Documente Academic
Documente Profesional
Documente Cultură
BIRTH
NAME Sex
LRN DATE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy)
BIRTH
NAME Sex
LRN DATE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy)
BIRTH
NAME Sex
LRN DATE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy)
BIRTH
NAME Sex
LRN DATE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy)
BIRTH
NAME Sex
LRN DATE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy)
Transferred Ou T/O Name of Public (P) Private (PR) School & Effe
Transferred IN T/I Name of Public (P) Private (PR) School & Effe
BIRTH
NAME Sex
LRN DATE
(Last Name, First Name, Middle Name) (M/F)
(mm/ dd/yy)
AGE as of
1st Friday
of June
BIRTH IP
MOTHER
PLACE (Specify RELIGION
(nos. of TONGUE
( Province) Ethnic Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH IP
MOTHER
PLACE (Specify RELIGION
(nos. of TONGUE
( Province) Ethnic Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH IP
MOTHER
PLACE (Specify RELIGION
(nos. of TONGUE
( Province) Ethnic Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH IP
MOTHER
PLACE (Specify RELIGION
(nos. of TONGUE
( Province) Ethnic Group)
years as
per last
birthday)
AGE as of
1st Friday
of June
BIRTH IP
MOTHER
PLACE (Specify RELIGION
(nos. of TONGUE
( Province) Ethnic Group)
years as
per last
birthday)
Iloilo City
School Year 2019-2020 Grade Level
ADDRESS NA
d Information BoSY
TOTAL
evel & Effectivity Data
7 Section Honesty
Prepared by:
EoSY
Certified Correct:
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25
Name, First Name, Middle Name)
Page 31 of 38
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25
Name, First Name, Middle Name)
Tiano, Michael Bryan
Tibajares, Hans Theodore
Yanong, Habakkuk Job
Page 32 of 38
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25
Name, First Name, Middle Name)
Lastimoso, Jheneza Irish
Moral, Celine
Nardo, Irene Joanne
Polo, Jenny Ann
Robles, Samantha
Robles, Trixy Ann
Sevilla, Natalie
Siervo, Blessie Mae
Tacaisan, Xy Z
Tiñas, Sevenhel Marie
Yanes, Lianne Fyka
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
blank- Present; (x)- Absent; Tardy (half s
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classe
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OU
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of June a. Domestic-Related Factors
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance =
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems
b. Individual-Related Factors
Page 33 of 38
LEARNER'S NAME (1st row for date, 2nd row for Day: M,T,W,TH,F)
(Last 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25
Name, First Name, Middle Name)
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 b.3. Death
consecutive days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days 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
d.2. Armed conflict (incl. Tribal wars & clan
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
School Form 2 f. Others
Page 34 of 38
Report of Learners
Dropout Profile)
e Month of
7 Section HONESTY
Page 35 of 38
Total for the
REMARK/S (If DROPPED OUT, state reason,
Month
26 27 30 please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Page 36 of 38
Total for the
REMARK/S (If DROPPED OUT, state reason,
Month
26 27 30 please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Page 37 of 38
Total for the
REMARK/S (If DROPPED OUT, state reason,
Month
26 27 30 please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
ABSENT TARDY School.)
Transferred out
Transferred in
assroom
Attested by:
REY N. MONSALE
(Signature of School Head over Printed Name)
Page 38 of 38