List and Code of Indicators Under REMARKS Column: Indicator Code Required Information Code
List and Code of Indicators Under REMARKS Column: Indicator Code Required Information Code
List and Code of Indicators Under REMARKS Column: Indicator Code Required Information Code
IP
NAME Sex BIRTH DATE of 1st MOTHER
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday TONGUE
(Ethnic
Group)
June
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity CCT
AGE as
IP
NAME Sex BIRTH DATE of 1st MOTHER
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) Friday TONGUE
(Ethnic
Group)
June
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity B/A
Dropped DRP Reason and Effectivity Date LWD
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL
GUARDIAN
ADDRESS PARENTS (If no
Parent)
RELIGION House #/ Mother's Maiden Name
Father's Name (Last Name,
Street/ Sitio/ Barangay Municipality/ City Province (Last Name, First Name, Name
First Name, Middle Name)
Purok Middle Name)
PFWBC Purok 1 Malalinta San Manuel Isabela Mateo, Mario Manzano, Nenita
N/A
Roman Tagumpay Little Tadian Alfonso Lista Ifugao Obillo, Brando Ramirez, Rebecca
Catholic N/A
Roman Harana Little Tadian Alfonso Lista Ifugao Parungao, Mario, Marzo, Liza, Rodrigo
Catholic Tolentino N/A
Roman Purok 1 Malalinta San Manuel Isabela Sta. Maria, Alejandro Espiritu, Monica
Catholic Pang-es N/A
Roman Centro Little Tadian Alfonso Lista Ifugao Torreblanca, Fernando Kiasao, Martina M.
Catholic Verde N/A
Methodist Purok 2 Mararigue San Manuel Ifugao Torres, Crisanto Munar, Edna
N/A
Methodist Purok 2 Mararigue San Manuel Ifugao Torres, Rogelio D. Dion, Resurrecion
N/A
mn
Prepared by:
Required Information REGISTERED BoSY EoSY
CCT Control/reference number & Effectivity MALE
Date ROMELYN B. BALBIDO
GUARDIAN
ADDRESS PARENTS (If no
Parent)
RELIGION House #/ Mother's Maiden Name
Father's Name (Last Name,
Street/ Sitio/ Barangay Municipality/ City Province (Last Name, First Name, Name
First Name, Middle Name)
Purok Middle Name)
Specify
TOTAL
Specify Level & Effectivity Data BoSY Date: EoSYDate:
(If not REMARKS
ent)
Contact Number of
Parent or (Please refer
Relation- Guardian to the legend
ship on last page)
9363570128
Not available
CCT
Not available
CCT
0928-3146549
9093704660
CCT
Not available
0905-4413871
CCT
Certified Correct:
ELSA S. RINGOR
(If not REMARKS
ent)
Contact Number of
Parent or (Please refer
Relation- Guardian to the legend
ship on last page)
1 Amoroto, Patrick
2 Ancheta Jr., Danilo Miguel
3 Bimmang, Ceasar Kennedy
Lamarca
4 Domingo, Angel Mark Bayodao
5 Domingo, Arvin Salibad
6 Domingo, Mark Kevin Galliguez
7 Domingo Jr. Nick Turingan
8 Domingo Jr., Richard Ramirez
9 Elarde, Christian Lord Manzano
10 Finuliar, Mark Justine Diones
11 Galliguez, Jhomel Domingo
12 Garbo Jr., Oscar Aguilar
13 Gonzalez, Michael John Paul Manzano
14 Granel, Dennis Ferrer
15 Ilagan, Robert Ambriocio
16 Jacob, Leonel, Yra
LEARNER'S NAME (1st row for date)
(Last 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29
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
JUNE
9 Section A
Drop out
Total for the
REMARKS (If DROPPED OUT, state reason,
Month please refer to legend number 2.
30
If TRANSFERRED IN/OUT, write the name of
T W TH F ABSENT TARDY School.)
Transferred out
Transferred in
ROMELYN B. BALBIDO
(Signature of Teacher over Printed Name)
Attested by:
ELSA S. RINGOR
(Signature of School Head over Printed Name)
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
15
Ilagan, Robert Ambriocio 6/8/2015 6/8/2015
16
Jacob, Leonel, Yra 6/8/2015 6/8/2015
17 Manzano, Jr., Orlando Bucad 6/8/2015 6/8/2015
18
Manzano, Roldan Mondina 6/8/2015 6/8/2015
19
Mercado, Leodel Danipog 6/8/2015 6/8/2015
20
Mondina Jr., Victoriano Comesario 6/8/2015 6/8/2015
21
Natura, Jomar Lordios 6/8/2015 6/8/2015
22
Parungao, Cristian, Dulnuan 6/8/2015 6/8/2015
23
Ramil, Louie Mar Bergonia 6/8/2015 6/8/2015
24
Santiago, Reymark Ballesteros 6/8/2015 6/8/2015
25
Sonday,Eugenio,Sagaysay 6/8/2015 6/8/2015
26 Ulant, Allen Jake Barawed 6/8/2015 6/8/2015
27
Viloria, Magiue, Bua 6/8/2015 6/8/2015
TOTAL FOR MALE | TOTAL COPIES 27 27
1
Agpaoa, Magielyn Cabrera 6/8/2015 6/8/2015
2 Alcantara, Novelyn Mercado 6/8/2015 6/8/2015
3
Antonio, Apple Angelica Dela Cruz 6/8/2015 6/8/2015
4 Bergonia, Amelia Garbo 6/8/2015 6/8/2015
5
Bergonia, Princess Dianne Verano 6/8/2015 6/8/2015
6 Bimmang, Shaira Mae Lamarca 6/8/2015 6/8/2015
7
Camarillo, Caren Tintero 6/8/2015 6/8/2015
8
Celis, Michelle, Ramirez 6/8/2015 6/8/2015
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
MATH 9 ENGLISH 9
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
9
Comesario, Khristine Joyce Coloma 6/8/2015 6/8/2015
10
Dacumos, Joana Rose Dion 6/8/2015 6/8/2015
11 Damasco, Jenelyn, Orbillo 6/8/2015 6/8/2015
12
Dominguez, Karen Jane Vidad 6/8/2015 6/8/2015
13
Gallo, Judina Nueva 6/8/2015 6/8/2015
14
Magana, Ericka Burnos 6/8/2015 6/8/2015
15
Mateo, Marinette Manzano 6/8/2015 6/8/2015
16
Obillo, Brenda Ramirez 6/8/2015 6/8/2015
17
Parungao,Lirio, Marzo 6/8/2015 6/8/2015
18
Sindat, Jovelyn, Dawadao 6/8/2015 6/8/2015
19
Sta. Maria, Alonica Espiritu 6/8/2015 6/8/2015
20 Torreblanca, Kyrel Kiasao 6/8/2015 6/8/2015
21
Torres, Karen Mae Munar 6/8/2015 6/8/2015
22
Torres, Richelle Dion 6/8/2015 6/8/2015
A
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
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
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
M F T M F T M F T M F T M F T
epared and Submitted by:
300513
School ID School Year 2014-2015 Curriculum
INCOMPLETE SUBJECT/S
GENERAL (This column is
AVERAGE Curriculum and remaining RBEC in Hi
ACTION TAKEN:
(Numerical Value in 2 Elementary grades level that are still imple
LEARNER'S NAME PROMOTED,
LRN decimal places and 3 need not to fill up these colum
(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 School Year
Lamarca
Domingo, Angel Mark Bayodao PROMOTED
135774060004
103725060007 Domingo, Arvin Salibad PROMOTED
Manzano
Granel, Dennis Ferrer PROMOTED
103715060011
103715060013 Ilagan, Robert Ambriocio RETAINED
PROMOTED
PROMOTED
PROMOTED
103715060001 Bergonia, Amelia Garbo
103715120105 Bergonia, Princess Dianne Verano PROMOTED
Coloma
Dacumos, Joana Rose Dion PROMOTED
103716060006
102002060023 Damasco, Jenelyn, Orbillo PROMOTED
SAN MANUEL
K-12
GRADE 9 Section A
CT/S
(This column is for K to 12
aining RBEC in High School.
that are still implementing RBEC
ill up these columns)
SUMMARY TABLE
PROMOTED 24 19 43
IRREGULAR
RETAINED 2 2 4
LEVEL OF PROFICIENCY
CT/S
(This column is for K to 12
aining RBEC in High School.
that are still implementing RBEC
ill up these columns)
BEGINNNING
(B: 74% and 0 0 0
below)
DEVELOPING
(D: 75%-79%)
8 1 9
APPROACHING
PROFICIENCY
(AP:
10 9 19
80%-84%)
PROFICIENT
(P: 85% -89%)
4 6 10
ADVANCED
(A: 90% and 2 3 5
above)
PREPARED BY:
RICEL M. ADIWANG
Class Adviser
School Head
REVIEWED BY:
Division Representative
GUIDELINES:
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
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding
School Year
Number of
Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching
Submitted by: