S

(Thi

School ID Region Division

School Name

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

List and code of Indicators under REMARK column

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

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

District

School Year Grade Level Section

ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)
 ADDRESS NAME OF PARENTS

RELIGION
House # / Father (1st name only if
Mother (Maiden: 1st Name,
Street/Sitio/ Barangay Municipality/ City Province family name identical to
Middle & Last Name)
Purok learner)

olumn
Prepared by:
Required Information BoSY EoSY

CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Prin

Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYD
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)
 GUARDIAN (If not Parent) REMARK/S
Contact Number
(Parent
/Guardian)
(Please refer to the
Name Relationship
legend on last page)

Certified Correct:

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

EoSYDate: BoSY Date: EoSYDate:

 School Form 2 (SF2) Daily Attendance Report of Learn
(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

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

MALE | TOTAL Per Day

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

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= Uppe
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.
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
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 b.3. Death
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 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)

d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others
earners

Section

Total for the

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

Summary for the

Month: No. of Days of
Month
Classes:
M F TOTAL
d= Upper
* 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

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

s)
(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)

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

Region Division District

School ID School Year Curriculum

School Name 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

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

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

(Name and Signature)

Curriculum and
grades level that
p this column)

of the current SY

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
to the individual general average
Curriculum and
grades level that
p this column)

of the current SY

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 ________

 REPORT ON ATTENDANCE

Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr Total

No. of
school
days

No. of
days
presen
t

No. of
days
absent

PARENT / GUARDIAN'S SIGNATURE

1st QUARTER

2nd QUARTER

3rd QUARTER

4th QUARTER
 SAMPLE FOR JUNIOR HIGH
DepEd Form 138-E
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OFFICE OF CEBU CITY
District: ______
Cebu City

School: _____________________________________________
PROGRESS REPORT CARD
S.Y. _________________________
Name:
Age: Sex:
Grade: Section:
School Year: LRN:

Dear Parent,
This report card shows the ability and progress your child has made in the different learning areas
as well as his/her core values.

The school welcomes you should you desire to know more about your child's progress.

Teacher

Principal

Certificate of Transfer

Admitted to Grade: Section:

Eligibility for admission to Grade:

Approved:

Teacher

Principal

Cancellation of Eligibility to Transfer

Admitted in:
Date:
Principal
SF 10 -JHS
Republic of the Philippines
Department of Education
Learner's Permanent Academic Record for Junior High School (SF10
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: ________________________ FIRST NAME: ____________________ NAME EXTN. (Jr,I,II): _______
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. S
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ________________

SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: _________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________
Quarterly Rating
LEARNING AREAS
1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _____________
 Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

School: ______________________ School ID: ________ District: ___________________ Division: _________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________
QUARTER
LEARNING AREAS
1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _____________

Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: __

________________________
Date Name of Principal/School Head over Printed Name
ppines
ation
r Junior High School (SF10-JHS)
7)

MATION
ME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___________________
_________________ Sex: _____________________________

NROLMENT
Citation: (If Any)
Adress of School:

___________ Others (Pls. Specify): ___________

s of Testing Center: ____________________________________

ORD
___________ Division: __________________ Region: ____
viser/Teacher: ________________ Signature: __________
FINAL
REMARKS
RATING

____ to (mm/dd/yyyy) __________________

 Recomputed Final Remarks
Grade

___________ Division: __________________ Region: ____

iser/Teacher: ________________ Signature: __________
FINAL
REMARKS
RATING

___ to (mm/dd/yyyy) __________________

Recomputed Final Remarks
Grade

_______ and that he/she is eligible for admission to Grade ____.

_______ Last School Year Attended: _________________________

(Affix School Seal here)