S

(This

School ID Region VIII Division

School Name

AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)

List and Code of Indicators under REMARKS column

Indicator Code Required Information Code
 AGE as of IP
NAME Sex BIRTH DATE MOTHER
LRN 1st Friday (Ethnic
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE
June Group)

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A
Dropped DRP Reason and Effectivity Date LWD
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL
 School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

District

School Year Grade Level Section

ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

mn
Prepared by:
Required Information REGISTERED BoSY EoSY
 ADDRESS PARENTS

RELIGION House #/ Father's Name (Last Mother's Maiden Name

Municipality/
Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name,
City
Purok Middle Name) Middle Name)

CCT Control/reference number & Effectivity Date MALE

(Signature of Adviser over Printed Name)

Name of school last attended & Year FEMALE

Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate:
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)
GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

Certified Correct:
 GUARDIAN
REMARKS
(If not Parent)
Contact Number
of Parent or
Guardian (Please refer to the
Name Relation-ship
legend on last page)

er over Printed Name) (Signature of School Head over Printed Name)

EoSYDate: BoSY Date: EoSYDate:

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

School ID School Year Report for the Month of

Name of School Grade Level

LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

MALE | TOTAL Per Day

LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
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= Upp
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
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
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table b.2. Overage
into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out.
LEARNER'S NAME (1st row for date)
(Last
Name, First Name, Middle Name)
M T W TH F M T W TH F M T W TH F M T W TH F M
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)

School Form 2 : Page ___ of ________

f Learners
e)

Section

Total for the

Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Month: No. of Days of Summary

Classes: M F TOTAL
ded= Upper for
sses)
* Enrolment as of (1st Friday of June)
UT
Late Enrollment during the month
(beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

 Total for the
Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
T W TH F ABSENT TARDY

Number of students absent for 5 consecutive days:

Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)

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

School ID School Year

School Name Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES

 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned 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 information with the following code:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
DO#14, 2.2012.
ned

ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

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

llowing code: Prepared By:

/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 119547 Region VII Division CEBU, PROVINCE District PILAR

School Name Montserrat Elementary School School Year 2016-2017

ATTENDANCE DROPPED OUT TRANSFERRED OUT

REGISTERED
LEARNERS (A+B) Cumulative
GRADE/ YEAR (As of End of Percentage for the (A) Cumulative as (A) Cumulative as
SECTION NAME OF ADVISER Daily Average (B) For the Month as of End of the (B) For the Month
LEVEL the Month) Month of Previous Month of Previous 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
Kinder NONE AJIE M. LAPECIROS 12 8 20 12 8 20 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grade 1 NONE JOY EDEN Z. BORJA 12 12 24 12 12 24 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grade 2 NONE LUZVISMINDA M. SONDO 13 10 23 13 10 23 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Grade 3 NONE GENALINE C. GARCITOS 9 14 23 9 14 23 98.33 100 99.35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grade 4 NONE JEANETH S. CUYOS 15 12 27 15 12 27 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Grade 5 NONE LEILANI L. SUNICO 26 21 47 25 21 46 97.11 100 98.4 0 0 0 3 0 3 3 0 3 0 0 0 1 0 1
Grade 6 Daisy MARIA ELENITA P. LAZONA 14 9 23 14 9 23 100 100 100 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1
Grade 6 Lily RACHEL P. PESPENAN
13 12 25 13 12 25 100 100 100 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0

ELEMENTARY/SECONDARY:
KINDER 12 8 20 12 8 20 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grade 1 12 12 24 12 12 24 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grade 2 13 10 23 13 10 23 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
 Grade 3 9 14 23 9 14 23 98.33 100 99.35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Grade 4 15 12 27 15 12 27 100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
Grade 5 26 21 47 25 21 46 97.11 100 98.4 0 0 0 3 0 3 3 0 3 0 0 0 1 0 1
Grade 6 27 21 48 27 21 48 100 100 100 0 0 0 0 0 0 0 0 0 2 0 2 0 1 1

TOTAL 114 98 212 113 98 211 99.35 100 99.68 0 0 0 3 0 3 3 0 3 2 0 2 1 3 4

GUIDELINES: Prepared and Submitted by:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

nce

16-2017 Report for the Month of Oct-16

FERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

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

M F T M F T M F T M F T
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 1 1 0 1
0 1 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 1 0 1 1 0 1
1 0 1 0 0 0 0 0 0 0 0 0
1 1 2 0 0 0 0 0 0 0 0 0
1 0 1 0 0 0 1 0 1 1 0 1

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 1 1 0 1
0 1 1 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 1 0 1 1 0 1
1 0 1 0 0 0 0 0 0 0 0 0
2 1 3 0 0 0 1 0 1 1 0 1

3 3 6 0 0 0 3 0 3 3 0 3
nd Submitted by:

EVANGELINE M. ZARCO
(Signature of School Head over Printed Name)
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region VII Division CEBU District PILAR

119547
School ID School Year 2013-2014 Curriculum RBEC

School Name MONTSERRAT ELEMENTARY SCHOOL Grade Level 5

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remain
GENERAL RBEC in High School. Elementary grades level that are stil
ACTION TAKEN:
LEARNER'S NAME AVERAGE implementing RBEC need not to fill up these columns)
LRN PASSED OR
(Last Name, First Name, Middle Name) (Numerical Value in
FAILED
Whole Number) From previous school years
completed as of end of current As of end of current School
School Year
119547120072 Albace, Jemecito , Macalalag 77.80 PASSED

119547080003 Bertes, Dave , Alcala 87.20 PASSED

119547070006 Bertes, Jomari , Villacortes 81.20 PASSED

119549080013 Borja, Jemz Roman , Zarco 82.00 PASSED

119547080007 Boyles, Gerald , Japon 77.20 PASSED

119550120028 Cabrejas, Kent Jay , Pasturan 83.60 PASSED

119547080008 Calumpag, Archie , Laroya 75.40 PASSED

119547120074 Ceballos, Jhundie , Columnas 80.60 PASSED

119550080006 Enicuela, Larry , Borinaga 87.80 PASSED

119550080007 Estor, Kim , Umpad 80.00 PASSED

 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remain
GENERAL RBEC in High School. Elementary grades level that are stil
ACTION TAKEN:
LEARNER'S NAME AVERAGE implementing RBEC need not to fill up these columns)
LRN PASSED OR
(Last Name, First Name, Middle Name) (Numerical Value in
FAILED
Whole Number) From previous school years
completed as of end of current As of end of current School
School Year
119550080008 Estremos, Chiandro , Borinaga 87.40 PASSED

119547120075 Garcitos, Neil Patrick , Sondo 78.60 PASSED

119547120026 Gojoco, Rodel , Bicalas 80.80 PASSED

119547080016 Gontinas, Reymark , Alcala 79.80 PASSED

119547080020 Lapeciros, Earl Christian , Ingcoy 86.60 PASSED

119547080022 Lazona, Dan Rupert , Pilapil 85.40 PASSED

PASSED
119547080040 Llano, Jaybee , Gocela 95.20

119547080013 Mascariola, Jhonmar , Toyong 76.60 PASSED

119547120078 Mayor, Michael , Buban 80.20 PASSED

119547120079 Montes, Warren , Tojores 76.40 PASSED

121135120156 Nabotas, Reynaldo , Jaca PASSED

77.6
119547120080 Salundagit, Jessie , Federicos PASSED
77.6
119547080038 Sendo, Joshua , Almoroto 77.2 PASSED

23 TOTAL MALE PASSED

### Andoy, Janette Kaye , Toyong 85.20 PASSED

119547080002 Aton, Judy Fe Marie , Madrazo 85.40 PASSED

119547120081 Bertes, Jenecil , Lapeciros 90.00 PASSED

 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remain
GENERAL RBEC in High School. Elementary grades level that are stil
ACTION TAKEN:
LEARNER'S NAME AVERAGE implementing RBEC need not to fill up these columns)
LRN PASSED OR
(Last Name, First Name, Middle Name) (Numerical Value in
FAILED
Whole Number) From previous school years
completed as of end of current As of end of current School
School Year
119547080005 Bertes, Juliet , Villacortes 86.40 PASSED

119547080006 Boiser, Shandell , Montes 83 PASSED

119547080009 Calumpag, Lovely , Matugas 78.00 PASSED

119547080011 Ceballos, May Ann , Ganabes 82.20 PASSED

119550080004 Dayandayan, Kate 77.80 PASSED

119547120082 Federicos, Jeny Ann , Norcos 78.60 PASSED

119547080014 Gocela, Meabelle , Villacruz 85.00 PASSED

119547080018 Jerusalem, Juera , Navotas 79.20 PASSED

### Langres, Noel Marie , Apas 87.20 PASSED

### Lapeciros, Leah , Simbajon 82.40 PASSED

### Lazona, Florefeil , Dingding 83.00 PASSED

119547080024 Madrazo, Loren , Agot 81.40 PASSED

119547080026 Miguel, Jellydel , Silud 91.60 PASSED

119547080027 Montes, Gretchen , Minao 82.00 PASSED

119547080028 Naballo, Ethel , Briones 77.80 PASSED

119547080029 Nacion, Kenny , Son 79.60 PASSED

119547080031 Otadoy, Elahmae , Sendo 83.00 PASSED

 INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remain
GENERAL RBEC in High School. Elementary grades level that are stil
ACTION TAKEN:
LEARNER'S NAME AVERAGE implementing RBEC need not to fill up these columns)
LRN PASSED OR
(Last Name, First Name, Middle Name) (Numerical Value in
FAILED
Whole Number) From previous school years
completed as of end of current As of end of current School
School Year
119547080032 Pedericos, Dailyn , Recorte 83.20 PASSED

119547080033 Pedericos, Jedalice , Godinez 84.00 PASSED

119547080035 Pedericos, Nina Jane , Cabonegro 82.00 PASSED

119547080036 Sabijon, Cristein Bernadette , Jumoc 85.00 PASSED

119547080041 Taripe, Jamyca , Mauro 75.80 PASSED

119547080042 Torceno, Gretchen , Mauro 86.00 PASSED

119547120083 Wenceslao , Kristina Myrmila , Lisen 89.60 PASSED

27 TOTAL FEMALE PASSED

50 COMBINED PASSED
ficiency

PILAR

RBEC

Section

um and remaining
vel that are still
se columns)

current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED 23 27 50

IRREGULAR 0 0 0

RETAINED 0 0 0

LEVEL OF PROFICIENCY
um and remaining
vel that are still
se columns)

current School Year

MALE FEMALE TOTAL

BEGINNNING
(B: 74% and 0 0 0
below)

DEVELOPING (D:
75%-79%)
11 7 18

APPROACHING
PROFICIENCY
(AP:
7 10 17
80%-84%)

PROFICIENT
(P: 85% -89%)
4 8 12

ADVANCED (A:
90% and above)
1 2 3

PREPARED BY:

LEILANI L. SUNICO

Class Adviser

(Name and Signature)

um and remaining
vel that are still
se columns)

current School Year

CERTIFIED CORRECT & SUBMITTED:

EVANGELINE N. ZARCO

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

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 teachers. The class adviser should compute
for the General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and *irregular (*for grade
7 onwards only) and the level of proficiency according
to the individual General Average.
um and remaining
vel that are still
se columns)

current School Year

4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent

School Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces 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 GRADE 5 / GRADE 11 GRADE 6 / GR
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

BEGINNNING
(B: 74% and below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP: 80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and above)
 TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPER
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
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 is under the discretion of the Schools Division Superintendent.
 School Year

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

SION SUPERINTENDENT
 School Form 7 (SF7) School Personnel Assignm
(This replaces Form 12-Monthly Status Report for Teachers, Form
Form 29-Teacher Program and Form 31-Summary Informatio

School ID 119547 Region VII Division

School Name Montserrat Elementary School District

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items

Title of Plantilla Position Title of Plantilla Position

Number of Number of
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent
document/PSIPOP) document/PSIPOP)

T1 2 NONE 0
T2 3
T3 2
MT1 1
P1 1

EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization

Education
National

4713613 Evangeline M. Zarco F Reg.-Perm. MAgDev

P1

Elementary Teaching
Reg.-Perm.
National

MT1

4134789 Joy Eden Z. Borja F BSHE

4710673 Maria Elenita P. Lazona F National T3 Reg.-Perm. BSAgEd TAES

 EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization

4710673 Maria Elenita P. Lazona F National T3 Reg.-Perm. BSAgEd TAES

4710677 Leilani L. Sunico F National T3 Reg.-Perm. BEED Filipino

4184936 Ajie M. Lapeciros F National T2 Reg.-Perm. BSAEd Horticulture

EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment
Number Position, Descending)
-T.I.N.) Status
 EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization

Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex Degree / Post Major/
Source Designation Employment
Number Position, Descending) Graduate Specialization
-T.I.N.) Status

Gen. Educ.
National
4633146 Jeaneth S. Cuyos F Reg.-Perm. BEED

T2

Reg.-Perm.

Ceramics
National

4080705 Luzvisminda M. Sondo F BSIE

T2

Elementary
4713573 Genaline C. Garcitos F National T1 Reg.-Perm. BSHE
teaching

4649074 Rachel P. Pespenan F National T1 Reg.-Perm. BEED Gen. Educ.

 EDUCATIONAL QUALIFICATION
Employee Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
Identification (Arrange by Sex
Source Designation Employment Degree / Post Major/
Number Position, Descending)
-T.I.N.) Status Graduate Specialization

4649074 Rachel P. Pespenan F T1 Reg.-Perm. BEED Gen. Educ.

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
updated Form 19 must be submitted to the Division Office .
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank do
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also repo
4. Daily Program Column is for teaching personnel only.
Assignment List and Basic Profile
Teachers, Form 19-Assignment List,
mmary Information of Teachers)

CEBU PROVINCE
Pilar School Year 2016-2017

(C ) Other Appointments and Funding Sources

Number of
Title of Designation Appointment:
Incumbent
(as it appears (Contractual, Fund Source
in the contract/document: Teacher, Substitute, (SEF, PTA,
Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching
0 0 0 0 0

UALIFICATION Daily Program (time duration)

Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class DAY Total Actual Indicate name of
& Other Ancillary (M/T/W/ From To Teaching school/office, For
Minor
Assignments (00:00) (00:00) Minutes per IP's -Ethnicity)
TH/F)
Week

Extension

Ave. Minutes per Day

ESP M-F 7:30 8:10 250
MTB M-F 8:10 9:00 250
MTHEMATICS M-F 9:20 10:10 250
English M-F 10:10 11:00 250
Filipino M-F 1:30 2:20 250
Aral Panlipunan M-F 2:20 3:00 200
MAPEH M-F 3:00 3:40 200
Grade 1 Adviser
MTB Coordinator
ALS Coordinator
BSP Coordinator
PESS Coordinator
Ave. Minutes per Day
ESP M-F 7:20 7:50 150
Mathematics 6-D M-F 7:50 8:50 300
MSEP 6-D M-F 8:50 9:30 200
Mathematics 6-L M-F 9:45 10:45 300
UALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class DAY Total Actual Indicate name of
& Other Ancillary (M/T/W/ From To Teaching school/office, For
Minor
Assignments (00:00) (00:00) Minutes per IP's -Ethnicity)
TH/F)
Week

Science 6-D M-F 10:45 11:45 300

Mathematics 5 M-F 1:00 2:00 300
Filipino 6-D M-F 2:00 3:00 300
Grade 6-D Adviser
Property Custodian
ICT Coordinator
Math Coordinator
District Asst. ICT Coor.
Ave. Minutes per Day
ESP M-F 7:20 7:50 150
English M-F 7:50 8:50 300
HKS M-F 8:50 9:30 200
Science M-F 9:45 10:45 300
Filipino M-F 10:45 11:45 300
MAPEH M-F 2:30 3:10 200
English EPP M-F 3:10 4:00 250
Grade V Adviser
English Coordinator
FAT
EPP Coordinator
GSP Coordinator
Ave. Minutes per Day
Values Education M-F 7:30 8:00 150
Physical health M-F 8:00 8:30 150
Social&Emotional Dev. M-F 8:30 9:00 150
Sensory Perceptual M-F 9:00 9:30 150
Numeracy Skills M-F 9:45 10:15 150
Language and Literacy M-F 10:15 10:45 150
Kindergarten Adviser
Reading Coordinator
NGP Coordinator
Ave. Minutes per Day
School Form 7, Page ___ of ________

UALIFICATION Daily Program (time duration)

Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class Indicate name of
& Other Ancillary school/office, For
Assignments IP's -Ethnicity)
UALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class DAY Total Actual Indicate name of
& Other Ancillary (M/T/W/ From To Teaching school/office, For
Minor
Assignments (00:00) (00:00) Minutes per IP's -Ethnicity)
TH/F)
Week

Subject Taught Remarks (For

(include Grade & Total Actual Detailed Items,
Section), Advisory Class DAY From To Teaching Indicate name of
Minor & Other Ancillary (M/T/W/ (00:00) (00:00) Minutes per school/office, For
Assignments TH/F) IP's -Ethnicity)
Week

ESP M-F 7:20 7:50 150

Mathematics M-F 7:50 8:40 250
English M-F 8:40 9:30 250
Filipino M-F 9:45 10:35 250
Science M-F 10:35 11:25 250
Aral Panlipunan M-F 1:00 1:50 250
MAPEH M-F 2:20 3:00 200
EPP M-F 3:00 3:50 250
Grade IV Adviser
Science Coordinator
Ave. Minutes per Day
ESP M-F 7:40 8:20 200
MTB M-F 8:20 9:10 250
Mathematics M-F 9:30 10:20 250
English M-F 10:20 11:00 200
Filipino M-F 1:30 2:10 200
Aral panlipunan M-F 2:10 2:50 200
MAPEH M-F 2:50 3:30 200
Grade II Adviser
Sch. First Aid teacher
Ave. Minutes per Day
ESP M-F 7:20 7:50 150
MTB M-F 7:50 8:40 250
English M-F 8:40 9:30 250
Mathematics M-F 9:45 10:35 250
Science M-F 10:35 11:25 250
Filipino M-F 1:00 1:50 250
Aral Panlipunan M-F 2:30 3:10 200
MAPEH M-F 3:10 3:50 200
Grade III Adviser
School Treasurer
School Guidance Coor.
Ave. Minutes per Day

ESP M-F 7:20 7:50 150

English 6-L M-F 7:50 8:50 300
HKS M-F 8:50 9:30 200
English 6-D M-F 9:45 10:45 300
Science M-F 1:00 2:00 300
MAPEH M-F 2:30 3:10 200
UALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
(include Grade & Detailed Items,
Section), Advisory Class DAY Total Actual Indicate name of
& Other Ancillary (M/T/W/ From To Teaching school/office, For
Minor
Assignments (00:00) (00:00) Minutes per IP's -Ethnicity)
TH/F)
Week

EPP M-F 3:10 4:00 250

Grade VI-L Adviser
Filipino Coordinator
Feeding Coordinator
H.E. teacher
Ave. Minutes per Day

Submitted by:
nd other personnel during the school year, an
EVANGELINE M. ZARCO
he highest rank down to the lowest. (Signature of School Head over Printed Name)
es must also reported.
Updated as of: ___________________________
School Form 7, Page ___ of ________