School ID 123934

School Name ANAGASI ELEMENTAR

NAME Sex
LRN (Last Name, First Name, Middle Name) (M/F)

123934130004 ABANES, JIMBERT GABIANA M

123934100004 ESPINA, JOMARI GAGBO M

123934100006 GABLIN HERWEN CEDRON M

123934100007 LABONG, ELME LLAMADO M

123934070004 LABONG RIAN LLAMADO M

 NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)

123934160001 LLAMADO, LINGCON GABANE M

123934100009 LLAMADO, TAMMY GABANE M

123934100011 LOPEZ, JEROLAN DACUMA M

123934100013 PACLITA, RYAN GABIANA M

9 <===TOTAL MALE

123934100001 ABAYOG, LIEZEL CALAGOS F

123934100008 LLAMADO, REBECCA GABANE F

2 <===TOTAL FEMALE
 NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)
 NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)
 NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)
 NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)

List and Code of Indicators under REMARKS column

Indicator Code Required Information
 NAME Sex
LRN
(Last Name, First Name, Middle Name) (M/F)

Transferred Out T/OName of Public (P) Private (PR) School & Effectivity Date

Transferred IN T/IName of Public (P) Private (PR) School & Effectivity Date

Dropped DRPReason and Effectivity Date

Late Enrollment LEReason (Enrollment beyond 1st Friday of June)

 School Form 1 (SF 1) Scho
(This replaces Form 1, Master List & STS Form 2-Family

Region VIII Division SAMAR

ELEMENTARY SCHOOL School Year 2016-2017

ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok

07-21-2004 12 Waray Christianity ANAGASI

03-13-2005 12 Waray Christianity ANAGASI

07-13-2002 14 Waray Christianity ANAGASI

05-26-2003 13 Waray Christianity ANAGASI

07-26-2001 15 Waray Christianity ANAGASI

 ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok

Waray Christianitty ANAGASI

2/10/04 12 Waray Christianitty ANAGASI

7/5/02 14 Waray Christianity ANAGASI

03-29-2005 12 Waray Christianity ANAGASI

5/10/05 11 Waray Christianity ANAGASI

12/5/04 12 Waray Christianity ANAGASI

 ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok
 ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok
 ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok
 ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok

S column
Indicator Code Required Information
 ADDRESS

BIRTH DATE (mm/dd/ AGE as of 1st MOTHER TONGUE (Grade 1 to IP RELIGION

yyyy) Friday June 3 Only) (Ethnic Group) House #/ Street/
Sitio/ Barangay
Purok

CCT Recipient CCT CCT Control/reference number & Effectivity Date

Balik-Aral B/A Name of school last attended & Year

Learner With
LWD Specify
Dissability
Accelarated ACL Specify Level & Effectivity Data
Form 1 (SF 1) School Register
rm 1, Master List & STS Form 2-Family Background and Profile)

District WRIGHT II-SJB

2016-2017 Grade Level 6

ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name

PARANAS(WRIGHT) SAMAR ABANES, ROLANDO PACLITA G

PARANAS(WRIGHT) SAMAR ESPINA, RENATO SR. CEDRON GAG

PARANAS(WRIGHT) SAMAR GABLIN, MAGNO C

PARANAS(WRIGHT) SAMAR LABON, GERONIMO PACLITA LLAM

PARANAS(WRIGHT) SAMAR LABON, GERONIMO PACLITA LLAM

ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name

PARANAS(WRIGHT) SAMAR

PARANAS(WRIGHT) SAMAR LLAMADO, TITO TABLADA GABA

PARANAS(WRIGHT) SAMAR LOPEZ, JONATHAN MOLENA DACU

PARANAS(WRIGHT) SAMAR PACLITA, DOMINADOR DACANAY GABIA

PARANAS(WRIGHT) SAMAR ABAYOG, NOEL SR. LLAMADO CALA

PARANAS(WRIGHT) SAMAR LLAMADO, EDITO TABLADO GABA

ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name
ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name
ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name
ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name

REGISTERED BoSY EoSY

 ADDRESS PARENTS

Municipality/ City Province Father's Name (Last Name, First Name, Middle Name) Mother's Maiden Name

Date MALE 9

FEMALE 2

TOTAL 11
 WRIGHT II-SJB

Section 1
GUARDIAN (If
ARENTS
not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship

GABIANA, LETECIA N/A

GAGBO, JENNIFER LIBREJA N/A

CEDRON, ERLINDA N/A

LLAMADO, ARLYN TABLADA N/A

LLAMADO, ARLYN TABLADA N/A

 GUARDIAN (If
ARENTS not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship

N/A

GABANE, REMEDIOS DACLES N/A

DACUMA, LOLITA IGDALINO N/A

GABIANA, MANSUETA DACLES N/A

CALAGOS, JOVITA DACANAY N/A

GABANE, BEATRIZ PACLITA N/A

 GUARDIAN (If
ARENTS not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship
 GUARDIAN (If
ARENTS not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship
 GUARDIAN (If
ARENTS not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship
 GUARDIAN (If
ARENTS not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship

Prepared by: Certified Correct:

 GUARDIAN (If
ARENTS not Parent)

Contact Number of Parent or Guardian

Mother's Maiden Name (Last Name, First Name, Middle Name) Name Relation-ship

NENA B. GABON FEDERICO A. BABON JR.

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)

BoSY Date: EoSYDate: BoSY Date: EoSYDate:

 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)
 REMARKS

(Please refer to the legend

on last page)

over Printed Name)

 School Form 2 (SF2) Daily Attendance Report of Le
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 123934 School Year 2016-2017 Report for the Month of

Name of School ANAGASI ELEMENTARY SCHOOL Grade Level 6

LEARNER'S NAME (1st row for date)
(Last 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
ABANES, JIMBERT GABIANA
ESPINA, JOMARI GAGBO
GABLIN, HERWEN CEDRON

LABONG, ELME LLAMADO

LABONG, RIAN LLAMADO

LLAMADO, LINGCON GABIANA

LLAMADO, TAMMY GABANE
LOPEZ, JEROLAN DACUMA

PACLITA, RYAN PACLITA

LEARNER'S NAME (1st row for date)
(Last 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

MALE | TOTAL Per Day

ABAYOG, LIEZEL CALAGOS

LLAMADO, REBECCA GABANE

LEARNER'S NAME (1st row for date)
(Last 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upp
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table b.2. Overage
into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out.
LEARNER'S NAME (1st row for date)
(Last 1 2 3 6 7 8 9 10 13 14 15 16 17 20 21 22 23 24 27
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
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. b.5. Poor academic performance
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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)

School Form 2 : Page ___ of ________

of Learners
ofile)

MARCH

6 Section 1

Total for the

Month REMARKS (If DROPPED OUT, state reason, please refer to
28 29 30 31 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer to
28 29 30 31 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer to
28 29 30 31 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Month: No. of Days of Summary

Classes: M F TOTAL
ded= Upper for
sses)
* Enrolment as of (1st Friday of June) 4 2 0
UT
Late Enrollment during the month
0 0 0
(beyond cut-off)

Registered Learners as of end of the month 0 0 0

100% 100% 100%

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

 Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer to
28 29 30 31 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Number of students absent for 5 consecutive days:

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

NENA B. GABON
(Signature of Teacher over Printed Name)

Attested by:
FEDERICO A. BABON JR.
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 123934 School Year 2016-2017

School Name ANAGASI ELEMENTARY SCHOOL Grade Level 6 Section
FILIPINO ENGLISH MATHEMATICS SCIENCE HEKASI EDUKASYON SA
PAGPAPAPAKATAO
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
ABANES, JIMBERT GABIANA
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
ESPINA, JOMARI GAGBO
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
GABLIN, HERWEN CEDRON
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
LABONG, ELME LLAMADO
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
LABONG, RIAN LLAMADO
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
LLAMADO, LINGCON GABIANA
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
LLAMADO, TAMMY GABANE
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
LOPEZ, JEROLAN DACUMA
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
PACLITA, RYAN PACLITA
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
 FILIPINO ENGLISH MATHEMATICS SCIENCE HEKASI EDUKASYON SA
PAGPAPAPAKATAO
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES 9 9 9 9 9 9 9 9 9 9 9

ABAYOG, LIEZEL CALAGOS
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
LLAMADO, REBECCA GABANE
6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16 3-30-17 6-27-16
 FILIPINO ENGLISH MATHEMATICS SCIENCE HEKASI EDUKASYON SA
PAGPAPAPAKATAO
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 FILIPINO ENGLISH MATHEMATICS SCIENCE HEKASI EDUKASYON SA
PAGPAPAPAKATAO
LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES 2 2 2 2 2 2 2 2 2 2 2

TOTAL LEARNERS | TOTAL COPIES 11 11 11 11 11 11 11 11 11 11 11

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
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to S
(for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#2
urned

1
UKASYON SA EDUKASYONG MSEP
PAPAPAKATAO PANTAHAN AT
PANGKABUHAYAN REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

UKASYON SA EDUKASYONG MSEP
PAPAPAKATAO PANTAHAN AT
PANGKABUHAYAN REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

9 9 9 9 9

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

3-30-17 6-27-16 3-30-17 6-27-16 3-30-17

UKASYON SA EDUKASYONG MSEP
PAPAPAKATAO PANTAHAN AT
PANGKABUHAYAN REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
UKASYON SA EDUKASYONG MSEP
PAPAPAKATAO PANTAHAN AT
PANGKABUHAYAN REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

2 2 2 2 2

11 11 11 11 11
llowing code: Prepared By:

/Dropout, NEG=Negligence NENA B. GABON

rner duly signed by parent/guardian (for (Signature over printed name)
submission to School Property Custodian Date BoSY:____________ Date EoSY: ___________
3, s.2001, DO#25, s.2003, DO#14, 2.2012.
 School Form 4 (SF4) Monthly Learner's Movement and Attend
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 123934 Region VIII Division SAMAR District

School Name ANAGASI ELEMENTARY SCHOOL School Year 2016-

ATTENDANCE DROPPED OUT TRANSFER

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the
LEVEL the Month) the Month of Previous Month
Month
of Previous Month

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: Prepared and
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

Attendance

WRIGHT II

2016-2017 Report for the Month of AUGUST

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

(A) Cumulative as
(B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month
Month End of the Month

M F T M F T M F T M F T M F T
epared and Submitted by:

(Signature of School Head over Printed Name)

 School Form 5 (SF 5) Report on Promotion & Level of P
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region VIII Division SAMAR

123934
School ID School Year 2016-2017

School Name ANAGASI ELEMENTARY SCHOOL

INCOMPLETE SU
GENERAL
(This
AVERAGE
ACTION TAKEN: RBEC in High S
(Numerical Value in 2
LEARNER'S NAME (Last Name, First PROMOTED, implementin
LRN decimal places and 3
Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous sc
honor learners, and
Descriptive Letter) completed as of en
School Y
123934130004 ABANES, JIMBERT GABIANA 85 PROMOTED
123934100004 ESPINA, JOMARI GAGBO 86 PROMOTED
123934100006 GABLIN, HERWEN CEDRON 84 PROMOTED

123934100007 LABONG, ELME LLAMADO 84 PROMOTED

123934070004 LABONG, RIAN LLAMADO 83 PROMOTED

123934160001 LLAMADO, LINGCON GABIANA 82 PROMOTED

123934100009 LLAMADO, TAMMY GABANE 83 PROMOTED

123934100011 LOPEZ, JEROLAN DACUMA 81 PROMOTED

123934100013 PACLITA, RYAN PACLITA 82 PROMOTED

 INCOMPLETE SU
GENERAL
(This
AVERAGE
ACTION TAKEN: RBEC in High S
(Numerical Value in 2
LEARNER'S NAME (Last Name, First PROMOTED, implementin
LRN decimal places and 3
Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous sc
honor learners, and
Descriptive Letter) completed as of en
School Y

9 TOTAL MALE
123934100001 ABAYOG, LIEZEL CALAGOS
88 PROMOTED
123934100008 LLAMADO, REBECCA GABANE
85 PROMOTED
 INCOMPLETE SU
GENERAL
(This
AVERAGE
ACTION TAKEN: RBEC in High S
(Numerical Value in 2
LEARNER'S NAME (Last Name, First PROMOTED, implementin
LRN decimal places and 3
Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous sc
honor learners, and
Descriptive Letter) completed as of en
School Y
 INCOMPLETE SU
GENERAL
(This
AVERAGE
ACTION TAKEN: RBEC in High S
(Numerical Value in 2
LEARNER'S NAME (Last Name, First PROMOTED, implementin
LRN decimal places and 3
Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous sc
honor learners, and
Descriptive Letter) completed as of en
School Y

2 TOTAL FEMALE

6 COMBINED
vel of Proficiency

District WRIGHT II-SJB

Curriculum K to 12

Grade Level 5 Section 1

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining
EC in High School. Elementary grades level that are still
mplementing RBEC need not to fill up these columns)

previous school years

eted as of end of current As of end of current School Year
School Year

SUMMARY TABLE
STATUS MALE FEMALE TOTAL

PROMOTED 9 2 11

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining
EC in High School. Elementary grades level that are still
mplementing RBEC need not to fill up these columns)

previous school years

eted as of end of current As of end of current School Year
School Year

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and 0 0 0
below)

DEVELOPING (D:
75%-79%)
0 0 0

APPROACHING
PROFICIENCY
(AP:
7 0 7
80%-84%)

PROFICIENT
(P: 85% -89%)
2 2 4

ADVANCED (A:
90% and above)
0 0 0

PREPARED BY:

NENA B. GABON

Class Adviser

(Name and Signature)

PLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining
EC in High School. Elementary grades level that are still
mplementing RBEC need not to fill up these columns)

previous school years

eted as of end of current As of end of current School Year
School Year

CERTIFIED CORRECT & SUBMITTED:

FEDERICO A. BABON JR.

School Head

(Name and Signature)

REVIEWED BY:

ELOIZA ZARTIGA

(Name and Signature)

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 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.
PLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining
EC in High School. Elementary grades level that are still
mplementing RBEC need not to fill up these columns)

previous school years

eted as of end of current As of end of current School Year
School Year

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 Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces 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 GRADE 5 / GRADE 11
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

PROMOTED

IRREGULAR (Grade 7 onwards only)

RETAINED

LEVEL OF PROFICIENCY (K to 12
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Only)

BEGINNNING (B: 74%

and below)

DEVELOPING (D: 75%-

79%)

APPROACHING PROFICIENCY
(AP: 80%-84%)

PROFICIENT (P: 85%

-89%)

ADVANCED (A: 90%

and above)
 ADVANCED (A: 90%
and above)

TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVIS
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 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

OLS 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)

School ID 123934 Region VIII Division SAMAR

School Name ANAGASI ELEMENTARY SCHOOL District WRIGHT II-SJB

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Fun

Title of Designation Appointment:

Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual,
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others
specify)

TCH 1 2

EDUCATIONAL QUALIFICATION Daily Program (t

Subject Taught
Employee No. Name of School Personnel Nature of
(include Grade &
(or Tax Fund Position/ Appointment/
(Arrange by Sex Section), Advisory Class
Identification Source Designation Employment Degree / Post Major/ From
Number -T.I.N.) Position, Descending) Minor & Other Ancillary
Daily Program (time duration)
Status Graduate Specialization (00:00)
Assignments

General Education
NATIONAL

REGULAR
TCH1

318-460-059 GABON, ANGIE B. F BEED None

PERMANENT

Ave. Minutes pe
 EDUCATIONAL QUALIFICATION Daily Program (t
Subject Taught
Employee No. Name of School Personnel Nature of
(include Grade &
(or Tax Fund Position/ Appointment/
(Arrange by Sex Section), Advisory Class
Identification Source Designation Employment Degree / Post Major/ From
Number -T.I.N.) Position, Descending) Minor & Other Ancillary
Daily Program (time duration)
Status Graduate Specialization (00:00)
Assignments

Ave. Minutes pe

Ave. Minutes pe

Ave. Minutes pe

Ave. Minutes pe
 EDUCATIONAL QUALIFICATION Daily Program (t
Subject Taught
Employee No. Name of School Personnel Nature of
(include Grade &
(or Tax Fund Position/ Appointment/
(Arrange by Sex Section), Advisory Class
Identification Source Designation Employment Degree / Post Major/ From
Number -T.I.N.) Position, Descending) Minor & Other Ancillary
Daily Program (time duration)
Status Graduate Specialization (00:00)
Assignments

Ave. Minutes pe

Ave. Minutes pe

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. (Signa
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. Updated as o
Profile

School Year

nts and Funding Sources

Number of
Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching

y Program (time duration)

Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Minutes per Day

Minutes per Day

y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Submitted by:

(Signature of School Head over Printed Name)

Updated as of: ___________________________

School Form 7, Page ___ of ________