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School Form 1 (SF 1) School Register

(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 500294 Region XII Division SARANGANI District WEST MALUNGON

School Name LUIS CASIPLE SR. INTEGRATED SCHOOL School Year 2018-2019 Grade Level FIVE Section NARRA

AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH of June
BIRTH IP Contact Number
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION (Parent
(Last Name, First Name, Middle Name) (M/F) (mm/ (nos. of TONGUE
( Province) Ethnic Group) House # / Father's Name (Last /Guardian)
dd/yy) years as Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province Name,First Name,Middle Name Relationship
per last Middle & Last Name) legend on last page)
Purok Name)
birthday)
M
130604130025 ARELLANO, JOHN CARL, OBEDENCIO 8/11/08 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI ARELLANO,LEO OBEDENCIO, ELLEN, PAMUSO

M
130604130030 BERTOLANO, JOHN KINETH, OROS 9/13/07 10 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI BERTOLANO, JOEMAR OROS, CHARITA, CATIAWAN

M
130604110011 CABLAB, JAYSON, LANUBAY 1/17/06 12 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI CABLAB, LANSESO LABUAYAN, EVANGELINE, WATA

M
130604130036 MONTONG, RAZEL, FLONGKAY 6/13/08 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI MONTONG, PACIO FLONGKAY, LANIE, NONGGOD

M
130590130054 TIWARE, RANDY, MOT 8/13/05 12 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI MOT, NORMA DATE: 2018/10/1

5 <=== TOTAL MALE

F 5/1/08
130604130019 ARELLANO, KRISTINE, OROS 10 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI ARELLANO,PETER OROS, TINA, MONTONG

F 1/6/08
130604130046 BARAN, DESAIREE KEY, ABNAWAY 10 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI BARAN, ADNEL ABNAWAY, EDITH, DOWE

F 6/14/08 DUNGGON, GIGIE ROSE,


130590130020 BINATON, AIKA JADE, DUNGGON 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI BINATON, DIEGO
PENDATUN

F 2/16/08
130604130050 DIANON, MARIANE, GOLALAN 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI DIANON, JERRY GOLALAN, FLORA, MASALON

F 3/28/08
130854130063 GALILA, CRISA MAE, LUSANDA 10 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI LUSANDA, KIM, BILALA

F 5/24/08
130604130053 GARAY, ELOISA JEAN, TIO 10 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI GARAY, ELLESO TIO, JEAN, LANTINGAN

F 10/29/08
130604130051 GARGARAN, PRINCESWIN, MENDOZA 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI GARGARAN, ERWIN MENDOZA, PRECIOUS

F 8/26/08
130604130033 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI GENITE, GEROLD ARELLANO, GINA, BERTOLANO
GENITE, GRACEZELL FAITH, ARELLANO
F 8/31/08
130604130054 MAGPON, LYKA, DIANON 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI MAGPON, LITO DIANON, ELMA, ABAD

8/22/08
130604130056 MONTONG, JANNAH, CALIBAY F 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI MONTONG, JULIUS CALIBAY, TERESA, OROS

6/13/08
130604130057 ODI, LYKA, CAWAG F 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI ODI, ARTHUR CAWAG, ELENA, NONGGOD

5/19/08
130604130077 REYES, IRINE, LABUAYAN F 10 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI REYES, ROGER REYES, ROSE, LANTINGAN

7/24/08
130718130008 TIM, KRISTINE, DIANON F 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI TIM, ROGER DIANON, EVELYN, GAROK

5/10/08
130604120070 TIO, MYLA, LANTINGAN F 11 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI TIO, JUN LANTINGAN, ELENA, SAN

VILLARIAS, PRINCESS PEARL, 11/25/08


130601130076
MONTALBO F 9 HILIGAYNON B'LAAN CHRISTIANITY ALKIKAN MALUNGON SARANGANI VILLARIAS, DARLYN
AGE as of
1st Friday ADDRESS NAME OF PARENTS GUARDIAN (If not Parent) REMARK/S
BIRTH of June
BIRTH IP Contact Number
NAME Sex DATE MOTHER
LRN PLACE (Specify RELIGION (Parent
(Last Name, First Name, Middle Name) (M/F) (mm/ (nos. of TONGUE
( Province) Ethnic Group) House # / Father's Name (Last /Guardian)
dd/yy) years as Mother (Maiden: 1st Name, (Please refer to the
Street/Sitio/ Barangay Municipality/ City Province Name,First Name,Middle Name Relationship
per last Middle & Last Name) legend on last page)
Purok Name)
birthday)

List and code of Indicators under REMARK column


Prepared by: Certified Correct:
Indicator Indicator Code Required Information BoSY EoSY

Transferred Out Code Required Information CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 5 5
MELIEZA M. AMPAN JESSIE S. CAUMBAN
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/O Name of Public (P) Private (PR) School & Effectivi Balik-Aral B/A Name of school last attended & Year FEMALE 15 15

Dropped T/I Name of Public (P) Private (PR) School & Effectivi Learner With Dissabilit LWD Specify
TOTAL 20 20
Late Enrollment DRP Reason and Effectivity Date Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
LE Reason (Enrollment beyond 1st Friday of June)

_____________________________________
Generated Thru LIS
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Report for the Month of

Name of School Grade Level Section

LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)

MALE | TOTAL Per Day


LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)

FEMALE | TOTAL Per Day


Combined TOTAL PER DAY
Summary for the
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of
Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors Average Daily Attendance


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
Percentage of Attendance for the month
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 b.3. Death Number of students with 5 consecutive days of
days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
Drop out
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out
c. School-Related Factors
c.1. Teacher Factor
Transferred in
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school

d.2. Armed conflict (incl. Tribal wars & clanfeuds)


(Signature of Teacher over Printed Name)
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the
REMARK/S (If DROPPED OUT, state reason,
(Last Month please refer to legend number 2.
Name, First Name, Middle Name) If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID School Year

School Name Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN


NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN


NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned 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 following code: Prepared By:
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: Transferred/Dropout, NEG=Negligence
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 from Learner duly signed by parent/guardian (for (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________
DO#14, 2.2012.
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARK/ACTION TAKEN


NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date DateRemark/Action Taken,
B. In Column Date Date Letter from LearnerDate
codes are: LLTR=Secured Date
duly signed by parent/guardian (for Date legend on last page)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
Issued Returned Issued Returned Custodian
Issued (forReturned
code TDO), Issued
PTL=PaidReturned Issued
by the Learner (for codeReturned Issued DO#23,
NEG). References: Returned
s.2001,Issued Returned
DO#25, s.2003, Issued Returned
DO#14, 2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District


School ID

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN


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

M F T M F T M F T M F T M F T M F T M F T M F T M F T 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 Submitted by:
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 School Head over Printed Name)
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.
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region XII Division SARANGANI District WEST MALUNGON

500294
School ID School Year 2017-2018 Curriculum K-12

School Name LUIS CASIPLE SR.INTEGRATED SCHOOL Grade Level TWO Section LOVE

INCOMPLETE SUBJECT/S
GENERAL ACTION (This column is for K to 12 Curriculum and
AVERAGE TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME
(Numerical Value in PROMOTED, still implementing RBEC need not to fill up this column)
LRN (Last Name, First Name,
3 decimal places *IRREGULAR
Middle Name)
for honor learner, or RETAINED Completed as of end of current
for non-honor as of End of the current SY
SY

ARELLANO ,JAMES KIAN ZAMORA PROMOTED


### 86 SUMMARY TABLE

### ARELLANO,JAY TULI 80 PROMOTED STATUS MALE FEMALE TOTAL

### BRACA,JAYBIE MILLES MALAGANTE 82 PROMOTED


PROMOTED 14 12 26
### CAWAG,JERALD GULALAN 81 PROMOTED

### DIANGGA ,SANNY BOY SIKIN 68 RETAINED


*IRREGULAR 0 0 0
### GAISEN,MIKE LAURENCE SOLIMAN 91 PROMOTED

### MAGALLANES ,ERON JHON LANTINGAN 92 PROMOTED


RETAINED 1 1 2
### MONTONG,JAMES DAMBONG 85 PROMOTED

### MONTONG,JHON MARK LANTINGAN 83 PROMOTED


MONTONG,JOCO CALIBAY 91 PROMOTED
### LEVEL OF PROFICIENCY

### 86 PROMOTED MALE FEMALE TOTAL


MONTONG,ZYRUS BACALE
### NALANGAN,CHRISTOPH CARCILLAR 84 PROMOTED BEGINNNING
(B: 74% and 1 1 2
### 81 PROMOTED below)
TAGOY.IMYR VOUGHN ARENDAIN
### 78 PROMOTED
TAMBON,ROSELIE GULALAN DEVELOPING
(D: 75%-79%)
2 1 3
### 78 PROMOTED
TIWARI ,RENI BOY MOT
APPROACHING
PROFICIENCY
4 7 13
(AP:
80%-84%)

15 TOTAL MALE
PROFICIENT
AMBA,MARY MICHAELA AGUI PROMOTED (P: 85% -89%)
3 1 4
### 80
INCOMPLETE SUBJECT/S
GENERAL ACTION (This column is for K to 12 Curriculum and
AVERAGE TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME
(Numerical Value in PROMOTED, still implementing RBEC need not to fill up this column)
LRN (Last Name, First Name,
3 decimal places *IRREGULAR
Middle Name)
for honor learner, or RETAINED Completed as of end of current
for non-honor as of End of the current SY
SY
BALCO,SANDARA TAGOY 81 PROMOTED ADVANCED
### (A: 90% and 3 3 6
above)

### BANDULI,REA LANTINGAN 86 PROMOTED

### BASADRE,ARKISHA TAMBON 90 PROMOTED PREPARED BY:

### BINATON,JEMAICA JOVY DUNGGON 91 PROMOTED MAYLENE M. DUMANJUG

### BUAN,JECIL SARMILLO 91 PROMOTED Class Adviser

### DIANON,ANA FIA GULALAN 69 RETAINED CERTIFIED CORRECT & SUBMITTED

### DIANON,MARICHUI LATARA 82 PROMOTED

### DONDE, FE MAE TAMBON 80 PROMOTED


DUNGGON,JAIRA MAE 82 PROMOTED
### JESSIE S. CAUMBAN

130854150021 GALILA,KAREL LUSANDA 79 PROMOTED School Head

### LOSANDA,JAIRA LABUAYAN 80 PROMOTED

### SAN,MARIENALD BALCO 80 PROMOTED

13 TOTAL FEMALE REVIEWED BY:

28 COMBINED DONNA S. PANES

(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
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
INCOMPLETE SUBJECT/S
GENERAL ACTION (This column is for K to 12 Curriculum and
AVERAGE TAKEN: remaining RBEC in High School. Elementary grades level that
LEARNER'S NAME
(Numerical Value in PROMOTED, still implementing RBEC need not to fill up this column)
LRN (Last Name, First Name,
3 decimal places *IRREGULAR
Middle Name)
for honor learner, or RETAINED Completed as of end of current
for non-honor as of End of the current SY
SY 5. Protocols of validation & submission will remain
under the discretion of the Schools Division
Superintendent

School Form 5: Page 2 of ________


LIST OF PUPILS

GENERAL AVERAGE
LEARNER'S NAME
(Numerical Value in 3 decimal
LRN (Last
places for honor learner, for
Name, First Name, Middle Name)
non-honor

130604140046 BUAN,JEFFERSON WATA 78


130604140043 CAPUTO,ANGELO PARA 91

130604140014 ELON,JAYMARK SEKIN 80

130604140010 JAWOD,JOHN ANTHONY BILALA 80

130604140016 LOSANDA,JOHN BILALA 79

130604150002 MALAYON,CHRISTIAN MANIB 78

130854130043 MALAYON,ROSPKIE GALILA 79

130604140042 MALIGON,JOHN REY WATA 78

130611140225 PELLORATO,KEVIN HERMAN 82

130604140039 TAGOY,JOHN ANDRIE ARELLANO 91

10 TOTAL MALE

130604140034 BUAN,MAE ALIM 80

130604140021 BUAN,MYKA LANTINGAN 78

130604140031 CABLAB,ANDREA LABUAYAN 79

130604140022 CABLAB,JONISA CALWARI 78

130604140019 CARCILLAR,KLIER MAE MARCELINO 92

130604140031 LANTINGAN,JESSA MAE BACALE 81

130604140023 LOSANDA,ANDREA MAE ROSE BILALA 81


130604140029 LUSANDA,JINKY LANTINGAN 78

130604140032 SALAWA,KARYL MAE SEKIN 77


130604130026 TAMBON,REGINE MAE AMBOD 82

130604140025 TAMBON,RIAH MOLINA 77

130604150003 TAN,ANGEL OROS 77

130604150004 WATA,JANE PARASO 77


130604140027 YANGON,ROSENDA MONTONG 79
14
24
ACTION TAKEN: PROMOTED,
*IRREGULAR or RETAINED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED

PROMOTED
PROMOTED

PROMOTED
PROMOTED

PROMOTED

PROMOTED

PROMOTED
PROMOTED
School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced Form 20)

School ID 500294 Region Division SARANGANI

School Name LUIS CASIPLE SR. INTEGRATED SCHOOL District WEST MALUNGON School Year 2017-2018

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
SUMMARY TABLE

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

PROMOTED 14 12 26

IRREGULAR 0 0 0

RETAINED 1 1 2

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL 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: JESSIE S. CAUMBAN Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
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 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 School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Title of Designation Appointment: Number of
Title of Plantilla Position Title of Plantilla Position (Designation (Contractual, Fund Source Incumbent
Number of Number of
(as appeared in the appointment (as appeared in the appointment as appeared in the contract/document: Substitute, (SEF, PTA,
Incumbent Incumbent Non-
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, Driver Volunteer, others NGO's etc.) Teaching
etc.) specify) Teaching

EDUCATIONAL QUALIFICATION * Daily Program (time duration)


Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

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 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 (Signature of School Head over Printed Name)
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. Updated as of: ___________________________
EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Subject Taught Remark/s (For
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade & Total Actual Detailed Items,
Identification (Arrange by Sex Section), Advisory DAY Teaching Indicate name of
Source Designation Employment Degree / Post Major/ From To
Number Position, Descending) Minor Class & Other (M/T/W/ Minutes school/office, For
Status Graduate Specialization
-T.I.N.) Ancillary Assignment TH/F) (00:00) (00:00) Assignment IP's -Ethnicity)
per Week

4. * Daily Program Column is for teaching personnel only.


School Form 7, Page 2 of ________