school forms grade iii 014 - copy
TRANSCRIPT
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LRNNAME
(Last Name, First Name, Middle Name) Sex
(M/F)
1$ 10713011000 ESTE%AN, &A%"IEL DELOS "E!ES#
13 1071301$0$$0 ELA"CA, "AAEL #
1) 1071301$0$$$ GARCIA, LAWRENCE
#
1* 107130110073 &"E&O"IO, 'E"O#E "!AN A%ALA!AN#
1 1071)1100088 'I#ENE. '", A"IEL -ATINO#
17 1071301001)7 LA&"I#AS, LIAN &A%"INO#
18 1071301$0$*7 LON&&A, C"ISTIAN 'A! "ODASTE
#
1+ 1071371$01$* #ACA"ONSIN&, 'ALIL -A#-A#
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LRNNAME
(Last Name, First Name, Middle Name) Sex
(M/F)
GIRLS
11071$3100013 ALANTE, 'ENN!L!N TATO!
$13*811$0$7 ALI%U!O&, "AC(ELLE /I"A!
3107130110013 A#AD, AN&ELICA E"NANDE.
)107130110018 A-OSTOL, EUSES %EA DI.ON
*
1070100+0017 A"UILLO, 'U/IL!N LA%A'AN
1071301$0$* ATC(I/A", #A"I/IC CA%E
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LRNNAME
(Last Name, First Name, Middle Name) Sex
(M/F)
71071301$0$)+ %ANSIL, -"INCESS 'OECIEN SOLA
81071301100$) %ENA/IDE., A!E DELA C"U.
+1071301100)+ DELA C"U., AS(LE! NICOLE "ANCAS
10107130110083 LA&%AS, 'AS#IN %ALINTOS
111071301$0$+ #ACASLAN&, #ADI(A( #ANO&AN&CA"
1$10713011010 "A#OS, 'ANE "OC(ELLE ANNE #ADE'A
13
10)7771$00+8 "IN&O", AN&ELA "AINE A%A!
1)1071$+1$0)07 "ODILLAS, S(ANE 'E!USON
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LRNNAME
(Last Name, First Name, Middle Name) Sex
(M/F)
1*1071301$0$)1 SILAO, #A"!LON NA%O"
110713011011+ TE--AN&, E"ICA #AE DA/ID
1710713013000) T"INIDAD, SAC(I AND"EA O%E"E.
181071301$0$+* !USON, #A!A A%ITONA
List and ode o! Indicators "n
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LRNNAME
(Last Name, First Name, Middle Name) Sex
(M/F)
Indicator ode Re$"ired In!ormation
%rans!erred &"t %/& Name o! '"lic (') 'riate ('R) School * E!!
%rans!erred IN %/I Name o! '"lic (') 'riate ('R) School * E!!
ro--ed R' Reason and E!!ectiit+ ate
Late Enrollment LE Reason (Enrollment e+ond 1st Frida+ o! ."n
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
73$007 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
3$00 8 Ta2alo2 Chr5tanty 1))8 Tabacuhan "9: Sta: "ta
11$*$00*8 Ta2alo2 Chr5tanty 1)78 Tabacuhan "9: Sta: "ta
30$007 Ta2alo2 Chr5tanty Sta: "ta
8$0$007 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta
8)$007 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
103$00
7 Ta2alo2 Chr5tanty 1*1 Tabacuhan "9: Sta: "ta
$1$008 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
)0 (oly S6rtTabacuhan "9:
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
1$1$00*8 Ta2alo2 Chr5tanty 13)) Tabacuhan "9: Sta: "ta
810$00 7 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta
+$00+ Ta2alo2 Chr5tanty 1))8 Tabacuhan "9: Sta: "ta
8$1$00*8 Ta2alo2 Chr5tanty 1*3+ Tabacuhan "9: Sta: "ta
+1$00*8 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
)$$$00*+ Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta
107$00*
8 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
103$00)+ Ta2alo2 I5lam Tabacuhan "9: Sta: "ta
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
11$008 Ta2alo2 I5lam Sta: "ta
31$00 8 Ta2alo2 Chr5tanty 1)7$ Tabacuhan "9: Sta: "ta
18$00*8
Ta2alo2Chr5tanty 1)78 Tabacuhan "9: Sta: "ta
+$*$007 Ta2alo2 Chr5tanty 1)+$ Tabacuhan "9: Sta: "ta
$1$$008 Ta2alo2 Chr5tanty 1)7 Tabacuhan "9: Sta: "ta
713$00)+ Ta2alo2 Chr5tanty Sta: "ta
10 (oly S6rtTabacuhan "9:
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
$0*8 Ta2alo2 Chr5tanty 5ta: "ta
5/2/2006
8 Ta2alo2 Chr5tanty 1*83 Tabacuhan "9: Sta: "ta
9/3/2006
7 Ta2alo2 Chr5tanty 1**1 Tabacuhan "9: Sta: "ta
9/11/2006
7 Ta2alo2 Chr5tanty 1*1 Tabacuhan "9: Sta: "ta
7/1/2003
10 Ta2alo2 Chr5tanty Sta: "ta
1/1/2002
1$ Ta2alo2 Chr5tanty 1**1 Tabacuhan "9: Sta: "ta
(oly S6rt Tabacuhan"9:
(oly S6rt Tabacuhan
"9:
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
9/5/2006
7 Ta2alo2 Chr5tanty 1*$7 Tabacuhan "9: Sta: "ta
2/7/2006 8 Ta2alo2 Chr5tanty 1)7$ Tabacuhan "9: Sta: "ta
7/19/2006
7 Ta2alo2 Chr5tanty 1)$ Tabacuhan "9: Sta: "ta
4/3/2006
8 Ta2alo2 Chr5tanty 138 Tabacuhan "9: Sta: "ta
8/4/2006
7 Ta2alo2 I5lam Sta: "ta
9/8/2006
7 Ta2alo2 Chr5tanty 1)*+ Tabacuhan "9: Sta: "ta
4/27/2006
8 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
9/20/2005
8 Ta2alo2 Chr5tanty Tabacuhan "9: Sta: "ta
+ (oly S6rtTabacuhan "9:
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
12/5/2005
8 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta
12/27/2005 8 Ta2alo2 Chr5tanty 1)+* Tabacuhan "9: Sta: "ta
8/6/2006
7 Ta2alo2 Chr5tanty 1))8 Tabacuhan "9: Sta: "ta
5/17/2004
10 Ta2alo2 Chr5tanty 1)3$ Tabacuhan "9: Sta: "ta
r REMAR#S col"mn
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RELIGI&N
A
aranga+
IR%0 A%E(mm/dd/ ++++)
AGE as o! 1stFrida+ ."ne
M&%0ER%&NGE
I'(EthnicGro"-) 0o"se 2/ Street/ Sitio/
'"ro3
ode Re$"ired In!ormation
tiit+ ate % % ontrol/re!erence n"mer * E!!ectiit+ ate
tiit+ ate /A Name o! school last attended * 4ear
L5 S-eci!+
AL S-eci!+ Leel * E!!ectiit+ ata
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rro!ile"
D5trct II
$01* &ra9e Le4el III Secton
RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
Olon2a6o .ambale5'OEL A ANASTACIO (ELEN - "UNDINA
Olon2a6o .ambale5"ANNIE % %ALA&A &I"LIE /ILLE&AS %ESA
Olon2a6o .ambale5ANTONIO E %A"TOLO#E '" #A"I/IO ' "E!ES
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
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RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
Olon2a6o .ambale5AND"E; SANTOS %ASA #E".A S SATO""E
Olon2a6o .ambale5 E""OL SO"IA CALLOS NENITA L CALLOSOlon2a6o .ambale5
'ASON COLLADO CANA-ATI 'ENEL!N A"IOLA "A#ATOlon2a6o .ambale5
CA"LOS (E""E"A CASCO "AUEL CASCOOlon2a6o .ambale5
-E-ITO '" &ETES CA!ANON& #A"ILOU CA!ANON&Olon2a6o .ambale5
ALE< CE"E.O LO"IE ANN .A#O"AOlon2a6o .ambale5
CELEDONIO SENANO CIELO ELEONO" A CA#-O#A"ESOlon2a6o .ambale5(EN"! %ACALIN& ESCA#ILIAN 'ENNIE" A ADOL
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RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
Olon2a6o .ambale5ANTONIO A"" ESTE%AN DI/INIA 'A%ONNETTE DELOS "E!ES
Olon2a6o .ambale5 #INE"/A - ELA"CAOlon2a6o .ambale5
NA.A"ENO ATIEN.A SANTOS #I"ADEL AND"ES &A"CIAOlon2a6o .ambale5
"O#EL -E"E. &"E&O"IO S(E"IL A A%ALA!ANOlon2a6o .ambale5
A"IEL -ATINO 'I#ENE. S" NO/A .A"A&O.A -ATINOOlon2a6o .ambale5
SUL-ICIO %ONIAO LA&"I#AS '" #A"! &"ACE & LA&"I#ASOlon2a6o .ambale5
"O%E"TO CA%ALTE"A LON&&A C"ISTINA "ODASTEOlon2a6o .ambale5E"#INA C -A#-A
-ACO"AC %O"OCA#ACA"ONSIN&
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RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
Olon2a6o .ambale5A&A-ITO ALANTE "O;NL!N TAT!O
Olon2a6o .ambale5"IC(A"D I ALI%U!O& "E
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RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
Olon2a6o .ambale5'ASON "A#OS %ANSIL 'A!SON %ANSIL
Olon2a6o .ambale5 C"IS-IN CA"INO %ENA/IDE. NO"A DELA C"U.Olon2a6o .ambale5
'ASON L DELA C"U. C"IST! % "ANCASOlon2a6o .ambale5
'OSE-( &A%O"NE LA&%AS ELINETA %ALINTOSOlon2a6o .ambale5
DAOSA"! A#-ASO #ACASLAN& #AI"A SA"I- #ANO&AN&CA"Olon2a6o .ambale5
'UNE DONADILLO "A#OS #A"! ANN #ADE'AOlon2a6o .ambale5
"AEL SALO "IN&O" /ICL!N SIE&O A%A!Olon2a6o .ambale5%E"NA"D #E"CU"IO "ODILLAS 'ESSICA E#-ESTAN 'E!USON
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RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
Olon2a6o .ambale5A"SENIO # SILAO #!LA % NA%O"
Olon2a6o .ambale5 E"ICSON %A"LET TE--AN& #AE ANN DA/IDOlon2a6o .ambale5
'OEL SA&U# T"INIDAD LOIDA ESTEL O%E"E.Olon2a6o .ambale5
"OLAND !USON LOIDA A%ITONA
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RESS 'AREN%S
M"nici-alit+/ it+ 'roince Name
GARIAN(I! n
Father6s Name (Last Name, FirstName, Middle Name)
Mother6s Maiden Name (Last Name, FirstName, Middle Name)
REGIS%ERE %oS! EoS!
MALE 78MARI%ES G9 RI:ER&
FEMALE 1;
?S2nature o@ A945er o4er -rnte9 Name
%&%AL EoS!Date>
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-earl
REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
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REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
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REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
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REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
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REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
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REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
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REMAR#S
elation>shi-
'arent)
ontact N"mer o!'arent or G"ardian ('lease re!er to the
legend on last -age)
?S2nature o@ School (ea9 o4er -rnte9 Name
%oS! Date> EoS!Date>
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7 = < 8 B 1@ 11 17 1=
M % 5 %0 F M % 5 %0 F
LEARNER6S NAME(Last Name, First Name, Middle Name)
12 Enrue, ;ncel %ermeFo13 lore5, Troy E56na14 (arr5on, ABntola OlaGale %co15 I59ro, 'ohn #chael %aFar16 'alan9on , 'u5tne %eltran17 #anabat, /hon 'u5tne S:18 #2uel , "eymart Sabatn19 #onton, #attran Ace (ermo5a20 -an2anban, 'onathan #:21 -arco, SherGn Llenare522 uFano, 'ohn &abrel23 "e9on9o, Samuel A9ona24 Sar6, Saa9 %:
25 Uon, er9nan926 /9allon, #chael' Ol2an27 Uon, er9nan928 !a6, 'an "haymon9 "omual9o
GIRLS
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7 = < 8 B 1@ 11 17 1=
M % 5 %0 F M % 5 %0 F
LEARNER6S NAME(Last Name, First Name, Middle Name)
1%urlan, An2ela Lou5e Tun26alan$Celo, Danca E5mar3Cru, Aalyah 'oy elarca)Daro, 'oann #e5a*Danac, 'ahel Le Ac5onDe -e9ro, Shela 'ane De Oro7De6u5oy , Thea AleHanne Abalo58Da, #arel Ncole A:+&abrel, /eronca A:
10&rFal4o, 'enalyn ":11'aner , 'oyce Anne &:1$#a2tbay , -rnce55 Nathale /:13-otaGan, Norhan Ibrahm
1)uFano, &Genael TGla1*"o5cano, 'ean "o5e1Talen2co, An9rea Lu2to17/ar9e, #a: Cr5tna Laban9lo
FEMALE C %&%AL 'er a+
omined %&%AL 'ER A4
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7 = < 8 B 1@ 11 17 1=
M % 5 %0 F M % 5 %0 F
LEARNER6S NAME(Last Name, First Name, Middle Name)
School orm $ > -a2e KKK o@ KKKKKKKK
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."ne? 7@1<
1 1; 1B 7@ 7= 7< 78 7 7 =@
% 5 %0 F M % 5 %0 F M % 5 %0 F A%SENT TA"D!
%otal !or the Month REMAR#S ?I@ R&''E &%, 5tate rea56lea5e re@er to le2en9 number $:
I@ %RANSFERRE IN/&%, Grte the namSchool:
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."ne? 7@1<
1 1; 1B 7@ 7= 7< 78 7 7 =@
% 5 %0 F M % 5 %0 F M % 5 %0 F A%SENT TA"D!
%otal !or the Month REMAR#S ?I@ R&''E &%, 5tate rea56lea5e re@er to le2en9 number $:
I@ %RANSFERRE IN/&%, Grte the namSchool:
19 &ES F&R 0E#ING A%%ENANE MonthDNo9 o! a+s o! lassesD
S"mm
M
* 'nrolment as o! (1st Friday o! +une"79 REAS&NS/ASES F&R R&''ING &%
a9 omestic>Related Factors
a:1: (a9 to taBe care o@ 5bln25
a:$: Early marra2e6re2nancy
a:3: -arent5 atttu9e toGar9 5chooln2a:): amly 6roblem5
9 Indiid"al>Related Factors
b:1: Illne55 $)erage aily $ttendance
b:$: O4era2e
b:3: Deathercentage o! $ttendance !or the month
b:): Dru2 Abu5e
b:*: -oor aca9emc 6er@ormanceum%er o! students a%sent !or consecuti)e days.
b:: LacB o@ ntere5tD5tracton5b:7: (un2er#alnutrton
ro- o"tc9 School>Related Factors
c:1: Teacher actor%rans!erred o"t
c:$: -hy5cal con9ton o@ cla55room
c:3: -eer n@luence%rans!erred in
d9 Geogra-hic/Enironmental
9:1: D5tance betGeen home an9 5chool
9:$: Arme9 con@lct ?ncl: Trbal Gar5 clan@eu95 / certi!y that this is a true and correct report0
9:3: Calamte5D5a5ter5
?blanB > -re5entM ?H Ab5entM Tar9y ?hal@ 5ha9e9 U66er @or Late Commer, LoGer@or Cuttn2 Cla55e5
Late 'nrollment during the month
(%eyond cut-o!!"
egistered Learners as o! end of the month
ercentage o! 'nrolment as o! end of the month
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."ne? 7@1<
1 1; 1B 7@ 7= 7< 78 7 7 =@
% 5 %0 F M % 5 %0 F M % 5 %0 F A%SENT TA"D!
%otal !or the Month REMAR#S ?I@ R&''E &%, 5tate rea56lea5e re@er to le2en9 number $:
I@ %RANSFERRE IN/&%, Grte the namSchool:
e9 Financial>Related
e:1: Chl9 labor, GorB (Signature o! Teacher o)er rinted ame"
!9 &thers (S-eci!+)
Atte5te9 by>
(Signature o! School ead o)er rinted ame"
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School Form = (SF=) oo(This replaces Form 1 & /n
School ID 145164 School !ear
School Name Ta%acuhan 'lementary School &ra9e Le4el
O:
Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $r
Date Date Date D
I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9
1Alonto, Amera Ace (u55e Um6a9
2Am6unn, #arB 'o5hua %altaar
3Arbo, "omeo 'r: La9no
4%arne5, 'o5hua elarca
5%ueno, loy9 Allen %aula
6
Con5tantno, #arB 'erco Coloma7Corte, &enron %on@aco
8De #e5a , 'ohn Lloy9 Dabon
9Der9er, De5mon9 Clay E56nel
10Duterte, I4an 'ay #e9na
11E9aol, yle Lu5
12Enrue, ;ncel %ermeFo
LEARNER6S NAME(Last Name, First Name, Middle Name)
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O:
Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $r
Date Date Date D
I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9
LEARNER6S NAME(Last Name, First Name, Middle Name)
13lore5, Troy E56na
14(arr5on, ABntola OlaGale %co
15 I59ro, 'ohn #chael %aFar
16'alan9on , 'u5tne %eltran
17#anabat, /hon 'u5tne S:
18#2uel , "eymart Sabatn
19#onton, #attran Ace (ermo5a
20-an2anban, 'onathan #:
21-arco, SherGn Llenare5
22uFano, 'ohn &abrel
23"e9on9o, Samuel A9ona
24Sar6, Saa9 %:
25Uon, er9nan926/9allon, #chael' Ol2an
27Uon, er9nan9
28!a6, 'an "haymon9 "omual9o
GIRLS
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O:
Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $r
Date Date Date D
I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9
LEARNER6S NAME(Last Name, First Name, Middle Name)
1 %urlan, An2ela Lou5e Tun26alan
$Celo, Danca E5mar
3Cru, Aalyah 'oy elarca
) Daro, 'oann #e5a
*Danac, 'ahel Le Ac5on
De -e9ro, Shela 'ane De Oro
7De6u5oy , Thea AleHanne Abalo5
8Da, #arel Ncole A:
+&abrel, /eronca A:
10&rFal4o, 'enalyn ":
11'aner , 'oyce Anne &:
1$#a2tbay , -rnce55 Nathale /:
13-otaGan, Norhan Ibrahm1)uFano, &Genael TGla
1*"o5cano, 'ean "o5e
1Talen2co, An9rea Lu2to
17/ar9e, #a: Cr5tna Laban9lo
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O:
Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $
Date Date Date D
I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9
LEARNER6S NAME(Last Name, First Name, Middle Name)
TOTAL O" E#ALE TOTAL CO-IES
TOTAL LEA"NE"S TOTAL CO-IES
ELINESD In case o! lost/"nret"rned oo3s, -lease -
tle o@ %ooB5 I55ue9 to each learner mu5t be recor9e9 by the cla55 a945er:he Date o@ I55uance an9 the Date o@ "eturn 5hall be re@lecte9 n the @orm:
he Total Number o@ Co6e5 55ue9 at %oS! 5hall be re@lecte9 n the @orm:
he Total Number o@ Co6e5 o@ %ooB5 "eturne9 at the EoS!5hall be re@lecte9 n the @orm:
l teHtbooB5 ben2 u5e9 mu5t be nclu9e9: A99tonal co6e5 o@ th5 @orm may be u5e9 @ nee9e9:
A9 In Column Date "eturne9, co9e5 are> FM9 In Column "emarBActon TaBen, co9e5 ar6re6are9 letterre6ort 9uly note9 by School (NE&: "e@erence5> DOP$3, 5:$001, DOP$*,
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Iss"ed and Ret"rnedory o! Te3t%ooks"
$013$01)
Secton O6al
Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title
Date Date Date Date
eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9
"E#A"SACTION TAEN(lease re!er to the legend on last page"
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& Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title
Date Date Date Date
eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9
"E#A"SACTION TAEN(lease re!er to the legend on last page"
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& Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title
Date Date Date Date
eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9
"E#A"SACTION TAEN(lease re!er to the legend on last page"
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& Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title Su%7ect $rea & Title
Date Date Date Date
eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9 I55ue9 "eturne9
"E#A"SACTION TAEN(lease re!er to the legend on last page"
de in!ormation ith the !olloing codeD 're-ared +D
?S2nature o4er 6rnte9 name
Date %oS!>KKKKKKKKKKKK Date EoS!> KKKKKKKKKKK
e #aFeure, %&> Tran5@erre9Dro6out, NEGNe2l2ence%RSecure9 Letter @rom Learner 9uly 52ne9 by 6arent2uar9an ?@or co9e #, %L%RTeacheror 5ubm55on to School -ro6erty Cu5to9an ?@or co9e TDO, '%L-a9 by the Learner ?@or co9e03, DOP1), $:$01$:
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School Form < (SF
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MEN%AR4/SE&NAR4D
INDE"
&"ADE 1&"ADE 7
&"ADE $&"ADE 8
&"ADE 3&"ADE +
&"ADE )&"ADE 10
&"ADE *&"ADE 11
&"ADE &"ADE 1$
TOTAL O" NON&"ADED
TOTAL
DELINES>
h5 @orm 5hall be accom6l5he9 e4ery en9 o@ the month u5n2 the 5ummary boH o@ S$ 5ubmtte9 by the teacher5a945er5 to u69ate @2ure5 @or the month:
urn5h the D45on O@@ce Gth a co6y a GeeB a@ter 'une 30, October 30 #arch 31
e KKKKK o@ KKKKK 6a2e5
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6s Moement and Attendanceteeism and ropout ro!ile"
D5trct
School !ear "e6ort @or the #onth o@
E &% %RANSFERRE &% %RANSFERRE IN
e #onth ?% or the #onth ?% or the #onth
T # T # T # T # T # T # T # T
?AQ% Cumulat4e a5 o@En9 o@ the #onth
?A Cumulat4e a5 o@-re4ou5 #onth
?AQ% Cumulat4e a5 o@En9 o@ the #onth
?A Cumulat4e a5 o@-re4ou5 #onth
?AQ% Cumulat4e a5o@ En9 o@ the #onth
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're-ared and S"mitted +D
(Signature o! School ead o)er rinted ame"
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School Form 8 (SF 8) Re-ort on 'r(This replaces Forms 18-'1, 18-'2
"e2on III D45on Olon2a6o Cty
School ID145164
School !ear $013$01
School Name Tabacuhan Elementary School
LRN
1 107130100001Aba5, 'ohn #chael : -romote9
$ 107130100010 Alabata, CromGell 'ay A: -romote9
3 107130100017 Am6unn, "obert 'ohn 'r: %: -romote9
) 107130100058 Cayanon2, 'ohn -aul T: -romote9
* 107130100059 Cayo5a, "anel I: -romote9
107130100077 Del Carmen, Ace !: -romote9
7 107126100127 E9aol, 'erc A: -romote9
8 107130100101 2ueroa, 'u5tn Ol4er %: -romote9
+ 107130100129 I2naco, Chr5tan Earl %: -romote9
10 107130100133 'alan9on, 'ohn Le5ter ': -romote9
LEARNER6S NAME (Last Name,First Name, Middle Name)
GENERAL A:ERAGE ?Numercal /alue n $9ecmal 6lace5 an9 3
9ecmal 6lace5 @or honorlearner5, an9 De5cr6t4e
Letter
A%I&N %A#END'R&M&%E,
IRREGLAR orRE%AINE
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LRN LEARNER6S NAME (Last Name,
First Name, Middle Name)
GENERAL A:ERAGE ?Numercal /alue n $9ecmal 6lace5 an9 3
9ecmal 6lace5 @or honorlearner5, an9 De5cr6t4e
Letter
A%I&N %A#END'R&M&%E,
IRREGLAR orRE%AINE
11 107130100138 a6l, Da49 "amon %: -romote9
1$ 107130100143 La2ba5, 'a56er %: -romote9
13
107130100161 #a6a, 'he@@er5on &: -romote9
1) 107130100182 Ora5, An2el A: -romote9
1* 107130100187 -anaraa2, 'amel D: -romote9
1 107130100190 -an2catan, Al ": -romote9
17 107130100216 "o5cano, 'hon An9re L: -romote9
18 107125100251 San 'o5e, arlo Eury -romote9
1+ 107129100267 Sarmento, 'ohn /ncent #: -romote9
$0 107130100239 Solomon, &an : -romote9
$1 107130100241 Sun2a, Alcel %ene9ct A: -romote9
$$ 107130100247 T5mo, 'ohn LaGrence I: -romote9
$3 107130100250 Turno, "an A: -romote9
$3 TOTAL #ALE
1 107130100035 %aut5ta, %ea Camel S: -romote9
$ 107130100039 %ellone5, 'omara L: -romote9
3 Calma, 'oelFen &: -romote9
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LRN LEARNER6S NAME (Last Name,
First Name, Middle Name)
GENERAL A:ERAGE ?Numercal /alue n $9ecmal 6lace5 an9 3
9ecmal 6lace5 @or honorlearner5, an9 De5cr6t4e
Letter
A%I&N %A#END'R&M&%E,
IRREGLAR orRE%AINE
) 107124100263D9aa2un, "aca S: -romote9
* 107130100102lore5, "oanne A: -romote9
105144100245
&aluyo, An9rea Lee #: -romote9
7 107130100114 &lora, Sarah A: -romote9
8 107130100126 (6olto, Lette -romote9
+ 107130100158 #a29amt, #hee Anne E: -romote9
10 106940090048#a2no, "uby &enn C: -romote9
11 107130100160#ana2o, Norlyn #: -romote9
1$ 107130100177No2ala9a, An2ela D: -romote9
13 107130100188 -anaraa2, Na5hannah A: -romote9
1) 136658100287 -eroo, rancne &ayle AyeBa -romote9
1* 107130100208 "ocero, "achelle Anne #: -romote9
1 107130100220 Sabatn, Cooln 'a5mn D: -romote9
17 107130100230 Sar6, Sumaya %: -romote9
18 107130100237 Sol5, NBB -romote9
1+ 107130100238 Solomon, Alyah 'oy A: -romote9
$0 107130100259 !a6, -recou5 Lo4e #: -romote9
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LRN LEARNER6S NAME (Last Name,
First Name, Middle Name)
GENERAL A:ERAGE ?Numercal /alue n $9ecmal 6lace5 an9 3
9ecmal 6lace5 @or honorlearner5, an9 De5cr6t4e
Letter
A%I&N %A#END'R&M&%E,
IRREGLAR orRE%AINE
$0 TOTAL E#ALE
)3 CO#%INED
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motion * Leel o! 'ro!icienc+$ and List o! 9raduates"
D5trct II
Currculum %a5c E9ucaton
&ra9e Le4el Three Secton Sa66hre
A5 o@ en9 o@ current School !ear
SMMAR4 %ALE
S%A%S MALE FEMALE %&%AL
-"O#OTED $3 $0 )3
I""E&ULA" 0 0 0
"ETAINED 0 0 0
N&M'LE%E S.E%/S ?Th5mn 5 @or to 1$ Currculum an9 remann2 "%EC n (2h School: Elementary 2ra9e5
le4el that are 5tll m6lementn2 "%EC nee9 not to @ll u6 the5e column5
om 6re4ou5 5chool year5 com6lete9 a5o@ en9 o@ current School !ear
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A5 o@ en9 o@ current School !ear
N&M'LE%E S.E%/S ?Th5mn 5 @or to 1$ Currculum an9 remann2 "%EC n (2h School: Elementary 2ra9e5
le4el that are 5tll m6lementn2 "%EC nee9 not to @ll u6 the5e column5
om 6re4ou5 5chool year5 com6lete9 a5o@ en9 o@ current School !ear
Cla55 A945er
?Name an9 S2nature
CE"TIIED CO""ECT SU%#ITTED>
EL/I"A S: CO"-U.
School (ea9
?Name an9 S2nature
"E/IE;ED %!>
?Name an9 S2nature
D45on "e6re5entat4e
GIELINESD
1: or All &ra9e!ear Le4el5
$: To be 6re6are9 by the A945er: nal ratn2 6er 5ubFect area 5houl9be taBen @rom the recor9 o@ 5ubFect teacher5: The cla55 a945er 5houl9com6ute @or the &eneral A4era2e:
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School Form (SF)S"mmaried Re-ort on 'romotion and Leel
(This replaces Form 24"
School ID "e2on D4
School Name D
SMMAR4 %ALEGRAE 1 /GRAE GRAE 7 / GRAE ; GRAE = / GRAE B GRAE < / GRAE 1@
#ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TO
&M&%E
EGLAR
%AINE
:EL &F 'R&FIIEN4 #ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TO
E&INNNIN& ?%>7)R an9 beloG
DE/ELO-IN& ?D>7*R7+R
-"OAC(IN& -"OICIENC!?A-> 80R8)R
OICIENT ?-> 8*R8+R
D/ANCED ?A>+0R an9 abo4e
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%&%AL
6are9 an9 Submtte9 by> "e4eGe9 /al9ate9 by> N
SC(OOL (EAD DI/ISION "E-"ESENTATI/E
ELINESD
1: A@ter rece4n2 an9 4al9atn2 the "e6ort @or -romoton 5ubmtte9 by the cla55 a945er, the School (ea9 5hall com6ute the 2ra9e le4el total an9 5chool total:
$: Th5 re6ort to2ether Gth the co6y o@ "e6ort @or -romoton 5ubmtte9 by the cla55 a945er 5hall be @orGar9e9 to the D45on O@@ce by the en9 o@ the 5chool year:
3: The "e6ort on -romoton 6er 2ra9e le4el 5 re@lecte9 n the En9 o@ School !ear "e6ort o@ &ES-&SS-:
): -rotocol5 o@ 4al9aton 5ubm55on 5 un9er the 95creton o@ the School5 D45on Su6ernten9ent:
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o!icienc+
School !ear
GRAE 8 / GRAE 11 GRAE / GRAE 17 %&%AL
ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL
ALE E#ALE TOTAL #ALE E#ALE TOTAL #ALE E#ALE TOTAL
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SC(OOLS DI/ISION SU-E"INTENDENT
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School Form (SF) School 'ersonnel Assignment L(This replaces Form 12-Monthly Status eport !or Teachers, Form 1:-$ssign
Form 2:-Teacher rogram and Form 61-Summary /n!ormation o! Teach
School ID "e2on D45on
School Name D5trct
(A) Nationall+>F"nded %eaching * %eaching Related Items () Nationall+>F"nded Non %eaching Items
Number o@ Incumbent
SeH un9 Source
EA%I&NAL HALIFIA%I&N
#aFor S6ecalaton #nor
Ttle o@ -lantlla -o5ton ?a5 ta66ear5 n the a66ontment 9ocument-SI-O-
Ttle o@ -lantlla -o5ton ?a5 ta66ear5 n the a66ontment 9ocument-SI-O-
Number o@Incumbent
Ttle o@ De52na
contract9oc&uar9, D
Em6loyee No:?or TaH
I9ent@catonNumber T:I:N:
Name o@ School -er5onnel?Arran2e by -o5ton, De5cen9n2
-o5tonDe52naton
Nature o@A66ontment
Em6loyment Statu5 De2ree -o5t&ra9uate
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SeH un9 Source
EA%I&NAL HALIFIA%I&N
#aFor S6ecalaton #
Em6loyee No:?or TaH
I9ent@catonNumber T:I:N:
Name o@ School -er5onnel?Arran2e by -o5ton, De5cen9n2
-o5tonDe52naton
Nature o@A66ontment
Em6loyment Statu5 De2ree -o5t&ra9uate
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SeH un9 Source
EA%I&NAL HALIFIA%I&N
#aFor S6ecalaton #n
Em6loyee No:?or TaH
I9ent@catonNumber T:I:N:
Name o@ School -er5onnel?Arran2e by -o5ton, De5cen9n2
-o5tonDe52naton
Nature o@A66ontment
Em6loyment Statu5 De2ree -o5t&ra9uate
GIELINESD
$: All 5chool 6er5onnel, re2ar9le55 o@ 6o5tonnature o@ a66ontment 5houl9 be nclu9e9 n th5 @orm an9 5houl9 be l5te9 @rom the h2he5t ranB 9oGn to the loGe5t:
3: -lea5e re@lect 5ubFect5 ben2 tau2ht an9 @ teacher han9ln2 a945ory cla55 or Ancllary A552nment: Other a9mn5trat4e 9ute5 mu5t al5o re6orte9:): Daly -ro2ram Column 5 @or teachn2 6er5onnel only:
1: Th5 @orm 5hall be accom6l5he9 at the be2nnn2 o@ the 5chool year by the 5chool hea9: In ca5e o@ mo4ement o@ teacher5 an9 other 6er5onnel 9urn2 the 5chool year, an u69ate9 orO@@ce :
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t and asic 'ro!ilent List,
s"
School !ear
( ) &ther A--ointments and F"nding So"rces
Number o@ Incumbent
Teachn2
Daly -ro2ram ?tme 9uraton
To ?00>00
A4e: #nute5 6er Day
n?a5 t a66ear5 n the
ent> Teacher, ClerB, Securtyer etc:
A66ontment>?Contractual, Sub5ttute,
/olunteer, other556ec@y
un9 Source?SE, -TA, N&O5 etc:
NonTeachn2
S"ect %a"ght ?nclu9e&ra9e Secton, A945ory
Cla55 &ther Ancillar+Assignments
"emarB5 ?or Detale9Item5, In9cate name o@5choolo@@ce, or I-5
Ethncty
DA!?#T;T(
rom?00>00
Total ActualTeachn2 #nute5
6er ;eeB
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Daly -ro2ram ?tme 9uraton
To ?00>00
S"ect %a"ght ?nclu9e&ra9e Secton, A945ory
Cla55 &ther Ancillar+Assignments
"emarB5 ?or Detale9Item5, In9cate name o@5choolo@@ce, or I-5
Ethncty
DA!?#T;T(
rom?00>00
Total ActualTeachn2 #nute5
6er ;eeB
A4e: #nute5 6er Day
A4e: #nute5 6er Day
A4e: #nute5 6er Day
A4e: #nute5 6er Day
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Daly -ro2ram ?tme 9uraton
To ?00>00
S"ect %a"ght ?nclu9e&ra9e Secton, A945ory
Cla55 &ther Ancillar+Assignments
"emarB5 ?or Detale9Item5, In9cate name o@5choolo@@ce, or I-5
Ethncty
DA!?#T;T(
rom?00>00
Total ActualTeachn2 #nute5
6er ;eeB
A4e: #nute5 6er Day
A4e: #nute5 6er Day
Submtte9 by>
(Signature o! School ead o)er rinted ame"
U69ate9 a5 o@> KKKKKKKKKKKKKKKKKKKKKKKKKKK
School orm 7, -a2e KKK o@ KKKKKKKK
u5t be 5ubmtte9 to the D45on
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School ID School !ea
Name o@ School
M % 5 %0 F
MALE C %&%AL 'er a+
(Last Name,
First Name, Middle Name)
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FEMALE C %&%AL 'er a+
omined %&%AL 'ER A4
GIELINESD
1: The atten9ance 5hall be accom6l5he9 9aly: "e@er to the co9e5 @or checBn2 learner5 atten9ance:$: Date5 5hall be Grtten n the column5 a@ter Learner5 Name:
3: To com6ute the @olloGn2>
a: ercentage o"e25tere9 Learner5
Enrolment a5 o@ 15t r
b:Total Daly
Number o@ School Da
c: ercentage o! $ttendance ! A4era2e 9al
"e25tere9 Learner5
*: The a945er Gll 6ro49e necce55ary nter4enton5 nclu9n2 but not lmte9 to home 45taton to learner5 Gh
: Atten9ance 6er@ormance o@ learner5 Gll be re@lecte9 n orm 137 an9 orm 138 e4ery 2ra9n2 6ero9:
J %e2nnn2 o@ School !ear cuto@@ re6ort 5 e4ery 15t r9ay o@ the School !ear
$)erageaily $ttendance
): E4ery en9 o@ the month, the cla55 a945er Gll 5ubmt th5 @orm to the o@@ce o@ the 6rnc6al @or recor9n2 o@ 5ube returne9 to the a945er:
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orm $ > -a2e KKK o@ K
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School Form 7(This replace
r
(1st ro !or dat
M % 5 %0 F M % 5
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5 o@ en9 o@ the monthH 100
9ay o@ the 5chool yeartten9ance
y5 n re6ortn2 month
atten9anceH 100
5 o@ en9 o@ the month
Gere ab5ent @or * con5ecut4e 9ay5 an9or tho5e at r5B o@ 9ro66n2 out:
mmary table nto School orm ): Once 52ne9 by the 6rnc6al, th5 @orm 5houl9
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(SF7) ail+ Attendance Re-ort o! Learnerss Form 1, Form 2 & STS Form # - $%senteeism and ropout ro!ile"
"e6ort @or the #onth o@
&ra9e Le4el
e)
%0 F M % 5 %0 F M
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19 &ES F&R 0E#ING A%%ENANE
79 REAS&NS/ASES F&R R&''ING &%
a9 omestic>Related Factors
a:1: (a9 to taBe care o@ 5bln25
a:$: Early marra2e6re2nancy
a:3: -arent5 atttu9e toGar9 5chooln2
a:): amly 6roblem5
9 Indiid"al>Related Factors
b:1: Illne55b:$: O4era2e
b:3: Death
b:): Dru2 Abu5e
b:*: -oor aca9emc 6er@ormance
b:: LacB o@ ntere5tD5tracton5
b:7: (un2er#alnutrton
c9 School>Related Factors
?blanB > -re5entM ?H Ab5entM Tar9y ?hal@ 5ha9e9 U66er @or Late Commer, LoGer @or Cuttn2 Cla
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c:1: Teacher actor
c:$: -hy5cal con9ton o@ cla55room
c:3: -eer n@luence
d9 Geogra-hic/Enironmental
9:1: D5tance betGeen home an9 5chool
9:$: Arme9 con@lct ?ncl: Trbal Gar5 clan@eu95
9:3: Calamte5D5a5ter5
e9 Financial>Related
e:1: Chl9 labor, GorB
!9 &thers (S-eci!+)
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Secton
% 5 %0 F A%SENT TA"D!
%otal !or the MonthREMAR#S ?I@ R&''E
I@ %RANSFE
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%rans!erred o"t
%rans!erred in
/ certi!y that this is a true and correct report0
(Signature o! Teacher o)er rinted ame"
Atte5te9 by>
(Signature o! School ead o)e
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&%, 5tate rea5on, 6lea5e re@er to le2en9 number $:RE IN/&%, Grte the name o@ School:
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S"mmar+
M F %&%AL
ond cut-o!!"
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r rinted ame"