97% 0 0 0 0 0
CORTEL, MAE ANN C. IV Einstein 13 14 27 12.68 13.77 26.45 98% 98% 98% 0 0 0 0 0
ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7 22 12 34 21.1 11.8 33 96% 99% 97% 0 0 0 0 0
GRADE 2/GRADE 8 9 12 21 9 12 21 100% 100% 100% 0 0 0 0 0
GRADE 3/GRADE 9 6 7 13 5.81 6.77 12.58 97% 97% 97% 0 0 0 0 0
GRADE 4/GRADE 10 13 14 27 12.68 13.77 26.45 98% 98% 98% 0 0 0 0 0
GRADE 5/GRADE 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 6/GRADE 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL FOR NON-GRADED 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 50 45 95 48.59 44.34 93.03 98% 99% 98% 0 0 0 0 0
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.
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 grad
rner's Movement and Attendance
4-Absenteeism and Dropout Profile)
O DEL SUR District LANUZA
School Year 2014- 2015 Report for the Month of SEPTEMBER, 2014
OPPED OUT TRANSFERRED OUT TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of (A+B) Cumulative as of (A) Cumulative as of (A+B) Cumulative as
For the Month (B) For the Month (B) For the Month
End of the Month Previous Month End of the Month Previous Month of End of the Month
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 1 0 1 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 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 0 2 0 0 0 2 0 2
Prepared and Submitted by:
PRONIE CABAHUG EGPIT, SR.

umn per grade/year level.

School Form 5 (SF 5) Report on Promotion & Le
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate
Region Division
School ID School Year
School Name
INCOMPLETE SUBJECT/
(This column is for K to 1
GENERAL AVERAGE
(Numerical Value in 3
ACTION TAKEN: Elementary grades level
LEARNER'S NAME (Last Name, PROMOTED,
LRN decimal places for honor
First Name, Middle Name) *IRREGULAR or
learner, 2 for non-honor &
RETAINED
Descriptive Letter)
Completed as of end of
0
TOTAL MALE
TOTAL FEMALE
COMBINED
otion & Level of Proficiency
and List of Graduates)
District
Curriculum
Grade Level Section
LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)
eted as of end of current SY as of End of the current SY
SUMMARY TABLE
STATUS MALE FEMALE TOTAL
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
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)
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head

REVIEWED BY:
Division Representative
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 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
4. Must tallied with the total enrollment report as of End of School Year
GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under the discretion

of the Schools Division Superintendent
School Form 5: Page 2 of ________

School Form 6 (SF6) Summarized Report on Prom
and Level of Proficiency
(This replaced Form 20)
School ID Region Division
School Name District
GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10

SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Nos. of BEGINNNING (B:

74% and below)
Nos. of DEVELOPING (D:

75%-79%)
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT (P:

85% -89%)
Nos. of ADVANCED (A:

90% and above)
TOTAL
Prepared and Submitted by: Reviewed & Validated by: 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 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
Promotion
School Year
GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

SCHOOLS DIVISION SUPERINTENDENT
d.
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 317901 Region CARAGA Division SURIGAO DEL SUR

School Name NURCIA IS District LANUZA
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Oth
Title of Designation
Title of Plantilla Position (as Title of Plantilla Position (as Number of (Designation as appeared in the
Number of Incumbent
appeared in the appointment document/PSIPOP) appeared in the appointment document/PSIPOP) Incumbent contract/document: Teacher, Clerk, Security Guard,
Driver etc.)
HEAD TEACHER 1 1
TEACHER 1 6 NONE NONE
EDUCATIONAL QUALIFICATION
Employee No. (or Name of School Personnel Position/

Nature of
Tax Identification (Arrange by Position, Descending) Sex Fund Source Appointment/
Designation Degree / Post
Number -T.I.N.) Employment Status Major/ Specialization Minor
Graduate
N
A
189-747-875 EGPIT SR., PRONIE CABAHUG M T HT-1 PERMANENT 21 units MAED
'
L
N
A
942-851-823 CORTEL, MAE ANN C. F T SST-1 PERMANENT BSED ENGLISH NONE
A
942-851-823 CORTEL, MAE ANN C. F T SST-1 PERMANENT BSED ENGLISH NONE
'
L
N
A
191-334-147 ESTAL, VIVIAN R. F T SST-1 PERMANENT BSED LIBRARY SCIENCE NONE
'
L
PERMANENT BSED T.L.E NONE

N
A
445-083-367 ARREZA, AIZA S. F T jo
'
L
N
A
BIOLOGICAL
440-125-869 GANANCIAS, GRACE C. F T SST-1 PERMANENT BSED NONE
SCIENCE
'
L
N
A
939-224-969 ASUPRA, JANELIE S. F T SST-1 PERMANENT BSED MATHEMATICS NONE
'
L
N
A
N
A
PLANDO, ELMER P. M T SST-1 PERMANENT BSED T.L.E NONE
'
L
N
A
ALAPAN, MARRY GRACE P. F T SST-1 PERMANENT BSED BIOLOGICAL SCIENCE NONE
'
L
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 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.
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.
st and Basic Profile
gnment List,
chers)
SURIGAO DEL SUR

LANUZA School Year 2015-2016
(C ) Other Appointments and Funding Sources
gnation Number of Incumbent

Appointment: (Contractual,
(Designation as appeared in the Fund Source
Substitute, Volunteer, others
ument: Teacher, Clerk, Security Guard, specify) (SEF, PTA, NGO's etc.) Non-
Driver etc.) Teaching
Teaching
NONE
* Daily Program (time duration)
Remark/s (For Detailed

Subject Taught (include Grade &
Total Actual Items, Indicate name of
Section), Advisory Class & Other DAY
Ancillary Assignment Teaching Minutes school/office, For IP's
(M/T/W/TH/ From (00:00) To (00:00) -Ethnicity)
Assignment per
F)
Week
HEAD TEACHER
Ave. Minutes per Day

English VII- Florence Daily 2:30 PM 3:30 PM 60x5=300
English VIII-Darwin Daily 3:30 PM 4:30 PM 60x5=300
Filipino X-Einstein Daily 1:30 AM 2:30 PM 60x5=300
ICT 9 F 10:00 AM 11:00 AM 60x1=60
ICT 10 F 11:00 AM 12:00 PM 60x1=60
Filipino Coordinator
School Planning
Supply and Property Custodian
Ave. Minutes per Day 1010/5=180
Filipino VIII-Darwin Daily 1:30 PM 2:30 PM 60x5=300
English 9- Edison Daily 7:45 AM 8:45 AM 60x5=300
English X-Einstein Daily 8:45AM 9:45 AM 60x5=300
PEH 7-Florence M-W 3:30 PM 4:30 PM 60x2=120
ESP 9-Edison Th-F 11:00 AM 12:00 PM 60x2=120
Brigada Coordinator, Librarian and Guidance Coodinator
Aral.Pan. 7-Florence M-W 1:30 PM 2:30 PM 60x3=180
Aral. Pan. 8-Darwin M-W 8:45 AM 9:45 AM 60x3=180
ESP 10-Einstein Th-F 11:00 AM 12:00 PM 60x2=120
TLE 9-Edison Daily 2:30 PM 3:30 PM 60x5=300
TLE 10-Einstein Daily 10:00 AM 11:00 AM 60x5=300
Adopt a School Program/STEP/Senior High School Coordinator
Science 7- Florence Daily 8:45 AM 9:45 AM 60x5=300
Science 8-Darwin Daily 10:00 AM 11:00 AM 60x5=300
Aral. Pan. 10-Einstein M-W 11:00 AM 12:00 PM 60x5=300
Music & Arts 7-Florence M-T 3:30 PM 4:30 PM 60x2=120
EsP 7-Florence Th-F 1:30 PM 2:30 PM 60x2=120

GSP and Science Coordinator
Mathematics 8- Darwin Daily 7:45 AM 8:45 AM 60x5=300
Mathematics 9- Edison Daily 10:00 AM 11:00 AM 60x5=300
Mathematics 10-Einstein Daily 2:30 PM 3:30 PM 60x5=300
Filipino 7-Florence Daily 11:00 AM 12:00 PM 60x5=300
MA 9-Edison M-T 3:30 PM 4:30 PM 60x2=120
Esp 8-Darwin Th-F 8:45 AM 9:45 AM 60x2=120
Mathematics/Yes 4 PEACE/Pantawid Coordinator
T.L.E/ ICT 7 - Florence Daily 7:45 AM 8:45 AM 60x5=300
T.L.E/ ICT 8- Darwin Daily 2:30 PM 3:30 PM 60x5=300
Filipino 9 - Edison Daily 8:45 AM 9:45 AM 60x5=300
Mapeh 8 - Darwin M-Th 11:00 AM 12:00 PM 60x4=240
A&PE 10-Einstein Th-F 3:30 PM 4:30 PM 60x2=120
SSG Adviser/GPP / ICT & BSP Coordinator
Science 9- Edison Daily 1:30 PM 2:30 PM 60x5=300
Science 10- Einstein Daily 7:45 AM 8:45 AM 60x5=300
Math 7- Florence Daily 10:00 AM 11:00 AM 60x5=300
Aral. Pan. 9- Edison M-W 11:00 AM 12:00 PM 60x3=180
Arts &PE 10- Einstein M-T 3:30 PM 4:30 PM 60x2=120
Araling Panlipunan Coordinator
Submitted by:
e Division Office .
inventory list of school personnel. PRONIE CABAHUG EGPIT

Updated as of: ___________ 23-Jun-15
School Form 7, Page 2 of ________

School Forms 4

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School Forms 4

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School ID Region Di

NAME BIRTH DATE BIRTH PLACE MOTHER

School Year Grade Level

CCT CCT Control/reference number & Effectivity Date MALE

B/A Name of school last attended & Year FEMALE

AME OF PARENTS GUARDIAN (If not Parent) REMARK/S

BoSY Date: EoSYDate: BoSY Date: EoSYDate:

School ID 304895 School Year 2015 - 2016

Name of School LINGIG NATIONAL HIGH SCHOOL

MALE | TOTAL Per Day 17

FEMALE | TOTAL Per Day 22

Combined TOTAL PER DAY 39

GUIDELINES: 1. CODES FOR CHE

d.2. Armed conflict (in

Report for the Month of APRIL

Grade Level 7 Section VIRTUOUS

ONS/CAUSES OF DROP-OUTS Late Enrollment during the month (beyond

dual-Related Factors Average Daily Attendance 17 22

Percentage of Attendance for the month 100 100

Number of students with 5 consecutive days of absences: 0 0

School ID School Year

School Name Grade Level

TOTAL FOR MALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

ure, TDO: Transferred/Dropout, NEG=Negligence

School Form 3: Page 2 of ________

School ID 304895 Region CARAGA Division SURIGAO DEL

School Name LINGIG NATIONAL HIGH SCHOOL

GRADE/ REGISTERED LEARNER (As

JULY, 2016 7 VIRTUOUS 26 17 43 25 17 42 96% 100% 98% 0 0 0 0

AUGUST, 2016 7 VIRTUOUS 26 17 43 24 16 40 92% 94% 93% 0 0 0 0

SEPTEMBER, 2016 7 VIRTUOUS 25 17 42 23 16 39 92% 94% 93% 0 0 0 1

OCTOBER, 2016 7 VIRTUOUS 25 17 42 22 15 37 88% 88% 88% 1 0 0 0

NOVEMBER, 2016 7 VIRTUOUS 25 17 42 22 16 38 88% 94% 91% 0 0 0 0

DECEMBER, 2016 7 VIRTUOUS 25 17 42 22 15 37 88% 88% 88% 0 0 0 0

JANUARY, 2017 7 VIRTUOUS 25 17 42 24 16 40 96% 94% 95% 0 0 0 0

FEBRUARY, 2017 7 VIRTUOUS 25 17 42 0 0 0 0

MARCH, 2017 7 VIRTUOUS 25 17 42 0 0 0 0

APRIL, 2017 7 VIRTUOUS 25 17 42 0 0 0 0

RIGAO DEL SUR District LINGIG I

DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

column per grade/year level.

Region CARAGA Division SURIGAO DEL SUR

School Name NURCIA IS

ATTENDANCE DROPPED OUT

O DEL SUR District LANUZA

OPPED OUT TRANSFERRED OUT TRANSFERRED IN

PRONIE CABAHUG EGPIT, SR.

umn per grade/year level.

School ID School Year

Grade Level Section

eted as of end of current SY as of End of the current SY

STATUS MALE FEMALE TOTAL

DEVELOPING (D: 75%-

ADVANCED (A: 90%

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

(Name and Signature)

(Name and Signature)

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per subject area should

3. On the summary table, reflect the total number of learners

5. Protocols of validation & submission will remain under the discretion

School Form 5: Page 2 of ________