School ID 301064 Region III

School Name PAMPANGA HIGH SCHOOL

AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

1 301064110004 M 12/19/97 16 1/2

Abellanoza, Joshua Calado

2 301064100045 M 4/17/97 17
Alisaga, Jhan Poul Ramos

3 301064110109 M 7/16/98 16
Arciga, Carlo Rosas
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

4 301064110172 M 5/4/98 16
Banayat, Janssen Baluyut

5 301064140056 M 6/8/96 18
Batitis, Eric Zandro Uy

6 301064110218 M 1/23/96 18 1/2

Bautista, Moises Carel David

7 301064110336 M 3/11/98 16 1/2

Caguintuan, Arjen Joseph Lumbang

8 301064110469 M 6/16/99 15
Cauba, Jerald Estrada

9 301064110544 M 7/4/97 17
Cunanan, Rodsan Fernandez

10 301064110686 M 1/9/99 15 1/2

Dela Cruz, John King Joseph Mangio

11 301064110846 M 12/27/97 16 1/2

Figueroa, Ian Paolo Macapinlac
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

12 301064110915 M 5/5/99 15
Garcia, John Arby Dampil

13 301064110927 M 8/2/99 15
Garcia, Paulo Pineda

14 301064111100 M 12/5/98 15 1/2

Infante, Lemuel James Patapat

15 306924110035 M 11/10/97 16 1/2

Jimenez, Cyronn Paulo Asuncion

16 301064111349 M 10/15/98 15 1/2

Mamucud, Kevin Reyes

17 301064091237 M 5/26/97 17
Mamucud, Ryan Figueroa

18 301064111487 M 9/22/98 16
Mendoza, Justin Mapa

19 301064111471 M 10/22/98 15 1/2

Mendiola, Jeremie Luyun
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

20 M 1/5/98 16 1/2
Navarro, John Lery Bonifacio

21 301064111606 M 12/24/98 15 1/2

Nolasco, Jordane Ivan Magat

22 301064111639 M 3/28/98 16 1/2

Ocampo, Justin Galang

23 301064111826 M 12/5/97 16 1/2

Pineda, Christian Celis

24 300921100442 M 9/30/96 18
Pineda, Aljon Navarro

25 300906120019 M 1/31/96 18 1/2

Polvida, Mark Jeferson Samson

26 301064111965 M 4/20/99 15
Rodriguez, Joemay Pamposa

27 301064112240 M 8/11/98 16
Tayag, Mark Christian Yutuc
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

28 M 10/6/96 17 1/2
Yap, John Felix Pangan

29 301064110357 F 9/17/98 16
Calma, Nicole Guiao

30 301064110355 F 8/19/98 16
Calma, Mary Ann Yutuc

31 301064100316 F 8/12/98 16
Canlas, Nimcie Carreon

32 301064110449 F 4/26/99 15
Castro, Pia Judane Capili

33 301064110515 F 5/7/99 15
Cruz, Shazel Ann Endrinal

34 301064110830 F 5/8/99 15
Fabian, Nikka Villanueva

35 301064110952 F 5/24/99 15
Gomez, Crizzalyn Makabali
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

36 301064111196 F 11/15/98 15 1/2

Liang, Ricalen Ybas

37 301064111299 F 7/31/98 16
Maglalang, Jamille Anne Magat

38 301064111502 F 5/27/99 15
Mercado, Jhonnamie Clarecia

39 301064091505 F 9/16/96 18
Ocampo, Genivieve Dizon

40 301064111797 F 12/3/97 16 1/2

Patawaran, Paula Katrine Mercado

41 301064111813 F 5/4/99 15
Perez, Eliah Andrei David

42 301064111972 F 3/27/99 15 1/2

Romero, Hanna Jane Rimando

43 301064112181 F 3/6/98 16 1/2

Soliman, Joy Alvie Cacho
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

44 301064112198 F 10/14/99 14 1/2

Sta. Ana, Zsaren Tapnio

45 301064112206 F 6/29/98 16
Sumala, Krisy Magtoto

46 301064112408 F 4/22/98 16
Yap, Noelleaiza Asuncion

47 301064112415 F 1/7/97 17 1/2

Yumul, Mikaela Shanne Tawag

48

49

50

51
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

52

53

54

55

56

57

58

59
 AGE as of
1st Friday
of June
BIRTH BIRTH
NAME Sex
LRN DATE PLACE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy) (nos. of ( Province)
years as per
last birthday)

60

List and code of Indicators under REMAR

Indicator Code Required Information Indicator
Transferred Out T/O Name of Public (P) Private (PR) School & EffectivCCT Recipient

Transferred IN T/I Name of Public (P) Private (PR) School & EffectivBalik-Aral
Dropped DRP Reason and Effectivity Date Learner With Dissabil
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated
 School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

Division CITY OF SAN FERNANDO Dis

OOL School Year 2014 - 2015 Grade

ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Roman Catholic Acli Baliti San Fernando Pampanga

Capampangan Roman Catholic 197 Dolores San Fernando Pampanga

Capampangan Born Again 158 Mangga Villa Remedios St. San Agustin San Fernando Pampanga
 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Roman Catholic 230 Zone 2 San Isidro Bacolor Pampanga

Tagalog Iglesia ni Cristo Coneland 2 Alasas San Fernando Pampanga

San Pedro
Capampangan Roman Catholic Purok 6 San Fernando Pampanga
Cutud
Capampangan Roman Catholic 373 Paralaya Sto. Rosario Mexico Pampanga

Tagalog Roman Catholic #816 Sitio Trianggulo Sto. Niño San Fernando Pampanga

Capampangan Roman Catholic Looban San Agustin San Fernando Pampanga

Capampangan Roman Catholic #121 Magliman San Fernando Pampanga

Capampangan Roman Catholic 406 Quirino Sto. Niño San Fernando Pampanga
 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Roman Catholic #2 Sta. Lucia San Fernando Pampanga

Capampangan Roman Catholic 129 Magliman San Fernando Pampanga

Capampangan Roman Catholic #90 Magliman San Fernando Pampanga

Capampangan Catholic Divisoria Mexico Pampanga

Capampangan Roman Catholic #475 Looban San Agustin San Fernando Pampanga
Dolores
Capampangan Roman Catholic 5th San Fernando Pampanga
Looban
Tagalog Roman Catholic 256 6th St. Sitio LoobanDolores San Fernando Pampanga
Born Again
Capampangan Purok 5 San Pedro Cutud San Fernando Pampanga
Christian
 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Catholic 2nd Street Lourdes San Fernando Pampanga

Capampangan Roman Catholic 224 Sto. Cristo Subd. Sto. Cristo Mexico Pampanga

Capampangan Roman Catholic Purok 5 San Jose San Fernando Pampanga

Capampangan Roman Catholic San Jose Matulid Mexico Pampanga

Capampangan Catholic Purok 1 San Jose San Fernando Pampanga

Capampangan Roman Catholic 18 Safer Village Lazatin Blvd. Dolores San Fernando Pampanga

Capampangan Roman Catholic Ilang-Ilang St.P 5 San Pedro San Fernando Pampanga

Capampangan Iglesia ni Cristo Zone 5 San Felipe San Fernando Pampanga

 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Catholic 8th Street Maligaya Village San Fernando Pampanga

Capampangan Roman Catholic Purok 13 A St. Mansgold Sta. Lucia San Fernando Pampanga

Capampangan Roman Catholic 487 San Jose San Fernando Pampanga

Capampangan Roman Catholic Pioneer St. P6 San Pedro Cutud San Fernando Pampanga

Capampangan Roman Catholic Purok 3 Magliman Pacific Village Magliman San Fernando Pampanga

Tagalog Roman Catholic Northville 12 San Vicente Sto. Tomas Pampanga

Capampangan Roman Catholic 61 Lapu-Lapu St. Teopaco Lourdes San Fernando Pampanga

Capampangan Roman Catholic 2nd St. Lourdes San Fernando Pampanga

 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Roman Catholic 490 Consunji St. Sto. Rosario San Fernando Pampanga

Capampangan Roman Catholic Purok 2 San Jose San Fernando Pampanga

Capampangan Iglesia ni Cristo Purok 4 San Pedro Cutud San Fernando Pampanga

Capampangan Roman Catholic Villa Barosa Dolores San Fernando Pampanga

Capampangan Roman Catholic #0022 Purok 1 San Pedro Cutud San Fernando Pampanga

Capampangan Roman Catholic Banlic Cabalantian Bacolor Pampanga

Born Again
Tagalog Purok 1 San Juan San Fernando Pampanga
Christian
Tagalog Born Again Blk.1 Lot9 NorthvilleCalulut San Fernando Pampanga
 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

Capampangan Roman Catholic 49 PNR Compound 3rd St. Sto. Niño San Fernando Pampanga

Capampangan Roman Catholic #257 Builders 1 San Pedro Cutud San Fernando Pampanga

Capampangan Roman Catholic Purok 2 San Jose San Fernando Pampanga

Capampangan Roman Catholic 1st Builders San Pedro Cutud San Fernando Pampanga
 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok
 ADDRESS
IP
MOTHER
(Specify RELIGION
TONGUE
Ethnic Group) House # /
Street/Sitio/ Barangay Municipality/ City Province
Purok

nder REMARK column

Code Required Information
ecipient CCT CCT Control/reference number & Effectivity Date MALE

B/A Name of school last attended & Year FEMALE

r With Dissability LWD Specify

TOTAL
rated ACL Specify Level & Effectivity Data
 District 3RD

Grade Level 10 Section HANNAH

NAME OF PARENTS GUARDIAN (If not Parent)

Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)
 NAME OF PARENTS GUARDIAN (If not Parent)
Contact Number
(Parent
Mother's Maiden Name (Last /Guardian)
Father (Last Name, First
Name, First Name Middle Name Relationship
Name Middle Name)
Name)

Prepared by: Certified Correct:

BoSY EoSY

JENNIFER Q. CUNANA
(Signature of Adviser over Printed Name) (Signature of School Head over Printed

BoSY Date: 06/02/2014 EoSYDate: BoSY Date: 06/02/2014 EoSYDate:

 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)
 REMARK/S

(Please refer to the

legend on last page)

Correct:

IFER Q. CUNANAN
f School Head over Printed Name)

06/02/2014 EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of L
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 301064 School Year 2017-2018 Report for the Month of

Name of School PAMPANGA HIGH SCHOOL Grade Level

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23
(Last Name, First Name, Middle
Name) TH F M T W TH F M T W TH F M T W TH F

1
AGUILAR, MARK P. C

2 BASCON, RYAN ROVIE D. H

3 BAUTISTA, RUSSEL G. I

4 BONIFACIO, VON LEO T. N

5 FEIR, NATHANIEL J. E

6 GOMEZ, CHRISTIAN DAVE D. S

7 KOH, ANDREI C. \ E

8 LACSAMANA, JEREMY FERDINAND P.

9 LAPUZ, CHAUNCEY DEANDRE D. N

10 MANUNTAG, MARC JANSEN B. E

11 MUNDA, JIRO B. W

12 PANGAN, LENARD V.
13 PATRIARCA, JETRAY M. \ \ Y \
14 PINEDA, JOHN NELSON D. E

15 RANCES, LOUIS DAVID E. A

16 RICO, ASHLEY ANDREI T. R

17 SANTOS, NATHANIEL G.
18 TAYAG, MARK M.
19 TENG, JOHN LAWRENCE D.
20 TIQUI, ARVIN D.
21
22

23
24

25
26
27

35
36

37

MALE | TOTAL Per Day 20 20 20 19 20 20 20 19 19 20 20 19 20 20 20 20

 (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME 1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23
(Last Name, First Name, Middle
TH F M T W TH F M T W TH F M T W TH F
Name)

1 ALMARIO, JENNY C. H

2 AMER, SHAIRA C. I

3 BALINGIT, DANICA SHANE H. N

4 BAUTISTA, CAMILLE TRISHA A. E

5 CALILUNG, KATRINA M. S

6 CHANGCOCO, STEPHANIE S. E \

7 DAVID, MAIJA ERIKA Q.

8 DIZON, ANDREA KAYE M. N

9 DULIN, BIANCA ASHLYNNE P. E

10 FLORES, CANDY V. W

11 HERNANDEZ, NOELLA D.
12 INFANTE, KARRYLLE D. Y

13 MALONZO, AILEEN REIGN A. E

14 MANALAD, AGATHA FRANCHEZKA G. A

15 MERCADO, MARBILYN M. R

16 MOLINYAWE, JANINE MARIEL N. \ \

17 NORA, MARIELLA M.
18 ONATE, CASSANDRA KATE D.
19 PANGILINAN, JOMAELYN S.
20 SICAT, IVY ANDROMEDA T. \

21 VIADO, ERIKA PATRICIA C.

22 VITAL, CHARLOTTE N.
FEMALE | TOTAL Per Day 22 22 22 22 22 22 21 22 22 22 22 20 22 21 22 22
Combined TOTAL PER DAY 42 42 42 41 42 42 41 41 41 42 42 39 42 41 42 42

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME
(Last Name, First Name, Middle
Name)

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= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
Commer, Lower for Cutting Classes)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
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
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 of absences or those with b.3. Death
potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
 Attendance Report of Learners
TS Form 4 - Absenteeism and Dropout Profile)

FEBRUARY

8 Section GLOXINIA 4

Day: M,T,W,TH,F) Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to legend
26 27 28
number 2.
M T W If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY

0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
3 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0

20 20 20
Day: M,T,W,TH,F) Total for the Month

26 27 28 REMARK/S (If DROPPED OUT, state reason, please refer to legend

number 2.
M T W If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY

0
0 0
0 0
0 0
0 0
\ 1 0
1 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
2 0
0 0
0 0
 0 0
1 0
0 0
0 0
21 22 22
41 42 42

Day: M,T,W,TH,F) Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to legend
number 2.
If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY

Month: FEBRUARY No. of Days of Summary for the Month

Classes:
19 M F TOTAL
k- Present; (x)- Absent; Tardy (half shaded= Upper for Late
mer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June) 20 22 42

Late Enrollment during the month

(beyond cut-off)

Registered Learner as of end of the month 20 22 42

Percentage of Enrolment as of end of the month 100% 100%

100%

Average Daily Attendance 20 22 42

Percentage of Attendance for the month 100% 100% 100%

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

Drop out 0 0 0
 School Form 2 (SF2) Daily Attendance Report o
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profi

School ID 301064 School Year 2015-2016 Report for the Month of FEBRUAR

Name of School PAMPANGA HIGH SCHOOL Grade Level 8 Sectio

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME
(Last Name, First Name, Middle
Name)
1 Alcosero, Jerome Amad
2 Aquino, Mark Aaron Maglambayan
3 Asuncion, Mark Angelo Dimitui
4 Castaneda, Carl Jules Catacutan
5 Castro, Keiron Casiba
6 Cayanan, John Henry Panganiban
7 Crisostomo, Aaron Miko Carpio
8 De Leon, Junel Aquino
9 Garcia, Mark Anthony Caparino
10 Gueco, Patrick Salvador
11 Guevarra, Kenneth Tan
12 Lapuz, Kean Mark Palomillo
13 Matic, Marion Gio Reyes
14 Pangilinan, PJ Axie Felecaiano
15 Parungao, Oliver Briones
16 Sabado, Ivan Bulilan
17 Sapao, Marc Adrian Tolentino
18 Villanueva, Raizen John Capulong
19 Yanga, Shawn Ashley Jaime
20

MALE | TOTAL Per Day

 (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle
Name)

1 Bustos, Angelyn Sandiong

2 Calma, Shaira Paras
3 Canlas, Keith Calma
4 Dayao, Kyla Masibac
5 Dizon, Daniella Guinto
6 Gonzales, Jean Maribeth Gutierrez
7 Lagman, Trixie Mae Batuto
8 Madla, Jamila Cunanan
9 Manansala, Arlene Ocampo
10 Morales, Allaisa Pamintuan
11 Nuqui, Paula Kate Diaz
12 Pamintuan, Jennalyn Roque
13 Quiambao, Vanessa Mae Trinidad
14 Ramos, Kyla Marie Canceran
15 Rodriguez, Angilee Diaz
16 Samia, Hazel Lingat
17 Sison, Allysa Beatriz Cunanan
18 Tungcab, Joy Lyza Geca
19 Villanueva, Rica Mae Quimson
20 Yadao, Angel Aquino
21
22
 23
24

FEMALE | TOTAL Per Day

Total

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME
(Last Name, First Name, Middle
Name)

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= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes)
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
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
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 of absences b.3. Death
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 every grading period b.5. Poor academic performance
* 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
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)

Attendance Report of Learners
S Form 4 - Absenteeism and Dropout Profile)

FEBRUARY

Section JUDE

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY
Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY
 Total for the Month
REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY

Month: No. of Days of Summary for the Month

Classes:
M F TOTAL

* Enrolment as of (1st Friday of June)

Late Enrollment during the month

(beyond cut-off)

Registered Learner as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

Number of students with 5 consecutive days of absences:

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

JASMIN E. FRANCISCO
(Signature of Teacher over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

School ID 301064 School Year 2018-2019

School Name PAMPANGA HIGH SCHOOL Grade Level 10 Section JACINTO 4
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & MUSIC Subject Area &
FILIPINO 10 ENGLISH 10 MATH 10 SCIENCE 10 EDUK. SA AND ARTS 10 PHYSICAL EDUC. AND
LEARNER'S NAME
PAGPAPAKATAO 10 HEALTH 10
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned 6/13/2018 Returned Issued Returned

1 HILOTIN , Ivan Lawrence 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 Returned

2 HILVANO , Vic Flea 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019

3 HIPOLITO , Jhon Carl 6/13/2018 3/13/2019 N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019

4 HIPOLITO , Joshua 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019

5 IBE , Adrian Roje 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019

6 IBE , Aljhan 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A N/A N/A 6/13/2018 3/13/2019 N/A N/A

7 IBE , Christ Simon 6/13/2018 3/13/2019 N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A

8 IGNACIO , Michael John 6/13/2018 3/13/2019 N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019

9 IMAM , Asnawi 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019

10 IMANA , Ian Christopher 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019

11 INFANTE , Zyrille Lean N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019

12 INTAL , Alfred John N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019

13 JAYME , Sylvan Paulo N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A 6/13/2018 NONE 6/13/2018 3/13/2019
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & MUSIC Subject Area &
FILIPINO 10 ENGLISH 10 MATH 10 SCIENCE 10 EDUK. SA AND ARTS 10 PHYSICAL EDUC. AND
LEARNER'S NAME
PAGPAPAKATAO 10 HEALTH 10
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned 6/13/2018 Returned Issued Returned

14 JIMENEZ , Angelo N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 NONE N/A 3/13/2019

15 JIMENEZ , John Kc N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE

16 JIMENEZ , Stiephen Nicole N/A N/A 6/13/2018 3/13/2019 N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019

17 JOSE , Gerald N/A N/A 6/13/2018 3/13/2019 N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 N/A N/A

18 JUICO , Dreb Adam N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A N/A N/A 6/13/2018 3/13/2019 N/A N/A

19

20
TOTAL FOR MALE | TO 10 10 10 10 10 10 10 9 10 9 18 15 10 9

GALANG , Princess 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
1
GARCIA , Angelu Ann 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
2
GARCIA , Apple 6/13/2018 3/13/2019 N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
3
GARCIA , Darlyn 6/13/2018 3/13/2019 N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
4
GARCIA , Haerra Mae 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE
5
GARCIA , Jewel N/A N/A N/A N/A 6/13/2018 NONE 6/13/2018 NONE N/A N/A 6/13/2018 NONE N/A N/A
6
GARCIA , Jocelyn N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
7
GARCIA , Patricia N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
8
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & MUSIC Subject Area &
FILIPINO 10 ENGLISH 10 MATH 10 SCIENCE 10 EDUK. SA AND ARTS 10 PHYSICAL EDUC. AND
LEARNER'S NAME
PAGPAPAKATAO 10 HEALTH 10
NO.
(Last Name, First Name, Middle Name)
Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned 6/13/2018 Returned Issued Returned

GARCIA , Sarah N/A N/A N/A N/A 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE
9
GARCIA , Xiaoxi N/A N/A N/A NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE 6/13/2018 NONE
10
GATCHALIAN , Cesilia N/A N/A N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
11
GATCHALIAN , Marla Nicole N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019
12
GATCHALIAN , Michelle N/A N/A N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
13
GATPOLINTAN , Maria N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
14
GATUS , Francis Ann N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
15
GEROLEO , Erika N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
16
GERONIMO , Gwyneth N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
17
GIGANTE , Danalee N/A N/A 6/13/2018 3/13/2019 6/13/2018 3/13/2019 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
18
GOMEZ , Aces Kyl N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
19
GOMEZ , Michaella P N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
20
GOMEZ , Nathalie Alexis N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A 6/13/2018 3/13/2019 N/A N/A
21

22
TOTAL FOR FEMALE | TOTAL COPIE 5 4 10 9 10 7 20 16 10 7 21 17 10 7

TOTAL NO. OF BOOKS 15 15 20 19 20 17 30 27 20 16 39 32 20 16

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.
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.
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & MUSIC Subject Area &
FILIPINO 10 ENGLISH 10 MATH 10 SCIENCE 10 EDUK. SA AND ARTS 10 PHYSICAL EDUC. AND
LEARNER'S NAME
PAGPAPAKATAO 10 HEALTH 10
NO. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for
(Last Name, First Name, Middle Name)
Date Date code FM),Date
TLTR=Teacher preparedDate
letter/report duly noted Date Date to School PropertyDate
by School Head for submission 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.
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned 6/13/2018 Returned Issued Returned

5. All textbooks being used must be included. Additional copy/ies of this form may use if need
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)
REMARK/ACTION TAKEN
(Please refer to the legend on last
page)

Prepared By:

CHANDI T. SANTOS

(Signature over printed name)

Date BoSY: Date EoSY: ___________

REMARK/ACTION TAKEN
(Please refer to the legend on last
page)

School Form 3: Page 3 of ________

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

Region III Division CITY OF SAN FERNANDO District 3RD

K to 12 Basic Educa
School ID 301064 School Year 2014 - 2015 Curriculum
Curriculum

School Name PAMPANGA HIGH SCHOOL Grade Level

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) honor learner, 2 for
*IRREGULAR or
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

TOTAL MALE
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum
AVERAGE
(Numerical Value in 3
ACTION TAKEN: remaining RBEC in High School. Elementary grades leve
LEARNER'S NAME PROMOTED, still implementing RBEC need not to fill up this colum
LRN decimal places for
(Last Name, First Name, Middle Name) *IRREGULAR or
honor learner, 2 for
RETAINED
non-honor & Completed as of end of current
Descriptive Letter) as of End of the curren
SY

TOTAL FEMALE

COMBINED
iciency

3RD

asic Education
rriculum

Section

Curriculum and
grades level that
p this column)

of the current SY

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

*IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
Curriculum and
grades level that
p this column)

of the current SY

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
Curriculum and
grades level that
p this column)

of the current SY

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

REVIEWED BY:

(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
Curriculum and
grades level that
p this column)

of the current SY
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 ________

Curriculum and
grades level that
p this column)

of the current SY

School Form 5: Page 3 of ________