school forms template
DESCRIPTION
aTRANSCRIPT
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AGE as of
1st Friday
of June
(nos. of
years as
per lastbirthday)
House # /
Street/Sitio/
Purok
Barangay Municipality/ City Province
Father (1st na
family name id
learne
School Form 1 (SF 1) School Register(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
LRNSex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School IDRegion Division District
School Year
RELIGION
ADDRESS
Grade Level
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AGE as of
1st Friday
of June
(nos. of
years asper last
birthday)
House # /
Street/Sitio/Purok
Barangay Municipality/ City Province
Father (1st name only if
family name identical tolearner)
LRNSex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)RELIGION
ADDRESS NAM
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AGE as of
1st Friday
of June
(nos. of
years asper last
birthday)
House # /
Street/Sitio/
Purok
Barangay Municipality/ City Province
Father (1st name o
family name ident
learner)
LRNSex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)RELIGION
ADDRESS
Transferred Ou T/O Name of Public (P) Private (PR) School & Effectivity CCT Recipient CCT MALE
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Balik-Aral B/A Name of school last attended & Year FEMALE
Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD SpecifyLate Enrollmen LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data
TOTAL
CCT Control/reference number & Effectivity Date
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REMARK/S
(Please refer to the
legend on last page)
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REMARK/S
(Please refer to thelegend on last page)
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REMARK/S
(Please refer to the
legend on last page)
EoSYDate:
ol Head over Printed Name)
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School ID
Name of School
School Year
SectionGrade Level
Report for the Month of
ABSENT TARDY
REMARK/S(IfDROPPED OUT,state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
School Form 2 SF2 Dail Attendance Re ort of Learners
(1st row for date, 2nd row for Day: M,T,W,TH,F)
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the
Month
MALE | TOTAL Per Day
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ABSENT TARDY
REMARK/S(IfDROP
please refer to
If TRANSFERRED IN
Sc
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the
Month
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
a.1. Had to take care of siblingsa.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
FEMALE | TOTAL Per Day
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
a.
b.
c.
Total Daily AttendanceNumber of School Days in reporting month
Registered Learner as of End of the month
Registered Learner as of End of the Month
x 100
x 100
Registered Learner as of end of the month
blank- Present; (x)- Absent; Tardy (half shaded= Upper
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)
No. of Days of
Classes:
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.
Combined TOTAL PER DAY
Percentage of Enrolment as ofend of the mon
Average Daily Attendance
Late Enrollment during the month
(beyond cut-off)Enrolment as of 1st Friday of June
Average Daily Attendance =
Percentage of Enrolment =
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:
Average daily attendancePercentage of Attendance for the month =
Number of students with 5 consecutive days of
absences:
Percentage of Attendance for the month
b.3. Death5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
Number of students with 5 consecutive days of
absences:b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* b.6. Lack of interest/Distractionsb.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
Transferred in
Beginning of School Year cut-off report is every 1st Friday of School Calendar Days Drop out
Transferred out
Number of students with 5 consecutive days of
absences:
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School ID School Year
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Grade Level
(This replaced Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Date
Section
NO.Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARK/ACTIO
(Please refer to the l
page)Date Date Date Date Date
Subject Area & Title Subject Area & TitleSubject Area & TitleSubject Area & Title Subject Area & Title Subject Area & Title
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Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
DateNO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)Date Date Date Date Date
Subject Area & Title Subject Area & TitleSubject Area & TitleSubject Area & Title Subject Area & Title Subject Area & Title
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:
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=Negligence
1. Title of Books Issued to each learner must be recorded by the class adviser.
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M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F
Kinder 1 21 21 42 21 21 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kinder 2 21 21 42 21 21 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kinder 3 17 23 40 17 23 40 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kinder 4 21 19 40 21 19 40 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kinder 5 20 21 41 20 21 41 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One SSC 21 21 42 21 21 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Pink 32 10 42 32 10 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Violet 19 16 35 19 16 35 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Yellow 21 14 35 21 14 35 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Blue 20 15 35 20 15 35 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Golden 20 16 36 20 16 36 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Red 20 17 37 20 17 37 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
One Green 19 18 37 19 18 37 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Two SSES 14 15 29 14 15 29 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Two 1 24 28 52 24 28 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Two 2 32 23 55 32 23 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Two 3 28 27 55 28 27 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Two 4 33 22 55 33 22 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Two 5 34 21 55 34 21 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Three SSES 3 21 24 3 21 24 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Three 1 24 31 55 24 31 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Three 2 23 32 55 23 32 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(A+
Cumulat
of End
Mon
Glaiza C. Garcia
Jenefer M. Lenon
GRADE/
YEAR
LEVEL
SECTION
III TARLAC PROVINCE
1606383
JUNE2014 - 2015CAPAS WEST CENTRAL ELEMENTARY
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Name
Region Division District
School Year Report for the Month of
CAPAS WEST
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
Daily AveragePercentage for
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
(A+B)
Cumulative as
of End of the
Month
(A) Cumulative
as of Previous
Month
(B) For the
Month
Rebsam C. Divad
REGISTERED
LEARNER
(As of End of
the Month)
ATTENDANCE
(B) For the
Month
NAME OF ADVISER
Flordhelyn C. Castaeda
Gizelle M. Dizon
Ann Marie S. Flores
Lilibeth G. Gamboa
Crizaly S. Estrella
Marilou S. Tansioco
Alicia C. Tolentino
Jennalyn V. Capunfuerza
Rosalina G. Payumo
Elma Y. Alcantara
Lutgarda M. Canono
Grace O. Espino
Millette C. Torales
Jona G. Cunanan
Gennalyn D. Vergara
Rizalia P. Subido
Maylyn C. Asuncion
Cherish Joy N. Dimal
Shiella Marie R. Nunag
School ID
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Three 3 18 54 72 18 54 72 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Three 4 30 19 49 30 19 49 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Three 5 35 16 51 35 16 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four SSES 14 12 26 14 12 26 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 1 29 24 53 29 24 53 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 2 28 24 52 28 24 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 3 28 23 51 28 23 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 4 27 25 52 27 25 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 5 31 20 51 31 20 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 6 32 19 51 32 19 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Four 7 36 14 50 36 14 50 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Five SSES 10 14 24 10 14 24 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0Five 1 18 34 52 18 34 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Five 2 24 27 51 24 27 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Five 3 26 25 51 26 25 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Five 4 32 21 53 32 21 53 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Five 5 37 13 50 37 13 50 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Six 1 17 28 45 17 28 45 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Six 2 20 24 44 20 24 44 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Six 3 23 22 45 23 22 45 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Six 4 22 23 45 22 23 45 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Six 5 24 19 43 24 19 43 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Six 6 24 17 41 24 17 41 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ELEMENTARY:
100 105 205 100 105 205 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 127 299 172 127 299 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 136 301 165 136 301 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 173 306 133 173 306 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
225 161 386 225 161 386 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 134 281 147 134 281 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 133 263 130 133 263 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1072 969 2041 1072 969 2041 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GUIDELINES: Prepared and Submitted by:
GRADE 5
GRADE 6
TOTAL FOR NON-GRADED
TOTAL
KINDER
GRADE 1
GRADE 2
GRADE 3
GRADE 4
Florina M. Estrada
Mercedita E. Mercado
Arlyn Josephine G. Cadiang
Marielyn P. Santos
1. This forms 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.
Esmeralda M. Medina
Sherrylyn S. Cayabyab
Reya D. Manalo
Jerson D. Gania
Mylene M. Diaz
Mirasol C. Pineda
Jessica O. Balatbat
Ma. Johnna A. Garcia
Lani Z. Pineda
Hazel G. Vitug
Ma. Virginia A. Abalos
Purificacion T. Vistan
Silkhy S. Diego
Haydee C. Pangilinan
Carol P. Simbulan
Lizzet Grace M. Gonzales
Cyril E. Dionida
Jean Aura G. MarianoTeresita I. Capitulo
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2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head over Printed Name)
ALLADIN M. QUIAMBAO
4. Small school that has one section per grade/year level is 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.
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T
0
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00
0
0
0
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0
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0
0
0
0
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0
0
e as
the
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0
0
0
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M F TOTAL M F TOTAL M F
Number of students with 5 consecutive days
of absences:
Percentage of Enrolment as ofend of the
month
Average Daily Attendance
Percentage of Attendance for the month
Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Grade _________ Section ___________
JULYNo. of Days of
Classes:
Summary for the
* Enrolment as of JULY
Number of students with 5 consecutive days
of absences:
Percentage of Enrolment as ofend of the
month
Average Daily Attendance
Percentage of Attendance for the month
Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Grade _________ Section ___________ Grade _________ Section ___________
JULYNo. of Days of
Classes:
Summary for the Month
* Enrolment as of JULY
Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Number of students with 5 consecutive days
of absences:
Percentage of Attendance for the month
Average Daily Attendance
No. of Days of
Classes:
Summary for the Month
* Enrolment as of JULY
JULY
Percentage of Enrolment as ofend of the
month
Number of students with 5 consecutive days
of absences:
Number of students with 5 consecutive days
of absences:
Number of students with 5 consecutive days
of absences:
M F TOTAL M F TOTAL M F
Percentage of Attendance for the month
Number of students with 5 consecutive daysof absences:
Number of students with 5 consecutive daysof absences:
Average Daily Attendance Average Daily Attendance Average Daily Attendance
Percentage of Attendance for the month Percentage of Attendance for the month
Number of students with 5 consecutive daysof absences:
Percentage of Enrolment as ofend of the
month
Percentage of Enrolment as ofend of the
month
Percentage of Enrolment as ofend of the
month
Registered Learner as of end of the monthRegistered Learner as of end of the month Registered Learner as of end of the month
Late Enrollment during the month
(beyond cut-off)
Late Enrollment during the month
(beyond cut-off)
No. of Days of
Classes:
Summary for the
* Enrolment as of JULY * Enrolment as of JULY
Late Enrollment during the month
(beyond cut-off)
* Enrolment as of JULY
Grade _________ Section ___________ Grade _________ Section ___________ Grade _________ Section ___________
JULYNo. of Days of
Classes:
Summary for the MonthJULY
No. of Days of
Classes:
Summary for the MonthJULY
Transferred out
Transferred in
Number of students with 5 consecutive days
of absences:
Drop out
Transferred out
Transferred in
Number of students with 5 consecutive days
of absences:
Drop out
Transferred in
Number of students with 5 consecutive days
of absences:
Drop out
Transferred out
Number of students with 5 consecutive daysof absences:
Number of students with 5 consecutive daysof absences:
Number of students with 5 consecutive daysof absences:
Drop out Drop out
Drop out
Number of students with 5 consecutive daysof absences:
Number of students with 5 consecutive daysof absences:
Number of students with 5 consecutive daysof absences:
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Transferred inTransferred in Transferred in
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TOTAL
TOTAL
Month
Month
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Region Division District
Curriculum
Grade Level Section
66 B RETAINED
#N/A 0 STATUS MALE FEMALE TOTAL
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0 MALE FEMALE TOTAL
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
#N/A 0
School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
School ID
SUMMARY TABLE
School Name
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
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
SY as of End of the current SY
0
*IRREGULAR 0 0
PROMOTED 0 0
0
0RETAINED 0 0
LEVEL OF PROFICIENCY
1
DEVELOPING (D:
75%-79%)0 0
BEGINNNING
(B: 74% and below)1 0
0
APPROACHING
PROFICIENCY
(AP: 80%-84%)
0 0 0
0
ADVANCED (A:
90% and above)0 0
PROFICIENT
(P: 85% -89%)0 0
0 TOTAL MALE
School Year
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
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LRNLEARNER'S NAME
(Last Name, First Name, Middle Name)
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 currentSY
as of End of the current SY
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF!#REF!
#REF! #REF! #REF! CERTIFIED CORRECT & SUBMITTED:
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF!#REF!
#REF! #REF! #REF! REVIEWED BY:
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF! GUIDELINES:
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
#REF! #REF! #REF!
TOTAL FEMALE
COMBINED
Class Adviser
(Name and Signature)
PREPARED BY:
School Head
(Name and Signature)
Division Representative
(Name and Signature)
1. For All Grade/Year Levels
2. To be prepared by the Adviser. Final rating persubject area should be taken from the record of subje
teacher. The class adviser should make the
computation of General Average.
3. On the summary table, reflect the total number of
learners promoted, retained and irregular ( *for grade
onwards only) and the level of proficiency according t
the individual general average
School Form 5: Page 2 of ______
5. Protocols of validation & submission will remain
under the discretion of the Schools Division
Superintendent
4. Must tallied with the total enrollment report as of En
of School Year GESP /GSSP (BEIS)
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Region Division District
Curriculum
Grade Level Section
STATUS MALE FEMALE TOTAL
MALE FEMALE TOTAL
TOTAL MALE
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
School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
PROMOTED
*IRREGULAR
SUMMARY TABLE
LEVEL OF PROFICIENCY
DEVELOPING (D:
75%-79%)
BEGINNNING
(B: 74% and below)
PROFICIENT
(P: 85% -89%)
ADVANCED (A:90% and above)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
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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 currentSY as of End of the current SY
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
CERTIFIED CORRECT & SUBMITTED:
REVIEWED BY:
GUIDELINES:
TOTAL FEMALE
COMBINED
2. 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.
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
4. Must tallied with the total enrollment report as of End
of School Year GESP /GSSP (BEIS)
School Form 5: Page 2 of ________
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grade/Year Levels
5. Protocols of validation & submission will remain
under the discretion of the Schools Division
Superintendent
(Name and Signature)
Division Representative
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MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
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 will remain under the discretion of the Schools Division Superintendent
PROMOTED
RETAINED
School YearSchool Name
School ID Region Division
District
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTALSUMMARY TABLE
School Form 6 (SF6) Summarized Report on Promotion
(This replaced Form 20)
IRREGULAR
TOTAL
Nos. of BEGINNNING
(B: 74% and below)
and Level of Proficiency
GRADE 1 /GRADE 7
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of DEVELOPING
(D: 75%-79%)
Nos. of PROFICIENT
(P: 85% -89%)
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.
Nos. of ADVANCED
(A: 90% and above)
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Region
TeachingNon-
Teaching
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes
Assignment
per Week
District
(B) Nationally-Funded Non Teaching Items
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
(A) Nationally-Funded Teaching & Teaching Related Items
School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School Year
School ID
School Name
Division
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
(C ) Other Appointments and Funding Sources
Subject Taught
(include Grade &
Section), Advisory Class
&Other Ancillary
Assignment
Ave. Minutes per Day
Ave. Minutes per Day
* Daily Program (time duration)
Fund Source
(SEF, PTA, NGO's
etc.)
Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Number of
Incumbent
Minor
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Employee
No. (or TaxIdentification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)Sex
Fund
Source
Ave. Minutes per Day
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Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes
Assignment
per Week
Subject Taught
(include Grade &
Section), Advisory Class
&Other Ancillary
Assignment
* Daily Program (time duration)Remark/s (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Minor
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
Employee
No. (or TaxIdentification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)Sex
Fund
Source
GUIDELINES: Submitted by:
(Signature of School Head over Printed Name)
3. Please reflect subjects being taught and i f teacher handl ing advisory c lass or Anci llary Assignment. Other administrative duties must a lso repor ted. Updated as of: ___________________________
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.
4. * Daily Program Column is for teaching personnel only.
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 .
Ave. Minutes per Day
Ave. Minutes per Day
School Form 7, Page 2 of ________
Ave. Minutes per Day
Ave. Minutes per Day