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Grade
School Name GARDENERSFIELD SCHOOL INC. 2019-2020 5
Level
Birth
NAME Age as ADDRESS PARENTS
Date IP
of 1st
Ethnic Religion
LRN SexM/F mm/dd/ Friday
June
Group
(Last Name, First Name, Middle Name) House No. Munici- Mother's Name
Father's Name
yyyy Barangay Province
Last, First, Middle
BOYS: pality Last, First, Midd
Purok
4187271500
5 10
Francisco, Reynold Cruz M 09/23/2008 10 Christian Calantipay Baliwag Bulacan Francisco, Rowe
1047551400 Pinagbarila
8 43
Jusay, Arcess Jarold Cruz M 12/05/2008 10 INC
n
Jusay, Arnold Jusay, Princes
TOTAL MALE - 9
Birth
NAME ADDRESS PARENTS
Date Age as
of 1st IP Religion
LRN SexM/F Friday Ethnic
mm/dd/ June
Group
(Last Name, First Name, Middle Name) House No. Munici- Mother's Name
Father's Name
yyyy Barangay Province
Last, First, Middle
pality Last, First, Midd
Purok
GIRLS
TOTAL FEMALE - 2
Prepared by:
List of Code of Indicators under REMARKS Column
Indicator Code Code Required Information RegisteredBoSY EoSY MARIEL C, G
Transferred Out TO Name of Public (P), Private (PE) School a CCT CCT Control/Reference No. & Effe Male 9 Signature over
Transferred In TI Name of Public (P0 Privetae School (PR) a B/A Name of last school attended & Female 2
Dropped DRP Reason and Effectivity Date LWD Specify
Total 11
Late Enrolment LE Reason (Enrolment beyond 1st day of Ju ACL Specify level & Effectivity BoSY Date
School Form 5: Page ____ of ________
r
strict Baliwag
Section SIMPLICITY
Guardian
TS (If no REMARKS
Parents)
Contact No. of
Parent/
ther's Name Relation- Guardian (Please refer to the
Name
ast, First, Middle ship legend below)
Añonuevo,
Pauline
Cruz, Myra
9338201677
Flor
De Guzman,
Melanie 9261091289
Flores, Emily
9433986531
ancisco, Rowena
Basquiña,
Zenaida
Grand-
livar, Marianne Teresita Olivar
mother 9225169372
usay, Princess
9367752452
Chico,
Elizabeth 9754997176
Guardian
TS (If no REMARKS
Parents)
Contact No. of
Parent/
Guardian
ther's Name Relation-
(Please refer to the
Name
ast, First, Middle ship legend below)
Felix, Marivic P.
9505352389
Tagulao, Maria
Joan M. 9183146620
red by: Certified Correct:
age/pregnancy
Average Daily Attendance
tude toward schooling
blems Percentage of Attendance for the
ted Factors month
/Disasters
d Factor Attested:
work RODRIGO D. JIMENEZ
cify) Signature of School Head over Printed Name
School Form 4 (SF 4) Monthly Learner's Movement an
(This replaces Form 3 and STS Form 4 - Absenteeism and Dropout Profile
School Name COLLEGE OF OUR LADY OF MERCY OF PULILAN FOUNDATION INC. School Year 2016-2017
M F T M F T M F T M F T M F T M F T M
11 ABM John Eric Santos
11 HUMSS Oliva G. San Miguel
11 IA Maryann lopez
11 STEM Priscila Estanislao
11 HE Rodelio Clemente
11 GAS Zenaida S. Fernando
11 ICT Cherilyn Grace M. Marcelino
ELEMENTARY/SECONDARY TOTAL
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES: Prepared and Submitted by
1. This form shall be accomplished every end of the month using the summary box of SF 2
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.
School Name COLLEGE OF OUR LADY OF MERCY OF PULILAN FOUNDATION INC. School Year 2016-2017
M F T M F T M F T M F T M F T M F T M
11 ABM John Eric Santos
11 HUMSS Oliva G. San Miguel
11 IA Maryann lopez
11 STEM Priscila Estanislao
11 HE Rodelio Clemente
11 GAS Zenaida S. Fernando
11 ICT Cherilyn Grace M. Marcelino
ELEMENTARY/SECONDARY TOTAL
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES: Prepared and Submitted by
1. This form shall be accomplished every end of the month using the summary box of SF 2
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.
School Name COLLEGE OF OUR LADY OF MERCY OF PULILAN FOUNDATION INC. School Year 2016-2017
M F T M F T M F T M F T M F T M F T M
11 ABM John Eric Santos
11 HUMSS Oliva G. San Miguel
11 IA Maryann lopez
11 STEM Priscila Estanislao
11 HE Rodelio Clemente
11 GAS Zenaida S. Fernando
11 ICT Cherilyn Grace M. Marcelino
ELEMENTARY/SECONDARY TOTAL
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES: Prepared and Submitted by
1. This form shall be accomplished every end of the month using the summary box of SF 2
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.
ment and Attendance
Profile
an District Pulilan
(A) (A)
(A+B) (A+B)
Cumulative (B) Cumulative Cumulative (B) Cumulative
as of For the as of For the
as of End of Previous as of End of
Previous Month Month
the Month the Month
Month Month
F T M F T M F T M F T M F T M F T
ubmitted by:
CYNTHIA M. VENDIVIL
Signature of School Head over Printed Name
an District Pulilan
(A) (A)
(A+B) (A+B)
Cumulative (B) Cumulative (B)
Cumulative Cumulative
as of For the as of For the
as of End of Previous as of End of
Previous Month Month
the Month the Month
Month Month
(A) (A)
(A+B) (A+B)
Cumulative (B) Cumulative (B)
Cumulative Cumulative
as of For the as of For the
as of End of Previous as of End of
Previous Month Month
the Month the Month
Month Month
F T M F T M F T M F T M F T M F T
ubmitted by:
CYNTHIA M. VENDIVIL
Signature of School Head over Printed Name
an District Pulilan
(A) (A)
(A+B) (A+B)
Cumulative (B) Cumulative (B)
Cumulative Cumulative
as of For the as of For the
as of End of Previous as of End of
Previous Month Month
the Month the Month
Month Month
F T M F T M F T M F T M F T M F T
ubmitted by:
CYNTHIA M. VENDIVIL
Signature of School Head over Printed Name
SCHOOL FORM 5(SF 5) REPORT PRO
INC
NAME
GENERAL AVERAGE ACTION TAKEN: Promoted,
(Whole Numbers
Incomplete Lea
LRN Conditionally Promoted, or from previous ye
for non-honor as per DepEd Order
No. 8, s. 2015)
Retained been completed
(Last Name, First Name,
Middle Name
current Sch
BOYS:
TOTAL MALE - 5
GIRLS:
TOTAL FEMALE - 15
COMBINED - 20
PORT PROMOTION AND LEARNING PROGRESS AND ACHIEVEMENT
2016-2017
PROMOTED 5
CONDITIONAL 0
RETAINED 0
MALE
Satisfactory (80-84) 0
Outstanding (90-100) 0
PREPARED BY:
REVIEWED BY:
Division Representative
(Name and Signature)
Guidelines:
1. Do not include Dropouts and Tranferre Out (DO 4, 2014)
2. To be prepared by the adviser. The adviser should indicate the General Average
3. On the summary table, reflect the total number of learners promoted (Final Grade of
at least 75 in all learning areas). Reatained (Did not meet expectations in Thee (3) or
more learning areas) and CONDITONAL (Did not meet exparctations in not more than
rwo (2) learning areas) and the Learning Progress and Achievement accorning to the
Individual General Average. All provisions on classroom assessment and the grading
system in the said order shall be in effect for all geade levels- DO N. 29, s. 2015.
4. Did not meet expecations of the learning areas. This refers to learninbg areas that the
learner had failed as of end of current SY. The learner may be for remediation or retention
retention.
Division Superintendent.
.
MALE FEMALE TOTAL
5 15 20
0 0 0
0 0 0
AND ACHIEVEMENT
General Average)
0 0 0
3 3 6
0 9 9
2 2 4
0 1 1
C. JIMENEZ
(Name and Signature)
M. VENDIVIL
(Name and Signature)
Signature)
verage
nal Grade of
hee (3) or
more than
ng to the
e grading
2015.
on or retention.
ols
Drop out
mic performance
rest/Distraction
Transferred out
lnutrition
Factors
Transferred in
tor
nditon of classroom I certify that this is a true and correct report.
ironmental
etween home & school NIKKA R. CRUZ
flict (ind, tribal wars) Signature of Teacher over Printed Name
Disasters
d Factor Attested:
work RODRIGO D. JIMENEZ
cify) Signature of School Head over Printed Name
School Form 2 (SF 2) Attendance Report of Lea
This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profice
d. Geographic/Environmental
d1. Distance between home & s
d2. Armed conflict (ind, tribal w
d3. Calamities/Disasters
e. Financial Related Factor
e1. Child labor, work
e2. others (specify)
ce Report of Learners 1
nteeism and Dropout Profice
c2. Physical conditon of classroom I certify that this is a true and correct report.
. Geographic/Environmental
d1. Distance between home & school NIKKA R. CRUZ
d2. Armed conflict (ind, tribal wars) Signature of Teacher over Printed Name
d3. Calamities/Disasters
. Financial Related Factor Attested:
e1. Child labor, work RODRIGO D. JIMENEZ
e2. others (specify) Signature of School Head over Printed Name
School Form 2 (SF 2) Attendance Report of Learners
This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profice
School ID 418576 School Year 2018-2019 Report for the Month of SEPTEMBER 2018
d3. Calamities/Disasters
e. Financial Related Factor Attested:
e1. Child labor, work RODRIGO D. JIMENEZ
e2. others (specify) Signature of School Head over Printed Name