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(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 107082 School Year 2019 - 2020 Report for the Month of
1 ACUÑA,KRISHNA, -
2 ALCARAZ,HARVEY, IÑIGO
5 AYSON,FREDERICK, CARPIO
8 CASTILLO,JIRO, CENTENO
13 DUPRA,JORISH, CELEDONIO
FERNANDEZ,CHINO GULLIVER,
14
DAYAO
MALLARI,CHARLES VERWIN,
16
ORDOÑA
MANGUNAY,NIKO JEIGHTRIANE,
18
SARTE
MENDOZA,RALPH ANGELO,
20
ROMANO
21 NATIVIDAD,RENZ, SAMANIEGO
ORDOÑEZ,MARK SHERVIE,
22
LAUREANO
23 PERALTA,ALEXANDER, JR MENTE
24 PERALTA,ANDREI, PADILLA
ROBLES,CARL MATHEW,
25
GUEVARRA
26 TADEO,ALVIN, JR HERRERA
3 DE LARA,ABBYGAIL, MUDLONG
7 FINULIAR,ANGEL, TABORA
MACALINAO,SHANELLE LORAINE,
9
ROMANO
11 MENDOZA,NHICOLE, ABLITER
PASCUAL,FRANCHESKA MARIE,
12
CAUBA
13 QUIZON,GLAIZA, CRUZ
15 SANTIN,NICOLE, VELASQUEZ
b.1. Illness
Average Daily Attendance
b.2. Overage
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary b.3. Death
table into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.4. Drug Abuse Percentage of Attendance for the month
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.5. Poor academic performance
b.6. Lack of interest/Distractions
absent for 5 consecutive days and/or those at risk of dropping out. b.7. Hunger/Malnutrition Number of students absent for 5 consecutive
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. days
Dropped out
c. School-Related Factors
*Beginning of School Year cut-off report is every 1st Friday of the School Year Transferred out
c.1. Teacher Factor
c.2. Physical condition of classroom
Transferred in
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
I certify that this is a true and correct report.
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
Attested by: