Region VIII

School ID
School Name

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

LRN

NAME
(Last Name, First Name, Middle Name)

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

AGE as of 1st
Friday June

NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

List and Code of Indicators under REMARKS column

Indicator

Code

Required Information

AGE as of 1st
Friday June

NAME
(Last Name, First Name, Middle Name)

LRN

Sex (M/F)

BIRTH DATE
(mm/dd/ yyyy)

Transferred Out

T/O

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

Transferred IN

T/I

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

Dropped
Late Enrollment

DRP
LE

Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of June)

AGE as of 1st
Friday June

School Form 1 (SF 1) School Register

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

Division

Dis
School Year

Grade L
ADDRESS

MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

Municipality/ City

Province

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

Code

RELIGION

House #/ Street/
Sitio/
Purok

Required Information

Barangay

Municipality/ City

Province

REGISTERED

ADDRESS
MOTHER TONGUE

IP
(Ethnic Group)

RELIGION

House #/ Street/
Sitio/
Purok

Barangay

CCT

CCT Control/reference number & Effectivity Date

B/A

Name of school last attended & Year

LWD
ACL

Specify
Specify Level & Effectivity Data

Municipality/ City

Province

MALE

FEMALE

TOTAL

District
Section

Grade Level
PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,

First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,

First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,

First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,

First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

Mother's Maiden Name (Last Name,

First Name, Middle Name)

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

BoSY

EoSY

Mother's Maiden Name (Last Name,

First Name, Middle Name)

Prepared by:

GUARDIAN

(If
not Parent)

Name

Relation-ship

Contact Number of
Parent or Guardian

Certified Correct:

GUARDIAN

PARENTS
Father's Name (Last Name, First
Name, Middle Name)

(If
not Parent)

Mother's Maiden Name (Last Name,

First Name, Middle Name)

Name

(Signature of Adviser over Printed Name)

BoSY Date:

EoSYDate:

Relation-ship

Contact Number of
Parent or Guardian

(Signature of School Head over Printed Nam

BoSY Date:

EoSYDate:

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

ect:

REMARKS
(Please refer to the legend
on last page)

REMARKS
(Please refer to the legend
on last page)

School Head over Printed Name)

EoSYDate:

School Form 2 (SF2) Daily Atten

(This replaces Form 1, Form 2 & STS Form 4

School ID

School Year

Name of School
(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)
M
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

TH

TH

TH

(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)
M

TH

TH

TH

21

21

16
17
18
19
20
21

MALE | TOTAL Per Day

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

(1st row for date)

LEARNER'S NAME
(Last Name, First Name, Middle Name)
M

TH

TH

TH

26

26

26

47

47

47

16
17
18
19
20
21
22
23
24
25
26

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY

GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month

1. CODES F

(blank) - Pre

x 100

x 100

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 School Form 4. Once signed by the
principal, this form should be returned to the adviser.

2. REASON
a. Domestic
a.1. Had to t

a.2. Early m
a.3. Parents
a.4. Family p

b. Individua

b.1. Illness
b.2. Overage

LEARNER'S NAME
(Last Name, First Name, Middle Name)
M
Tfor recording
W
THsummary
F table
M into School
T
W 4. TH
F
4. Every end of the month, the class adviser will submit this form to the office of the principal
of
Form
Once signed
byMthe
principal, this form should be returned to the adviser.

(1st row for date)

T

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.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year

School Form 2 : Page ___ of ________

TH

b.3. Death
b.4. Drug Ab
b.5. Poor ac
b.6. Lack of
b.7. Hunger/
c. School-R
c.1. Teacher
c.2. Physica
c.3. Peer inf
d. Geograph
d.1. Distance
d.2. Armed c
d.3. Calamit
e. Financial
e.1. Child lab
f. Others (S

Attendance Report of Learners

Form 4 - Absenteeism and Dropout Profile)

Report for the Month of

Grade Level

Section
Total for the Month

)
F

TH

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)

Total for the Month

)
F

21

TH

21

TH

ABSENT

TARDY

525
0

REMARKS (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)

Total for the Month

)
F

TH

TH

ABSENT

TARDY

26

26

630

47

47

1155

ODES FOR CHECKING ATTENDANCE

nk) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)

EASONS/CAUSES FOR DROPPING OUT

omestic-Related Factors
Had to take care of siblings

Early marriage/pregnancy
Parents' attitude toward schooling
Family problems

dividual-Related Factors

Illness
Overage

Month:

REMARKS (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)

No. of Days of Classes:

25

Summary
M

* Enrolment as of (1st Friday of June)

Late Enrollment during the month

(beyond cut-off)
Registered Learners as of end of the month

TOTAL

0
21

26

47

Percentage of Enrolment as of end of the month

#DIV/0! #DIV/0!

#DIV/0!

Average Daily Attendance

#DIV/0! #DIV/0!

#DIV/0!

Total for the Month

)
F

TH

Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school
Armed conflict (incl. Tribal wars & clanfeuds)
Calamities/Disasters
nancial-Related
Child labor, work
hers (Specify)

TH

ABSENT

TARDY

REMARKS (If DROPPED OUT, state reason, please refer to legend

number 2.
If TRANSFERRED IN/OUT, write the name of School.)

Percentage of Attendance for the month

#DIV/0!

#DIV/0!

Number of students absent for 5 consecutive days:

#DIV/0!
0

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

(Signature of Teacher over Printed Name)

Attested by:
JESSE CAPIN
(Signature of School Head over Printed Name)

School Form 3 (SF3) Books Issued

(This replaces Form 1 & Inventory of Textb

School ID

School Year

School Name

NO.

Grade Level
Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

TOTAL FOR MALE | TOTAL COPIES

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued

Returned

Issued

Returned

Issued

Returned

Issued

NO.

Subject Area & Title

Subject Area & Title

Subject Area & Title

Subject Area & Title

Date

Date

Date

Date

LEARNER'S NAME
(Last Name, First Name, Middle 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 copies of this form may be used if needed.

In case of lost/unreturned books, please provide informatio

A. In Column Date Returned, codes are: FM=Force Majeure, T

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 Textbooks)

Section

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

Issued

Returned

ct Area & Title

Subject Area & Title

Date

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

Subject Area & Title

Date
Returned

Issued

REMARKS/ACTION TAKEN
(Please refer to the legend on last page)

Date
Returned

e provide information with the following code:

M=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 M

(This replaces Form 3 & STS Form 4-Absenteeism

School ID

Region

Division

School Name

GRADE/
YEAR LEVEL

SECTION

NAME OF ADVISER

REGISTERED
LEARNERS
(As of End of the
Month)
M

ATTENDANCE

Daily Average
M

DROPPED OU

Percentage for the

Month
M

(A) Cumulative as of
Previous Month
M

(B) For the Mon

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 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
Page _____ of _____ pages

rner's Movement and Attendance

-Absenteeism and Dropout Profile)

District
School Year

Report for the Month of

DROPPED OUT

B) For the Month

F

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

Prepared and Submitted by:

(Signature of School Head over Printed Name)