School Forms 2015 2016

School Form 1 (SF 1) School Register
(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
300988
Region
School Name
Division
SAN MANUEL HIGH SCHOOL
School Year
AGE as of 1st
Friday of June
LRN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
NAME
(Last Name, First Name, Middle Name)
Angeles, Arjay A.
Bartolome, John Carlo V.
Caligagan, Ramilo D.
Castillo II, King Manny M.
Castillo, RJ P.
Dizon, Mark Jamil M.
Dueas, Rafael D.
Estravillo, John Paulo C.
Guiao, Lyndon P.
Juare, Angelo Vincent
Labong Jr., Arthur C.
Madarang, Kevin G.
Manuel, Jomarie M.
Pasuguiran Jr., Danilo D.
Remigio Jr., Arnelio E.
Rosete, Edmerl Iverson D.
Santos, Jayson S.
Tababa, Jeremy
Tababa, Julifer D
Tabios, Ivy S.
Tamayo, Erickson E.
Taniza, Monte Carlo
Ular, Arnie D.
Aguilar, Jovie Ann L.
Alfaro, Trisha C.
Castillo, Joana Marie M.
Corpuz, Kheyzle B.
Cunanan, Janine S.
David, Monica O.
TARLAC CITY
Sex (M/F)
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
F
F
F
F
F
F
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
District
2015-2016
Grade Level
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
TARLAC EAST
7
Section
NAME OF PARENTS
DELA COSTA
GUARDIAN (If not Parent)
REMARK/S
Contact Number
(Parent /Guardian)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if family

name identical to learner)
Mother (Maiden: 1st Name, Middle &

Last Name)
Name
(Please refer to the legend on

last page)
Relationship
11/19/02
12
Tarlac
Tagalog
Roman Catholic
blk 1
San Manuel
Tarlac City
Tarlac
Rodolfo
Milagros G. Aganon
11/28/02
12
Tarlac
Tagalog
Roman Catholic
blk 1
San Manuel
Tarlac City
Tarlac
Bernabe
Marites T. Vallejo
9219605148
9258119191
1/20/02
12
Tarlac
Tagalog
Roman Catholic
blk 6
San Manuel
Tarlac City
Tarlac
Rey
Anabelle C. Dela Rosa
9196400491
8/7/02
12
Tarlac
Tagalog
Roman Catholic
blk 4
San Manuel
Tarlac City
Tarlac
Redencio
Ma. Pamela F. Maniego
9156866734
1/7/02
12
Tarlac
Tagalog
Roman Catholic
blk 1
San Manuel
Tarlac City
Tarlac
Randy
Gina Pingol
9234337378
9/6/02
12
Tarlac
Tagalog
Roman Catholic
blk 2
San Manuel
Tarlac City
Tarlac
Randy
1/23/02
12
Tarlac
Tagalog
Methodist
blk 1
San Manuel
Tarlac City
Tarlac
Edgardo
Mely David
9235166486
12/21/02
12
Tarlac
Tagalog
Roman Catholic
blk 4
San Pascual
Tarlac City
Tarlac
Sydney
Mylene C. Cortez
9498617728
2/4/02
12
Tarlac
Tagalog
INC
blk 5
San Isidro
Lapaz
Tarlac
Abner
Myrna Pascual
9124369112
8/31/01
12
Tarlac
Tagalog
Roman Catholic
blk 5
San Manuel
Tarlac City
Tarlac
Gradencio
11/5/02
12
Tarlac
Tagalog
Roman Catholic
blk 5
San Pascual
Tarlac City
Tarlac
Henry
Olive Calleja
9291005588
8/30/02
12
Tarlac
Tagalog
INC
blk 1
San Pascual
Tarlac City
Tarlac
Noriel
Gina S. Grande
6067060
2/1/02
12
Tarlac
Tagalog
Methodist
zone 6
Maliwalo
Tarlac City
Tarlac
Danny
Hilaria Isabell Y. Magbag
9176040366
4/26/03
11
Tarlac
Tagalog
Roman Catholic
blk 1
San Manuel
Tarlac City
Tarlac
Gerry
Marilyn M. Dizon
9066433501
9/2/02
12
Tarlac
Tagalog
Roman Catholic
blk 1
San Manuel
Tarlac City
Tarlac
Louie
Dulcie Espejo
9356900902
6/6/02
12
Tarlac
Tagalog
INC
blk 2
Caramutan
Lapaz
Tarlac
Romeo
Melita Dante
9184921464
Myla G. Suriaga
9287858217
9277406509
7/3/02
12
Tarlac
Tagalog
Methodist
blk 2
Caramutan
Lapaz
Tarlac
Nestor
3/22/02
12
Tarlac
Tagalog
Roman Catholic
zone 6
Maliwalo
Tarlac City
Tarlac
Arnel
7/30/02
12
Tarlac
Tagalog
Baptist
blk 3
San Pascual
Tarlac City
Tarlac
Ryan
Mawie Q. Davidao
11/22/03
12
Tarlac
Tagalog
Roman Catholic
blk 3
San Manuel
Tarlac City
Tarlac
Floren
Maria Cristina L. Santos
9439256183
7/12/02
12
Tarlac
Tagalog
Roman Catholic
blk 1
San Manuel
Tarlac City
Tarlac
Wilfred
Monnette P. Estrada
91625525216
12/7/02
12
Tarlac
Tagalog
Roman Catholic
blk 2
San Manuel
Tarlac City
Tarlac
Edgardo
9124369442
12/7/02
12
Tarlac
Tagalog
Roman Catholic
blk 5
San Manuel
Tarlac City
Tarlac
Jose Marie
9275300413
9/13/02
3/19/02
10/8/02
11/28/02
1/20/02
11/12/02
12
12
12
12
12
12
Tarlac
INC
blk 1
San Pascual
Tarlac City
Tarlac
Rocky
Tarlac
Tagalog
Tagalog
Roman Catholic
blk 6
San Jose
Tarlac City
Tarlac
Rizaldo
Tarlac
Tagalog
Roman Catholic
blk 6
San Jose
Tarlac City
Tarlac
Rodolfo
Tarlac
Tagalog
INC
blk 1
San Manuel
Tarlac City
Tarlac
Bien
Tarlac
Tagalog
Roman Catholic
blk 6
San Jose
Tarlac City
Tarlac
Jeffrey
Tarlac
Tagalog
Roman Catholic
blk 2
San Manuel
Tarlac City
Tarlac
Amelito
9197485963
Tricia Cortez
9997233165
9993656306
Jasmine Solomon
9075064303
9461502751
AGE as of 1st
Friday of June
NAME
LRN
7
8
9
10
11
12
13
14
15
16
17
18
Sex (M/F)
Escao, Rochelle S.
Juliano, Ronalyn C.
Laxamana, Heart Darren

Macadangdang, Madonna Marie
F
F
Mananquil, Hazel N.
Mangaco, Jenalyn C.
Miranda, Rocel
Nucup, Mary Joy
Oate, Regine D.
Ramos, Ana Isabel Q.
Terre, Mary Christ C.
Yarte, Maria Aphril R.
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
6/12/02
1/1/02
1/3/02
1/29/02
7/28/01
8/11/02
7/12/02
12
12
12
12
13
12
12
ADDRESS
BIRTH PLACE
(Province)
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
NAME OF PARENTS
Code
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Father (1st name only if family

name identical to learner)
Jehovah's Witness
blk 1
San isidro
Lapaz
Tarlac
Jet
Tarlac
Tagalog
Tarlac
Tagalog
Methodist
blk 2
San Manuel
Tarlac City
Tarlac
Jovito
Tarlac
Tagalog
Roman Catholic
blk 2
San Manuel
Tarlac City
Tarlac
Ronaldo
Tarlac
Tagalog
Born Again
blk 1
Caramutan
Lapaz
Tarlac
Tarlac
Tagalog
Roman Catholic
blk 1
Balingcanaway
Tarlac City
Tarlac
Tarlac
Tagalog
INC
blk 5
San Manuel
Tarlac City
Tarlac
Tarlac
Tagalog
Roman Catholic
blk 1
San Isidro
Lapaz
Tarlac
5/1/02
12
Tarlac
Tagalog
Methodist
blk 1
Balingcanaway
Tarlac City
Tarlac
5/3/02
12
Tarlac
Tagalog
Roman Catholic
blk 6
San Jose
Tarlac City
Tarlac
2/29/2002
12
Tarlac
Tagalog
Born Again
blk 6
San Manuel
Tarlac City
Tarlac
8/28/01
12
Tarlac
Tagalog
Roman Catholic
blk 6
San Jose
Tarlac City
Tarlac
9/11/02
12
Tarlac
Tagalog
INC
blk 5
San Manuel
Tarlac City
Tarlac
Required Information
Indicator
Code
REMARK/S
Contact Number
(Parent /Guardian)
Required Information
BoSY
Transferred Out
T/O
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
MALE
Transferred IN
Dropped
Late Enrollment
T/I
DRP
LE
Name of Public (P) Private (PR) School & Effectivity Date

Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
Balik-Aral
Learner With Dissability
Accelarated
B/A
LWD
ACL
Name of school last attended & Year

Specify
Specify Level & Effectivity Data
FEMALE
TOTAL
Mother (Maiden: 1st Name, Middle &

Last Name)
Name
(Please refer to the legend on

last page)
Relationship
9336696453
9193911844
Milanda D. Baltazar
9166621427
Neil
Gille Castillo
9176234559
Edgardo
Oliverio C. Nunag
9985473329
Enrico
Nelia S. Castillo
9153246099
Rey
Biena Garcia
Jonas
Mary Grace Baun
Alfred
Jessa David
Gerald
Rosa Quinto
Richard
Marie Cris Castro
Edwardo
May Ramos
List and code of Indicators under REMARK column

Indicator
GUARDIAN (If not Parent)
RELIGION
EoSY
9461522751
9336496454
9193811833
9177621427
9276234549
9206564549
Prepared by:
Certified Correct:
(Signature of Adviser over Printed Name)
BoSY Date:
EoSYDate:
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of L
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile
300988
School Year
Name of School
2015-2016
Grade
(1st row for date, 2nd row for Day: M,T,W,TH,F)
1 Angeles, Arjay A.
2 Bartolome, John Carlo V.
3 Caligagan, Ramilo D.
4 Castillo II, King Manny M.
9 Guiao, Lyndon P.
12 Madarang, Kevin G.
13 Manuel, Jomarie
14 Pasuguiran Jr., Danilo D.
15 Remigio Jr., Arnelio E.

16 Rosete, Edmerl Iverson D.
18 Tababa, Jeremy
19 Tababa, Julifer
25
W
24
T
23
M
20
F
19
7 Dueas, Rafael D.
8 Estravillo, John Paulo C.
20 Tabios, Ivy S.
18
5 Castillo, RJ P.
6 Dizon, Mark Jamil M.
17 Santos, Jayson S.
17
TH
16
13
12
11
10
TH
3
T
TH
LEARNER'S NAME
10 Juare, Angelo Vincent

11 Labong Jr., Arthur C.
Report for the Mo
SAN MANUEL HIGH SCHOOL
School ID

24
25
W
23
T
20
M
19
F
18
TH
17
W
16
T
13
M
12
F
11
TH
10
W
9
T
6
M
5
F
4
TH
3
T
LEARNER'S NAME
21 Tamayo, Erickson E.
22 Taniza, Monte Carlo
23 Ular, Arnie D.
MALE | TOTAL Per Day
21
23
23
23
23
21
23
22
22
23
21
23
22
23
23
23
1 Aguilar, Jovie Ann L.

2 Alfaro, Trisha C.
3 Castillo, Joana Marie M.
4 Corpuz, Kheyzle B.
5 Cunanan, Janine S.
6 David, Monica O.
7 Escao, Rochelle S.
8 Juliano, Ronalyn C.
9 Laxamana, Heart Darren
10 Macadangdang, Madonna Marie
11 Mananquil, Hazel N.
12 Mangaco, Jenalyn C.
13 Miranda, Rocel
14 Nucup, Mary Joy
X
X
21
23

23
24
25
W
20
19
18
17
TH
16
13
M
12
F
11
TH
10
W
9
T
6
M
5
F
4
TH
3
T
LEARNER'S NAME
15 Oate, Regine D.
16 Ramos, Ana Isabel Q.

17 Terre, Mary Christ C.
18 Yarte, Maria Aphril R.
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
17
18
17
17
18
17
16
18
18
18
17
18
18
18
18
17
18
18
38
41
40
40
41
38
39
40
40
41
38
41
40
41
41
40
39
41
GUIDELINES:
1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
blank- Present; (x)- Absent; Tardy (half shaded=

Commer, Lower for Cutting Classes)
2. Dates shall be written in the preceding columns beside Learner's Name.

3. To compute the following:
a.
Percentage of Enrolment =
b.
Average Daily Attendance =
c. Percentage of Attendance for the month =
Registered Learner as of End of the Month

Enrolment as of 1st Friday of June
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
Registered Learner as of End of the month
x 100
x 100
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
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.
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
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence

24
25
W
23
T
20
M
19
F
18
TH
17
W
16
T
13
M
12
F
11
TH
10
W
9
T
6
M
5
F
4
TH
3
T
LEARNER'S NAME
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
School Form 2: Page 2 of ________
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
port of Learners
Dropout Profile)
for the Month of
NOVEMBER
Grade Level
Section
DELA COSTA
Total for the Month
30
M
27
F
TH
26
ABSENT
TARDY
H
O
L
I
D
A
Y
H
O
L
I
D
A
Y
1
3
1
2
1
1
1
1
1
REMARK/S (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Total for the Month
21
30
M
27
F
TH
26
ABSENT
TARDY
15
X H
O
L
X I
D
A
Y
H
O
L
I
D
A
Y
1
1
1
3
1
1

number 2.
Total for the Month

27
30
ABSENT
TH
26
15
11
36
26
11
ENDANCE
dy (half shaded= Upper for Late

es)
P-OUTS
TARDY

number 2.
Month:
No. of Days of Classes:
19
OCTOBER
Summary for the Month

M
TOTAL
23
18
41
23
18
41
100
100
100
Average Daily Attendance
22.21
17.42
39.63
Percentage of Attendance for the month
96.57
96.78
96.66
Number of students with 5 consecutive days of absences:
Drop out
Transferred out
Transferred in
* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Registered Learner as of end of the month
Percentage of Enrolment as of end of the month
Total for the Month

30
M
27
F
TH
26
ABSENT
TARDY

number 2.
I certify that this is a true and correct report.

NADIA A. PARAS
(Signature of Teacher over Printed Name)
ars & clanfeuds)

Attested by:
PERLA C. PALMA
School Form 3 (SF3) Books Issued
(This replaced Form 1 & Inventory of Text B
School ID
School Year
School Name
NO.
Grade Level
Subject Area & Title
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
TOTAL FOR MALE | TOTAL COPIES
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
NO.
Date
Date
Date
Date
LEARNER'S NAME
Issued
Returned
Issued
Returned
Issued
Returned
Issued
TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES
GUIDELINES:
1. Title of Books Issued to each learner must be recorded by the class adviser.
2. 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.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
In case of losses/unreturned, please provide information w
A. In Column Date Returned, codes are: FM=Force Majeure,

B. In Column Remark/Action Taken, codes are: LLTR=Secured
prepared letter/report duly noted by School Head for submissio
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2
oks Issued and Returned
& Inventory of Text Book)
Section
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
Issued
Returned
ct Area & Title
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
Date
Returned
ovide information with the following code:
FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
l Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
25, s.2003, DO#14, 2.2012.
Issued
Returned
Prepared By:
(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________
School Form 4 (SF4) Monthly Learner's
(This replaced Form 3 & STS Form 4-Absenteeis
Region
Division
School ID
School Name
ATTENDANCE
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
Percentage for the

Month
M
(A) Cumulative as of
Previous Month
M
(B) For the Month

M
ELEMENTARY/SECONDARY:
KINDER
GRADE 1/GRADE 7
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
TOTAL
GUIDELINES:
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.
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.
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 grad
rner's Movement and Attendance
4-Absenteeism and Dropout Profile)
District
School Year
Report for the Month of
OPPED OUT
For the Month

T
TRANSFERRED OUT
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
TRANSFERRED IN
(A+B) Cumulative as of (A) Cumulative as of

End of the Month
Previous Month
M
(B) For the Month

M
(A+B) Cumulative as
of End of the Month
M
umn per grade/year level.
Prepared and Submitted by:
School Form 5 (SF 5) Report on Promotion & Le
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduate
Region
Division
School ID
School Year
School Name
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/
(This column is for K to 1
Elementary grades level
Completed as of end of
LRN
LEARNER'S NAME
(Last Name,
TOTAL MALE
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
LRN
LEARNER'S NAME
(Last Name,
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
LRN
LEARNER'S NAME
(Last Name,
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/
otion & Level of Proficiency
and List of Graduates)
District
Curriculum
Grade Level
Section
LETE SUBJECT/S
olumn is for K to 12 Curriculum and remaining RBEC in High School.
tary grades level that still implementing RBEC need not to fill up this
column)
eted as of end of current SY
as of End of the current SY

SUMMARY TABLE
STATUS
MALE
FEMALE
PROMOTED
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
TOTAL
LETE SUBJECT/S
column)

MALE
FEMALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D: 75%79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
TOTAL
LETE SUBJECT/S
column)

CERTIFIED CORRECT & SUBMITTED:
School Head
REVIEWED BY:

Division Representative
GUIDELINES:
1. For All Grade/Year Levels
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
LETE SUBJECT/S
column)

4. Must tallied with the total enrollment report as of End of School Year
GESP /GSSP (BEIS)
5. Protocols of validation & submission will remain under the discretion
of the Schools Division Superintendent
School Form 6 (SF6) Summarized Report on Prom

and Level of Proficiency
(This replaced Form 20)
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
(B:
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of PROFICIENT
85% -89%)
(P:
Nos. of ADVANCED
90% and above)
(A:
TOTAL
Prepared and Submitted by:
Reviewed & Validated by:

SCHOOL HEAD
Noted by:
DIVISION REPRESENTATIVE
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
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
Promotion
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
d.
SCHOOLS DIVISION SUPERINTENDENT
School Form 7 (SF7) School Personnel Assignment List an
(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignmen
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
Region
Division
School Name
District
(A) Nationally-Funded Teaching & Teaching Related Items
Title of Plantilla Position

(as
Number of Incumbent
appeared in the appointment document/PSIPOP)
(B) Nationally-Funded Non Teaching Items
Title of Plantilla Position

(as
appeared in the appointment document/PSIPOP)
Number of
Incumbent
Title of Designation
(Designation
contract/document: Teac
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
(or Tax
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Minor
GUIDELINES:
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
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
personnel.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. * Daily Program Column is for teaching personnel only.
rsonnel Assignment List and Basic Profile
Status Report for Teachers, Form 19-Assignment List,

and Form 31-Summary Information of Teachers)
School Year
(C ) Other Appointments and Funding Sources
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)
Number of Incumbent
Teaching
Non-Teaching
* Daily Program (time duration)

Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)
Remark/s (For Detailed Items, Indicate name of

Total Actual
school/office, For IP's -Ethnicity)
Teaching Minutes
To (00:00)
Assignment per
Week
Ave. Minutes per Day

Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)

Total Actual
Teaching Minutes
To (00:00)
Assignment per
Week

Assignment
DAY
(M/T/W/TH/
F)
From
(00:00)

Total Actual
Teaching Minutes
To (00:00)
Assignment per
Week

Submitted by:
Y, updated Form 19 must submit to the Division Office .

lowest. This form shall also serve as inventory list of school

Updated as of: ___________________________
School Form 7, Page 2 of ________

School Forms 2015 2016

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School Form 1 (SF 1) School Register

SAN MANUEL HIGH SCHOOL

Father (1st name only if family

Mother (Maiden: 1st Name, Middle &

(Please refer to the legend on

Anabelle C. Dela Rosa

Ma. Pamela F. Maniego

Hilaria Isabell Y. Magbag

Maria Cristina L. Santos

Laxamana, Heart Darren

Nucup, Mary Joy

Ramos, Ana Isabel Q.

Terre, Mary Christ C.

Yarte, Maria Aphril R.

Father (1st name only if family

Name of Public (P) Private (PR) School & Effectivity Date

CCT Control/reference number & Effectivity Date

Name of Public (P) Private (PR) School & Effectivity Date

Name of school last attended & Year

Mother (Maiden: 1st Name, Middle &

(Please refer to the legend on

Mary Grace Baun

Marie Cris Castro

List and code of Indicators under REMARK column

GUARDIAN (If not Parent)

(Signature of Adviser over Printed Name)

(Signature of School Head over Printed Name)

School Form 2 (SF2) Daily Attendance Report of L

15 Remigio Jr., Arnelio E.

10 Juare, Angelo Vincent

Report for the Mo

SAN MANUEL HIGH SCHOOL

(1st row for date, 2nd row for Day: M,T,W,TH,F)

MALE | TOTAL Per Day

1 Aguilar, Jovie Ann L.

(1st row for date, 2nd row for Day: M,T,W,TH,F)

16 Ramos, Ana Isabel Q.

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

1. CODES FOR CHECKING ATTENDANCE

blank- Present; (x)- Absent; Tardy (half shaded=

2. Dates shall be written in the preceding columns beside Learner's Name.

Average Daily Attendance =

c. Percentage of Attendance for the month =

Registered Learner as of End of the Month

(1st row for date, 2nd row for Day: M,T,W,TH,F)

School Form 2: Page 2 of ________

for the Month of

REMARK/S (If DROPPED OUT, state reason, please refer to legend

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to legend

Total for the Month

dy (half shaded= Upper for Late

REMARK/S (If DROPPED OUT, state reason, please refer to legend

No. of Days of Classes:

Summary for the Month

Average Daily Attendance

Percentage of Attendance for the month

Number of students with 5 consecutive days of absences:

* Enrolment as of (1st Friday of June)

Total for the Month

REMARK/S (If DROPPED OUT, state reason, please refer to legend

I certify that this is a true and correct report.