school forms 2

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School Form 1 (SF 1) School Register (This replace Form 1, Master List & STS Form 2-Family Background and Profile) School ID 112231 RegionV-Bicol Division Camarines Norte District Mercedes School Name Mambungalon Elementary School School Year 2014-2015 Grade Level IV Section LRN RELIGION ADDRESS NAME OF PARENTS Barangay Province Mother (Maiden) 1 136549100029 Balbaloza, Justine Lee Estolas M 6/7/05 8 Bulacan Tagalog R.Catholic P-7 Mambungalon Mercedes Cam. Norte Antonio 2 112231130030 Cabubas, Jonathan Abrera M 3/9/98 16 Lucena Tagalog R. Catholic P-7 Mambungalon Mercedes Cam. Norte Enieto Lorna Quinones Abrera 3 112238100077 M 9/4/04 9 Cam. Norte Bikol R. Catholic P-1 Mambungalon Mercedes Cam. Norte Rodel Ailyn Yanto Espacio 4 112231120032 Dillo, Lester John Abanes M 2/10/04 10 Cam. Norte Bikol R. Catholic P-4, Balite Mambungalon Mercedes Cam. Norte Edison Rizalina Ebona Abanes 5 112231100012 Dominguez, Jomar Velasco M 6/1/05 9 Cam.Norte Bikol P-7 Mambungalon Mercedes Cam. Norte Josefino 6 112231120034 Ebona, John Benedeck Capin M 10/1/05 8 Cam. Norte Bikol R. Catholic P-4,Mambulo Mambungalon Mercedes Cam. Norte Efren Linda Aberia Capin 7 112231100016 Espina, Joshua Vega M 10/24/04 9 Cam.Norte Tagalog R. Catholic Sitio Mambani Cayucyucan Mercedes Cam. Norte Michael Alona Salvador Vega 8 112231090034 Ibias, John Lester Traquena M 4/29/02 12 Cam. Norte Bikol R. Catholic P-3 Mambungalon Mercedes Cam. Norte Roberto 9 112231100017 Ma, Adrian Arrojo M 8/15/04 9 Cam. Norte Bikol R. Catholic P-6 Mambungalon Mercedes Cam. Norte Adonis 10 112231120037 Mahisay, Mike Irvin Vega M 7/5/04 9 Cam. Norte Bikol R. Catholic P-2 Mambungalon Mercedes Cam. Norte Michael Florecel Ebona Vega 11 112231100021 Pogoy Jr, Miguel Laurio M 3/12/05 9 Bulacan Tagalog R. Catholic P-3 Mambungalon Mercedes Cam. Norte Miguel Sr. Noemi Oliva Laurio 12 112231100023 Ramos, John Carl Andrew Rin M 7/21/05 8 Cam. Norte Tagalog R. Catholic P-3 Mambungalon Mercedes Cam. Norte Joel Rodelyn Zaldo Rin 13 112231100032 M 10/2/04 9 Cam. Norte Tagalog R. Catholic P-7 Mambungalon Mercedes Cam. Norte John Michael 14 112231100035 Vargas, Christian Loyd Reyes M 6/24/05 8 Cam. Norte Bikol R. Catholic P-4, Mambulo Mambungalon Mercedes Cam. Norte Ronnie Vivian Vega Reyes 15 112231100036 Vargas, Japhet Estevez M 8/31/04 9 Cam. Norte Bikol P-2 Mambungalon Mercedes Cam. Norte Jesus June 16 112231100037 Vargas, Kenneth James Abainza M 5/18/05 9 Cam. Norte Bikol R. Catholic P-7 Mambungalon Mercedes Cam. Norte Marwin Julie Ebona Abainza 17 112231120042 Villanueva Jr, Jay Bernabe M 9/23/04 9 Cam. Norte Bikol R. Catholic P-4, Mambulo Mambungalon Mercedes Cam. Norte Jay Sr. 18 112231120131 Abihay, Aifrell Joyce Avila F 1/2/04 10 Cam. Norte Bikol R. Catholic P-7 Mambungalon Mercedes Cam. Norte Arnulfo Lowinia Rin Avila 19 112231100001 Abraham, Regilyn Samante F 9/14/04 9 Cam. Norte Tagalog R.Catholic P-1 Mambungalon Mercedes Cam. Norte Jerry Arlyn Samante Ecat 20 112231100002 Agbunag, Lyka Jane Hegina F 8/21/04 9 Cam. Norte Bikol R. Catholic P-3 Mambungalon Mercedes Cam. Norte Ronnie Nenita Recamara Hegin 21 112231100003 Alcantara, Mae Delyn Relles F 1/13/05 9 Cam. Norte Bikol R. Catholic P-3 Mambungalon Mercedes Cam. Norte Marlon Daisy Olive Relles 22 112231100005 Benitez, Jasmine Jardenero F 11/4/04 9 Cam. Norte Bikol R. Catholic P-6, Balite Mambungalon Mercedes Cam. Norte Joselito 23 112231100006 Butial, Charie Fe Arrojo F 2/26/05 9 Cam. Norte Bikol R. Catholic P-5,Tumandok Mambungalon Mercedes Cam. Norte Felix Carrene Obal Arrojo 24 112231100014 Ebona, Mary Angilei Aragon F 12/25/03 10 Cam. Norte Bikol R. Catholic P-7 Mambungalon Mercedes Cam. Norte Arnol Armila Venida Aragon 25 112231100015 Ebona, Miko - F 7/8/04 9 Cam. Norte Bikol R. Catholic P-5,Tumandok Mambungalon Mercedes Cam. Norte Maricel Orante Ebona 26 112231120139 Gaming, Mary Rose Ebona F 12/23/03 10 Cam. Norte Bikol R. Catholic P-5, Tumandok Mambungalon Mercedes Cam. Norte Rodrigo 27 112231120132 Hegina, Kizell Ann Alcantara F 10/14/05 8 Cam. Norte tagalog R. Catholic P-7 Mambungalon Mercedes Cam. Norte Allan 28 112231100020 Nanoy, Leonisa Bonifacio F 10/12/04 9 Cam. Norte Bikol R. Catholic P-5, Tumandok Mambungalon Mercedes Cam. Norte Leonardo 29 112231100024 Ramos, Jona Abainza F 12/16/04 9 Cam. Norte Bikol R. Catholic P-3 Mambungalon Mercedes Cam. Norte George 30 112231100026 Sabaco, Rogelyn Abina F 9/26/04 9 Cam. Norte Bikol R. Catholic P-2 Mambungalon Mercedes Cam. Norte Henry 31 112231100027 Silveria, Joyce Ann Marie Rin F 10/26/04 9 Cam. Norte Bikol R. Catholic P-7 Mambungalon Mercedes Cam. Norte Emerito Jocelyn Esteves Rin 32 112231100506 Sta. Rosa, Jamaica Montano F 12/28/04 9 Cavite tagalog R. Catholic P-4, Mambulo Mambungalon Mercedes Cam. Norte Antonio Jr. 33 112231100029 Toribio, Cristina Abina F 4/17/04 10 Cam. Norte Bikol R. Catholic P- 7 Mambungalon Mercedes Cam. Norte Antonio Cita Padilla Abina 34 112231100030 Torio, Danica - F 9/8/03 10 Cam. Norte Bikol R. Catholic P- 3 Mambungalon Mercedes Cam. Norte Elsie SarmientoTorio 35 112231100033 Umali, Mary Khandyz Buebos F 9/2/05 8 Bulacan Tagalog R. Catholic P-7 Mambungalon Mercedes Cam. Norte John Michael 36 112231100034 Valenzuela, Margie Estor F 7/17/05 8 Mandaluyong Tagalog R. Catholic P-3 Mambungalon Mercedes Cam. Norte Marcelino Gina Delaida Estor 37 112231120055 Yanto, Jhacy Butial F 2/8/04 10 Cam. Norte Bikol R. Catholic P-1 Mambungalon Mercedes Cam. Norte Joel Analie Bogayan Butial NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ dd/yy) AGE as of 1st Friday of June BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) (nos. of years as per last birthday) House # / Street/Sitio/ Purok Municipality/ City Father (1st name only if family name identical to learner) Sheila Marie Zabala Estolas Cristobal, Kim Jade Michael Iglesia ni Cristo Marivic Ebarsabal Velasco Estrelia Arcilla Catherine Arevalo Umali, Jon Anthon Ken Edward Azinith Estolas Church of Magdalena Villar Maureen Galang Rosabelle Dacillo Mary Jane Tresvalles MaricelEbona Myrna Custosa Alona Mariscal Evangeline Padilla Rosalie Blanco Rogelio M. Ricafrente Azinith Estolas

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School Form 1 (SF1)School Form 1 (SF 1) School Register(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

School ID112231RegionV-BicolDivisionCamarines NorteDistrictMercedes

School NameMambungalon Elementary SchoolSchool Year2014-2015Grade LevelIVSection1

LRNNAME(Last Name, First Name, Middle Name) Sex (M/F)BIRTH DATE (mm/ dd/yy)AGE as of 1st Friday of June BIRTH PLACE (Province)MOTHER TONGUEIP (Specify Ethnic Group)RELIGIONADDRESSNAME OF PARENTSGUARDIAN (If not Parent)Contact Number (Parent /Guardian)REMARK/S(nos. of years as per last birthday)House # / Street/Sitio/PurokBarangayMunicipality/ City ProvinceFather (1st name only if family name identical to learner) Mother (Maiden)NameRelationship(Please refer to the legend on last page)1136549100029Balbaloza, Justine Lee EstolasM6/7/058BulacanTagalogR.CatholicP-7MambungalonMercedesCam. NorteAntonioSheila Marie Zabala EstolasJuanito EstolasGrand FatherT/I- Payatas B Annex, Payatas, Quezon2112231130030Cabubas, Jonathan AbreraM3/9/9816LucenaTagalogR. CatholicP-7MambungalonMercedesCam. NorteEnietoLorna Quinones Abrera3112238100077Cristobal, Kim Jade Michael EspacioM9/4/049Cam. NorteBikolR. CatholicP-1MambungalonMercedesCam. NorteRodelAilyn Yanto Espacio4112231120032Dillo, Lester John AbanesM2/10/0410Cam. NorteBikolR. CatholicP-4, BaliteMambungalonMercedesCam. NorteEdisonRizalina Ebona Abanes5112231100012Dominguez, Jomar VelascoM6/1/059Cam.NorteBikolIglesia ni CristoP-7MambungalonMercedesCam. NorteJosefinoMarivic Ebarsabal Velasco6112231120034Ebona, John Benedeck CapinM10/1/058Cam. NorteBikolR. CatholicP-4,MambuloMambungalonMercedesCam. NorteEfrenLinda Aberia Capin7112231100016Espina, Joshua VegaM10/24/049Cam.NorteTagalogR. CatholicSitio MambaniCayucyucanMercedesCam. NorteMichaelAlona Salvador Vega8112231090034Ibias, John Lester TraquenaM4/29/0212Cam. NorteBikolR. CatholicP-3MambungalonMercedesCam. NorteRobertoEstrelia Arcilla TraquenaNestor IbiasUncle9112231100017Ma, Adrian ArrojoM8/15/049Cam. NorteBikolR. CatholicP-6MambungalonMercedesCam. NorteAdonisCatherine Arevalo Arrojo10112231120037Mahisay, Mike Irvin VegaM7/5/049Cam. NorteBikolR. CatholicP-2MambungalonMercedesCam. NorteMichaelFlorecel Ebona Vega11112231100021Pogoy Jr, Miguel LaurioM3/12/059BulacanTagalogR. CatholicP-3MambungalonMercedesCam. NorteMiguel Sr.Noemi Oliva Laurio12112231100023Ramos, John Carl Andrew RinM7/21/058Cam. NorteTagalogR. CatholicP-3MambungalonMercedesCam. NorteJoelRodelyn Zaldo Rin13112231100032Umali, Jon Anthon Ken Edward BuebosM10/2/049Cam. NorteTagalogR. CatholicP-7MambungalonMercedesCam. NorteJohn MichaelAzinith Estolas Buebos14112231100035Vargas, Christian Loyd ReyesM6/24/058Cam. NorteBikolR. CatholicP-4, MambuloMambungalonMercedesCam. NorteRonnieVivian Vega Reyes15112231100036Vargas, Japhet EstevezM8/31/049Cam. NorteBikolChurch of ChristP-2MambungalonMercedesCam. NorteJesus JuneMagdalena Villar Esteves16112231100037Vargas, Kenneth James AbainzaM5/18/059Cam. NorteBikolR. CatholicP-7MambungalonMercedesCam. NorteMarwinJulie Ebona Abainza17112231120042Villanueva Jr, Jay BernabeM9/23/049Cam. NorteBikolR. CatholicP-4, MambuloMambungalonMercedesCam. NorteJay Sr. Maureen Galang Bernabe

18112231120131Abihay, Aifrell Joyce AvilaF1/2/0410Cam. NorteBikolR. CatholicP-7MambungalonMercedesCam. NorteArnulfoLowinia Rin Avila19112231100001Abraham, Regilyn SamanteF9/14/049Cam. NorteTagalogR.CatholicP-1MambungalonMercedesCam. NorteJerryArlyn Samante Ecat20112231100002Agbunag, Lyka Jane HeginaF8/21/049Cam. NorteBikolR. CatholicP-3MambungalonMercedesCam. NorteRonnieNenita Recamara Hegin21112231100003Alcantara, Mae Delyn RellesF1/13/059Cam. NorteBikolR. CatholicP-3MambungalonMercedesCam. NorteMarlonDaisy Olive Relles22112231100005Benitez, Jasmine JardeneroF11/4/049Cam. NorteBikolR. CatholicP-6, BaliteMambungalonMercedesCam. NorteJoselitoRosabelle Dacillo Jardenero23112231100006Butial, Charie Fe ArrojoF2/26/059Cam. NorteBikolR. CatholicP-5,TumandokMambungalonMercedesCam. NorteFelixCarrene Obal Arrojo24112231100014Ebona, Mary Angilei AragonF12/25/0310Cam. NorteBikolR. CatholicP-7MambungalonMercedesCam. NorteArnolArmila Venida Aragon25112231100015Ebona, Miko -F7/8/049Cam. NorteBikolR. CatholicP-5,TumandokMambungalonMercedesCam. NorteMaricel Orante Ebona26112231120139Gaming, Mary Rose EbonaF12/23/0310Cam. NorteBikolR. CatholicP-5, TumandokMambungalonMercedesCam. NorteRodrigoMary Jane Tresvalles Ebona27112231120132Hegina, Kizell Ann AlcantaraF10/14/058Cam. NortetagalogR. CatholicP-7MambungalonMercedesCam. NorteAllanMaricelEbona Alcantara28112231100020Nanoy, Leonisa BonifacioF10/12/049Cam. NorteBikolR. CatholicP-5, TumandokMambungalonMercedesCam. NorteLeonardoMyrna Custosa Bonifacio29112231100024Ramos, Jona AbainzaF12/16/049Cam. NorteBikolR. CatholicP-3MambungalonMercedesCam. NorteGeorgeAlona Mariscal Abainza30112231100026Sabaco, Rogelyn AbinaF9/26/049Cam. NorteBikolR. CatholicP-2MambungalonMercedesCam. NorteHenryEvangeline Padilla Abina31112231100027Silveria, Joyce Ann Marie RinF10/26/049Cam. NorteBikolR. CatholicP-7MambungalonMercedesCam. NorteEmeritoJocelyn Esteves Rin32112231100506Sta. Rosa, Jamaica MontanoF12/28/049CavitetagalogR. CatholicP-4, MambuloMambungalonMercedesCam. NorteAntonio Jr.Rosalie Blanco Montano33112231100029Toribio, Cristina AbinaF4/17/0410Cam. NorteBikolR. CatholicP- 7MambungalonMercedesCam. NorteAntonio Cita Padilla Abina34112231100030Torio, Danica -F9/8/0310Cam. NorteBikolR. CatholicP- 3MambungalonMercedesCam. NorteRogelio M. RicafrenteElsie SarmientoTorio35112231100033Umali, Mary Khandyz BuebosF9/2/058BulacanTagalogR. CatholicP-7MambungalonMercedesCam. NorteJohn MichaelAzinith Estolas Buebos36112231100034Valenzuela, Margie EstorF7/17/058MandaluyongTagalogR. CatholicP-3MambungalonMercedesCam. NorteMarcelinoGina Delaida Estor37112231120055Yanto, Jhacy ButialF2/8/0410Cam. NorteBikolR. CatholicP-1MambungalonMercedesCam. NorteJoel Analie Bogayan Butial38112231100039Yanto, Jolina ReyesF7/30/049Cam. NorteBikolR. CatholicP-7MambungalonMercedesCam. NorteJudericoMarites Felicis Reyes39112231100040Yanto, Michelle PabicoF2/6/059Cam. NorteBikolR. CatholicP-1MambungalonMercedesCam. NorteAniano Jr.Marivic Ibita Pabico

List and code of Indicators under REMARK columnPrepared by:Certified Correct:IndicatorCodeRequired InformationIndicatorCodeRequired InformationBoSYEoSYTransferred OutT/OName of Public (P) Private (PR) School & Effectivity DateCCT RecipientCCTCCT Control/reference number & Effectivity DateMALE1717JOAN M. MALABANANMINERVA A. JURIATransferred INT/IName of Public (P) Private (PR) School & Effectivity DateBalik-AralB/AName of school last attended & YearFEMALE2222(Signature of Adviser over Printed Name)(Signature of School Head over Printed Name)DroppedDRPReason and Effectivity DateLearner With DissabilityLWDSpecifyTOTAL3939Late EnrollmentLEReason (Enrollment beyond 1st Friday of June)AccelaratedACLSpecify Level & Effectivity DataDate: March 27,2015Date: March 27,2015

e

School Form 2 (SF2)

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

School ID112231School Year2015-2016Month ReportingJUNE,2015

Name of SchoolMAMBUNGALON ELEMENTARY SCHOOLGrade LevelIVSectionMango

LEARNER'S NAME (Last Name, First Name, Middle Name) DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)Total for the Month REMARK/S (If DROPPED OUT, state reason, please refer to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)1-Jun2-Jun2-Jun4-Jun5-Jun8-Jun9-Jun10-Jun11-Jun12-Jun15-Jun16-Jun17-Jun18-Jun19-Jun22-Jun23-Jun24-Jun25-Jun26-Jun29-Jun30-JunMTWTHFMTWTHFMTWTHFMTWTHFMTABSENTTARDY1ARROJO,ARVIT A.2BANASTAO, JHAMES KERL F.3CAMANGYAN, JOHN REY B.4CUIZON, REINOLD C.5DIAZ, JAYCEE S.6EBONA, KYLE BRYAN A.7ESTEVES, RALPH B.8GARRA,KENNETH ROY R.9JACOB, PAULO JONES C.10NAISA, LUIS ANDRIE D.11NANOY, MENARD B.12ORCALES, CYRUS KISH P.13RAMOS, JOHN LENNOX A.14RIN, JUSTIN R.17

15TADEO, KHARL16VILLANUEVA, JAY - M B.

MALE | TOTAL Per Day1ABANES, ABEGAIL P.2ABLANEDA, KRISTINE JOY A.3ALIM, JANICE V.4ANINANG, CASSEY E.5BOQUE, MA. ELAINE MARGARETH6BUTIAL, LEA MAE V.7CANTONJOS, JOSEPHINE B.8GONZAGA, DANNAH JOY Z.9HEGINA, ROSELYN D.10NEMI, MARY CHELSEA B.11PACUMBALA, SHARLA MAE A.12PALET, JASTINE MAE B.13RAMOS, EMALYN M.14RIN, DIANNE SOPHIA15TAMAYO, CRISTINE JOY V.16TURNO, CHAREE DHAE A.17VALENZUELA, AIRA O.18ZABALA, JULIANA JOYCE M.

FEMALE | DAILY TOTAL Combined TOTAL PER DAYL E G E N D:GUIDELINES:1. CODES FOR CHECKING ATTENDANCEMonth:No. of Days of Classes:Summary for the Month1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late Comer, Lower for Cutting Classes)MFTOTAL2. Dates shall be written in the preceding columns beside Learner's Name.Enrollment as of (1st Friday of June)1618343. To compute the following:a.Percentage of Enrolment =Registered Learner as of End of the Monthx 1002. REASONS/CAUSES OF DROP-OUTSLate Enrollment (beyond cut-off)Enrolment as of 1st Friday of Junea. Domestic-Related Factorsb.Average Daily Attendance = Total Daily Attendancea.1. Had to take care of siblingsRegistered Learner as of end of the month161834Number of School Days in reporting montha.2. Early marriage/pregnancyc.Percentage of Attendance for the month =Average daily attendancex 100a.3. Parents' attitude toward schoolingPercentage of Enrollment as of end of the month100%100%100%Registered Learner as of End of the montha.4. Family problemb. Individual-Related FactorsAverage Daily Attendance4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.b.1. IllnessPercentage of Attendance for the month b.2. Overage5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading periodb.3. DeathNumber of students with 5 consecutive days of absences:*Beginning of School Year cut-off report is every 1st Friday of School Calendar Daysb.4. Drug Abuseb.5. Poor academic performanceDrop outb.6. Lack of interest/Distractionsb.7. Hunger/MalnutritionTransferred outc. School-Related Factorsc.1. Teacher FactorTransferred inc.2. Physical condition of classroomc.3. Peer influenced. Geographic/EnvironmentalI certify that this is a true and correct report.d.1. Distance between home and schoold.2. Armed conflict (incl. Tribal wars & clan feuds)JOAN M. MALABANAN (Signature of Teacher over Printed Name)d.3. Calamities/Disasterse. Financial-RelatedAttested by:e.1. Child labor, workMINERVA A. JURIASchool Form 2: Page 2 of ________f. Others (Signature of School Head over Printed Name)

School Form 3 (SF3)School Form 3 (SF3) Books Issued and Returned(This replace Form 1 & Inventory of Text Book)

School ID112231School Year2014-2015

School NameMAMBUNGALON ELEMENTARY SCHOOLGrade LevelIVSectionONE

NO.LEARNER'S NAME (Last Name, First Name, Middle Name) English for You and Me (Language)English for You and Me (Reading)Science for Daily UseMathematics for Better LifeMakabayan Kapaligiran PilipinoHiyas sa WikaHiyas Sa PagbasaSubject Area & TitleREMARK/ACTION TAKEN (Please refer to the code on last page)DateDateDateDateDateDateDateDateIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturned1Balbaloza, Justine Lee Estolas6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/152Cabubas, Jonathan Abrera6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/153Cristobal, Kim Jade Michael Espacio6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/154Dillo, Lester John Abanes6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/155Dominguez, Jomar Velasco6/2/143/23/156/2/143/23/156/2/143/23/156Ebona, John Benedeck Capin6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/157Espina, Joshua Vega6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/158Ibias, John Lester Traquena6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/159Ma, Adrian Arrojo6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1510Mahisay, Mike Irvin Vega6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1511Pogoy Jr, Miguel Laurio6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1512Ramos, John Carl Andrew Rin6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1513Umali, Jon Anthon Ken Edward Buebos6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1514Vargas, Christian Loyd Reyes6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1515Vargas, Japhet Estevez6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1516Vargas, Kenneth James Abainza6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/1517Villanueva Jr, Jay Bernabe6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/15

TOTAL FOR MALE | TOTAL COPIES1Abihay, Aifrell Joyce Avila6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/142Abraham, Regilyn Samante6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143Agbunag, Lyka Jane Hegina6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/144Alcantara, Mae Delyn Relles6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/145Benitez, Jasmine Jardenero6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/146Butial, Charie Fe Arrojo6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/147Ebona, Mary Angilei Aragon6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/148Ebona, Miko -6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/149Gaming, Mary Rose Ebona6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1410Hegina, Kizell Ann Alcantara6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1411Nanoy, Leonisa Bonifacio6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1412Ramos, Jona Abainza6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1413Sabaco, Rogelyn Abina6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1414Silveria, Joyce Ann Marie Rin6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1415Sta. Rosa, Jamaica Montano6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1416Toribio, Cristina Abina6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1417Torio, Danica -18Umali, Mary Khandyz Buebos6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1419Valenzuela, Margie Estor6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1420Yanto, Jhacy Butial6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1421Yanto, Jolina Reyes6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/1422Yanto, Michelle Pabico6/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/143/23/156/2/14 TOTAL FOR FEMALE | TOTAL COPIES TOTAL LEARNERS | TOTAL COPIES2In case of losses/unreturned, please provide information with the following code: Prepared By:1. Title of Books Issued to each learner must be recorded by the class adviser.A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence2. The Date of Issuance and the Date of Return shall be reflected.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 are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001; DO#25 s.2003; DO#14, s.2012.JOAN M. MALABANAN (Signature over printed name)School Form 3: Page 2 of ________

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School Form 4 (SF 4)

School Form 4 (SF4) Monthly Learner's Movement and Attendance(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)School IDRegionDivisionDistrict

School NameSchool YearMonth Reporting

NAME OF ADVISERGRADE/ YEAR LEVELSECTIONREGISTERED LEARNER (As of End of the Month)ATTENDANCEDROPPED OUTTRANSFERRED OUTTRANSFERRED INAveragePercentage(A) Cumulative as of Previous Month(B) For the Month (A+B) Cumulative as of End of the Month(A) Cumulative as of Previous Month(B) For the Month (A+B) Cumulative as of End of the Month(A) Cumulative as of Previous Month(B) For the Month (A+B) Cumulative as of End of the MonthMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTMFT

ELEMENTARY/SECONDARY:KINDERGRADE 1/GRADE 7GRADE 2/GRADE 8GRADE 3/GRADE 9GRADE 4/GRADE 10GRADE 5/GRADE 11GRADE 6/GRADE 12TOTAL FOR NON-GRADEDTOTAL

Prepared and Submitted by:GUIDELINES: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 (Signature of School Head over Printed Name)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 5 (SF5)School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replace Forms 18-E1, 18-E2, 18A)RegionV-BICOLDivisionCAMARINES NORTEDistrictMERCEDES

School ID112231School Year2014-2015CurriculumBEC

School NameMAMBUNGALON ELEMENTARY SCHOOLGrade LevelIVSectionONE

LRN LEARNER'S NAME (Last Name, First Name, Middle Name) GENERAL AVERAGE (Numerical Value in 3 decimal places for honor learner, 2 for non-honor & Descriptive Letter)ACTION TAKEN: PROMOTED, IRREGULAR or RETAINED INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that still implementing RBEC need not to fill up this column)Completed as of end of current SYas of End of the current SY

136549100029Balbaloza, Justine Lee Estolas82.60112231130030Cabubas, Jonathan Abrera83.60SUMMARY TABLE112238100077Cristobal, Kim Jade Michael Espacio80.60MALEFEMALETOTAL112231120032Dillo, Lester John Abanes82.00112231100012Dominguez, Jomar Velasco80.60PROMOTED172239112231120034Ebona, John Benedeck Capin82.00112231100016Espina, Joshua Vega85.600IRREGULAR 112231090034Ibias, John Lester Traquena81.60112231100017Ma, Adrian Arrojo81.80RETAINED112231120037Mahisay, Mike Irvin Vega77.60112231100021Pogoy Jr, Miguel Laurio85.050112231100023Ramos, John Carl Andrew Rin81.80LEVEL OF PROFICIENCY112231100032Umali, Jon Anthon Ken Edward Buebos82.00MALEFEMALETOTAL112231100035Vargas, Christian Loyd Reyes82.20BEGINNNING (B: 74% and below)112231100036Vargas, Japhet Estevez82.40112231100037Vargas, Kenneth James Abainza81.80DEVELOPING (D: 75%-79%)112231120042Villanueva Jr, Jay Bernabe81.80APPROACHING PROFICIENCY (AP: 80%-84%)

PROFICIENT (P: 85% -89%)

ADVANCED (A: 90% and above)17 TOTAL MALE112231120131Abihay, Aifrell Joyce Avila81.20112231100001Abraham, Regilyn Samante85.650Prepared by:112231100002Agbunag, Lyka Jane Hegina82.20112231100003Alcantara, Mae Delyn Relles83.100112231100005Benitez, Jasmine Jardenero82.7JOAN M. MALABANAN112231100006Butial, Charie Fe Arrojo83.050Class Adviser112231100014Ebona, Mary Angilei Aragon82.4(Name and Signature)112231100015Ebona, Miko -87.450Certified Correct and Submitted:112231120139Gaming, Mary Rose Ebona80.40112231120132Hegina, Kizell Ann Alcantara82.80MINERVA A. JURIA112231100020Nanoy, Leonisa Bonifacio83.450School Head112231100024Ramos, Jona Abainza82.40(Name and Signature)112231100026Sabaco, Rogelyn Abina82.00Reviewed by:112231100027Silveria, Joyce Ann Marie Rin86.200MANUEL T. OBAL112231100506Sta. Rosa, Jamaica Montano81.20Public Schools District Supervisor112231100029Toribio, Cristina Abina80.20GUIDELINES:112231100030Torio, Danica -79.801. For All Grades Level112231100033Umali, Mary Khandyz Buebos83.002. 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. 112231100034Valenzuela, Margie Estor83.350112231120055Yanto, Jhacy Butial82.40112231100039Yanto, Jolina Reyes79.203. On the summary table, reflect the total number of learners promoted, retained and irregular and the level of proficiency according to the individual general average112231100040Yanto, Michelle Pabico83.600

4. Must be tallied with the total enrollment report as of End of School Year GESP /GSSP (BEIS)22 TOTAL FEMALE39 COMBINED

School Form 5: Page 2 of ________

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

School IDRegionDivision

School NameDistrictSchool Year

SUMMARY TABLEGRADE 1 /GRADE 7GRADE 2 / GRADE 8GRADE 3 / GRADE 9GRADE 4 / GRADE 10GRADE 5 / GRADE 11GRADE 6 / GRADE 12TOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALPROMOTEDIRREGULARRETAINEDLEVEL OF PROFICIENCY MALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALNos. 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)

TOTALPrepared and Submitted by: Reviewed & Validated by:Noted by:

School Head Division Planning Officer/Schools Division Superintendent Education Program Supervisor

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.

School Form 7 (SF7)School Form 7 (SF7) School Personnel Assignment List and Basic Profile(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 IDRegionDivision

School NameDistrictSchool Year

(A) Nationally-Funded Teaching Related Items(B) Nationally-Funded Non Teaching Items(C) Other Appointments and Funding SourcesTitle of Plantilla Position(as appeared in the appointment document)Number of IncumbentTitle of Plantilla Position(as appeared in the appointment document)Number of IncumbentNature of Appointment and Designation(Contractual, Substitute, Volunteer & others)Fund Source(SEF, PTA, NGO's etc.)Number of IncumbentTeachingNon-Teaching

Employee No. Name of School Personnel (Arrange by Position, Descending) SexFund SourcePosition/ DesignationNature of AppointmentEDUCATIONAL QUALIFICATIONSubject Taught (include Grade & Section) & Other Ancillary Assignment (Please Specify)* Daily Program (time duration)Remark/s(For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)Degree / Post GraduateMajor/ SpecializationMinorDAY (M/T/W/TH/F)From (00:00)To (00:00)Actual Teaching/ Service Render (Mins/Day)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per DayGUIDELINES: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 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. (Signature of School Head over Printed Name)

3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.School Form 7: Page 2 of ________4. * Daily Program Column is for teaching personnel only.

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