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School Form 1 School Register for Senior High School (SF1-SHS)

School Name School ID District Division

Semester School Year Grade Level Track and Strand

Section Course (For TVL Only)

COMPLETE ADDRESS PARENTS GUARDIAN


(if learner is not Living with Parent)
NAME Sex (M/F)
BIRTHDATE AGE Religious
LRN (Last Name, First Name, Name Mother's Maiden Name Name
Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/Barangay Municipality/
Father's Name (Last Name, First Name, (Last Name, First Name,Relationship
Province (Last Name, First Name, Name
Sitio/ Purok City Extension, Middle Name) NameExtension, Middle Name Extension, Middle
Name) Name)
1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

<=== TOTAL MALE


1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

SFRT 2017
HS)
Region

Contact Number REMARKS


of Parent/ (Please refer to the legend)
Guardian

SFRT 2017
COMPLETE ADDRESS PARENTS GUARDIAN
(if learner is not Living with Parent)
NAME Sex (M/F)
BIRTHDATE AGE Religious
LRN (Last Name, First Name, Name Mother's Maiden Name Name
Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/Barangay Municipality/ Father's Name (Last Name, First Name, (Last Name, First Name,Relationship
Province (Last Name, First Name, Name
Sitio/ Purok City Extension, Middle Name) NameExtension, Middle Name Extension, Middle
Name) Name)
34

35

36

37

38

39

40

<=== TOTAL FEMALE


<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Prepared By:
Beginning of the
Indicator Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date
Balik Aral B/A Name of school last attended MALE
Transferred In
T/I & Year
Learner With LWE Specify Exceptionality of the
Name of School, Date of 1st Exceptionality Signature of Adviser over Printed Name
Learner
Attendance and Date of Last Accelerated ACL Specify Level & Effectivity FEMALE
Attendance if Transferred Out Date
Beginning of the Semester Date:
TOTAL

SFRT 2017
Contact Number REMARKS
of Parent/ (Please refer to the legend)
Guardian

of Adviser over Printed Name

End of the Semester Date:

SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name School ID District Division

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL) Month of

DATE
NAME Total for the Month
No. (Last Name, First Name, Name Extension, Middle
Name)
M T W TH F SM T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY

10

11

12

13

14

15

16

17

<=== MALE | TOTAL Per Day ===>

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25
2-SHS)
Region

REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).
DATE
NAME Total for the Month
No. (Last Name, First Name, Name Extension, Middle
Name)
M T W TH F SM T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY

26

27

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

No. of Days of Classes:


GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for
attendance Late Comer, Lower for Cutting Classes)
2. To compute the following: * Enrolment (as of 1st Friday of the semester)

2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
SCHOOL (NLS)
a. Percentage of Enrolment = x 100
Registered Learners as of end of the month Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings
Average Daily Attendance
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
a.4. Family problems Percentage of Attendance for the month

Number of students absent for 5 consecutive days


Average daily attendance
c. Percentage of Attendance for the month = Registered Learners as of end of the month x 100
b. Individual-Related Factors
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form
b.1.4.
Illness
b.2. Overage
No Longer in School (NLS)
Once
signed by the School Head, this form should be returned to the Class Adviser. b.4. Drug Abuse
b.5. Poor Academic Performance Transferred Out
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
b.6. Lack of Interest/Distractions
consecutive days
b.7. Hunger/Malnutrition Transferred In
and/or those at risk of dropping out.
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period.
Shifting Out

Shifting In
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence

I certify that this report is true and correct:

d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Ad

e. Financial-Related
e.1. Child labor, work Attested By:

Signature of School H
f. Others (Specify)
a. Death

b. Transferred to School Abroad

c. Transferred to International School

d. Transferred to ALS
REMARKS
1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Track/Strand/Program).

No. of Days of Classes:


Summary

M F TOTAL

the semester)

h (beyond cut-off)

of the month

end of the month

e month

5 consecutive days

ool (NLS)

ut

port is true and correct:

Signature of Class Adviser over Printed Name

Signature of School Head over Printed Name


School Form 3 Books Issued and Returned for Senior High School (SF3-
SHS)
School Name School ID District Division

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitleBook / ModuleTitle

NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Date (mm/dd/yy)

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Returned

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
11
12
13
3-SHS)

Region

/ ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)

Returned Issued Returned


Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitleBook / ModuleTitle

NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Date (mm/dd/yy)

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
Returned

14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>

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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian
3. The Total Number of Copies issued shall be reflected in the form. (for code
4. The Total Number of Copies of Books Returned shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian
5. All textbooks being used must be included. Additional copies of this form may be used if
(for code
needed.
TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14, Signature of Class A
s.2012.
/ ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
(mm/dd/yy) Date (mm/dd/yy)

Returned Issued Returned

ature of Class Adviser over Printed Name


School Form 4 Monthly Learners' Movement and Attendance for Senior High School
(SF4
School Name District Division Region

School ID Semester School Year

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED O

REGISTERED
LEARNERS (A)(A+B)(A)(A+B)(A)(A+B)(A)
TRACK STRAND (As of End Daily Cumulative
% for the (B) Total for Cumulative Cumulative (B) Total for Cumulative Cumulative (B) Total for Cumulative Cumulative (B) Total for
of the Month) Average Number
MonthasNumber as of Number asNumber as Number asNumber as of Number as the Month
of Previous the Month End of the of Previous the Month of End of the of Previous the MonthEnd of the of Previous
MonthMonthMonthMonthMonthMonthMonth

M F T MF TMFTMF TMF TMF T MF TMF TMF TMF TMF TMF T M FT M

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12


GRAND TOTAL

Prepared and Submitted By:

Signature of School Head over Printed Name


ol (SF4-SHS)

Region

For the Month of

SHIFTED OUT SHIFTED IN

(A+B)(A)(A+B)
CumulativeCumulative(B) Total for Number as of
Cumulative (B) Total for Number as ofNumber as
the MonthEnd of the of Previous the Month End of the
MonthMonthMonth

F TMF T MF TMF TMF T


School Form 5A End of Semester and School Year Status of Learners for Senior High School
(SF5A-SH
School Name School ID District

Semester School Year Grade Level

Track and Strand Course/s (only for TVL)

BACK SUBJECT/S END OF


LEARNER'S NAME END OF SCHOOL
No. LRN SEMESTER
List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)

MALE

FEMALE

Prepared By:

Certified Correct By:

Reviewed By:

GUIDELINES:

This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled
at the end of the 1st Semeste
data elements shall be filled up only after the 2nd semester or at the end of the School Year.
BACK SUBJECT/S END OF
LEARNER'S NAME END OF SCHOOL
No. LRN SEMESTER
List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)

INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade
less than 75%)
Note: Do not include learners who are No Longer in School (NLS)

End of School Year Status


Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd
semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
chool (SF5A-SHS)

Division Region

Section

SUMMARY TABLE 1ST SEM

STATUS MALE FEMALE TOTAL

COMPLETE
INCOMPLETE
TOTAL

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL


COMPLETE
INCOMPLETE
TOTAL

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL


REGULAR
IRREGULAR
TOTAL

e end of
Prepared
Certified
Reviewed theSignature
Correct
By:
By: 1st
By: Semester.
Signature
Signature
of Division
of These
of Class
School
Representative
Adviser
Head over
over Printed
Printed
over Printed
Name
Name Name
School Form 5B List of Learners with Complete SHS Requirements (SF5B-
SHS)
School Name School ID District Division Region

Semester School Year Section


Track and Strand Course/s (only for TVL)

Completed
SHS in
National
LEARNER'S FULL NAME 2 SYs?
No. LRN Certification Level
(Last Name, First Name, Name Extension, Middle (Y/N)
Attained
Name) (only if applicable)

MALE

SUMMARY TABLE A
STATUS MALE FEMALE TOTAL

Learners who
completed SHS
Program within 2
SYs or 4
semesters

Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters

TOTAL

SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL

Note: NCs are recorded here for documentation but is not a


requirement for
graduation.
Completed
SHS in
National
LEARNER'S FULL NAME 2 SYs?
No. LRN Certification Level
(Last Name, First Name, Name Extension, Middle (Y/N)
Attained
Name) (only if applicable)

Note: NCs are recorded here for documentation but is not a


requirement for
graduation.

GUIDELINES:

1. This form should be accomplished by the Class Adviser at End of


School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.

FEMALE
Reviewed By:

Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed


Name
Completed
SHS in
National
LEARNER'S FULL NAME 2 SYs?
No. LRN Certification Level
(Last Name, First Name, Name Extension, Middle (Y/N)
Attained
Name) (only if applicable)
School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-
SHS)
School Name School ID District Division

Semester School Year

END OF SEMESTER STATUS END OF SCHOOL YEAR


(Fill up only at the end of the second sem

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR

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

GRADE 11

TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL

TOTAL

Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Divisio
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per
track/strand/course and school t
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
(SF6-SHS)

Region

OOL YEAR
the second semester.)

ULAR TOTAL

TOTAL MALE FEMALE TOTAL

ature of Division Superintendent over Printed Name

e and school total.


School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-
SHS)
School Name School ID District Division
Semester School Year

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

Appointment:
Title of Designation
Title of Plantilla Position Title of Plantilla Position (Contractual,
Number of Number of (as it appears in the contract/document:
(as it appears in the appointment (as it appears in the appointment Substitute,
Incumbent Incumbent Teacher, Clerk, Security Guard, Driver etc.)
document/PSIPOP) document/PSIPOP) Volunteer, Others
specify)

EDUCATIONAL QUALIFICATION Daily Program (time


Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Employment Subjects Taught, Advisory
Sections
Fund Position/ Major/
Sex Class & Other Ancillary
(Arrange byIdentification Source Designation Status Degree/ Specialization/
(Enumerate DAY (M/
(Regular/ Minor Assignments sectionsFrom
T.I.N.) -Position, Descending)
Number Postgraduate Specialized
Probationary/ T/W/TH/ F)
(00:00) taught)
Training Attended
Part Time)

First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:

Ave. Minutes per D


First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:

Ave. Minutes per D


First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:

Ave. Minutes per D


First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:

Ave. Minutes per D


First Semester:
EDUCATIONAL QUALIFICATION Daily Program (time
Nature of
Employee Appointment/ Grade and
No. (or Tax Name of School Personnel Employment Subjects Taught, Advisory
Sections
Fund Position/ Major/
Sex Class & Other Ancillary
(Arrange byIdentification Source Designation Status Degree/ Specialization/
(Enumerate DAY (M/
(Regular/ Minor Assignments sectionsFrom
T.I.N.) -Position, Descending)
Number Postgraduate Specialized
Probationary/ T/W/TH/ F)
(00:00) taught)
Part Time) Training Attended

Second Semester:

Advisory:
Ancillary Assignment/s:

Ave. Minutes per D


First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:

Ave. Minutes per D

GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of
movement of teachers and other
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester. Si
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the
lowest.
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported. Updated as of:
4. Daily Program Column is for teaching personnel only.
F7-SHS)

Region

nd Funding Sources

Number of Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-Teaching

Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
*For additional loads from
Total Actual JHS- please indicate the number
ToTeaching of teaching minutes per week)
(00:00) Minutes per
Week

e. Minutes per Day

e. Minutes per Day

e. Minutes per Day

e. Minutes per Day


Remarks:
ogram (time duration)
*For Detailed Items, Indicate
name of school/office,
*For IP - Ethnicity)
*For additional loads from
Total Actual JHS- please indicate the number
ToTeaching of teaching minutes per week)
(00:00) Minutes per
Week

e. Minutes per Day

e. Minutes per Day

Signature of School Head over Printed Name

ated as of:

School Form 7, Page ___ of ________


SF 8
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for
(MM/DD/YYYY) Department of(m)
Education
No. LRN (Last Name, First Name, Name Age Remarks
(kg) (m²) BMI
Extension, Middle Name)
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School
BMI Category (SF8-SHS)
Age (HFA)
(For All Grade Levels) (kg/m²)

School Name District Division Region

School ID Grade Section Track/Strand (SHS) School Year

Learner's Name Nutritional Status


Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI
Extension, Middle Name)
BMI Category Age (HFA)
MALE (kg/m²)

SUMMARY TABLE

Nutritional Status Height for Age (HFA)


Summary Table Summary Table
SEX Severely
Severely WastedWasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE
FEMALE
TOTAL

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

SFRT 2017

FEMALE

SFRT 2017

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