School Form 5 (SF 5) Report on Promotion & Level of Proficiency

(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region VIII Division SAMAR District MOTIONG

School ID 303613 School Year 2013 - 2014 Curriculum 2010 SEC

School Name MOTIONG NATIONAL HIGH SCHOOL Grade/Year Level Third Year Section
GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12
(Numerical Value ACTION Curriculum and remaining RBEC in High School.
LEARNER'S NAME in 2 decimal TAKEN: Elementary grades level that are still implementing RBEC
LRN (Last Name, First Name, places and 3 PROMOTED, need not to fill up these columns)
Middle Name) decimal places for IRREGULAR or From previous school years
honor learners, RETAINED As of end of current School
completed as of end of
and Descriptive Year
current School Year
Letter)
MALE: SUMM

303613110011 ABALOS, REGGIE ABOGUIN 82.321 PROMOTED STATUS

ABAYARE, FRANSISCO LABOC 83.428 PROMOTED

PROMOTED
303613120015 ABOGUIN, RUEL DACLES 84.514 PROMOTED
303613110039 BABATIO, KENT FRANCIS ISANAN 87.542 PROMOTED
IRREGULAR
303613120014 CLIDORO, JEFFREY CABUBAS 84.671 PROMOTED
303613110078 DACANAY, ALJAN OBLINO 81.821 PROMOTED
RETAINED
303613110091 DACUNO, ORLANDO BALDOZA RETAINED
DACUTAN, JORLY DACLES 82.050 PROMOTED
303613110094 DACUTANAN, JIMBERT NARTEA 83.928 PROMOTED LEVEL O

303613110127 GABANE, LOWIE IGDALINO 86.035 PROMOTED

 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12
(Numerical Value ACTION Curriculum and remaining RBEC in High School.
LEARNER'S NAME in 2 decimal TAKEN: Elementary grades level that are still implementing RBEC
LRN (Last Name, First Name, places and 3 PROMOTED, need not to fill up these columns)
Middle Name) decimal places for IRREGULAR or From previous school years
honor learners, RETAINED As of end of current School
completed as of end of
and Descriptive Year
current School Year
Letter)
303613110130 GABAEJAN, CHRISTIAN M 85.442 PROMOTED BEGINNNING
(B: 74% and
303613100137 GABON, BENVIENEDO OBLINO 81.828 PROMOTED below)

303613110145 GODIN, GILMART GELLENA 85.228 PROMOTED DEVELOPING

(D: 75%-79%)
303613110172 LABINE, JOMAR DACUMA 86.400 PROMOTED
303613110176 LABONG, CHRISTIAN PLATINO 83.642 PROMOTED APPROACHING
PROFICIENCY
(AP:
303613110186 LICAYAN, JERICK TINGZON RETAINED 80%-84%)

MALE: RETAINED
RETAINED
303613110194 MABANAN, ERSON HERNANDEZ 86.264 PROMOTED
303613100178 MABANAN, JHONDEL IGDALINO RETAINED PREPARED BY:
303613100180 MABILANGAN, RUBEN CABARRUBIAS 82.964 PROMOTED
303613110196 MABINI, ELMER SISON 81.535 PROMOTED
303613110198 MAGA, VICTORIO GUINTO 82.785 PROMOTED alla
303613120019 MENDOZA, DANDY PACIOS. 86.407 PROMOTED Clas
303613110212 PACANAN, ROBERT RIBAY 82.928 PROMOTED
303613120021 PACHECO, SEGUNDINO GABIANA 86.185 PROMOTED REVIEWED BY:
303613120022 SERONDO, LEOMAR SAYAO 86.592 PROMOTED
303613110243 SILAWAN, JERIC GABEJAN 83.128 PROMOTED
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12
(Numerical Value ACTION Curriculum and remaining RBEC in High School.
LEARNER'S NAME in 2 decimal TAKEN: Elementary grades level that are still implementing RBEC
LRN (Last Name, First Name, places and 3 PROMOTED, need not to fill up these columns)
Middle Name) decimal places for IRREGULAR or From previous school years
honor learners, RETAINED As of end of current School
completed as of end of
and Descriptive Year
current School Year
Letter)
303613110238 TABUGARA, SHERWIN L. 79.814 PROMOTED MRS. ROBEL B
303613110243 VIERNES, EDMAR SAPETIN 80.778 PROMOTED SST-II
RETAINED
CARLO FRANCIS

RETAINED
FEMALE: RETAINED
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12
(Numerical Value ACTION Curriculum and remaining RBEC in High School.
LEARNER'S NAME in 2 decimal TAKEN: Elementary grades level that are still implementing RBEC
LRN (Last Name, First Name, places and 3 PROMOTED, need not to fill up these columns)
Middle Name) decimal places for IRREGULAR or From previous school years
honor learners, RETAINED As of end of current School
completed as of end of
and Descriptive Year
current School Year
Letter)
303613110008 ABALOS, JOYCE S 88.100 PROMOTED
303613110010 ABALOS, RAQUEL DACUTANAN 85.778 PROMOTED ALLAN
303613110019 ABANES, JOANN DACATIMBAN 85.614 PROMOTED SST-
303613110023 ABAWAG, ROSALIA CORPUS 83.785 PROMOTED
303613110026 ABAYOG, MARY ANN MABILANGAN 85.935 PROMOTED
303613110027 ABAYOG, VERGIE GABANE 88.421 PROMOTED
303613110030 AGONION, JENG JENG JABINAR 84.657 PROMOTED CERTIFIED CORR
303613110037 AUCILIA, ELLEN JOY LAGBO 81.942 PROMOTED
303613110040 BABATIO, MARY ROSE GABIETA 86.928 PROMOTED
303613110050 BALDOZA, CHARIN JEAN ABAWAG 87.964 PROMOTED SALVACIO
303613110062 CABANGUNAY, RACHEL JABOLIN RETAINED Secondary
CLAOR, MYRA LLANO 84.834 PROMOTED
DACUTAN, AMY MABANAN 90.364 PROMOTED School Form 5: Pag
303592110203 DE LOS SANTOS, AIZA SABONG 89.642 PROMOTED
303613120004 DURANA, LORENA BASIERTO 83.764 PROMOTED REVIEWED BY:
303613110132 GABIANA, ABEGAIL MABANAN 84.035 PROMOTED
303613110150 IGDALINO, NARLYN DACUTANAN 89.300 PROMOTED
303613110151 IGDALINO, REGINA GABEJAN 90.285 PROMOTED PRIMA
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12
(Numerical Value ACTION Curriculum and remaining RBEC in High School.
LEARNER'S NAME in 2 decimal TAKEN: Elementary grades level that are still implementing RBEC
LRN (Last Name, First Name, places and 3 PROMOTED, need not to fill up these columns)
Middle Name) decimal places for IRREGULAR or From previous school years
honor learners, RETAINED As of end of current School
completed as of end of
and Descriptive Year
current School Year
Letter)
LABINE, AIME 87.814 PROMOTED Area
303613110170 LABINE, ERICA LLANTOS 84.292 PROMOTED Division
303613110175 LABONG, CATHERINE GABANE 88.307 PROMOTED
LABONG, LUZVIE DACUTANAN 85.250 PROMOTED GUIDELINES:
303613110190 LLAMADO, ROSELYN GABEJAN 85.171 PROMOTED 1. For All Grade/Ye
303613100175 LLANITA, JAY ANNE FABILLAR 83.650 PROMOTED 2. To be prepared b
rating per subject a
303613110197 MAGA, GERLIE LLAMADO 84.392 PROMOTED the record of subjec
MALOON, JAMAILA LABOC RETAINED adviser should com
Average.
MASLOC, REGINE DACUTAN 87.507 PROMOTED 3. On the summary
number of learners
303613120069 ONING, JOAN BERRY 82.271 PROMOTED *irregular (*for grad
303613110207 PABUNAN, RAQUEL GABEJAN 85.378 PROMOTED the level of proficie
individual General A
PRIO, MARIALYN BACNUTAN 83.1 PROMOTED 4. Must tally with th
as of End of Schoo
303613110229 RABOCARSAL, ANNA MARIE SAPETIN 85.764 PROMOTED (EBEIS)
303613120031 RELOQIUO, MARY JANE LABINE 87.607 PROMOTED
303613110233 SAPETIN, JOYCE AN LABONG 84.242 PROMOTED 5. Protocols of valid
under the discretion
303613110088 DACUMA, JOANNA LOU CABUBAS 89.371 PROMOTED Superintendent
34 TOTAL FEMALE
#VALUE! COMBINED School Form 5: P
 VANDA

SUMMARY TABLE

MALE FEMALE TOTAL

25 33 58

0 0 0

3 1 4

LEVEL OF PROFICIENCY

MALE FEMALE TOTAL

ED BY:

allan dacles
Class Adviser

ED BY:
OBEL BARASTAS-BALDOZA
SST-III, SCIENCE

RANCIS O. DAGUMAN
SST-I VALUES ED.
 ALLAN L. DACLES
SST-I, FILIPINO

D CORRECT & SUBMITTED:

ALVACION J. BACARRA
econdary School Principal I

rm 5: Page __2__ of ____3____

ED BY:

PRIMA B. BATICA
 Area Supervisor
Division Representative

NES:
Grade/Year Levels
repared by the Adviser. Final
subject area should be taken from
of subject teachers. The class
ould compute for the General
summary table, reflect the total
learners promoted, retained and
(*for grade 7 onwards only) and
f proficiency according to the
General Average.
lly with the total enrollment report
of School Year GESP /GSSP

ls of validation & submission is

discretion of the Schools Division
ndent

Form 5: Page __3__ of ____3____

 (This replac

School ID Region VIII Division

School Name BONGA NATIONAL HIGH SCHOOL

AGE as of
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group)
June

MALE:
1 12362505001 BABATIO, MARVIN D M 5/1/94 WARAY-WARAY

2 123625050004 CABANGUNAY, NONITO JR, M. M 1/1/00 WARAY-WARAY

3 123587120008 CABANGUNAY, RONALD D. M 6/8/95 WARAY-WARAY

4 123642050037 DABOCOL, ARJAN D. M 12/8/95 WARAY-WARAY

5 303613110089 DACUMA, JHONMARK D. M WARAY-WARAY

6 303613110035 EBIN, JUNEMARK T. M WARAY-WARAY

7 30361320036 EBIT, LEONARDO JR, D. M WARAY-WARAY

8 123625050014 GABAC, ERSON L. M WARAY-WARAY

9 123625050015 GABAC, TEOFILO JR. J WARAY-WARAY

 AGE as of
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group)
June

10 GABANE, JUNJIE D. WARAY-WARAY

11 WARAY-WARAY

12 WARAY-WARAY

13 WARAY-WARAY

14 WARAY-WARAY

15 WARAY-WARAY

16 WARAY-WARAY

17 WARAY-WARAY

WARAY-WARAY

1 WARAY-WARAY

2 WARAY-WARAY

3 WARAY-WARAY

4 WARAY-WARAY

5 WARAY-WARAY

6 WARAY-WARAY

7 WARAY-WARAY
 AGE as of
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group)
June

8 WARAY-WARAY

9 WARAY-WARAY

10 WARAY-WARAY

11

12

13

14

15

16

17

18

19

20

21

22

23
 AGE as of
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group)
June

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39
 AGE as of
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group)
June

40

List and Code of Indicators under REMARKS column

Indicator Code Required Information Code

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT
 AGE as of
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group)
June

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A

Dropped DRP Reason and Effectivity Date LWD

Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL
 School Form 1 (SF 1) School Register
This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

Samar District Motiong

School Year 2014 - 2015 Grade Level IX Section

GUARDIAN
ADDRESS PARENTS
(If not P
RELIGION Mother's Maiden Name
House #/ Street/ Father's Name (Last Name,
Barangay Municipality/ City Province (Last Name, First Name, Name
Sitio/Purok First Name, Middle Name)
Middle Name)

ROMAN CATHOLIC BONGA MOTIONG SAMAR BABATIO, JERRY JJOVY DACUTANAN

ROMAN CATHOLIC BONGA MOTIONG SAMAR CABANGUNAY, NONITO YYOLANDA DABANDAN
ROMAN CATHOLIC ANGYAP MOTIONG SAMAR CABANGUNAY, ROLANDO RRASALINA MABANAN
ROMAN CATHOLIC 1-A MOTIONG SAMAR DABOCOL, PERCIVAL CCONCHITA DACUTANAN
ROMAN CATHOLIC CANDUMACOL MOTIONG SAMAR BBENITA DACANAY
ROMAN CATHOLIC CANDUMACOL MOTIONG SAMAR TTERASA TIA
ROMAN CATHOLIC CANDUMACOL MOTIONG SAMAR DDELIA DACATIMBAN
ROMAN CATHOLIC BONGA MOTIONG SAMAR LLUCENA LABINE
ROMAN CATHOLIC
NNILDA JUMAGDAO
 GUARDIAN
ADDRESS PARENTS
(If not P
RELIGION Mother's Maiden Name
House #/ Street/ Father's Name (Last Name,
Barangay Municipality/ City Province (Last Name, First Name, Name
Sitio/Purok First Name, Middle Name)
Middle Name)
ROMAN CATHOLIC
AADELA DACUTANAN
ROMAN CATHOLIC
EELENA PACIOS
ROMAN CATHOLIC
TTERSITA JABA-AN
ROMAN CATHOLIC
SSALVACION ABANTAO
ROMAN CATHOLIC
OOSMENIA GAGBO
ROMAN CATHOLIC
LLEA FABILLAR
ROMAN CATHOLIC
NNILDA MABANAN
ROMAN CATHOLIC
NNIDA DACLES
ROMAN CATHOLIC
LLORNA HERNANDEZ

GGELANIE IGDALINO

JJUANITA LABONG

EERLINDA JABA-AN

EERLINDA JABA-AN

LLOURDES FABILLAR
 GUARDIAN
ADDRESS PARENTS
(If not P
RELIGION Mother's Maiden Name
House #/ Street/ Father's Name (Last Name,
Barangay Municipality/ City Province (Last Name, First Name, Name
Sitio/Purok First Name, Middle Name)
Middle Name)
 GUARDIAN
ADDRESS PARENTS
(If not P
RELIGION Mother's Maiden Name
House #/ Street/ Father's Name (Last Name,
Barangay Municipality/ City Province (Last Name, First Name, Name
Sitio/Purok First Name, Middle Name)
Middle Name)
 GUARDIAN
ADDRESS PARENTS
(If not P
RELIGION Mother's Maiden Name
House #/ Street/ Father's Name (Last Name,
Barangay Municipality/ City Province (Last Name, First Name, Name
Sitio/Purok First Name, Middle Name)
Middle Name)

Prepared by:
Required Information REGISTERED BoSY EoSY

CCT Control/reference number & Effectivity Date MALE

 GUARDIAN
ADDRESS PARENTS
(If not P
RELIGION Mother's Maiden Name
House #/ Street/ Father's Name (Last Name,
Barangay Municipality/ City Province (Last Name, First Name, Name
Sitio/Purok First Name, Middle Name)
Middle Name)

Name of school last attended & Year FEMALE (Signature of Adviser over Printed Name)

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate:
 Emerald

REMARKS
(If not Parent)
Contact Number of
Parent or Guardian (Please refer to the
Relation-ship
legend on last page)
 REMARKS
(If not Parent)
Contact Number of
Parent or Guardian (Please refer to the
Relation-ship
legend on last page)
 REMARKS
(If not Parent)
Contact Number of
Parent or Guardian (Please refer to the
Relation-ship
legend on last page)
 REMARKS
(If not Parent)
Contact Number of
Parent or Guardian (Please refer to the
Relation-ship
legend on last page)
 REMARKS
(If not Parent)
Contact Number of
Parent or Guardian (Please refer to the
Relation-ship
legend on last page)

Certified Correct:
 REMARKS
(If not Parent)
Contact Number of
Parent or Guardian (Please refer to the
Relation-ship
legend on last page)

(Signature of School Head over Printed Name)

BoSY Date: EoSYDate:

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

School ID 303613 School Year 2017-2018 Report for the Month of

Name of School MOTIONG NATIONAL HIGH SCHOOL Grade Level 10 Sectio

LEARNER'S NAME (1st row for date)
(Last
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 T W

1 ABALOS JESSICA P.

2 ABALOS PAMELA M.
3 ABALOS RENALYN

4 ABANES JOYCE ANN

5 ALAPIDE GRACE C.
6 APDOHAN JHONA

7 BOHOL DANICA E.
8 BOHOL MA. SHENNA D.

9 CABANGUNAY AIME J.
10 CALVADORES JENEL P.

11 DACANAY MYLENE D.
12 DACUT SHELBY COLLEN P.
13 DASIG JESSICA P.

14 GABANE JELITH D.
15 GABON MARIZA A.

16 GABON MAY ANN A.

LEARNER'S NAME (1st row for date)
(Last
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 T W

17 IGDALINO AISA A.
18 IGDALINO JOSEPINE A.
19 ILAGAN RIZZA MAE A.

20 LABAGO CHAIRA L.
21 LABONG ANALYN D.

22 LABONG ANNABELLE G.
FEMALE | TOTAL Per Day

23 LABONG MARY JOY D.

24 LAGBO MARY RUTH R.

25 LLANO ILLA MOPHAT A.

26 PARENO ANA ROSE A.

27 POMASIN SHINE GHISLAINE N.
28 TENEDERO KAREN A.
LEARNER'S NAME (1st row for date)
(Last
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 T W

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= Upper for Late
2. Dates shall be written in the columns after Learner's Name. 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. 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
LEARNER'S NAME (1st row for date)
(Last
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 T W
f. Others (Specify)

School Form 2 : Page ___ of ________

rt of Learners
ut Profile)

Section PEACE

Total for the

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

Month: No. of Days of Summary

Classes: M F TOTAL

* Enrolment as of (1st Friday of June)

Late Enrollment during the month

(beyond cut-off)

Registered Learners 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 absent for 5 consecutive days:

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

CATHERENE P. ECLIPSE
(Signature of Teacher over Printed Name)
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
TH F ABSENT TARDY
If TRANSFERRED IN/OUT, write the name of School.)

Attested by:
SALVACION J. BACARRA
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section

Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES

 Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title 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 Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

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
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
DO#14, 2.2012.
ned

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

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

llowing code: Prepared By:

/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
 School Form 4 (SF4) Monthly Learner's Movement and Atten
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRAN

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
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

ttendance

Report for the Month of

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 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 GRADE 6 / GR
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

BEGINNNING
(B: 74% and below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and above)
 TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPER
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

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

SION 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 Region Division

School Name District

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

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)

EDUCATIONAL QUALIFICATION Daily Program (time d

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

Ave. Minutes per Day

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

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

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

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 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. (Signature o
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 of: __
Sc
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 ________