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School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

1 114

2 114

3 114

4 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

5 114

6 114

7 114

8 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

9 114

10 114

11 114

12 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

13 114

14 114

15 114

16 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

17 114

18 114

19 114

20 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

21 114

22 114

23 114

24 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

25 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

26 114

27 114

28 114

29 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

30 114

31 114

32 114

33 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

34 114

35 114

36 114

37 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

38 114

39 114

40 114

41 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

42 114

43 114

44 114

45 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

46 114

47 114

48 114

49 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

50 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

51 114

52 114

53 114

54 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

55 114

56 114

57 114

58 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

59 114

60 114

61 114

62 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

63 114

64 114

65 114

66 114
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

67 114

68 114

69 114

70 114
atl
School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

List and code of Indic


Indicator Code Required Information

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

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

Dropped Dr/O Reason and Effectivity Date


School ID Region

School Name
AGE as of 1st
Friday of June
(no. of years as per last
BIRTH DATE birthday)
NAME Sex
No. LRN (mm/
(Last Name, First Name, Middle Name) (M/F) dd/yy)
6/5/2014

Late Enrollment LE Reason (Enrollment beyond 1st Friday of June)


School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

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

de of Indicators under REMARK/S column


Indicator Code Required Information

CCT Recipient CCT CCT Control/reference number & Effectivity Date

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

Learner With Dissability LWD Specify


School Form 1 (SF 1) School Register
(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

NCR Division QUEZON CITY

School Year

ADDRESS
IP
BIRTH
MOTHER (Specify
PLACE RELIGION
TONGUE Ethnic
(Province)
Group) House # / Municipality/
Street/Sitio/ Barangay City
Purok
Accelarated ACL Specify Level & Effectivity Data
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)

Prepared by:
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
Prepared by:
No. of Learners BoSY EoSY

MALE 0

(Signature of Adviser over Printed Name)


FEMALE 0

TOTAL 0 0
Date:
District

Grade Level Section

NAME OF PARENTS GUARDIAN (If not Parent)

Father (1st name only if Relations


Province family name identical to Mother (Maiden) Name hip
learner)
TOTAL 0 0
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)

Certified Correct:
REMARK/S
Contact Number
(Parent /Guardian)
(Please refer to the legend on
last page)

Certified Correct:

(Signature of School Head over Printed Name)

Date:
School Form 2 (SF2) Daily Attendance Report of Le
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
Region NCR Division QUEZON CITY

School ID School Year SY 2014-2015 Report for the Month of J

Name of School Grade Level

(2nd row for date, 1st row for day-count)


LEARNER'S NAME
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last
Name, First Name, Middle Name) 6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

M T W TH F M T W TH F M T W TH F M T W TH F M
1
2
3
4

5
6

7
8
9
10
11

12
(2nd row for date, 1st row for day-count)
LEARNER'S NAME
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last
Name, First Name, Middle Name) 6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

M T W TH F M T W TH F M T W TH F M T W TH F M
13
14

15
16
17

18
19

20
21
22

23
24

25
(2nd row for date, 1st row for day-count)
LEARNER'S NAME
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last
Name, First Name, Middle Name) 6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

M T W TH F M T W TH F M T W TH F M T W TH F M
26
27

28
29
30

31
32

33
34
35

MALE | TOTAL Per Day


0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0
1

2
3
4

5
6

7
8
(2nd row for date, 1st row for day-count)
LEARNER'S NAME
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last
Name, First Name, Middle Name) 6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

M T W TH F M T W TH F M T W TH F M T W TH F M
9
10

11
12
13

14
15

16
17
18

19
20

21
22
23

24
25
(2nd row for date, 1st row for day-count)
LEARNER'S NAME
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last
Name, First Name, Middle Name) 6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

M T W TH F M T W TH F M T W TH F M T W TH F M
26
27

28
29
30

31
32

33
34
35

FEMALE | TOTAL Per Day


0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0
Combined TOTAL PER DAY
0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0
atl
GUIDELINES: 1.CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
Using laptop or personal computer
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following: (/) - Present; (a)- Absent; Tardy = (t)-[black]-Late-Com
Registered Learners as of end of the month [red]-Cutting Classes
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year 2. REASONS/CAUSES OF DROP OUT
Total Daily Attendance a. Domestic-Related Factors
b. Average Daily Attendance =
Number of School Days in reporting month a.1. Had to take care of siblings
(2nd row for date, 1st row for day-count)
LEARNER'S NAME
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
(Last
Name, First Name, Middle Name) 6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

M T W TH F M T W TH F M T W TH F M T W TH F M
Average daily attendance a.2. Early marriage/pregnancy
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month a.3. Parents' attitude toward schooling
a.4. Family problems
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 b. Individual-Related Factors
School Form 4. Once signed by the principal, this form should be returned to the adviser. b.1. Illness
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.2. Overage
consecutive days and/or those at risk of dropping out. b.3. Death
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.4. Drug Abuse
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.5. Poor academic performance
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 (tribal wars & clan feud
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2 : Page of pages f. Others (Specify)
f Learners
ile)

June 30, 2014

Section
Total for the Month REMARKS*: (If DROPPED OUT, state reason, please refer to legend number
2.
If TRANSFERRED IN/OUT, write the name of School.)

20 Learner Movement (put a { / }


in the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
T W TH F ABSENT TARDY T/I T/O Dr/O
0 0
0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0
0 0
0 0

0 0
Total for the Month REMARKS*: (If DROPPED OUT, state reason, please refer to legend number
2.
If TRANSFERRED IN/OUT, write the name of School.)

20 Learner Movement (put a { / }


in the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
T W TH F ABSENT TARDY T/I T/O Dr/O
0 0
0 0

0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0

0 0
0 0

0 0
Total for the Month REMARKS*: (If DROPPED OUT, state reason, please refer to legend number
2.
If TRANSFERRED IN/OUT, write the name of School.)

20 Learner Movement (put a { / }


in the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
T W TH F ABSENT TARDY T/I T/O Dr/O
0 0
0 0

0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0

0 0 0
0.0

0.0

0.0

0.0

0.0

0 0

0 0
0 0
0 0

0 0
0 0

0 0
0 0
Total for the Month REMARKS*: (If DROPPED OUT, state reason, please refer to legend number
2.
If TRANSFERRED IN/OUT, write the name of School.)

20 Learner Movement (put a { / }


in the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
T W TH F ABSENT TARDY T/I T/O Dr/O
0 0
0 0

0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0

0 0
0 0
Total for the Month REMARKS*: (If DROPPED OUT, state reason, please refer to legend number
2.
If TRANSFERRED IN/OUT, write the name of School.)

20 Learner Movement (put a { / }


in the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
T W TH F ABSENT TARDY T/I T/O Dr/O
0 0
0 0

0 0
0 0
0 0

0 0
0 0

0 0
0 0
0 0

0 0 0
0.0

0.0

0.0

0.0

0.0

0 0 0
0.0

0.0

0.0

0.0

0.0

Month: No. of Days of Summary


Classes:
20
June 30, 2014 M F TOTAL

* Enrolment as of (1st Friday of June) 0


ate-Comer, (t)-
Late Enrollment during the month
(beyond cut-off)
0

Registered Learners as of end of the month 0


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

20 Learner Movement (put a { / }


in the appropriate box) Code (for
reason of School Name (if Tr/O)
Dr/O)
T W TH F ABSENT TARDY T/I T/O Dr/O

Percentage of Enrolment as of end of the month #DIV/0! #DIV/0! #DIV/0!


oling

Average Daily Attendance 0 0 0

Percentage of Attendance for the month #DIV/0! #DIV/0! #DIV/0!

Number of students absent for 5 consecutive


0
days:
Drop out (Dr/O) 0 0 0

Transferred out (Tr/O) 0 0 0

Transferred in (Tr/I) 0 0 0

I certify that this is a true and correct report.

school
lan feuds) (Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)


School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued

1
2
3
4
5
6
7
8
9
10
11
12
13
14
School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued

15
16
17
18
19
20
21
22
23
24
25
26
27
28
School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued

29
30
31
32
33
34
35
TOTAL FOR MALE | TOTAL COPIES
School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued

1
2
3
4
5
6
7
8
9
10
11
12
13
14
School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued

15
16
17
18
19
20
21
22
23
24
25
26
27
28
School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned Issued Returned Issued

29
30
31
32
33
34
35
0 TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES 0 0 0 0 0 0 0


atl
GUIDELINES: In case of losses/unreturned, please prov
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. A. In Column Date Returned, codes are: FM
3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected. B. In Column Remark/Action Taken, codes ar
FM), TLTR=Teacher prepared letter/report du
TDO), PTL=Paid by the Learner (for code N
School Form 3 (SF3) Books Issued a
(This replace Form 1 & Inventory of Text B

Region NCR Division

School ID School Year


School Name Grade Level
Subject Area & Subject Area & Subject Area & Subject Area
Title Title Title Title

NO. LEARNER'S NAME First Name, Middle Name) (Last Name,

Date Date Date Date

Issued Returned Issued Returned B.Issued


In Column Returned
Remark/ActionIssued
Taken, codes ar
FM), TLTR=Teacher prepared letter/report du
TDO), PTL=Paid by the Learner (for code N

School Form 3 : Page of pages


s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned


s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned


s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned

0
s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned


s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned


s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned

0
0 0 0 0 0 0 0 0 0 0

turned, please provide information with the following code: Prepared By:

ned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence


ction Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
pared letter/report duly noted by School Head for submission to School Property Custodian (for code
Learner (for code NEG). References: DO#23, s.2001; DO#25 s.2003; DO#14, s.2012.
s Issued and Returned
entory of Text Book)

QUEZON CITY

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

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

Returned Issued Returned Issued Returned Issued Returned Issued Returned


(Signature over printed name)
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
1 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
17 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
26 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0
32 0 0 0 0 0 0 0 0
33 0 0 0 0 0 0 0 0
34 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0
36 0 0 0 0 0 0 0 0
37 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
42 0 0 0 0 0 0 0 0
43 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0 0
47 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
51 0 0 0 0 0 0 0 0
52 0 0 0 0 0 0 0 0
53 0 0 0 0 0 0 0 0
54 0 0 0 0 0 0 0 0
55 0 0 0 0 0 0 0 0
56 0 0 0 0 0 0 0 0
57 0 0 0 0 0 0 0 0
58 0 0 0 0 0 0 0 0
59 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0
61 0 0 0 0 0 0 0 0
62 0 0 0 0 0 0 0 0
63 0 0 0 0 0 0 0 0
64 0 0 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0
66 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
67 0 0 0 0 0 0 0 0
68 0 0 0 0 0 0 0 0
69 0 0 0 0 0 0 0 0
70 0 0 0 0 0 0 0 0
71 0 0 0 0 0 0 0 0
72 0 0 0 0 0 0 0 0
73 0 0 0 0 0 0 0 0
74 0 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
76 0 0 0 0 0 0 0 0
77 0 0 0 0 0 0 0 0
78 0 0 0 0 0 0 0 0
79 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0
81 0 0 0 0 0 0 0 0
82 0 0 0 0 0 0 0 0
83 0 0 0 0 0 0 0 0
84 0 0 0 0 0 0 0 0
85 0 0 0 0 0 0 0 0
ELEMENTARY/SECONDARY:
KINDER 0 0 0 0 0 0 0 0
GRADE 1/GRADE 7 0 0 0 0 0 0 0 0
GRADE 2/GRADE 8 0 0 0 0 0 0 0 0
GRADE 3/GRADE 9 0 0 0 0 0 0 0 0
GRADE 4/GRADE 10 0 0 0 0 0 0 0 0
School Form 4 (SF4) Monthly Learner's Movement and Attendan
(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region NCR Division QUEZON CITY District


School Name School Year
ATTENDANCE DROPPED OUT TRANSF
REGISTERED
GRADE/ LEARNER (As (A+B)
of End of the (A) Cumulative (A) Cumulative
NAME OF ADVISER YEAR SECTION Average Percentage as of Previous (B) For the Cumulative as as of Previous
LEVEL Month) Month Month of End of the Month
Month

M F T M F T M F T M F T M F T M F T M F T
GRADE 5/GRADE 11 0 0 0 0 0 0 0 0
GRADE 6/GRADE 12 0 0 0 0 0 0 0 0
TOTAL FOR NON-GRADED 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
atl
GUIDELINES: Prepared
1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.
Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".
2. Furnish copy to Division Office: a week after June 30, October 31 & March 31
3. Teachers who are handling advisory class shall be reported.
4. Small school that has one section per grade/year level are 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 4 : Page of pages


ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ndance

Month Reporting
TRANSFERRED OUT TRANSFERRED IN

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

M F T M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

repared and Submitted by:

(Signature of School Head over Printed Name)


School Form 5 (SF 5) Report on Promotion & Level of Profic
(This replace Forms 18-E1, 18-E2, 18A)

Region NCR Division QUEZON CITY District

School ID School Year Curriculum

School Name Grade Level

INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and r
(Numerical Value in 3 ACTION School. Elementary grades level that still imple
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN (Last Name, First Name, Middle Name) learner, 2 for non-honor & PROMOTED,
Descriptive Letter) IRREGULAR or
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR
3 (B) IRREGULAR
4 (B) IRREGULAR
5 (B) IRREGULAR
6 (B) IRREGULAR
7 (B) IRREGULAR
8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR
11 (B) IRREGULAR
12 (B) IRREGULAR
13 (B) IRREGULAR
14 (B) IRREGULAR
15 (B) IRREGULAR
School Form 5: Page 126 of 165 pages
INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and r
(Numerical Value in 3 ACTION School. Elementary grades level that still imple
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN learner, 2 for non-honor & PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
16 (B) IRREGULAR
17 (B) IRREGULAR
18 (B) IRREGULAR
19 (B) IRREGULAR
20 (B) IRREGULAR
21 (B) IRREGULAR
22 (B) IRREGULAR
23 (B) IRREGULAR
24 (B) IRREGULAR
25 (B) IRREGULAR
26 (B) IRREGULAR
27 (B) IRREGULAR
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR
35 (B) IRREGULAR
TOTAL MALE

School Form 5: Page 127 of 165 pages


INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and r
(Numerical Value in 3 ACTION School. Elementary grades level that still imple
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN learner, 2 for non-honor & PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR
3 (B) IRREGULAR
4 (B) IRREGULAR
5 (B) IRREGULAR
6 (B) IRREGULAR
7 (B) IRREGULAR
8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR
11 (B) IRREGULAR
12 (B) IRREGULAR
13 (B) IRREGULAR
14 (B) IRREGULAR
15 (B) IRREGULAR
16 (B) IRREGULAR
17 (B) IRREGULAR
18 (B) IRREGULAR
19 (B) IRREGULAR
20 (B) IRREGULAR
21 (B) IRREGULAR
22 (B) IRREGULAR

School Form 5: Page 128 of 165 pages


INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum and r
(Numerical Value in 3 ACTION School. Elementary grades level that still imple
LEARNER'S NAME decimal places for honor TAKEN: fill up this column)
LRN learner, 2 for non-honor & PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
23 (B) IRREGULAR
24 (B) IRREGULAR
25 (B) IRREGULAR
26 (B) IRREGULAR
27 (B) IRREGULAR
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR
35 (B) IRREGULAR
TOTAL FEMALE
0 COMBINED
atl

School Form 5: Page 129 of 165 pages


of Proficiency

Grade 8 Section

riculum and remaining RBEC in High


hat still implementing RBEC need not to
this column)

as of End of the current SY

SUMMARY TABLE
MALE FEMALE TOTAL

PROMOTED 0 0 0

IRREGULAR 35 35 70

RETAINED 0 0 0

LEVEL OF PROFICIENCY
Adj. Rating MALE FEMALE TOTAL

BEGINNNING
(B: 74% and 35 35 70
below)

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

School Form 5: Page 130 of 165 pages


riculum and remaining RBEC in High
hat still implementing RBEC need not to
this column)

as of End of the current SY

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

PROFICIENT (P:
85% -89%) 0 0 0

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

School Form 5: Page 131 of 165 pages


riculum and remaining RBEC in High
hat still implementing RBEC need not to
this column)

as of End of the current SY

Prepared by:

Class Adviser
(Name and Signature)

Certified Correct and Submitted:

School Head
(Signature over Printed Name )

GUIDELINES:

School Form 5: Page 132 of 165 pages


riculum and remaining RBEC in High
hat still implementing RBEC need not to
this column)

as of End of the current SY

1. For All Grades 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 and the level of proficiency according
to the individual general average

4. Must be tallied with the total enrollment


report as of End of School Year GESP /GSSP
(BEIS)

School Form 5: Page 133 of 165 pages


School Form 5 (SF 5) Report on Promotion & Level of Pro
(This replace Forms 18-E1, 18-E2, 18A)

Region NCR Division QUEZON CITY District

School ID School Year Curriculum

School Name Grade Level

INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum a
(Numerical Value in 3 ACTION School. Elementary grades level that still im
LEARNER'S NAME decimal places for honor TAKEN: fill up this colum
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR
3 (B) IRREGULAR
4 (B) IRREGULAR
5 (B) IRREGULAR
6 (B) IRREGULAR
7 (B) IRREGULAR
8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR
11 (B) IRREGULAR
12 (B) IRREGULAR
13 (B) IRREGULAR
School Form 5: Page 134 of 165 pages
INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum a
(Numerical Value in 3 ACTION School. Elementary grades level that still im
LEARNER'S NAME decimal places for honor TAKEN: fill up this colum
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
14 (B) IRREGULAR
15 (B) IRREGULAR
16 (B) IRREGULAR
17 (B) IRREGULAR
18 (B) IRREGULAR
19 (B) IRREGULAR
20 (B) IRREGULAR
21 (B) IRREGULAR
22 (B) IRREGULAR
23 (B) IRREGULAR
24 (B) IRREGULAR
25 (B) IRREGULAR
26 (B) IRREGULAR
27 (B) IRREGULAR
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR

School Form 5: Page 135 of 165 pages


INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum a
(Numerical Value in 3 ACTION School. Elementary grades level that still im
LEARNER'S NAME decimal places for honor TAKEN: fill up this colum
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
35 (B) IRREGULAR
TOTAL MALE

School Form 5: Page 136 of 165 pages


INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum a
(Numerical Value in 3 ACTION School. Elementary grades level that still im
LEARNER'S NAME decimal places for honor TAKEN: fill up this colum
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
1 (B) IRREGULAR
2 (B) IRREGULAR
3 (B) IRREGULAR
4 (B) IRREGULAR
5 (B) IRREGULAR
6 (B) IRREGULAR
7 (B) IRREGULAR
8 (B) IRREGULAR
9 (B) IRREGULAR
10 (B) IRREGULAR
11 (B) IRREGULAR
12 (B) IRREGULAR
13 (B) IRREGULAR
14 (B) IRREGULAR
15 (B) IRREGULAR
16 (B) IRREGULAR
17 (B) IRREGULAR
18 (B) IRREGULAR
19 (B) IRREGULAR
20 (B) IRREGULAR
21 (B) IRREGULAR

School Form 5: Page 137 of 165 pages


INCOMPLETE SUBJECT/S
GENERAL AVERAGE (This column is for K to 12 Curriculum a
(Numerical Value in 3 ACTION School. Elementary grades level that still im
LEARNER'S NAME decimal places for honor TAKEN: fill up this colum
LRN learner, 2 for non-honor PROMOTED,
(Last Name, First Name, Middle Name) IRREGULAR or
& Descriptive Letter)
RETAINED
Completed as of end of current SY
Num. Val. Adj. Rtng
22 (B) IRREGULAR
23 (B) IRREGULAR
24 (B) IRREGULAR
25 (B) IRREGULAR
26 (B) IRREGULAR
27 (B) IRREGULAR
28 (B) IRREGULAR
29 (B) IRREGULAR
30 (B) IRREGULAR
31 (B) IRREGULAR
32 (B) IRREGULAR
33 (B) IRREGULAR
34 (B) IRREGULAR
35 (B) IRREGULAR
TOTAL FEMALE

0 COMBINED

atl

School Form 5: Page 138 of 165 pages


el of Proficiency

Section

Curriculum and remaining RBEC in High


vel that still implementing RBEC need not to
l up this column)

as of End of the current SY

SUMMARY TABLE
MALE FEMALE TOTAL

PROMOTED 0 0 0

IRREGULAR 35 35 70

RETAINED 0 0 0

LEVEL OF PROFICIENCY
Num. Rating MALE FEMALE TOTAL

School Form 5: Page 139 of 165 pages


Curriculum and remaining RBEC in High
vel that still implementing RBEC need not to
l up this column)

as of End of the current SY

74% and below 35 35 70

75%-79% 0 0 0

80%-84% 0 0 0

85% -89% 0 0 0

90% and above 0 0 0

School Form 5: Page 140 of 165 pages


Curriculum and remaining RBEC in High
vel that still implementing RBEC need not to
l up this column)

as of End of the current SY

School Form 5: Page 141 of 165 pages


Curriculum and remaining RBEC in High
vel that still implementing RBEC need not to
l up this column)

as of End of the current SY

Prepared by:

Class Adviser
(Name and Signature)

Certified Correct and Submitted:

School Head
(Signature over Printed Name )

GUIDELINES:

1. For All Grades 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.
School Form 5: Page 142 of 165 pages
Curriculum and remaining RBEC in High
vel that still implementing RBEC need not to
l up this column)
2. To be prepared by the Adviser. Final rating
per subject area should be taken from the
as of End of the current SY 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 and the level of proficiency according
to the individual general average

4. Must be tallied with the total enrollment


report as of End of School Year GESP /GSSP
(BEIS)

School Form 5: Page 143 of 165 pages


School Form 6 (SF6) Summarized Report on Promotion and Level of P
(This cancel Form 20)

School ID Region NCR Division QUE

School Name District

GRADE 1 / GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRAD
SUMMARY TABLE

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

PROMOTED 0 0 0 0

IRREGULAR 0 0 0 0

RETAINED 0 0 0 0

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

Nos. of BEGINNNING 0 0 0 0
(B: 74% and below)

Nos. of DEVELOPING 0 0 0 0
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY 0 0 0 0
(AP: 80%-84%)

Nos. of PROFICIENT 0 0 0 0
(P: 85% -89%)

Nos. of ADVANCED 0 0 0 0
(A: 90% and above)
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0

atl
Prepared and Submitted by: Reviewed & Validated by:

(Printed Name) ARACELI T. LIWANAGAN


School Head: (Position Title) Supervising Education Program Specialist
(Signature over Printed Name and Position Title) Acting Division Planning Officer

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 e
2. This report, together with the copy of Report for Promotion submitted by the class advisers, 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.
evel of Proficiency

QUEZON CITY

School Year

ADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0 0 0 0

Noted by:

PONCIANO A. MENGUITO, CESO V


Schools Division Superintendent

t the result in each data field.


School Form 7 (SF7) School Personnel Assignment List and Bas
(This replace 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 NCR Division QUEZON CITY


School Name District
(A) Nationally-Funded Teaching Related Items (B) Nationally-Funded Non Teaching Items (C) Other Appoin

Title of Plantilla Position


Title of Plantilla Position Number of Nature of Appointment and Designati
(as appeared in the appointment Number of Incumbent
(as appeared in the appointment document) Incumbent (Contractual, Substitute, Volunteer & othe
document)

atl
EDUCATIONAL QUALIFICATION
Employee No.

Name of School
Personnel Fund Position/ Nature of
(Arrange by Position, Sex Source Designation Appointment Degree / Post Major/
Descending) Minor
Graduate Specialization
principal iv

permanent
national
234567

marcoporfirio
phd

manadakilasalahat
m
Employee No. EDUCATIONAL QUALIFICATION

Name of School
Personnel Fund Position/ Nature of
(Arrange by Position, Sex Source Designation Appointment Degree / Post Major/
Descending) Minor
Graduate Specialization

permanent
general
12345

segundina

math
T-III

eng
bse
carboradoratindahan
f
Employee No. EDUCATIONAL QUALIFICATION

Name of School
Personnel Fund Position/ Nature of
(Arrange by Position, Sex Source Designation Appointment Degree / Post Major/
Descending) Minor
Graduate Specialization
Employee No. EDUCATIONAL QUALIFICATION

Name of School
Personnel Fund Position/ Nature of
(Arrange by Position, Sex Source Designation Appointment Degree / Post Major/
Descending) Minor
Graduate Specialization

atl

GUIDELINES:
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 shall also serve as inventory list of school personnel.
Employee No. EDUCATIONAL QUALIFICATION

Name of School
Personnel Fund Position/ Nature of
(Arrange by Position, Sex Source Designation Appointment Degree / Post Major/
Descending) Minor
Graduate Specialization

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 shall also serve as inventory list of school personnel.
3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.
4. * Daily Program Column is for teaching personnel only.
ent List and Basic Profile
9-Assignment List,
n of Teachers)

QUEZON CITY
School Year
(C) Other Appointments and Funding Sources

ature of Appointment and Designation Fund Source Number of Incumbent


Contractual, Substitute, Volunteer & others) (SEF, PTA, NGO's etc.) Non-
Teaching
Teaching

* Daily Program (time duration)


Subject Taught Remark/s
(include Grade & Actual (For Detailed Items,
Section) & Other DAY
Teaching/ Indicate name of
Ancillary Assignment (M/T/W From To Service school/office, For IP's
(00:00) (00:00) Render -Ethnicity)
(Please Specify) /TH/F)
(Mins/Day)

Ave. Minutes per Day :


* Daily Program (time duration)
Subject Taught Remark/s
(include Grade & Actual (For Detailed Items,
Section) & Other DAY Teaching/ Indicate name of
Ancillary Assignment (M/T/W From To Service school/office, For IP's
(00:00) (00:00) Render -Ethnicity)
(Please Specify) /TH/F)
(Mins/Day)

Math 1 m 8-12nn 1-5pm 480


Math 2 w 8-12nn 1-5pm 480
Math 3 f 8-11nn 2-5pm 360
Eng1 t 8-12nn 1-4pm 420
Eng2 th 8-12nn 1-4pm 420
Clinic f 11-12nn 1-2pm 120

Ave. Minutes per Day : 380

Ave. Minutes per Day :

Ave. Minutes per Day :


* Daily Program (time duration)
Subject Taught Remark/s
(include Grade & Actual (For Detailed Items,
Section) & Other DAY Teaching/ Indicate name of
Ancillary Assignment (M/T/W From To Service school/office, For IP's
(00:00) (00:00) Render -Ethnicity)
(Please Specify) /TH/F)
(Mins/Day)

Ave. Minutes per Day :

Ave. Minutes per Day :

Ave. Minutes per Day :


* Daily Program (time duration)
Subject Taught Remark/s
(include Grade & Actual (For Detailed Items,
Section) & Other DAY Teaching/ Indicate name of
Ancillary Assignment (M/T/W From To Service school/office, For IP's
(00:00) (00:00) Render -Ethnicity)
(Please Specify) /TH/F)
(Mins/Day)

Ave. Minutes per Day :

Ave. Minutes per Day :

Ave. Minutes per Day :

Submitted by:

el during SY, updated Form (Signature of School Head)


(Printed Name )
nk down to the lowest. This (Printed Position Title)
* Daily Program (time duration)
Subject Taught Remark/s
(include Grade & Actual (For Detailed Items,
Section) & Other DAY Teaching/ Indicate name of
Ancillary Assignment (M/T/W From To Service school/office, For IP's
(00:00) (00:00) Render -Ethnicity)
(Please Specify) /TH/F)
(Mins/Day)

School Form 7 : Page of pages


School Form 2 (SF2) Daily Attendance Report for learn
(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Month Reporting

Name of School Grade Level


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

MALE | TOTAL Per Day


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

FEMALE | DAILY TOTAL


Combined TOTAL PER DAY
L E G E N D:

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
2. Dates shall be written in the preceding columns beside Learner's Name. shaded= Upper for Late Comer, Lower for
3. To compute the following: Cutting Classes)
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
DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)

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 problem

b. Individual-Related Factors
4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of b.1. Illness
summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.
b.2. Overage
5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.4. Drug Abuse
b.5. Poor academic performance
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 & clan
feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others
learner
file)

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

DANCE Month:
Summary for the
No. of Days of Month
Classes:
(half M F TOTAL
wer for
Enrollment as of (1st Friday of June)
UTS Late Enrollment (beyond cut-off)
Total for the
Month REMARK/S (If DROPPED OUT, state
reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the
ABSENT TARDY name of School.)
Registered Learner as of end of the month

ing Percentage of Enrollment 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.


hool
rs & clan
(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)

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