School Form 1 School Register for Senior High School (SF1-SHS)

School Name ENRILE VOCATIONAL HIGH School ID District III Division CAGAYAN Region II
SCHOOL
Semester 2ND School Year 2017-2018 Grade Level 12 Track and Strand ACADEMIC/STEM
Section GENESIS Course (For TVL Only)

COMPLETE ADDRESS PARENTS GUARDIAN

Contact REMARKS

Sex (M/F)
(if learner is not Living with Parent)
NAME BIRTHDATE Religious Mother's Maiden Number of
LRN (Last Name, First Name, Name Extension, AGE Name (Please refer to the legend)
(mm/dd/yyyy) Affiliation House No./ Municipality/ Father's Name Name (Last Name, First Name, Parent/
Middle Name) Street/ Sitio/ Barangay Province (Last Name, First Name, Name (Last Name, First Name, Relationship
Purok City Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
10263105 ROMAN MAGALALA BAQUIRAN, DANTE, FAVILA, MARILYN
BAQUIRAN, MARK ANTHONY FAVILA M 9/5/2000 17 PUROK 5 ENRILE CAGAYAN 09279268667
0003 CATHOLIC G EAST GUILLERMO BASSIG
10264105 10/14/1 ROMAN CALLUENG, MACKLY ABOGADO, MYRA
CALLUENG, JOHN PAUL ANOG M 18 CUMIGAD SAN ROQUE ENRILE CAGAYAN 09067563579
0023 999 CATHOLIC MARAMAG LAPUZ
ROMAN MADDARUL CEASR, VIRGILIO ABOGADO, MYRA
CESAR, JERRY ABOGADO M 08/21/1999 18 ZONE I ENRILE CAGAYAN 09350920640
CATHOLIC UG SUR RUEDA LAPUZ
CUNTAPAY, TALLOD, LUCRECIA
4 CUNTAPAY, JERALD TALLOD M 11/24/1997 20 MORMON BUNAGAN BRGY. 3-A ENRILE CAGAYAN 09364405641
FRANCISCO LOZANO BALAGAN
DECENA, CHRISTIAN DOMINIQUE ROMAN MADDARUL DECENA, MARLON LACORTE, ROSEMARIE
5 M 11/21/1999 18 ZONE II ENRILE CAGAYAN 09058984767
LACORTE CATHOLIC UG SUR TUPPAL RIBO
ROMAN MADDARUL DECENA, CLEMENTE HONORIO, LIZA
6 DECENA, CRISSLE DAVE HONORIO M 2/8/1999 18 ZONE II ENRILE CAGAYAN 09951420334
CATHOLIC UG NORTE DANGA ESTEBAN
20
ROMAN GACUTAN, VICTORINO MABAZZA, JULIETA
7 GACUTAN, ACE MABAZZA M 8/6/2000 17 QUEZON BRGY. II ENRILE CAGAYAN 09178878625
CATHOLIC LIGGAYU SOLMAYOR
ST.
ROMAN GAFFUD, ROGELIO
8 GAFFUD, MC GREGOR LAS M 8/4/2000 17 BUNAGAN SAN JOSE ENRILE CAGAYAN LAS, THELMA SERENIO 09366660128
CATHOLIC GACUTAN
ROMAN GANNABAN SR, DAYAG, FRANCESCA
9 GANNABAN JR, LEONARDO DAYAG M 11/21/1999 18 BUNAGAN SAN JOSE ENRILE CAGAYAN 09267661455
CATHOLIC LEONARDO ARUGAY CAUILAN
ROMAN HERNANDEZ, RODEL CAPANAN, ARCELIE
10 HERNANDEZ, DARWIN CAPANAN M 09/29/1999 18 CARAG BRGY.2 ENRILE CAGAYAN 09752463593
CATHOLIC ANOG ADOLFO
ROMAN CABANILLA, EVA
11 LOZANO, ALJON CABANILLA M 11/30/1999 18 BUNAGAN SAN JOSE ENRILE CAGAYAN LOZANO, LEO LAPPAY 09475681291
CATHOLIC MARQUEZ
ROMAN 11 MARAMG, JOSEPH LAREZA, ERNA,
12 MARAMAG, VINCE JOSEPH LAREZA M 7/10/1999 18 SAN ROQUE ENRILE CAGAYAN 09972936605
CATHOLIC CAMACAM PALATTAO GALLEGO
ALLAYBAN,
TAGUINOD JR, MARCELINO ROMAN TAGUINOD SR,
13 M 03/18/1999 18 CARAG BRGY.2 ENRILE CAGAYAN LUZVIMINDA
ALLAYBAN CATHOLIC MARCELINO SANTOS
LALLABBAN

BORN AGAIN
14 TELAN, JEROME TAGUIBAO M 5/10/1999 18 ZONE 7 SAN ROQUE ENRILE CAGAYAN TELAN, SANDY SUYU TAGUIBAO, MAJELYN 09759452507
CHRISTIAN
IGLESIA NI ROMA VENTURA, RODRIGO BAREO, MARLYN
15 VENTURA, JOHN MARK BAREO M 11/27/1999 18 ZONE 2 ENRILE CAGAYAN 09272191226
CRISTO NORTE BALAJADIA GACUTAN
15
ROMAN ROMA ANDAL, RIZALDE BALAJADIA, VANESSA
1 ANDAL, MARISSA BALAJADIA F 3/10/1999 18 ZONE 3 ENRILE
E CAGAYAN 09069191120
CATHOLIC NORTE TAGUINOD APIL
N
CALAYAN,
ROMAN LEMU R CATABIAN, VISITACION
2 CALAYAN, APRIL ROSE CATABIAN F 10/1/2000 18 ZONE 4 ENRILE CAGAYAN CHRITOPHER 09163311427
CATHOLIC NORTE I MELAD
VILLALUZ
L
E CATABIAN, RICARDO
3 CATABIAN, RICHELLE JOY DIAZ F 08/28/1999 18 ANGELICAN ZONE 5 LEMU SUR ENRILE CAGAYAN DIAZ, ELENA BALLAN 09058074940
BINASOY JR.
ROMAN MADDARUL CALIMAG, PEDRO CALIMAG, JONALYN
4 LALLABBAN, NICOLE TALLUD F 5/12/1999 18 ZONE 4 ENRILE CAGAYAN 09754630192
CATHOLIC UG SUR BUNAGAN LALLABBAN
ROMAN LAPPAY, AGUSTO PALATTAO, ALICE
5 LAPPAY, SHERILYN PALATTAO F 11/27/1999 18 ZONE 4 DIVISORIA ENRILE CAGAYAN 09351976023
CATHOLIC BACANI TAGUINOD
PANTE, ANTONIO LLANTO, FRAIDA
6 PANTE, ANGELICA LLANTO F 08/18/1999 18 MORMON ZONE 2 LANNIG SOLANA CAGAYAN 09153686462
DEUS PASCUAL
ROMAN RANJO, ANTOION ALLAYBAN, AMBROCIA
7 RANJO, KAISIE ALLAYBAN F 11/19/1999 18 ZONE 1 LANNA ENRILE CAGAYAN 09364434417
CATHOLIC LAPPAY TAGUINOD
ROMAN RANJO, NESTOR SODUSTA, EUFEMIA
8 RANJO, EUGENE SODUSTA F 06/19/1999 18 ZONE 1 LANNA ENRILE CAGAYAN 09269389337
CATHOLIC LAPPAY CUBIA
ROMAN MADDARUL RECONSAL, GEORGE AVILLANOSA, ELMA
9 RECONSAL, JOMARY AVILLANOSA F 9/12/1998 19 ZONE 1 ENRILE CAGAYAN 09067325725
CATHOLIC UG SUR GARCIA SR. DAYAG
ROMAN PAGULAYA TALLUD, AMBROCIO LAPPAY, MAXIMA
10 TALLUD, MAY ANN JOY LAPPAY F 05/22/2000 17 BRGY. 2 ENRILE CAGAYAN 09058063757
CATHOLIC N ARUGAY TRINIDAD

10
25
Legend: List and Code of Indicators under REMARKS column
Beginning of the Prepared By:
Indicator Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date MALE
Balik Aral B/A Name of school last
Transferred attended & Year
In T/I
Name of School, Date of 1st Specify Exceptionality of the Signature of Adviser over Printed Name
Learner With LWE Learner
Attendance and Date of Last FEMALE
Exceptionality Specify Level & Effectivity
Attendance if Transferred Out Accelerated ACL Date
Beginning of the Semester Date: End of the Semester Date:
TOTAL

SFRT 2017
SFRT 2017
 School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name School ID District Division Region

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL) Month of
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).

10

11

12

13

14

15

16

17

<=== MALE | TOTAL Per Day ===>

10

11

12

13
 14

15

16

17

18

19

20

21

22

23

24

25

26

27

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester)

2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)

a. Percentage of Enrolment = x 100 SCHOOL (NLS)

Registered Learners as of end of the month Registered Learners as of end of the month

Enrolment as of 1st Friday of the school year a. Domestic-Related Factors Percentage of Enrolment as of end of the month

a.1. Had to take care of siblings Average Daily Attendance

Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month
a.4. Family problems
Average daily attendance Number of students absent for 5 consecutive days
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
3. 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 b.1. Illness No Longer in School (NLS)
signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days b.4. Drug Abuse Transferred Out
b.5. Poor Academic Performance
and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. Transferred In
b.7. Hunger/Malnutrition
Shifting Out

c. School-Related Factors Shifting In

c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:

f. Others (Specify) Signature of School Head over Printed Name

a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
 School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
School Name School ID District Division Region

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME REMARKS/ACTION TAKEN

No. (Last Name, First Name, Name Extension, (Please refer to the codes below)
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
 40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>

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 shall be reflected in the form.
4. The Total Number of Copies of Books Returned shall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, please provide information with the following code:
Prepared By:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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 No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
Signature of Class Adviser over Printed Name
 School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SHS)

School Name District Division Region

School ID Semester School Year

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT SHIFTED IN

REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
Number as of Number as
(B) Total for
Number as of Number as
(B) Total for
Number as
of the Month) Average Month the Month the Month the Month the Month the Month
of Previous End of the of Previous of End of of Previous End of the of Previous End of the of Previous of End of the
Month Month Month the Month Month Month Month Month Month Month

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 T M F T M F T M F T M F T M F T M F T

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12

GRAND TOTAL

Prepared and Submitted By:

Signature of School Head over Printed Name

 School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)

School Name School ID District Division Region

Semester School Year Grade Level Section

Track and Strand Course/s (only for TVL)

BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)

MALE
SUMMARY TABLE 1ST SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL

REGULAR

IRREGULAR

TOTAL

FEMALE
 Prepared By:

Signature of Class Adviser over Printed Name

Certified Correct By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These
data elements shall be filled up only after the 2nd semester or at the end of the School Year.

INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)

End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
 School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name School ID District Division Region
Semester School Year Section
Track and Strand Course/s (only for TVL)

Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)

MALE

SUMMARY TABLE A
STATUS MALE FEMALE TOTAL

Learners who
completed SHS
Program within 2
SYs or 4
semesters

Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters

TOTAL

SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL

Note: NCs are recorded here for documentation but is not a requirement for
graduation.
 Note: NCs are recorded here for documentation but is not a requirement for
graduation.

GUIDELINES:

1. This form should be accomplished by the Class Adviser at End of School

Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.

FEMALE
Reviewed By:

Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

 School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)

School Name School ID District Division Region

Semester School Year

END OF SCHOOL YEAR

END OF SEMESTER STATUS
(Fill up only at the end of the second semester.)

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL

Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Division Superintendent over Printed Name
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school total.
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
 School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
School Name School ID District Division Region
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

Title of Designation
Title of Plantilla Position Title of Plantilla Position (Contractual, Fund Source
Number of Number of (as it appears in the contract/document:
(as it appears in the appointment (as it appears in the appointment Substitute, (SEF, PTA,
Incumbent Incumbent Teacher, Clerk, Security Guard, Driver etc.)
document/PSIPOP) document/PSIPOP) Volunteer, Others NGO's etc.) Teaching Non-Teaching
specify)

Remarks:
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Nature of *For Detailed Items, Indicate
Appointment/ name of school/office,
Employee Grade and
*For IP - Ethnicity)
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Total Actual *For additional loads from
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From To Teaching JHS- please indicate the number
Number Position, Descending) (Regular/ Minor Assignments sections (M/T/W/
-T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Part Time) Training Attended Week

First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:
 Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day

GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movement of teachers and other
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lowest. Signature of School Head over Printed Name
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only. Updated as of:

School Form 7, Page ___ of ________

SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)
School Name District Division Region

School ID Grade Section Track/Strand (SHS) School Year

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Name Extension, Middle Name) (kg/m²) Category
MALE

FEMALE

SFRT 2017
 SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE
FEMALE
TOTAL

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

SFRT 2017

SFRT 2017