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

School ID305341RegionNCRDivisionQUEZON CITYDistrictCD V

School NameSAN BARTOLOME HIGH SCHOOLSchool Year2014-2015Grade Level7SectionSIMPLICITY

LRNNAME(Last Name, First Name, Middle Name) Sex (M/F)BIRTH DATE (mm/dd/ yyyy)FirstAGE as of 1st Friday JuneIP (Ethnic Group)RELIGIONADDRESSPARENTSGUARDIAN (If not Parent)Contact Number of Parent or GuardianREMARKSFriday of JuneHouse #/ Street/ Sitio/PurokBarangayMunicipality/ City ProvinceFather's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name)NameRelation-ship(Please refer to the legend on last page)1365230070001ABAGA, ISMAEL L.M12/29/996/6/1413TagalogCatholic69 St.Peter StGulod,NovaQCMetro ManilaAbaga, David EbreoLiquido, Delia TombocDelia AbagaParent1365772070007ALMOGUERRA, HANS PATRICK G.M12/29/016/6/1412TagalogCatholic42 Int.Masaya St.Gulod,NovaQCMetro ManilaAlmoguerra, Noel C.Gebilaguin, Charo D.Charo AlmogurraParent136528070056ALMONTE, JASPER L.M3/17/006/6/1414TagalogCatholic03 San Julian St.Gulod,NovaQCMetro ManilaAlmonte, Edgar SalvanLumacang, Isabelita AmoraEdgar AlmonteParent09981961511136528070310CONDINO, RHOI VINCE M.M5/31/026/6/1412TagalogCatholic10 Granada St.Gulod,NovaQCMetro ManilaCondino, Marvin PlantillaMalitao, Rocel PaglinawanRocel CondinoParent09498400708136521120348FAROCHELIN, DERIC FRANZ N.M8/22/016/6/1412TagalogCatholicB2L10Maloles VilleBagbagQCMetro ManilaFarochelin, Hilario BedulaNigna, Dolores PauraHilario FarochelinParent09164559183136520070173FERNANDEZ, JHEBIE P.M1/26/026/6/1412TagalogCatholicA-3Don Julio Gregorio St.BagbagQCMetro ManilaFernandez,Juan LlanoPortillo, Rylani HolascaJohn FernandezParent09182181377136523120202IBAY, JAVEZ XAVIER D.M2/1/016/6/1412TagalogB.A.C.149 P.Dela Cruz St.San Bartolome,NovaQCMetro ManilaIbay, Joselito BarandiaDela Cruz,Maritess PorsianolaMarites IbayParent136528070712LAXAMANA, EMMANUEL FELIX C.M11/18/016/6/1413TagalogCatholic31 Sta.Maxima St.Gulod,NovaQCMetro ManilaLaxamana, Emilio CapalaCaubalejo, Fe CaballesFe LaxamanaParent09288500003136525070272LEONES, RENATO JR.D.M11/12/006/6/1413TagalogCatholic69 Sta. Veronica St.Gulod,NovaQCMetro ManilaLeones, Renato I. Sr.del-Corro,Josephine EmmaRenato LeonesParent136528070740LLANOS, REYMART V.M6/26/016/6/1413TagalogCatholic70 Sta. Veronica St.Gulod,NovaQCMetro ManilaLlanos, Honorio FloresaVelasco, Annaliza PlagosAnnaliza llanosParent09473924997136523120118LORENZO, CZYRHILL MANUEL LUISE L.M1/1/016/6/1413TagalogCatholic22 Bana Compd.San Bartolome,NovaQCMetro ManilaLorenzo, Christopher MijoradaLaurilla, Michele DomingoMichele LorenzoParent09161792388136528070850MILKA MARK JIMWEL M.M6/30/026/6/1412TagalogCatholic27 Sta. Maxima St.Gulod,NovaQCMetro ManilaMilka, Emmanuel DiazMarcelo, Jennifer DesacadaJennifer MilkaParent136528070852MILLAN, JAYZELM10/16/016/6/1413TagalogCatholic002Julian St.Gulod,NovaQCMetro ManilaBasco, Felix Cantuba Jr.Millan LizelLizel MillanParent136523070133MULLE, ANGELO H.M9/6/016/6/1413TagalogCatholicB2L7 Del Rosario St.BagbagQCMetro ManilaMulle,Roberto PortillaHepitulan, Jocelyn AbeladaJocelyn HepitulanParent09213234663136505070336PELLAZAR, JOHN HARVEY B.M4/6/026/6/1412TagalogCatholicB2L7 Del Rosario St.BagbagQCMetro ManilaPellazar,Edgardo, AruginBanting, Jennivie AlbaniaJennivie PellazarParent136530060202PERLAS, MARKM11/20/996/6/1415TagalogCatholic69 Kilyawan St.Sta.Monica,NovaQCMetro ManilaPerlas, MarioMario PerlasParent136522070061PIJA, NEIL J.M12/4/016/6/1413TagalogCatholic04 Virginia DriveBaesaQCMetro ManilaPija, Antonio NobeJamero, Marcela EdubasMarcela PijaParent136524070759PUNONGBAYAN, ROLANDM5/11/006/6/1414TagalogS.D.A.70 Katipunan KaliwaBagbagQCMetro ManilaPunongbayan, Jenelita Delos SantosJenelita PunongbayanParent136524070876SERRANO, JUSTIN CARL D.M5/25/026/6/1412TagalogCatholic71 Katipunan KaliwaBagbagQCMetro ManilaSerrano, Pastor M. Jr.Dela Cruz,Catherine Del MonteCatherine SerranoParent136524070935TRASPADERME,RONNIE R.M3/30/026/6/1412TagalogCatholic12FNarra St.Ibayo 12BagbagQCMetro ManilaTraspaderme,Efren D.Rodeo,Concepcion A.Concepcion TraspadermeParent136528071230TIBOR,BRYAN WILLIAM C.M1/17/006/6/1414TagalogCatholic56 Ignacio St.Gulod,NovaQCMetro ManilaTibor, Tammy SiawingcoCarag,Rio Cheryll De GuzmanRio TiborParent136522070079TILLO,PHILIP JAKE E.M9/7/026/6/1412TagalogChristian253E. Argao CompdBaesaQCMetro ManilaTillo, Danilo RamosRecwadro,Gloria Santos Gloria TilloParent136525060516VIGILIA,JOSHUA KIM M6/18/006/6/1414TagalogCatholic29 Senading St. Gulod,NovaQCMetro ManilaVigilia, Marilou CondeMarilou VigiliaParent13652107002ADAMOS, SHIELA MAE D.F2/20/026/6/1412TagalogCatholic21Katipunan KananBagbagQCMetro ManilaAdamos, Ronald BermudezDela Torre, Marilou NunagMarilou AdamosParent136524070025ALARBA,MA.THERESA S.F5/14/016/6/1413TagalogCatholic51-A Milagrosa St.TalipapaQCMetro ManilaAlarba,Jose Ruel DanzalesSilvestre, Ma.Luz GedilequeMa.Luz AlarbaParent136510070010BALA, SYRA LYN A.F3/26/006/6/1414TagalogCatholic438 Franco St.BagbagQCMetro ManilaBala,Eduardo LantinAlcodia,Rosalie ValienteRosalie BalaParent136521070016BUNDALIAN, MELISSA J.F10/22/996/6/1415TagalogCatholic17 Urbano St.BagbagQCMetro ManilaBundalian, Romeo ReyesJavier, Alicia ZetaAlicia BundalianParent136512070082BURGOS, MERRYSON S.F10/1/026/6/1412TagalogCatholic106 Ramirez St.San Bartolome,NovaQCMetro ManilaBurgos, Wilson DagdaganSimangan,Leonora De JesusLeonora BurgosParent136525070099CARNIYAN, QUEENCYLENE P.F12/16/016/6/1412TagalogCatholic02 Ramos Compd.San Bartolome,NovaQCMetro ManilaCarniyan, Francisco MallanaoPalencia,Arlene Bandi-AnonArlene CarniyanParent136523070054CERVANTES, KRISHIA MAE P.F2/22/026/6/1412TagalogCatholic11 Ivory St.San Bartolome,NovaQCMetro ManilaCervantes, Regidor AvilesPalana, Jocelyn RomeroJocelyn CervantesParent136525070115CLAVERIA, JEA S.F8/30/016/6/1413TagalogCatholic33 Urbano St.BagbagQCMetro ManilaClaveria, Johnny AmidoSan Miguel, Leonida AberinLeonida ClaveriaParent136521120819DABON, RESHA MAE P.F6/18/016/6/1413TagalogCatholicL2B46Kingspoint Subd.BagbagQCMetro ManilaDabon, Bonifacio TadbacPura,Resurrecion DionedaDionida DabonParent136521120888DANIAC, MELISSE CYDNEY I.F11/22/026/6/1412TagalogCatholic100King Christian St.BagbagQCMetro ManilaDaniac, Reynaldo RoqueImson, Flordeliza MirandaFlodeliza DaniacParent136523070069DE ASIS, CHRISEL MAE T.F6/15/016/6/1413TagalogCatholic69 Cal.VilleSan Bartolome,NovaQCMetro ManilaDe Asis,Juan AyonoTamon, Marites GelladogaMarites De AsisParent136523070072DELLAMAS, MARIZ S.F6/12/016/6/1413TagalogCatholic003 Dormitory P1 Nagkaisang Nayon,NovaQCMetro ManilaDellamas, Ronnie CanaleSindayen, Margarita B.Margarita DellamasParent136520070133DEL ROSARIO, LORIE MAE J.F10/2/016/6/1413TagalogCatholic438 Franco St.BagbagQCMetro ManilaDel Rosario,Ernesto AquinoJavier, Emma BlancoEmma Del RosarioParent136530070111DIVINAGRACIA, JENNELLE S.F4/7/026/6/1412TagalogCatholic148 Idang St.Sta.Monica,NovaQCMetro ManilaDivinagracia, Jornel D.Siervo Ruby Ana B.Ruby Ana DivinagraciaParent1376524070359EDIA, NOIME B.F10/19/016/6/1413TagalogCatholic69Parokya ng PagkabuhayBagbagQCMetro ManilaEdia, Nestor BanquillaBaylon, Josephine TornoNestor EdiaParent136519070222GOBRIS, JUVIELYN G.F11/14/016/6/1413TagalogCatholic24 Carlos St.BaesaQCMetro ManilaGobris,Dioscoro JordanQuinones, Sheryl M.Sheryl GobrisParent136525070234GUTTAN, MARGARITA M.F11/19/016/6/1413TagalogCatholic29 Urbano St.BagbagQCMetro ManilaGuttan, Ben DaquiwagMagno, Darna CastelBen GuttanParentMAYOR, LOVELY JANE O. F11/29/016/6/1413TagalogCatholicB4L6Richland 6Sauyo,NovaQCMetro ManilaMayor,Joel MayaOmaga, Blue Jane SatuitoJoel MayorParent102601670033PASCUAL, NICOLEF12/12/006/6/1413TagalogCatholic06Acme Rd.San Bartolome,NovaQCMetro ManilaPascual,Rosalina SantosRosal PascualParent136525070442ROXAS, DHECERIEF12/4/016/6/1413TagalogCatholicB4L4 Santan St.San Bartolome,NovaQCMetro ManilaRoxas, Daisy MendozaDaisy MendozaParent136520070321SAGUN, ROVILYN S.F4/5/006/6/1414TagalogCatholic24 Maligaya St.BagbagQCMetro ManilaSagun, Rogelio DelfinadoLayno, Nenita VillanuevaNenita LaynoParent136525070474TAGUIAM, RONALIZA A.F10/12/006/6/1414TagalogCatholic30 Urbano St.BagbagQCMetro ManilaTaguiam, Rodrigo BarcelonAvenda, Rechilda OlisaRodrigo TaguiamParent136632070456TUANQUIN,KHYL HEART M.F2/20/026/6/1412TagalogJehovahs Witnes13 Sampaguita Compd.San Bartolome,NovaQCMetro ManilaTuanquin, Eleazar GundayaoMolo,Jerwin AranasJerwin TuanquinParent List and Code of Indicators under REMARKS columnPrepared by:Certified Correct:IndicatorCodeRequired InformationCodeRequired InformationREGISTEREDBoSYEoSYTransferred OutT/OName of Public (P) Private (PR) School & Effectivity DateCCTCCT Control/reference number & Effectivity DateMALEMARITES M. VILLENATransferred INT/IName of Public (P) Private (PR) School & Effectivity DateB/AName of school last attended & YearFEMALE(Signature of Adviser over Printed Name)(Signature of School Head over Printed Name)DroppedDRPReason and Effectivity DateLWDSpecifyTOTALLate EnrollmentLEReason (Enrollment beyond 1st Friday of June)ACLSpecify Level & Effectivity DataBoSY Date: EoSYDate:BoSY Date: EoSYDate:

SF 2 with computation

School Form 2 (SF2) Daily Attendance Report of Learners(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID305341School Year2014-2015Report for the Month ofJUNE

Name of SchoolPARTIDA ELEMENTARY SCHOOLGrade Level1SectionCINDERELLA

LEARNER'S NAME (Last Name, First Name, Middle Name) (1st row for date)Total for the Month REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)234569101112131617181920232425262730MTWTHFMTWTHFMTWTHFMTWTHFMTWTHFABSENTTARDY1ALBERTO, ALLEN JAMES02ALITA, JHENEL NIO AYING03ARTEZA, RAY KEVIN DELA CRUZ04BALDEVIA, JHON TOFFER NUNES05BERNAL, NAEGHUN CLARK LADAO06CABACANG, BENEDICTO III NARVAEZ07CORDERO, KARL KEVIN MASCULINO08KEMPIS, LANCE JERICO GRIOLIA09MAKIMAY, ABRAHAM CYRUS FERRERAS010NISPPEROS, JACOB DON LABIANO011RAMIREZ, MARK ANGIELO VALDEZ012RAZON, LORENZ DAVE ESTEBAN013RESURECCION, MARC JEREL BACASOY014SAGUN, KEVIN JAMES MARKY PERAY015TABLIT, IVAN KHRISTOPER 016TOLENTINO, NEIL ADRIAN LUIS17TUNDAG, CARL STEVE PETALLAR018VALENCIA, JASPER DAVE ORDOES19YSULAN, JOHN LEI PALMA0MALE | TOTAL Per Day000000000000000000000000001BALTAZAR, CRISTYNE ASHLEY DESTURA02BATUHAN, GVRYLA ERINGA3BAZARTE, FRANCHESKA LAGARTA4BOLANTE, PRECIOUS KYLA KANAPIA5CALUYA, VANNETY GONZALES6CANONOY, CHRISTINE JOY ALFARO7CAYANAN, SOFIA RENE GRACE8DAHILIG, AMANDA JAMILA DE VILLA9DE LEON, PATRINA CUEYAO10DILE, PRICELLA MAE MUES11FRANCISCO, JAMAICA BALLENA12GUIAO, EMERALD JABAGAT13GUILLEN, MARU ELVILENE14JOSE, RHODELYN ORDENIEL15LAVENTE, CRISTINE LOUISE OSTONAL16MAGRO, KAITLYN KYLE PACHECO17MIRAPLES, SHARLENE BIAS18OPISO, KRITINE LOUISE ROSE19PILA, MIKAELA MARIE MERRY20RADAZA, MA KRISTINA FRANCE VENDEN21REMOLTA, RACHEL JOY MAHINAY22RICABLANCA, ANGELICA LUBIANO23RIVAS, GLINNA MHIER MANGALIMAN24SAN JOSE, PRINCESS FIONA VILORIA25TAMAYAO, DENESSE STEPHANY JOY BORDEOS26TOLEDO, SAMANTHA AVRIL VILLEGAS27ZOZA, ALEXANDRA EUNICE CORNEJO28FEMALE | TOTAL Per Day00000000000000000000000000 Combined TOTAL PER DAY00000000000000000000000000

GUIDELINES:1. CODES FOR CHECKING ATTENDANCEMonth:No. of Days of Classes:Summary1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)MFTOTAL2. Dates shall be written in the columns after Learner's Name.* Enrolment as of (1st Friday of June)123. To compute the following:2. REASONS/CAUSES FOR DROPPING OUTa.Percentage of Enrolment =Registered Learners as of end of the monthx 100a. Domestic-Related FactorsLate Enrollment during the month (beyond cut-off)Enrolment as of 1st Friday of the school yeara.1. Had to take care of siblingsb.Average Daily Attendance = Total Daily Attendancea.2. Early marriage/pregnancyRegistered Learners as of end of the month15Number of School Days in reporting montha.3. Parents' attitude toward schoolingc.Percentage of Attendance for the month =Average daily attendancex 100a.4. Family problemsPercentage of Enrolment as of end of the month1.25Registered Learners as of end of the monthb. Individual-Related Factorsb.1. IllnessAverage Daily Attendance4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by the principal, this form should be returned to the adviser.b.2. Overageb.3. DeathPercentage of Attendance for the month 5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of dropping out.b.4. Drug Abuseb.5. Poor academic performanceNumber of students absent for 5 consecutive days:6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.b.6. Lack of interest/Distractions*Beginning of School Year cut-off report is every 1st Friday of the School Yearb.7. Hunger/MalnutritionDrop outc. School-Related Factorsc.1. Teacher FactorTransferred outc.2. Physical condition of classroomc.3. Peer influenceTransferred ind. Geographic/Environmentald.1. Distance between home and schoold.2. Armed conflict (incl. Tribal wars & clanfeuds)I certify that this is a true and correct report.d.3. Calamities/Disasterse. Financial-Relatede.1. Child labor, work (Signature of Teacher over Printed Name)f. Others (Specify)School Form 2 : Page ___ of ________Attested by:

(Signature of School Head over Printed Name)

School Form 2(SF2)

School Form 2 (SF2) Daily Attendance Report of Learners(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID162507School Year2014-2015Report for the Month ofJULY

Name of SchoolPARTIDA ELEMENTARY SCHOOLGrade Level1SectionCINDERELLA

LEARNER'S NAME (Last Name, First Name, Middle Name) (1st row for date)Total for the Month REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)234569101112131617181920232425262730MTWTHFMTWTHFMTWTHFMTWTHFMTWTHFABSENTTARDY1ALBERTO, ALLEN JAMES02ALITA, JHENEL NIO AYING03ARTEZA, RAY KEVIN DELA CRUZ04BALDEVIA, JHON TOFFER NUNES05BERNAL, NAEGHUN CLARK LADAO06CABACANG, BENEDICTO III NARVAEZ07CORDERO, KARL KEVIN MASCULINO08KEMPIS, LANCE JERICO GRIOLIA09MAKIMAY, ABRAHAM CYRUS FERRERAS010NISPPEROS, JACOB DON LABIANO011RAMIREZ, MARK ANGIELO VALDEZ012RAZON, LORENZ DAVE ESTEBAN013RESURECCION, MARC JEREL BACASOY014SAGUN, KEVIN JAMES MARKY PERAY015TABLIT, IVAN KHRISTOPER 016TOLENTINO, NEIL ADRIAN LUIS017TUNDAG, CARL STEVE PETALLAR018VALENCIA, JASPER DAVE ORDOES0MALE19YSULAN, JOHN LEI PALMA019No. of pupils020no. of sch. Days00No. of days absentMALE | TOTAL Per Day000000000000000000000000001BALTAZAR, CRISTYNE ASHLEY DESTURA2BATUHAN, GVRYLA ERINGA3BAZARTE, FRANCHESKA LAGARTA4BOLANTE, PRECIOUS KYLA KANAPIA5CALUYA, VANNETY GONZALES6CANONOY, CHRISTINE JOY ALFARO7CAYANAN, SOFIA RENE GRACE8DAHILIG, AMANDA JAMILA DE VILLA9DE LEON, PATRINA CUEYAO10DILE, PRICELLA MAE MUES11FRANCISCO, JAMAICA BALLENA12GUIAO, EMERALD JABAGAT13GUILLEN, MARU ELVILENE14JOSE, RHODELYN ORDENIEL15LAVENTE, CRISTINE LOUISE OSTONAL16MAGRO, KAITLYN KYLE PACHECO17MIRAPLES, SHARLENE BIAS18OPISO, KRITINE LOUISE ROSE19PILA, MIKAELA MARIE MERRY20RADAZA, MA KRISTINA FRANCE VENDEN21REMOLTA, RACHEL JOY MAHINAY22RICABLANCA, ANGELICA LUBIANO23RIVAS, GLINNA MHIER MANGALIMAN24SAN JOSE, PRINCESS FIONA VILORIA25TAMAYAO, DENESSE STEPHANY JOY BORDEOS26TOLEDO, SAMANTHA AVRIL VILLEGAS27ZOZA, ALEXANDRA EUNICE CORNEJO28CUARESMA, RAYNALIN TOLENTINOFEMALE | TOTAL Per Day00000000000000000000000000 Combined TOTAL PER DAY00000000000000000000000000

GUIDELINES:1. CODES FOR CHECKING ATTENDANCEMonth:No. of Days of Classes:Summary1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)MFTOTAL2. Dates shall be written in the columns after Learner's Name.* Enrolment as of (1st Friday of June)1927463. To compute the following:2. REASONS/CAUSES FOR DROPPING OUTa.Percentage of Enrolment =Registered Learners as of end of the monthx 100a. Domestic-Related FactorsLate Enrollment during the month (beyond cut-off)Enrolment as of 1st Friday of the school yeara.1. Had to take care of siblingsb.Average Daily Attendance = Total Daily Attendancea.2. Early marriage/pregnancyRegistered Learners as of end of the month192746Number of School Days in reporting montha.3. Parents' attitude toward schoolingc.Percentage of Attendance for the month =Average daily attendancex 100a.4. Family problemsPercentage of Enrolment as of end of the month111.00Registered Learners as of end of the monthb. Individual-Related Factorsb.1. IllnessAverage Daily Attendance19.0027.0046FEMALE4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by the principal, this form should be returned to the adviser.b.2. Overage27No. of pupilsb.3. DeathPercentage of Attendance for the month 100%100%100%20no. of sch. Days5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of dropping out.b.4. Drug Abuse0No. of days absentb.5. Poor academic performanceNumber of students absent for 5 consecutive days:6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.b.6. Lack of interest/Distractions*Beginning of School Year cut-off report is every 1st Friday of the School Yearb.7. Hunger/MalnutritionDrop outc. School-Related Factorsc.1. Teacher FactorTransferred outc.2. Physical condition of classroomc.3. Peer influenceTransferred ind. Geographic/Environmentald.1. Distance between home and schoold.2. Armed conflict (incl. Tribal wars & clanfeuds)I certify that this is a true and correct report.d.3. Calamities/Disasterse. Financial-Related AIMEE ELLEN E. ARAOe.1. Child labor, work (Signature of Teacher over Printed Name)f. Others (Specify)School Form 2 : Page ___ of ________Attested by:ELVIRA S. DAZA (Signature of School Head over Printed Name)

School Form 3 (SF3)School Form 3 (SF3) Books Issued and Returned(This replaces Form 1 & Inventory of Textbooks)

School IDSchool Year

School NameGrade LevelSection

NO.LEARNER'S NAME (Last Name, First Name, Middle Name) Subject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleSubject Area & TitleREMARKS/ACTION TAKEN (Please refer to the legend on last page)DateDateDateDateDateDateDateDateIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturned

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES TOTAL LEARNERS | TOTAL COPIESGUIDELINES:In case of lost/unreturned books, 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 in the form.3. The Total Number of Copies issued at BoSY shall be reflected in the form.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, 2.2012.(Signature over printed name)4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Date BoSY:____________ Date EoSY: ___________5. All textbooks being used must be included. Additional copies of this form may be used if needed.School Form 3: Page ___ of ________

School Form 4 (SF 4)

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

School IDRegionDivisionDistrict

School NameSchool YearReport for the Month of

GRADE/ YEAR LEVELSECTIONNAME OF ADVISERREGISTERED LEARNERS (As of End of the Month)ATTENDANCEDROPPED OUTTRANSFERRED OUTTRANSFERRED INDaily Average Percentage 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(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-GRADEDTOTALGUIDELINES:Prepared and Submitted by:1. This form 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. 2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31 (Signature of School Head over Printed Name)Page _____ of _____ pages

School Form 5 (SF5)School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)RegionDivisionDistrict

School IDSchool YearCurriculum

School NameGrade LevelSection

LRN LEARNER'S NAME (Last Name, First Name, Middle Name) GENERAL AVERAGE (Numerical Value in 2 decimal places and 3 decimal places for honor learners, and 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 are still implementing RBEC need not to fill up these columns)From previous school years completed as of end of current School YearAs of end of current School Year

SUMMARY TABLESTATUS MALEFEMALETOTALPROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)MALEFEMALETOTALBEGINNNING (B: 74% and below)

DEVELOPING (D: 75%-79%)

APPROACHING PROFICIENCY (AP: 80%-84%)

PROFICIENT (P: 85% -89%)

ADVANCED (A: 90% and above) TOTAL MALE

PREPARED BY:

Class Adviser(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head(Name and Signature)

REVIEWED BY:

(Name and Signature)Division RepresentativeGUIDELINES:1. For All Grade/Year Levels2. To be prepared by the Adviser. Final rating per subject area should be taken from the record of subject teachers. The class adviser should compute for the 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 tally with the total enrollment report as of End of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent TOTAL FEMALE COMBINEDSchool Form 5: Page ____ of ________