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School Form 1 (SF 1) School Register

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

School ID 136785 NCR Division Las Piñas City District III

School Name Moonwalk Elementary School School Year 2018-2019 Grade Level Five Section Sapphire (2)
GUARDIAN
ADDRESS PARENTS (If not REMARKS
IP Parent) Contact Number
NAME Sex BIRTH DATE AGE as of MOTHER Mother's Maiden
LRN 1st Friday
TONGUE
(Ethnic RELIGION Father's Name (Last of Parent or (Please refer to
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) June House #/ Street/ Sitio/ Municipality/ Name (Last Name,
Group) Barangay Province Name, First Name, Name Relation-ship Guardian the legend on last
Purok City First Name, Middle
Middle Name) page)
Name)
10 Tagalog ROMAN CATHOLIC WILSON MAGASANG 9485589566
136785140604 ANDALES, MANUEL REDITO M 4/29/08 B7 L2 WONDERLAND HOMES TALON I LAS PIÑAS CITY
ANDALES
MARILYN M. REDITO

10 Tagalog ROMAN CATHOLIC 9973657199


136785140607 ARCILLAS, REDZMAR TAN M 10/22/06 B4 L6 BOTICELLI ST. TALON II LAS PIÑAS CITY MARIO LIPON ARCILLAS ROSE TANTIN ANNI

10 Tagalog ROMAN CATHOLIC B25 L1 SAN GREGORIO ST. BRUAL, JOSHUA JAMES BALLESTEROS,EDLYN, T/I DATE:2018-
136785140423 BRUAL,LEBRON JAMES, BALLESTEROS M 10-03-2007 GOLDEN ACRES
TALON V LAS PIÑAS CITY
ROJO BONQUIN, 06-04
DE GUZMAN, CHRISTIAN PAUL 10 Tagalog B25 L1 SAN GREGORIO ST. RHIAN PAUL VARGAS DE CHRISTIAN ABUTA 9472452375
136785140375
BETUNLAN M 2/19/08 CHRISTIAN GOLDEN ACRES TALON V LAS PIÑAS CITY
GUZMAN BETUNLAN

10 Tagalog ROMAN CATHOLIC JAIME GA-AMIL CHERYL FUENTES 9498781181


136785140612 DOYDORA, CJ FRESNIDO M 9/27/07 B1 L10 COLLOSE ST. BFRV TALON II LAS PIÑAS CITY
DOYDORA FRESNIDO

9 Tagalog ROMAN CATHOLIC ROSALIE RAET 9127679229


136785140433 EXIOMO, ZIERRA EMMANUEL LORETIZO M 11/11/08 #23 UBAS ST. TALON V LAS PIÑAS CITY ZALDY BABAAG EXIOMO
LORETIZO

10 Tagalog ROMAN CATHOLIC TERESITA PASOS 9084474394


136785140614 FIDELSON, VICTOR TERRENCE MUNOZ M 12/13/07 #1 CARNIVAL PARK ST. TALON II LAS PIÑAS CITY VIC ESTAPE FIDELSON
MUNOZ

12 Tagalog ROMAN CATHOLIC #10 ST. HARRIET BLDG. 9218822171


136785140379 FORMANEZ, MATTHEW ESLIT M 5/18/06 EMMAUS VILL.
TALON V LAS PIÑAS CITY JOSEPIN FORMANEZ JENNIFER ESLIT

10 Tagalog ROMAN CATHOLIC B2 L4 LAKATAN ST. GOLDEN FRANCISCO II CANDAZA JENNILYN TURCO 9239388391
136785140434 GARCIA, EISENBERG BODEGON M 4/9/08 ACRES
TALON V LAS PIÑAS CITY
GARCIA BODEGON

9 Tagalog IGLESIA NI SALVADOR JARAVATA LORENA TARIGA 9501903503


136785140619 MANGAOANG, REIGN GAMBOA M 7/27/08 CRISTO LAKATAN ST. GOLDEN ACRES TALON V LAS PIÑAS CITY
MANGAOANG JR. GAMBOA

10 Tagalog ROMAN CATHOLIC #2 STA. VERONICA BLDG. GERICRES 9176012686


NESTOR TIGAYON
136785130063 MERELOS, GILLIAN LAMPITAO M 4/8/08 EMMAUS VILL.
TALON V LAS PIÑAS CITY
MERELOS JR.
PANTALLANO
LAMPITAO
9 Tagalog ROMAN CATHOLIC #10 SAN JUAN BLDG. JOSE MARLON DIZON LIZA MENDEZ 9263021869
136785140709 NUEVO, KYLE JOSEPH PEÑARANDA M 8/1/08 EMMAUS VILL. TALON V LAS PIÑAS CITY
NUEVO PEÑARANDA

9 Tagalog IGLESIA NI AIAN SANCHEZ LOUELA OLANO 9182723507


136785140280 SEÑAGAN, LOUISE IVAN LUCHING M 10/8/08 CRISTO B8 L15 VILLA PANGARAP TALON V LAS PIÑAS CITY
SEÑAGAN LUCHING

13 <=== TOTAL MALE

10 Filipino IGLESIA NI REY EQUIPILAG ANNA DEMECILLO 9353916651 T/I DATE:2018-06-


136785130273 AGBALOG, RHIAN MAE PELAYO F 3/29/08 CRISTO NORTHVILLE SAN NICOLAS III BACOOR, CAVITE
AGBALOG PELAYO 04
10 Iloko ROMAN CATHOLIC #6 SAN PEDRO BLDG. 9152033371
103416130028 ANGANGAN, JHENNY MELAD F 6/1/08 EMMAUS VILL.
TALON V LAS PIÑAS CITY OGY GARMA ANGANGAN RUTH ARZA MALAD

10 Tagalog B9 L11 SAN BENEDICTO ST. 9150732565


104694140048 BALBOA, YVES LEUNAMME PERALTA F 6/6/08 BAPTIST METROCOR B TALON V LAS PIÑAS CITY EMMANUEL D. BALBOA BECIERY T. PERALTA

10 Tagalog 181 TAGAYTAY ST. VILLA ROMEO MARQUEZ MERCY GOLLOS 9156821501
136785140454 BALQUIN, PRINCESS SHANE GAITAN F 2/16/08 BAPTIST ESPERANZA
BRGY. MALIGAYA BACOOR, CAVITE
BALQUIN GAITAN

11 Tagalog ROMAN CATHOLIC #7 SAN MARCO EXT. RICHARD SAYSON SHYR KRISTINE 9974374065
136785150638 BARRAMEDA, ANNIKA RICCI REYES F 9/1/08 MOOWALK VILL.
TALON V LAS PIÑAS CITY
BARRRAMEDA TORIBIO REYES
GUARDIAN
ADDRESS PARENTS (If not REMARKS
Parent)
IP Contact Number
NAME Sex BIRTH DATE AGE as of MOTHER Mother's Maiden
LRN 1st Friday
TONGUE
(Ethnic RELIGION Father's Name (Last of Parent or (Please refer to
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) June House #/ Street/ Sitio/ Municipality/ Name (Last Name,
Group) Barangay Province Name, First Name, Name Relation-ship Guardian the legend on last
Purok City First Name, Middle
Middle Name) page)
Name)
9 Tagalog ROMAN CATHOLIC 69 ORBITER ST. MOONWALK JULIUS CZAR BABY KATHERINE 9298297339
407127150246 BORLEO, JELLAN kAELA MIRANDA F 9/24/08 VILL. TALON V LAS PIÑAS CITY
MANLONGAT BORLEO AUSTRIA MIRANDA

10 Tagalog ROMAN CATHOLIC RD. 3 NORTHVILLE REBECCA BAUTISTA 9323757397


136785130103 BRIMON, JESSICA VILLARUEL F 4/1/08 GREENVALLEY
SAN NICOLAS III BACOOR, CAVITE ROJER TAÑEZA BRIMON
VILLARUEL

10 Tagalog ROMAN CATHOLIC KENSKIE ENTERINA ANABELLE PEÑA 9476543265


136785140460 BUENAFLOR, ATHALIAH ELIZER PEGORO F 12/21/07 MANGGA RD. SANTOL DRIVE TALON V LAS PIÑAS CITY
BUENAFLOR PEGORO

10 Cebuano / Sinugbuanong BiJEHOVA'S 92 SATURN ST. PH. 2 MARIO SOMAOY MARILYN BORJA 9381131445 T/I DATE:2018-06-
129561140328 BULAWAN, MARIAN MAE ELLETA F 5/30/08 WITNESSES TALON V LAS PIÑAS CITY
MOONWALK VILL. BULAWAN ELLETA 04
9 Tagalog B11 L3 SAN BENEDICTO ST. JESUS LIBATO ERLENE VALENCIA 9950879227
486511150079 COMALING, CAYZHEE ZARAGOZA F 8/29/08 CHRISTIAN METROCOR HOMES
TALON V LAS PIÑAS CITY
COMALING ZARAGOSA

10 Tagalog ROMAN CATHOLIC 162 BAGONG KAMPI GREEN JENELYN ORTEGA 91915301139
136785130201 DELOS REYES, MECA EMILY FENIS F 1/1/08 VALLEY
SAN NICOLAS III BACOOR, CAVITE ROGELIO DELOS REYES
FENIS

9 Tagalog IGLESIA NI JOENNEL LASCOTA 9998233175


136785140674 DIANOPRA, REXIA JEAN BAX F 7/25/08 CRISTO B2 L14 GREEN VALLEY SAN NICOLAS III BACOOR, CAVITE
DIANOPRA
JANNET BADRINA BAN

10 Tagalog ROMAN CATHOLIC BERTOLDO OCAO JOSEPHINE NAORI 9163312451


136785140522 DOMDOMANO, JAMAICA MAE MAGTAGAD F 11/19/07 TALON II LAS PIÑAS CITY
DOMDOMANO JR. MAGTAGad

10 Tagalog ROMAN CATHOLIC ELIGIO FERNANDEZ ZHAREEN CASTRO 9508607841


136785140634 ELCANO, DANNIELLE STEF LARA F 12/24/07 RAINBOW WESTSIDE ALMANZA I LAS PIÑAS CITY
ELCANO LARA

9 Tagalog ROMAN CATHOLIC 13C BIGNAY ST. GOLDEN ANDRES SEVILLA HAZEL RELLIN 9460680918
136785140636 ELICAÑA, HANA JANE PAGENTE F 11/24/08 ACRES
TALON V LAS PIÑAS CITY
ELICAÑA PAGENTE

10 Tagalog ROMAN CATHOLIC #4 STA MARGARITA BLDG. MARIA CECILIA A 9198732977


136785130278 GAPISA, PRECIOUS ANGELA ARCANGEL F 10/19/07 EMMAUS VILL.
TALON V LAS PIÑAS CITY FRANK M GAPISA
GAPISA

11 Tagalog 9464276144
123195120083 GRAVILLA, CRYSTAL MHAE BIDO F 11/26/06 BAPTIST B5 L3 VILLA PANGARAP TALON V LAS PIÑAS CITY ARNALDO GRAVILLA SR ELMA BIDO

9 Tagalog ROMAN CATHOLIC #5 SAN KOLBE MAXIMILLAN 9216300150


136785140627 LADICA, CHARLOTTE GELUA F 7/17/08 BLDG
TALON V LAS PIÑAS CITY OSCAR LADICA ROSANNA GELUA

10 Tagalog ROMAN CATHOLIC ROSELMA ROSILLOSA 9077802863


136785130161 LEQUIN, ANGELl BETIN F 22/22/2008 53 MANGGANG PUTI SAN NICOLAS III BACOOR, CAVITE RANDY SAQUITE LEQUIN
BETIN

9 Tagalog ROMAN CATHOLIC JENAFE BRON DE 9279755996


136785140631 MAHUSAY, ALEXA JOY DE RAMOS F 10/8/08 B9 L15 VILLA PANGARAP TALON V LAS PIÑAS CITY ALEX CAÑETE MAHUSAY
RAMOS

10 Tagalog 7TH DAY ADONIS FOLLANTE 9482168969 T/I DATE:2018-06-


226501130128 MALLILLIN, ZYRELL PASOC F 4/14/08 ADVENTIST CHICO ST. GOLDEN ACRES TALON I LAS PIÑAS CITY LOIDA PALO PASOC
MALLILLIN 04
9 Tagalog ROMAN CATHOLIC MARIANITO FLORES JACQUELINE COSCA 9102260010
136785140550 MENDOZA, ASHLEY JULIANA RIE LIRIO F 7/11/08 #22 UBAS ST. GOLDEN ACRES TALON V LAS PIÑAS CITY
MENDOZA LIRIO

9 Tagalog ROMAN CATHOLIC B5 L11 MOLAVE ST. SAMATA ROMEO SALACSACAN MARIBETH LINCUNA 9486529905
136785150011 MENDOZA, MA. AMANDA FAYE AUDITOR F 6/21/08 VILL.
TALON V LAS PIÑAS CITY
MENDOZA AUDITOR

9 Tagalog ROMAN CATHOLIC 207 VENUS ST. PHASE II WENDELYN ERLANO 9216300504
136785130109 OJEDA, FIONA CAO F 10/28/08 MOONWALK VILL.
TALON V LAS PIÑAS CITY ORLANDO GO OJEDA
CAO

10 Tagalog ROMAN CATHOLIC REYNALDO MAMBAT JUMAYCA SEREÑO 9234730429


136785140554 OREVILLO, SOPHIA LORAINE HOYBIA F 5/4/08 B6 L1 VILLA PANGARAP TALON V LAS PIÑAS CITY
OREVILLO HOYBIA

10 Tagalog B13 L8 VERAVILLE RIZIAN CAMILLE 9463154514


136785140968 POLVOS , JAULA MHEYCA S F 1/14/08 CHRISTIAN TOWNHOMES CLASSIC
TALON V LAS PIÑAS CITY JOHN PAUL C. CORNEJO
CORNEJO

10 Tagalog ROMAN CATHOLIC 9950281695


136785140598 REFORMADO, EVIAN MAY JAMCO F 5/13/08 B17 L14 GREEN VALLEY SAN NICOLAS III BACOOR, CAVITE RENAN V REFORMADO HELEN JAMCO

10 Tagalog ROMAN CATHOLIC HECTOR TEVES 9463154514


136785130142 RELENTE, HAZELLE MAE NABLO F 4/9/08 57 STO. NIÑO COMP. TALON V LAS PIÑAS CITY
RELENTE
ELSA ABALILI NABLO

9 Tagalog ROMAN CATHOLIC JOENIL SEMBRANO DINA CAÑADA 9307704366


136785140830 RUELO, JENZEL QUAYZON F 9/30/08 B1 L13 VILLA PANGARAP TALON V LAS PIÑAS CITY
RUELO QUAYZON
GUARDIAN
ADDRESS PARENTS (If not REMARKS
Parent)
IP Contact Number
NAME Sex BIRTH DATE AGE as of MOTHER Mother's Maiden
LRN 1st Friday
TONGUE
(Ethnic RELIGION Father's Name (Last of Parent or (Please refer to
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) June House #/ Street/ Sitio/ Municipality/ Name (Last Name,
Group) Barangay Province Name, First Name, Name Relation-ship Guardian the legend on last
Purok City First Name, Middle
Middle Name) page)
Name)
9 Tagalog ROMAN CATHOLIC JOSEPH FRESCO LIBERTY GREGORIO 9325499693
136785140629 SAMSON, MARGEAUX ASIA IMPERIO F 9/12/08 B3 L20 VILLA PANGARAPA TALON V LAS PIÑAS CITY
SAMSON IMPERIO

11 Tagalog ROMAN CATHOLIC #7 SAN QUINTIN EMMAUS CATHERINE B. 9261425137


136785140570 SARMIENTO, MARY JASHMEN B F 5/29/07 VILL.
TALON V LAS PIÑAS CITY EMILIO B. SARMIENTO
SARMIENTO

10 Tagalog ROMAN CATHOLIC JEANEL VALLEZ 9154246906


136785140505 TEODORO, ANDREA KEI F 12/1/07 B4 L13 VERAVILLE I TALON V LAS PIÑAS CITY MANUAL CIELOS
TEODORO

9 Tagalog JEHOVA'S B25 L9 SAN GREGORIO ST. JOSE MARIE ALARCON DIANNE DELA CRUZ 9286868469
107473130080 TOLENTINO, MARGARET LANDICHO F 10/10/08 WITNESSES GOLDEN ACRES
TALON V LAS PIÑAS CITY
TOLENTINO LANDICHO

9 Tagalog ROMAN MARIA LEONORA 9561828304


103818130096 ZAQUITA, ALTHEA ABLAZA F 10/27/08 #23 UBAS ST. GOLDEN ACRES TALON V LAS PIÑAS CITY FIDEL ZAQUITA
CATHOLIC MORAL ABLAZA

34 <=== TOTAL FEMALE

47 <=== COMBINED

List and Code of Indicators under REMARKS column


Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity D CCT CCT Control/reference number & Effectivity Date MALE 12
ROSEMARIE ROMASANTA SERRANO DR. FELICES P. TAGLE
(Signature of Adviser over Printed Name) (Signature of School Head over Printed
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity D B/A Name of school last attended & Year FEMALE 34 Name)

Dropped DRP Reason and Effectivity Date LWD Specify


TOTAL 46
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 136785 School Year 2019-2020 Report for the Month of June

Name of School Moonwalk Elementary School Grade Level Five Section Joy (2)
(1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer to
(Last Name, First 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
1 Abarte, Robert Garcia H H 0 0
2 Adonis, James Ken Sevillano 0 0
3 Amaro, james Anthony Kyle Alviz O O 0 0
4 Aquino, Eliezer II Lumangyao 0 0
5 Busa, Jian Cleo Alma L L 0 0
6 Cabilos, John Dave Barotilla 0 0
7 Casaul, Aaron Lampinez I I 0 0
8 Casiano, Pocholo 0 0
9 Cassira, R.Jaey Beronia D D 0 0
10 De Pedro, Mark Joseph Baruel 0 0
11 De Villa, Lei Francis Harvey A A 0 0
12 Elbo, Ezekiel Patrick Vergara 0 0
13 Fagarita, Ezekiel Jacob Anis Y Y 0 0
14 Lacdao, Paolo Jose Francesco Mandia 0 0
15 Palaran, Rio Tristan Kim Agarpao 0 0
16 Rioflorido, Jhed Bernardino 0 0
17 Salas, Khien Drewnel Coral 0 0
18 So, Martin Jhomel Julian 0 0
19 Soletario, Mark Kenneth Lupera 0 0
20 Tiro, Jhervee Sergio Paña 0 0
21 Tizon, Frederic Agcadili 0 0
22 Trinidad, John LJ Ricalde 0 0

MALE | TOTAL Per Day 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 396


1 Alcazar, Cyrah Nathalie Merelos H H 0 0 TRANSFERRED IN Platero Elem. School
(1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer to
(Last Name, First 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
2 Alejandro, Chloue Jira Obillo 0 0 TRANSFERRED IN Saint Rose Academy of San Quintin,Inc.

3 Almira, Precious-Erica Bandoquillo O O 0 0


4 Antaran, Alisha Perdiguez 0 0
5 Antonio, Maricel Alonzo L L 0 0 TRANSFERRED IN Burabod Elem. School

6 Bebita, Shana Rhian San Juan 0 0


7 Beguiras, Chrishalyn Bañez I I 0 0
8 Carrabacan, Grecia Eunice Garola 0 0
9 Catolos, Aira Angelique Jamandre D D 0 0
10 Dela Cruz, Jyesha Elijah Amion 0 0
11 Dujali, Audrey Leanette Castañeda A A 0 0
12 Flores, Louie Marie Sarmiento 0 0
13 Garcia, Princess May Tudtod Y Y 0 0
14 Hatague, Marian Aborquez 0 0
15 Igoy, Czai Margarette Falejo 0 0
16 Laurel, Yumie Cassandra Adamero 0 0
17 Ocon, Tricia Mae Naya 0 0
18 Paguio, Amira Mysha Morales 0 0
19 Panaligan, Gean Heart 0 0
20 Trijo, Carlene Cataag 0 0
21 Zafra, Janna Liza Panglima 0 0
22 Zafra, Jenna Liza Panglima 0 0

0
FEMALE | TOTAL Per Day 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 396
Combined TOTAL PER DAY 44 44 44 44 44 44 44 44 44 44 44 44 44 44 44 44 44 44 792

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE No. of Days of Summary


Month: June
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: 18 M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late
2. Dates shall be written in the columns after Learner's Name. Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 22 22 44
(1st row for date) Total for the Month
LEARNER'S NAME REMARKS (If DROPPED OUT, state reason, please refer to
(Last Name, First 3 4 5 6 7 10 11 12 13 14 17 18 19 20 21 24 25 26 27 28 legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Name, Middle Name) M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
* Enrolment as of (1st Friday of June) 22 22 44
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100 0 0 0
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 22 22 44
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 Percentage of Enrolment as of end of the month 100% 100% 100%
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness 44
Average Daily Attendance 22 22
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 b.2. Overage
Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 100% 100% 100%
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.4. Drug Abuse
days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days: 0 0 0
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
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 0 3 3
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds) I certify that this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related ROSEMARIE R. SERRANO
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ DR. FELICES P. TAGLE
(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 Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN


NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN


NO. (Last Name, First (Please refer to the
Name, Middle Name) Date Date Date Date Date Date Date Date legend on last page)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES


GUIDELINES: In case of lost/unreturned books, please provide information with the following code: Prepared By:
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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for (Signature over printed name)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003,
DO#14, 2.2012.
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN


REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
LEVEL the Month) the Month of Previous Month
Month
of Previous Month
Month
of Previous Month
End of the 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

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: 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
(Signature of School Head over Printed Name)
Page _____ of _____ pages
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING
(D: 75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED
(A: 90% and
above)
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year ADVANCED
(A: 90% and
TOTAL MALE above)

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

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.

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
INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE

COMBINED 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 School Year

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
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

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

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 SUPERINTENDENT
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 Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division


School Name District School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

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

EDUCATIONAL QUALIFICATION Daily Program (time duration)


Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day


EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:


1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an
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 down to the lowest. (Signature of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________

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