School Forms Spread Sheet (MONTHLY)
School Forms Spread Sheet (MONTHLY)
School Forms Spread Sheet (MONTHLY)
Region
School Name
III
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105654070001
7/27/01
12
Nueva Ecija
300841140072
1/20/95
19
Nueva Ecija
105644070004
6/12/00
13
Nueva Ecija
300841140077
11/14/01
12
Nueva Viscaya
1
2
3
4
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105653070038
10/22/01
12
Nueva Ecija
105653070042
7/28/01
12
Nueva Ecija
107010070040
1/15/02
12
Zambales
105643070007
1/23/02
12
Nueva Ecija
300841140051
10/19/02
11
Nueva Ecija
105656070016
9/20/01
12
Nueva Ecija
105636070026
11/4/00
13
Nueva Ecija
105654070029
8/24/01
12
Nueva Ecija
5
6
7
8
9
10
11
12
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105653070128
1/17/02
12
Nueva Ecija
105710120056
3/26/99
15
105653070123
10/10/01
12
Nueva Ecija
300841140046
7/8/97
16
Nueva Ecija
105653070157
12/8/01
12
Nueva Ecija
105608070048
7/14/01
12
Nueva Ecija
105654070042
9/17/01
12
Quirino
105608070051
12/6/01
12
Nueva Ecija
13
14
15
16
17
18
19
20
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105608070054
9/10/01
12
Nueva Ecija
105653070188
10/22/01
12
Nueva Ecija
105607070029
3/28/02
12
Nueva Ecija
105653070201
9/18/02
11
Nueva Ecija
105653070010
11/10/02
11
Nueva Ecija
105653120173
10/30/01
12
Nueva Ecija
105653070115
11/13/01
12
Manila
21
22
23
24
1
2
3
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105656070002
6/11/99
14
Nueva Ecija
105653070025
11/27/01
12
Nueva Ecija
105657070005
7/17/02
11
Nueva Ecija
105654070010
7/14/02
11
Nueva Ecija
105653070041
8/10/01
12
Nueva Ecija
105652070007
11/20/00
13
Nueva Ecija
105658060006
2/13/98
16
Nueva Ecija
105656070008
10/24/01
12
Nueva Ecija
4
5
6
7
8
9
10
11
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
105654070017
9/7/02
11
Nueva Ecija
10569070008
6/24/02
11
Nueva Ecija
105635070028
11/7/00
13
Nueva Ecija
105644070024
1/23/03
11
Nueva Ecija
105656070013
3/4/02
12
Nueva Ecija
105653070093
11/5/01
12
Nueva Ecija
105647070007
1/23/01
13
Nueva Ecija
105653070105
1/5/02
12
Nueva Ecija
LRN
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
12
13
14
15
16
17
18
19
AGE as of 1st
Friday of June
LRN
NAME
(Last Name, First Name, Middle Name)
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105654070028
6/25/01
12
Nueva Ecija
105653070172
10/31/01
12
Nueva Ecija
105644060031
3/3/99
15
Nueva Ecija
105652070015
8/13/01
12
Palawan
105653070137
3/9/02
12
Nueva Ecija
105653070143
11/19/00
13
Nueva Ecija
105655070021
6/28/02
11
Nueva Ecija
105657070020
4/13/01
13
Nueva Ecija
20
21
22
23
24
25
26
27
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
LRN
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
105653070169
8/19/02
11
Nueva Ecija
105653070179
7/3/01
12
Nueva Ecija
105653070183
10/26/01
12
Nueva Ecija
105658070018
1/23/01
13
Nueva Ecija
300841140050
11/27/00
13
Nueva Ecija
28
29
30
31
32
Code
Required Information
Indicator
Transferred Out
T/O
CCT Recipient
Transferred IN
T/I
Balik-Aral
AGE as of 1st
Friday of June
NAME
(Last Name, First Name, Middle Name)
LRN
Dropped
Late Enrollment
DRP
LE
Sex (M/F)
BIRTH DATE
(mm/ dd/yy)
(nos. of years
as per last
birthday)
BIRTH PLACE
(Province)
Division
NUEVA ECIJA
OL
School Year
2014-2015
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Roman Catholic
River Side
Pob. West
Rizal
Nueva Ecija
Tagalog
UCCP
Agaran St.
Pon. Norte
Rizal
Nueva Ecija
Tagalog
Iglesia Ni Cristo
Liwayway St.
Calaocan Dist.
Rizal
Nueva Ecija
Tagalog
Espiritista
Zone 5
Estrella
Rizal
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Roman Catholic
Pob. East
Rizal
Nueva Ecija
Tagalog
Aglipay
Tabangay St.
Pob. East
Rizal
Nueva Ecija
Tagalog
UCCP
Acosta Village
Pob. Norte
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Narra St.
Del Pilar
Rizal
Nueva Ecija
Tagalog
Iglesia Ni Cristo
Purok 1
San Esteban
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 2
San Gregorio
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Aglipay
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Pob. West
Rizal
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Roman Catholic
Nague St.
Pob. Sur
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 6
Portal
Rizal
Nueva Ecija
Tagalog
Iglesia Ni Cristo
M. Agoncillo St.
Pob. Norte
Rizal
Nueva Ecija
Tagalog
Iglesia Ni Cristo
97 Purok Libirtad
Aglipay
Rizal
Nueva Ecija
Tagalog
Mormons
River Side
Pob. West
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 7
San Juan
Pantabangan
Nueva Ecija
Tagalog
Roman Catholic
Quezon St.
Pob. West
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 5
San Juan
Pantabangan
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Iglesia Ni Cristo
Purok 3
San Juan
Pantabangan
Nueva Ecija
Tagalog
Aglipay
Cubangbang St.
Pob. West
Rizal
Nueva Ecija
Tagalog
Roman Catholic
327 Purok 6
Sampaloc
Pantabangan
Nueva Ecija
Tagalog
Roman Catholic
Alivia St.
Pob. East
Rizal
Nueva Ecija
Tagalog
Aglipay
27 Nague St.
Pob. Sur
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Quezon St.
Pob. Centro
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Pob. Norte
Rizal
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Iglesia Ni Cristo
Purok 5
San Gregorio
Rizal
Nueva Ecija
Tagalog
Aglipay
55 Nague St.
Pob. Centro
Rizal
Nueva Ecija
Tagalog
Methodist
Sitio Pada-Pada
Sta. Monica
Rizal
Nueva Ecija
Tagalog
Roman Catholic
35 Purok 7 Betis
Sta. Monica
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Tabangay St.
Pob. East
Rizal
Nueva Ecija
Tagalog
Mormons
Zone 1
Portal
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 3
Villa Labrador
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 5
San Gregorio
Rizal
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Pob. West
Rizal
Nueva Ecija
Tagalog
Villa Paraiso
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Tabangay St.
Pob. East
Rizal
Nueva Ecija
Tagalog
Roman Catholic
M. Agoncillo St.
Pob. Norte
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 2
San Gregorio
Rizal
Nueva Ecija
Tagalog
Aglipay
59 Agaran St.
Pob. Norte
Rizal
Nueva Ecija
Tagalog
Aglipay
Sitio Kaunlaran
Aglipay
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Aglipay St.
Pob. Centro
Rizal
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Aglipay
Pob. West
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Tabangay St.
Pob. East
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Calaocan District
Rizal
Nueva Ecija
Tagalog
Methodist
Zone 3
Portal
Rizal
Nueva Ecija
Tagalog
Aglipay
Purok 2
Canaan West
Rizal
Nueva Ecija
Tagalog
Cruzado
Aglipay St.
Pob. Sur
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 3
San Esteban
Rizal
Nueva Ecija
Tagalog
Roman Catholic
Purok 5
Sta. Monica
Rizal
Nueva Ecija
ADDRESS
MOTHER
TONGUE
IP
(Specify Ethnic
Group)
RELIGION
House # / Street/Sitio/
Purok
Barangay
Municipality/ City
Province
Tagalog
Roman Catholic
Pob. East
Rizal
Nueva Ecija
Tagalog
Pentecostal
Aglipay St.
Pob. Sur
Rizal
Nueva Ecija
Tagalog
UCCP
Acosta Village
Pob. Norte
Rizal
Nueva Ecija
Tagalog
Villa Labrador
Rizal
Nueva Ecija
Tagalog
Pob. Sur
Rizal
Nueva Ecija
Code
Required Information
CCT
MALE
B/A
FEMALE
ADDRESS
MOTHER
TONGUE
ith Dissability
IP
(Specify Ethnic
Group)
LWD
ACL
RELIGION
House # / Street/Sitio/
Purok
Specify
Specify Level & Effectivity Data
Barangay
Municipality/ City
Province
TOTAL
District
Grade Level
RIZAL
Seven
Section
NAME OF PARENTS
BELLADONNA
GUARDIAN (If not Parent)
Contact Number (Parent
/Guardian)
William V. Agustin
Gregoria P. Ponte
Rogelio C. Ariola
Marita C. Apuan
Eugenio L. Balangatan
Melanie R. Joaquin
Name
Relationship
9364965634
NAME OF PARENTS
Name
Relationship
Fred S. Casio
Editha M. Mendizabal
9469003309
Manny P. Collado
Jane Gordolan
Robert A. Dacanay
Rizza A. Domingo
9195368188
Leah B. Pascua
9214017099
Romeo D. Fulgencio
Marilyn A. Reyes
9292208204
Ferdinand N. Gomez
Julieta D. Enrile
Marieta R. Parole
Nathaniel G. Mactal
Marilou M. Corpuz
9061904799
Elvira G. Mactal
Grandmother
9484489722
NAME OF PARENTS
Name
Relationship
Nelson D. Miranda
Jocelyn S. Salamanca
Nathaniel F. Nazareth
Angelita A. Espiritu
9396569163
Jessie L. Mauyao
Maricel C. Nonog
9465324202
Virgilio G. Querol
Esperanza G. Peralta
9465310483
Erwin V. Rosete
Dolores C. Valdez
9074756866
Diomie Salvador
Emily L. Esteban
Juanito G. Saure
Gemma Carasco
9482544304
NAME OF PARENTS
Name
Relationship
Leo V. Torres
Wilma E. Guevarra
Paulo M. Ulep
Jovita C. Valdez
9483151042
Russel M. Supnet
9192730042
Roman M. Yerro
Rosemarie C. Magtibay
9293137786
Merlinda A. Gabasan
Sister
Aunt
9264027439
Rodolfo A. Agusstin
Consolacion D. Aggalot
9077179183
Mischel G. Aquino
Magnolia D. Martinez
9995478762
Edmon A. Manarang
Jovelyn R. Baguio
9982888371
NAME OF PARENTS
Rodolfo C. Banicod
Estelita R. Mangahas
9305778363
Roderick D. Belgira
Amie S. Ocampo
9215115835
Nory P. Cariaso
9216949293
June P. Cariaso
Cresensia D. Zapanta
9472960664
Francisco M. Castillo
Rowena M. Rivas
Angel V. De Guzman
Susana T. Romualdo
9292761629
Teody A. De Guzman
Gloria A. Lorenzo
9466178788
Johnny R. De Leon
Marilou C. Cabia
9297864258
Name
Relationship
NAME OF PARENTS
Juanita C. Baniqued
9464950962
Robert C. Esteban]
Cecilia G. Clemente
9262639977
Wilfredo B. Fernando
Rosemarie R. Quipay
Lim Q. Francisco
Melanie A. Taberna
Jennifer D. Jacoba
9393843731
Elnie S. Victorino
9074844693
Jessie F. Irangan
Carmina A. Gapingan
9487790780
Amando V. Lindain
Rosita C. Arellano
9185126059
Name
Relationship
Aunt
9185468717
Rosenia Taberna
Aunt
9212207375
NAME OF PARENTS
Lodivico D. Lopez
Mely O. Cenense
9163637509
Roland V. Sapigao
Marivic A. Mangalinao
9464107271
Carlito E. Matute
Florencia O. Mallari
9198742838
Fabian L. Narciso
Lelita E. Calica
9274376174
Carlos A. Oredina
Beatriz F. Martinez
9193669691
Marcel A. Parsibigan
Marites A. Mauyao
9469032120
Nasario J. Reguyal
Elsa D. Mendoza
9186174895
Jerry T. Rullan
Elizabeth S. Macaculop
9982885174
Name
Relationship
NAME OF PARENTS
Farme R. Sansano
Sopia D. Catanay
9089906345
Artemio J. Sulfelix
Merlyn B. Mangitngit
9075038044
Marlyn R. Acosta
9465297766
Confesor S. Verdadero
Esmeralda p. Ariola
Roberto H. Walican
Cresensia D. Rudio
BoSY
EoSY
Name
Prepared by:
Relationship
9465272815
Certified Correct:
24
32
(Signature of School He
NAME OF PARENTS
56
BoSY Date:
EoSYDate:
Name
Relationship
BoSY Date:
Eo
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
REMARK/S
EoSYDate:
School ID
300841
School Year
2014-2015
2
3
Bisquera, Leonard E
10
11
12
13
14
15
X X
X X
X X
X X
X X
X X
X X
20
19
18
M
15
F
14
TH
13
W
12
T
11
M
8
F
7
TH
6
W
5
T
X X
LEARNER'S NAME
(Last Name, First Name, Middle Name)
X X
X X
X X
X X
X X
X X
X X
X X
23
24
25
26
27
28
29
30
20
W
19
T
18
M
15
F
14
TH
13
W
12
T
11
M
8
F
7
TH
6
W
5
T
4
X X
29
22
29
28
21
29
29
20
29
29
19
28
29
18
29
29
17
29
29
16
29
LEARNER'S NAME
(Last Name, First Name, Middle Name)
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
X X
20
W
19
T
18
M
15
F
14
TH
13
W
12
T
11
M
8
F
7
TH
6
W
5
T
1
F
LEARNER'S NAME
(Last Name, First Name, Middle Name)
X X
25
25
24
25
25
25
25
25
25
25
25
25
25
25
54
54
53
54
54
52
53
54
54
54
54
54
54
54
1. CODES FO
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
20
W
19
T
18
M
15
F
14
TH
13
W
12
T
11
M
8
F
7
TH
6
W
5
T
4
M
LEARNER'S NAME
(Last Name, First Name, Middle Name)
blank- Presen
Commer, Low
x 100
x 100
2. REASONS
a. Domestic-
a.1. Had to ta
a.2. Early mar
a.3. Parents' a
a.4. Family pr
b. Individual-
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 Abu
b.5. Poor aca
b.6. Lack of in
b.7. Hunger/M
c. School-Re
c.1. Teacher F
c.2. Physical c
c.3. Peer influ
d. Geographi
d.1. Distance
d.2. Armed co
d.3. Calamitie
e. Financial-R
e.1. Child labo
f. Others
AUGUST
29
F
28
TH
27
W
26
T
25
M
22
F
21
BUTTERCUPS
Total for the Month
ay: M,T,W,TH,F)
TH
Section
ABSENT
TARDY
2
H
O
X X
X X
X X
X X
X X
19
28
TH
27
W
25
26
T
ABSENT
TARDY
549
29
29
29
29
29
22
F
TH
21
ay: M,T,W,TH,F)
X X
X X
X X
X X
X X
29
ABSENT
28
TH
27
W
26
25
M
22
F
TH
21
ay: M,T,W,TH,F)
X X
TARDY
19
25
25
25
25
24
473
54
54
54
54
53
1021
Month:
28
TH
27
W
26
T
25
M
22
F
TH
21
ay: M,T,W,TH,F)
ABSENT
TOTAL
30
26
56
29
25
54
87.50
96.88
92.86
28.89
24.89
53.79
EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors
TARDY
Family problems
dividual-Related Factors
Illness
Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school
99.58
99.61
Drop out
Transferred out
Transferred in
Calamities/Disasters
nancial-Related
Child labor, work
hers
99.64
Attested by:
(Signature of School Head over Printed Name)
School ID
300841
School Year
2014-2015
10
11
12
13
14
15
18
17
16
15
12
11
10
TH
Bisquera, Leonard E
TH
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
23
24
25
26
27
28
29
30
18
17
W
16
T
15
M
12
F
11
TH
10
W
9
T
8
M
5
F
4
TH
3
W
2
T
TH
29
22
29
29
21
29
29
20
29
29
19
29
29
18
29
29
17
28
29
16
29
LEARNER'S NAME
(Last Name, First Name, Middle Name)
x x
15
16
17
18
19
20
21
22
23
24
25
26
18
17
16
15
12
11
10
TH
14
13
12
TH
11
10
TH
LEARNER'S NAME
(Last Name, First Name, Middle Name)
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
25
25
25
25
25
25
25
25
25
25
25
25
25
24
54
54
53
54
54
54
54
54
54
54
54
54
54
53
1. CODES FO
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
18
TH
17
W
16
T
15
M
12
F
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)
blank- Presen
Commer, Low
x 100
x 100
2. REASONS
a. Domestic-
a.1. Had to ta
a.2. Early mar
a.3. Parents' a
a.4. Family pr
b. Individual-
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 Abu
b.5. Poor aca
b.6. Lack of in
b.7. Hunger/M
c. School-Re
c.1. Teacher F
c.2. Physical c
c.3. Peer influ
d. Geographi
d.1. Distance
d.2. Armed co
d.3. Calamitie
e. Financial-R
e.1. Child labo
f. Others
SEPTEMBER
Section
Total for the Month
29
30
x x
x x
x x
x x
x x
x x
x x
TH
26
25
24
23
22
ay: M,T,W,TH,F)
19
BUTTERCUPS
x x
ABSENT
TARDY
30
ABSENT
29
M
29
26
F
29
25
TH
29
24
W
29
23
T
29
22
M
29
29
19
ay: M,T,W,TH,F)
TARDY
608
29
30
x x
x x
x x
x x
x x
x x
x x
ABSENT
26
TH
25
24
23
22
19
ay: M,T,W,TH,F)
TARDY
x x
25
25
25
25
25
25
25
25
524
54
54
54
54
54
54
54
54
1132
Month:
30
T
26
F
25
TH
24
W
23
T
22
M
19
ay: M,T,W,TH,F)
ABSENT
TOTAL
30
26
56
29
25
54
87.50
96.88
92.86
27.64
23.82
51.45
EASONS/CAUSES OF DROP-OUTS
omestic-Related Factors
TARDY
Family problems
dividual-Related Factors
Illness
Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
chool-Related Factors
Teacher Factor
Physical condition of classroom
Peer influence
eographic/Environmental
Distance between home and school
95.27
95.29
Drop out
Transferred out
Transferred in
Calamities/Disasters
nancial-Related
Child labor, work
hers
95.30
Attested by:
(Signature of School Head over Printed Name)
School ID
School Name
300841
School Year
Rizal National High School
Subject Area & Title
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NO.
Issued
1
2
3
4
5
6
7
8
9
10
11
12
Grade Level
Returned
Issued
Returned
Issued
Returned
Issued
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NO.
Issued
13
14
15
16
17
18
19
20
21
22
23
1
2
3
4
5
6
7
Returned
Issued
Returned
Issued
Returned
Issued
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NO.
Issued
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Returned
Issued
Returned
Issued
Returned
Issued
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NO.
Issued
27
28
29
30
31
32
Returned
Issued
Returned
Issued
Returned
Issued
2014-2015
Seven
Section
Subject Area & Title
Date
BELLADONNA
Subject Area & Title
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
Date
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
REMARK/ACTION TAKEN
(Please refer to the legend on last page)
Date
Returned
Issued
Returned
Prepared By:
Region
Division
School ID
School Name
ATTENDANCE
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As
of End of the Month)
Daily Average
M
DROPPED OUT
(A) Cumulative as of
Previous Month
M
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:
1. This forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the summary column per grad
District
School Year
OPPED OUT
TRANSFERRED OUT
TRANSFERRED IN
(A+B) Cumulative as
of End of the Month
M
Region
School ID
III
Division
300841
School Name
LRN
105654070001
300841140072
105644070004
300841140077
105653070038
105653070042
107010070040
105643070007
300841140051
105656070016
105636070026
Nueva Ecija
School Year
2013-2014
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
91.306
PROMOTED
86.92
PROMOTED
88.47
PROMOTED
88.22
PROMOTED
90.42
PROMOTED
91.472
PROMOTED
90.861
PROMOTED
86.95
PROMOTED
89.08
PROMOTED
89.06
PROMOTED
89.67
PROMOTED
INCOMPLETE SUBJECT/S
(This column is for K to 12
School. Elementary grades leve
fill u
LRN
105654070029
105653070128
105710120056
105653070123
300841140046
105653070157
105608070048
105654070042
105608070051
105608070054
105653070188
105607070029
105653070201
14
105653070010
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
90.889
PROMOTED
86.89
PROMOTED
86.89
PROMOTED
PROMOTED
14
88.78
INCOMPLETE SUBJECT/S
(This column is for K to 12
School. Elementary grades leve
fill u
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
105653120173
89.08
PROMOTED
105653070115
88.83
PROMOTED
105656070002
93.083
PROMOTED
105653070025
89.75
PROMOTED
105657070005
91.833
PROMOTED
105654070010
88.42
PROMOTED
105653070041
88.97
PROMOTED
105652070007
92.25
PROMOTED
105658060006
89.17
PROMOTED
105656070008
90.44
PROMOTED
105654070017
90.36
PROMOTED
10569070008
88.75
PROMOTED
105635070028
87.86
PROMOTED
105644070024
91.111
PROMOTED
105656070013
89.33
PROMOTED
105653070093
90.861
PROMOTED
105647070007
88.58
PROMOTED
105653070105
90.667
PROMOTED
INCOMPLETE SUBJECT/S
(This column is for K to 12
School. Elementary grades leve
fill u
LRN
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for honor
learner, 2 for non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
105654070028
89.14
PROMOTED
105653070172
87.42
PROMOTED
105644060031
105652070015
105653070137
105653070143
105655070021
105657070020
105653070169
105653070179
105653070183
105658070018
300841140050
21
35
TOTAL FEMALE
COMBINED
21
35
INCOMPLETE SUBJECT/S
(This column is for K to 12
School. Elementary grades leve
fill u
District
Rizal
Curriculum
K-12
Grade Level
Seven
Section
Belladonna
ETE SUBJECT/S
s column is for K to 12 Curriculum and remaining RBEC in High
ementary grades level that still implementing RBEC need not to
fill up this column)
ed as of end of current
SY
MALE
FEMALE
TOTAL
PROMOTED
14
21
35
*IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
FEMALE
TOTAL
ETE SUBJECT/S
s column is for K to 12 Curriculum and remaining RBEC in High
ementary grades level that still implementing RBEC need not to
fill up this column)
ed as of end of current
SY
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%84%)
PROFICIENT
(P:
85% - 89% )
12
20
ADVANCED
(A:
90% and above)
15
TOTAL
14
21
35
PREPARED BY:
ETE SUBJECT/S
s column is for K to 12 Curriculum and remaining RBEC in High
ementary grades level that still implementing RBEC need not to
fill up this column)
ed as of end of current
SY
ROEL A. SALAGUBANG
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
RENATO S. TAN,Ph.D.
ENRIQUE E. ANGELES,JR.,LlB
ETE SUBJECT/S
s column is for K to 12 Curriculum and remaining RBEC in High
ementary grades level that still implementing RBEC need not to
fill up this column)
ed as of end of current
SY
School ID
300841
Region
School Name
III
Division
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
District
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
SUMMARY TABLE
MALE
FEMALE
TOTAL
PROMOTED
14
21
35
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
Nos. of BEGINNNING
74% and below)
Nos. of DEVELOPING
75%-79%)
MALE
(B:
(D:
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
FEMALE
TOTAL
Nos. of PROFICIENT
85% -89%)
(P:
12
20
Nos. of ADVANCED
90% and above)
(A:
15
14
21
35
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
ENRIQUE E. ANGELES, J
SCHOOL HEAD
DIVISION REPRESENTATIVES
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data
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 will remain under the discretion of the Schools Division Superintendent
n Promotion
Nueva Ecija
Rizal
School Year
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
2013-2014
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
NGELES, JR.,LlB
Noted by:
School ID
Region
Division
School Name
District
Number of
Incumbent
Title of Designation
(Designation as ap
contract/document: Teacher, C
Guard, Driver etc.)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment Status
Degree / Post
Graduate
Major/ Specialization
Minor
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 during SY, updated Form 19 must submit 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. This form shall also serve as inventory list of
personnel.
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.
ent List,
rs)
School Year
(C ) Other Appointments and Funding Sources
nation
(Designation as appeared in the
cument: Teacher, Clerk, Security
Driver etc.)
Appointment:
Fund Source
(Contractual, Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others specify)
Number of Incumbent
Teaching
NonTeaching
DAY
(M/T/W/TH/
F)
From
(00:00)
DAY
(M/T/W/TH/
F)
From
(00:00)
DAY
(M/T/W/TH/
F)
From
(00:00)