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Scho

(This replace

School ID 132280 Region CARAGA Division

School Name CATADMAN ELEMENTARY SCHOOL Sc

AGE as
IP
NAME Sex BIRTH DATE of 1st MOTHER TONGUE
LRN (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday (Grade 1 to 3 Only)
Group)
June

132280130003 EDILLOR, JEROME CABALLERO M 3/29/08 9 SURIGAONON


1
132280130002 ELANO, JAMES MAN JARABE M 5/11/08 9 SURIGAONON
2
132280130004 ENTENDEZ, MELCHOR FRANCAS M 9/22/07 9 SURIGAONON
3
132280120008 PEGARRO, JAY-R M 6/25/07 9 SURIGAONON
4

4-----TOTAL MALE
AGE as
IP
NAME Sex BIRTH DATE of 1st MOTHER TONGUE
LRN (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday (Grade 1 to 3 Only)
Group)
June

132280130008 COMENDADOR, NOVAH JANE FRANCAS F 3/30/08 9 SURIGAONON


1
132280110008 GA, MARIEL MISPEROS F 2/11/07 10 SURIGAONON
2
132280130011 GUIVENCAN, RECHEL COMENDADOR F 10/24/08 8 SURIGAONON
3
132280120009 INTIA, SANDRA INTIA F 10/10/07 9 SURIGAONON
4
132280100016 MONTANTE, MARY HILL F 12/8/00 16 SURIGAONON
5
132280140012 TALIC, JANICE JAMA-ANI F 11/13/07 9 SURIGAONON
6

6----TOTAL FEMALE

10----COMBINED

List and Code of Indicators under REMARKS column


Indicator Code Required Information Indicator Code
AGE as
IP
NAME Sex BIRTH DATE of 1st MOTHER TONGUE
LRN (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday (Grade 1 to 3 Only)
Group)
June

Transferred Ou T/O Name of Public (P) Private (PR) School & Effectivity Dat CCT Recipient CCT

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Dat Balik-Aral B/A

Learner With
Dropped DRP Reason and Effectivity Date LWD
Dissability
Late Enrollmen LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

SURIGAO CITY District VI

School Year 2017-2018 Grade Level IV Section

ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

SURIGAO SURIGAO DEL EDILLOR, JUNELITO CABALLERO,ROSIELYN


CHRISTIANITY P-2 CATADMAN CATURAN
CITY NORTE SALES
SURIGAO SURIGAO DEL ELANO, MANNY JARABE, CELIA CATURAN
CHRISTIANITY P-1 CATADMAN CITY NORTE CABALLERO
SURIGAO SURIGAO DEL ENTENDEZ, FRANCAS, ROSALIE
CHRISTIANITY P-3 CATADMAN CITY NORTE DANNYBOY ENAO PEGARRO
SURIGAO CITY SURIGAO DEL
CHRISTIANITY P-3 CATADMAN NORTE
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

SURIGAO SURIGAO DEL COMENDADOR, FRANCAS, JOANNA


CHRISTIANITY P-3 CATADMAN CITY NORTE CASTRO
SUNNY BONALOS
SURIGAO SURIGAO DEL GA SR,EUGENIO MISPEROS,GINA
CHRISTIANITY P-3 CATADMAN CITY NORTE ERASGA
CATURAN
SURIGAO SURIGAO DEL GUIVENCAN, COMENDADOR, ADELISA
CHRISTIANITY P-3 CATADMAN CITY NORTE BONALOS
REYNANTE CLOSAS
SURIGAO SURIGAO DEL INTIA,ALEJANDRO ABOY,ROSEMARIE
CHRISTIANITY P-3 CATADMAN CITY NORTE MATURAN
MANAYAN
SURIGAO SURIGAO DEL
CHRISTIANITY P-3 CATADMAN CITY NORTE

SURIGAO SURIGAO DEL JAMA-ANI, JANETH ECOL


CHRISTIANITY P-3 CATADMAN CITY NORTE TALIC, BRANDO DARO

S column
Prepared by:
Required Information REGISTERED BoSY EoSY
ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name


Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

CCT Control/reference number & Effectivity Date MALE 4


MERIE ANN EBOL FLORINO
(Signature of Adviser over Printed Name)
Name of school last attended & Year FEMALE 6

Specify
TOTAL 10

Specify Level & Effectivity Data BoSY Date: EoSYDate:


JUPITER

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

PEGARRO, CONCHITA
EBOL
GRANDMOTHER
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

BETO, IVY
MONTANTE AUNT

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

EBOL FLORINO DIOLITA CUADRA PLANDANO


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

EoSYDate: BoSY Date: EoSYDate:


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

School ID 132247 School Year 2019-2020 Report for the Month of

Name of School CANLANIPA CENTRAL ELEMENTARY SCHOOL Grade Level K


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

2
3

4
5
6

7
8

9
10

11
12
13

14
15
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

MALE | TOTAL Per Day


1
2

3
4

5
6
7

8
9

10
11
12

13
14

15
16
17

18
19

20

FEMALE | TOTAL Per Day


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

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= Upp
2. Dates shall be written in the columns after Learner's Name. Late 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
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

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
f. Others (Specify)

School Form 2 : Page ___ of ________


f Learners
e)

AUGUST

K Section (PM) MATUGAS

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.)
T W TH F ABSENT TARDY
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.)
T W TH F ABSENT TARDY
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.)
T W TH F ABSENT TARDY

Month: No. of Days of Summary


Classes: M F TOTAL
ded= Upper for
sses)
* Enrolment as of (1st Friday of June)
UT

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
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.)
T W TH F ABSENT TARDY

Transferred in

I certify that this is a true and correct report.

JOE-AN P. MATUGAS
(Signature of Teacher over Printed Name)

Attested by:
DONALD T. ARQUIZA
(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returne
(This replaces Form 1 & Inventory of Textbooks)

School ID 132280 School Year 2016-2017


School Name CATADMAN ELEMENTARY SCHOOL Grade Level IV Section JUPI
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
ENGLISH FILIPINO MATHEMATICS SCIENCE ARAL.PAN. EPP
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

1 CASTRO, WENDEL BACAMANTE 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016

2 ELANO, JHON NIECEL JARABE 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016
3 ELANO, ROMUALDO FLORENO JR 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016

4 JUMANDOS, GERALD PEGARRO 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016

5 LOPEZ, RICHARD ABEJAR JR. 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016
5 TOTAL FOR MALE | TOTAL COPIES 5 5 5 5 5 5

1 PEGARRO, ANGEL PEDRAYA 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016

2 YURTAS, JAMAICA CANETE 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016

3 YURTAS, MA. DONESSA GELI 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016 6/17/2016
3 TOTAL FOR FEMALE | TOTAL COPIES 3 3 3 3 3 3

8 TOTAL LEARNERS | TOTAL COPIES 8 8 8 8 8 8

GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
ENGLISH FILIPINO MATHEMATICS SCIENCE ARAL.PAN. EPP
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

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. 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
3. The Total Number of Copies issued at BoSY shall be reflected in the form. (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
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. DO#14, 2.2012.

5. All textbooks being used must be included. Additional copies of this form may be used if needed.
Returned

JUPITER
Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
EPP MUSIKA AT PE & EsP
SINING HEALTH REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date Date legend on last page)
Returned Issued Returned Issued Returned Issued Returned

6/17/2016 6/17/2016 6/17/2016

6/17/2016 6/17/2016 6/17/2016

6/17/2016 6/17/2016 6/17/2016

6/17/2016 6/17/2016 6/17/2016

6/17/2016 6/17/2016 6/17/2016


5 5 5

6/17/2016 6/17/2016 6/17/2016

6/17/2016 6/17/2016 6/17/2016

6/17/2016 6/17/2016 6/17/2016


3 3 3

8 8 8

llowing code: Prepared By:


Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
EPP MUSIKA AT PE & EsP
SINING HEALTH REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date Date legend on last page)
Returned Issued Returned Issued Returned Issued Returned

/Dropout, NEG=Negligence MERIE ANN EBOL FLORINO


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

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRANSFER


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 and
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


Attendance

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

Region CARAGA Division SURIGAO CITY District VI

132280
School ID School Year 2015-2016 Curriculum K TO 12

School Name CATADMAN ELEMENTARY SCHOOL Grade Level IV

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

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

TOTAL FEMALE

COMBINED
ficiency

VI

TO 12

Section JUPITER

um and remaining
vel that are still
se columns)

current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)


um and remaining
vel that are still
se columns)

current School Year

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)


um and remaining
vel that are still
se columns)

current School Year

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 teachers. The class adviser should compute
for the 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.
um and remaining
vel that are still
se columns)

current School Year

4. Must tally with the total enrollment report as of End


of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the


discretion of the Schools Division Superintendent

School Form 5: Page ____ of ________


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
SUMMARY TABLE

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

PROMOTED

IRREGULAR (Grade 7 onwards only)

RETAINED

LEVEL OF PROFICIENCY (K to 12
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Only)

BEGINNNING (B: 74%


and below)

DEVELOPING (D: 75%-


79%)

APPROACHING PROFICIENCY
(AP: 80%-84%)

PROFICIENT (P: 85%


-89%)

ADVANCED (A: 90%


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

TOTAL

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

GRADE 6 / GRADE 12 TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL


OLS DIVISION 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 Volunteer, others
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.)
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 ________
School Form 2 (SF2) Daily Attendance Report of Lea
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 132280 School Year 2016-2017 Report for the Month of

Name of School CATADMAN ELEMENTARY SCHOOL Grade Level III


LEARNER'S NAME (1st row for date)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
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

1 EDILLOR, JEROME C.

2 ELANO. JAMES MAN J.


3 ENTENDEZ, MELCHOR F.

4 PEGARRO, JAY- R X X X X X X

MALE | TOTAL Per Day H 4 4 4 4 4 3 3 3 4 4 3 3 3 4 4 4 4 4 4 4


1 COMENDADOR, NOVAH JANE F.
2 GA, MARIEL M.

3 GUIVENCAN, RECHEL C.
4 INTIA, SANDRA A.
LEARNER'S NAME (1st row for date)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
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

5 MONTANTE, MARY HILL


6 TALIC, JANICE J.

FEMALE | TOTAL Per Day H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6

Combined TOTAL PER DAY H 10 10 10 10 10 9 10 10 10 10 9 10 10 10 10 10 10 10 10 10

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= Upp
2. Dates shall be written in the columns after Learner's Name. Late 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
LEARNER'S NAME (1st row for date)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30
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

* 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


f. Others (Specify)

School Form 2 : Page ___ of ________


f Learners
e)

JANUARY

III Section JUPITER

Total for the


Month REMARKS (If DROPPED OUT, state reason, please
31 refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T ABSENT TARDY
0

0
0

4
0
0

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

6
10

Month: No. of Days of Summary


Classes: M F TOTAL
ded= Upper for
sses)
* Enrolment as of (1st Friday of June) 4 6 10
UT

Late Enrollment during the month


0 0 0
(beyond cut-off)

Registered Learners as of end of the month 4 6 10

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

Average Daily Attendance 4 6 10

Percentage of Attendance for the month 100% 100% 100.00%

Number of students absent for 5 consecutive days:


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

Drop out 0 0 0

Transferred out 0 0 0

Transferred in 0 0 0

I certify that this is a true and correct report.

MERIE ANN EBOL FLORINO


(Signature of Teacher over Printed Name)

Attested by:
DIOLITA CUADRA PLANDANO
(Signature of School Head over Printed Name)

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