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School Name
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER (Specify
LRN DATE PLACE Ethnic
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER (Specify
LRN DATE PLACE Ethnic
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER (Specify
LRN DATE PLACE Ethnic
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER (Specify
LRN DATE PLACE Ethnic
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH BIRTH IP
NAME Sex MOTHER (Specify
LRN DATE PLACE Ethnic
(Last Name, First Name, Middle Name) (M/F) (nos. of TONGUE
(mm/ dd/yy) ( Province) Group)
years as
per last
birthday)
Transferred Out T/O Name of Public (P) Private (PR) School & EffectivityCCT Recipient CCT
Transferred IN T/I Name of Public (P) Private (PR) School & EffectivityBalik-Aral B/A
Dropped DRP Reason and Effectivity Date Learner With DissabilLWD
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)
GUARDIAN
ADDRESS NAME OF PARENTS
Paren
RELIGION
House # / Father (1st name only if
Municipality/ Mother (Maiden: 1st Name,
Street/Sitio/ Barangay City
Province family name identical to Name
Middle & Last Name)
Purok learner)
GUARDIAN
ADDRESS NAME OF PARENTS
Paren
RELIGION
House # / Father (1st name only if
Municipality/ Mother (Maiden: 1st Name,
Street/Sitio/ Barangay City
Province family name identical to Name
Middle & Last Name)
Purok learner)
GUARDIAN
ADDRESS NAME OF PARENTS
Paren
RELIGION
House # / Father (1st name only if
Municipality/ Mother (Maiden: 1st Name,
Street/Sitio/ Barangay City
Province family name identical to Name
Middle & Last Name)
Purok learner)
GUARDIAN
ADDRESS NAME OF PARENTS
Paren
RELIGION
House # / Father (1st name only if
Municipality/ Mother (Maiden: 1st Name,
Street/Sitio/ Barangay City
Province family name identical to Name
Middle & Last Name)
Purok learner)
GUARDIAN
ADDRESS NAME OF PARENTS
Paren
RELIGION
House # / Father (1st name only if
Municipality/ Mother (Maiden: 1st Name,
Street/Sitio/ Barangay City
Province family name identical to Name
Middle & Last Name)
Purok learner)
column
Prepared by:
Required Information BoSY EoSY
Specify
TOTAL 29 29
Specify Level & Effectivity Data BoSY Date: June 4, 2017 EoSYDa
UARDIAN (If not
REMARK/S
Parent)
Contact Number
(Parent /Guardian)
Relationship
(Please refer to the
legend on last page)
UARDIAN (If not
REMARK/S
Parent)
Contact Number
(Parent /Guardian)
Relationship
(Please refer to the
legend on last page)
UARDIAN (If not
REMARK/S
Parent)
Contact Number
(Parent /Guardian)
Relationship
(Please refer to the
legend on last page)
UARDIAN (If not
REMARK/S
Parent)
Contact Number
(Parent /Guardian)
Relationship
(Please refer to the
legend on last page)
UARDIAN (If not
REMARK/S
Parent)
Contact Number
(Parent /Guardian)
Relationship
(Please refer to the
legend on last page)
Certified Correct:
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
1 ABEN, RAFFY
2 BALANSE, SANDRO
3 BALANSE. TEDDY
4 BOCUNA, GENOLD
5 DALUMPAY, DITHER
6 MAGAY, REY
7 PANDAUG, NIELBERT
8 TAPINIT, MARJUN CRIS E
9
10
11
12
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last
Name, First Name, Middle Name)
13
14
15
1 BALANSE, SANLY
o
f
Section YELLOW D
a
y
Month: s Summary for the Month
Total for the Month REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2. M F TOTAL
o
If TRANSFERRED IN/OUT, write the name of
f
ABSENT TARDY School.) * Enrolment as of (1st Friday of June)
C
Late Enrollment during the month l
(beyond cut-off) a
s
s
e
Registered Learner as of end of the month
s
:
Percentage of Enrolment as of end of the month
Drop out
f
D
a
y
Month: s Summary for the Month
Total for the Month REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2. M F TOTAL
o
If TRANSFERRED IN/OUT, write the name of
f
ABSENT TARDY School.) * Enrolment as of (1st Friday of June)
Drop out C
l
a
s
Transferred out s
e
s
:
Transferred in
Attested by:
D
a
y
Month: s Summary for the Month
Total for the Month REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2. M F TOTAL
o
If TRANSFERRED IN/OUT, write the name of
f
ABSENT TARDY School.) * Enrolment as of (1st Friday of June)
C
l
a
s
s
e
s
:
School Form 4 (SF4) Monthly Learner's Movement and Atte
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
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 forms shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
nd Attendance
M F T M F T M F T M F T M F T
Prepared and Submitted by:
COMBINED 85.18
PREPARED BY:
Class Adviser
School Head
REVIEWED BY:
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 PROFICIENCYMALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE
Nos. of BEGINNNING
(B: 74% and below)
Nos. of DEVELOPING
(D: 75%-79%)
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
(P: 85% -89%)
Nos. of ADVANCED
(A: 90% and above)
TOTAL
Prepared and Submitted by: JUDSON M. PASTRANO Reviewed & Validated by: PEPA V. PONTILLAS, Ph.D. Noted by: ELENA M. BORCILLO, C
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERI
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
ty
eld.