Documente Academic
Documente Profesional
Documente Cultură
REMINDERS:
1. If you wish to use this program, you must start in the month of JUNE
2. Name entry can only be done in the Modified SF1 worksheet.
3. Hyperlink buttons are provided for easy navigation across worksheets.
4. Do not erase or rearrange your entries in the Modified SF1 worksheet as this w
5. Year-round summary of Attendance and Tardiness is available in this program
6. Consolidation of your enrollment data can be accessed by clicking the "Conso
Auto-SF2
month of JUNE. But if you haven't done so, please copy the entries from your SF2 starting in June.
cross worksheets.
ed SF1 worksheet as this will affect the monthly and annual summaries.
available in this program. You may access it by clicking the "Summary" button.
sed by clicking the "Conso" button.
is specified.
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
SUMMARY
SF1 (MOD)
CONSO
School ID
School Name
304254
Region
NAME
(Last Name, First Name, Middle Name)
XI
Division
2015-2016
2015-2016
District
Grade Level
WEST
10
OSMEA
Section
10
OSMEA
BOYS
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
PREVIOUS SCHOOL
Please enter the appropriate data in the yellow boxes above in order to
personalize your auto-sf2.
designed to accurately track and consolidate monthly and yearly attendance, absences,
tardiness, ins, outs, and so on
GIRLS
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
Please write your name and the name of your principal in the yellow boxes below.
304254
School Year
Name of School
JUNE
Grade Level
10
Section
ABSENT
TARDY
30
1
TH
29
1
26
1
25
1
24
1
23
1
TH
22
1
19
1
18
1
17
1
16
1
TH
15
1
12
0
11
1
10
1
9
1
TH
8
1
5
1
4
1
3
1
OSM
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
School ID
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
20
20
22
26
29
20
20
20
20
20
20
30
T
20
25
20
24
20
23
TH
19
20
18
20
15
20
17
20
16
TH
20
12
20
11
20
20
10
TH
20
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
29
30
T
26
25
24
TH
23
22
19
18
17
TH
16
15
12
11
TH
10
W
9
T
8
M
5
F
4
TH
3
W
2
T
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: JUNE
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
TARDY
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
21
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
Name of School
School Year
2015-2016
JULY
Grade Level
10
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
ABSENT
TARDY
OSM
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: JULY
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
School Year
Name of School
AUGUST
Grade Level
10
Section
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
31
ABSENT
TARDY
OSM
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: AUGUST
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
Name of School
School Year
2015-2016
SEPTEMBER
Grade Level
10
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
ABSENT
TARDY
OSM
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: SEPTEMBER
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
Name of School
School Year
2015-2016
OCTOBER
Grade Level
10
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
ABSENT
TARDY
TH
OSM
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: OCTOBER
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
School Year
Name of School
NOVEMBER
Grade Level
10
Section
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
ABSENT
TARDY
OSM
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: NOVEMBER
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
Name of School
School Year
2015-2016
DECEMBER
Grade Level
10
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
ABSENT
TARDY
OSM
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: DECEMBER
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
Name of School
School Year
2015-2016
JANUARY
Grade Level
10
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
ABSENT
TARDY
OSM
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: JANUARY
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
School Year
Name of School
FEBRUARY
Grade Level
10
Section
10
11
12
15
16
17
18
19
22
23
24
25
26
29
ABSENT
TARDY
OSM
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
11
12
15
16
17
18
19
22
23
24
25
26
29
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
11
12
15
16
17
18
19
22
23
24
25
26
29
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: FEBRUARY
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
School ID
304254
Name of School
School Year
2015-2016
MARCH
Grade Level
10
Section
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
ABSENT
TARDY
OSM
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
20
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
TARDY
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
20
40
GUIDELINES:
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:
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
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 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
Month: MARCH
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
304254
2015-2016
APRIL
Grade Level
10
Section
27
ABSENT
TARDY
26
25
22
21
20
19
18
15
14
13
12
11
OSM
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Name of School
School Year
School ID
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
LEARNER'S NAME
(Last Name, First Name, Middle Name)
11
12
13
14
15
18
19
20
21
22
25
26
27
ABSENT
TARDY
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
LEARNER'S NAME
(Last Name, First Name, Middle Name)
11
12
13
14
15
18
19
20
21
22
25
26
27
ABSENT
TARDY
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
Month: APRIL
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
304254
2015-2016
Grade Level
YEAR-ROUND
10
Section
ABSENT
TARDY
OSM
Total for the Month
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Name of School
School Year
School ID
1.
Boy 1
2.
Boy 2
3.
Boy 3
4.
Boy 4
5.
Boy 5
6.
Boy 6
7.
Boy 7
8.
Boy 8
9.
Boy 9
10.
Boy 10
11.
Boy 11
12.
Boy 12
13.
Boy 13
14.
Boy 14
15.
Boy 15
16.
Boy 16
17.
Boy 17
18.
Boy 18
19.
Boy 19
20.
Boy 20
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
1.
Girl 1
2.
Girl 2
3.
Girl 3
4.
Girl 4
5.
Girl 5
6.
Girl 6
7.
Girl 7
8.
Girl 8
9.
Girl 9
10.
Girl 10
11.
Girl 11
12.
Girl 12
13.
Girl 13
14.
Girl 14
15.
Girl 15
16.
Girl 16
17.
Girl 17
18.
Girl 18
19.
Girl 19
20.
Girl 20
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
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
Month: YEAR-ROUND
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
d. Geographic/Environmental
d.1. Distance between home and school
Percentage of Attendance f
Transferred ou
Transferred in
I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
(Signature of Teache
Attested by:
(Signature
Attendance
OSMEA
REMARK/S (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
###
TOTAL
20
20
40
20
20
40
100
100
100
Drop out
Transferred out
Transferred in
MARTINA S. MARIN
(Signature of School Head over Printed Name)
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
TOTAL
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
TARDINESS SUMMARY
JUL
ATTENDANCE SUMMARY
JUN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1.
Boy 1
21
30
2.
Boy 2
21
30
3.
Boy 3
21
30
4.
Boy 4
21
30
5.
Boy 5
21
30
6.
Boy 6
21
30
7.
Boy 7
21
30
8.
Boy 8
21
30
9.
Boy 9
21
30
10.
Boy 10
21
30
11.
Boy 11
21
30
12.
Boy 12
21
30
13.
Boy 13
21
30
14.
Boy 14
21
30
15.
Boy 15
21
30
16.
Boy 16
21
30
17.
Boy 17
21
30
18.
Boy 18
21
30
19.
Boy 19
21
30
20.
Boy 20
21
30
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
TOTAL
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
TARDINESS SUMMARY
JUL
ATTENDANCE SUMMARY
JUN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
420
20
20
20
20
20
20
20
20
20
600
1.
Girl 1
21
30
2.
Girl 2
21
30
3.
Girl 3
21
30
4.
Girl 4
21
30
5.
Girl 5
21
30
6.
Girl 6
21
30
7.
Girl 7
21
30
8.
Girl 8
21
30
9.
Girl 9
21
30
10.
Girl 10
21
30
11.
Girl 11
21
30
12.
Girl 12
21
30
13.
Girl 13
21
30
14.
Girl 14
21
30
15.
Girl 15
21
30
16.
Girl 16
21
30
17.
Girl 17
21
30
18.
Girl 18
21
30
19.
Girl 19
21
30
20.
Girl 20
21
30
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
TOTAL
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
TARDINESS SUMMARY
JUL
ATTENDANCE SUMMARY
JUN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
420
20
20
20
20
20
20
20
20
20
600
840
40
40
40
40
40
40
40
40
40
1200
TOTAL
TARDINESS SUMMARY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
0
0
0
0
0
0
0
0
0
0
APR
SUMMARY
SF1 (MOD)
INSTRUCT...
TOTAL
TARDINESS SUMMARY
0
0
JUN
JUL
AUG
SEP
OCT
0
0
0
0
0
0
0
NOV
DEC
JAN
FEB
MAR
APR
SUMMARY
0
0
0
0
0
0
0
0
SF1 (MOD)
INSTRUCT...
TOTAL
TARDINESS SUMMARY
0
0
School ID
304254
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
2015-2016
Grade Level
(1st row for date, 2nd row for Day: M,T,W,TH,F)
10
Section
OSMEA
Total for the Month
ABSENT
Boy 1
Boy 2
Boy 3
Boy 4
Boy 5
Boy 6
Boy 7
Boy 8
Boy 9
10
Boy 10
11
Boy 11
12
Boy 12
13
Boy 13
14
Boy 14
15
Boy 15
16
Boy 16
17
Boy 17
18
Boy 18
19
Boy 19
20
Boy 20
TARDY
LEARNER'S NAME
(Last Name, First Name, Middle Name)
ABSENT
TARDY
Girl 1
Girl 2
Girl 3
Girl 4
Girl 5
Girl 6
Girl 7
Girl 8
Girl 9
10
Girl 10
11
Girl 11
12
Girl 12
13
Girl 13
14
Girl 14
15
Girl 15
16
Girl 16
17
Girl 17
18
Girl 18
19
Girl 19
20
Girl 20
Month:
TOTAL
LEARNER'S NAME
(Last Name, First Name, Middle Name)
blank- Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
Percentage of Enrolment =
b.
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
ABSENT
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
d. Geographic/Environmental
RUTH P. MAMACOS
TARDY
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others