School Form 1 School Register for Senio

School Name School ID District

Semester School Year Grade Level
Section Course (For TVL Only)

COMPLETE ADDRESS

Sex (M/F)
NAME BIRTHDAT Religious
LRN (Last Name, First Name, Name E AGE
Extension, Middle Name) Affiliation House No./ Municipality/
(mm/dd/yyyy) Street/ Sitio/ Barangay Province
Purok City
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

SFRT 2017
for Senior High School (SF1-SHS)
Division Region
Track and Strand

PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)

SFRT 2017
 COMPLETE ADDRESS

Sex (M/F)
NAME BIRTHDAT Religious
LRN (Last Name, First Name, Name E AGE
Extension, Middle Name) Affiliation House No./ Municipality/
(mm/dd/yyyy) Street/ Sitio/ Barangay Province
Purok City
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 FEMALE

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

SFRT 2017
 PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)

Prepared By:
End of the Semester

Signature of Adviser over Printed Name

SFRT 2017
SFRT 2017
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity COMPLETE
Date ADDRESS

Sex (M/F)
Balik Aral B/A Name of school last
Transferred NAME BIRTHDAT Religious attended & Year
In LRN T/I (Last Name, First Name, Name E AGE
Name of School, Date of 1st
Extension, Middle Name) Learner With Affiliation
LWE
Specify
House Exceptionality
No./ of the Municipality/
(mm/dd/yyyy)
Attendance and Date of Last Exceptionality
Street/ Sitio/
Learner Barangay Province
Purok
Specify Level & Effectivity City
Attendance if Transferred Out Accelerated ACL Date

TOTAL

SFRT 2017
 PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Beginning of the Semester Date: End of the Semester Date:

SFRT 2017
 School Form 2 Daily Attendance Report of Learners for Senio
School Name School ID District

Semester School Year Grade Level

Section Course/s (only for TVL)

DATE
NAME
No. (Last Name, First Name, Name Extension, Middle
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T
1

10

11

12

13

14

15

16

17

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

10

11

12

13
Senior High School (SF2-SHS)
Division Region

Track and Strand

Month of

Total for the Month 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).
W TH F S ABSENT TARDY
 DATE
NAME
No. (Last Name, First Name, Name Extension, Middle
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T
14

15

16

17

18

19

20

21

22

23

24

25

26

27

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

Combined TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = U
2. To compute the following: for Late Comer, Lower for Cutting Classes)

2. REASONS/CAUSES FOR NO LONGER I

a. Percentage of Enrolment = x 100 SCHOOL (NLS)
Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
a. Domestic-Related Factors
a.1. Had to take care of siblings
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

Average daily attendance

c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
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 4. Once b.1. Illness
signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive
b.5. Poor Academic Performance
days and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. 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 feuds)
d.3. Calamities/Disasters

e. Financial-Related
e.1. Child labor, work
 Total for the Month 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).
W TH F S ABSENT TARDY

No. of Days of Classes:

ENDANCE Month: Summary
f shaded = Upper
M F TOTAL
g Classes)
* Enrolment (as of 1st Friday of the semester)

LONGER IN Late Enrolment during the month (beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

Number of students absent for 5 consecutive days

No Longer in School (NLS)

Transferred Out

Transferred In

Shifting Out

Shifting In

I certify that this report is true and correct:

feuds)
Signature of Class Adviser over Printed Name

Attested By:
 DATE
NAME
No. (Last Name, First Name, Name Extension, Middle
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T
f. Others (Specify)
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
 Total for the Month 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).
W TH F S ABSENT TARDY
Signature of School Head over Printed Name
 School Form 3 Books Issued and Returned for Senior High School (SF3-S
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 / ModuleTitle Book / 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

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
 SF3-SHS)
Division Region

d Strand

Book / ModuleTitle Book / ModuleTitle

REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (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 / ModuleTitle Book / 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

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
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 (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
4. The Total Number of Copies of Books Returned shall be reflected in the form. code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle

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

ignature of Class Adviser over Printed Name

 School Form 5A End of Semester and School Year Status of Learn

School Name AURORA PIONEERS MEMORIAL COLLEGE School ID 404834

Semester 1ST
School Year 2018-2019

Track and Strand TVL

BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

MALE
1 124893050007 BADANA, JHON MARK JAYME
2 125439060004 BATALLA, NORMAN ROSALEJOS
3 124876120024 HANGKA, JUNBERT ASIS
FEMALE
1 128163120164 ALINSUG, GEREDEM BURLAT
2 124874060006 BALOLOY, JOVELYN PONCE
3 124878050011 BANGUIS, DAISERIE CAIBAN
4 127012060026 BENDECIO, MARY GRACE COLLADO
5 124879060004 COCA, NESTLE CABASAG
6 124896060014 COLONGAN, GERONILYN LINGUIZ
7 124899060013 ERMONTE, CHARIS NARVASA
8 404834150491 JAYME, ANA JANE
9 125232060002 LUGAY, JUDY-AN
10 124874060021 MORA, DONNA ROSE DA-AS
11 404834150709 OPO, HONEY RUBENJANE BASILGO
12 196021060029 QUIÑO, RHEYA MAY GAPOL
13 125419060017 QUINTO, SYRAMIE VILLACORA
14 124899060028 SALID, GENELYN OPLE
15 124867060023 SENINING, MARIEL GRACE BUTOHAN
 BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)

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
data elements shall be filled up only after the 2nd semester or at the end of the School Year.

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
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
earners for Senior High School (SF5A-SHS)

District 1 Division ZDS Region IX

Grade Level XII Section KAAMULAN

Course/s (only for TVL) HOME ECONOMICS

END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)

Complete STATUS MALE FEMALE TOTAL

Complete COMPLETE 3 15 18
Complete INCOMPLETE 0 0 0
TOTAL 3 15 18
Complete
Complete SUMMARY TABLE 2ND SEM

Complete STATUS MALE FEMALE TOTAL

Complete COMPLETE
Complete INCOMPLETE

Complete TOTAL

Complete
Complete SUMMARY TABLE (End of the School Year Only)

Complete STATUS MALE FEMALE TOTAL

Complete REGULAR
Complete IRREGULAR

Complete TOTAL
Complete
Complete
Complete

Prepared By:

JERSON S. ALFEREZ
Signature of Class Adviser over Printed Name

Certified Correct By:

LILYBETH A. VILLEGAS
 END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)

Signature of School Head over Printed Name

Reviewed By:

JEANELYN A. ALEMAN, Ph.D. LL.B.

Signature of Division Representative over Printed Name

End of School Year Status blank/unfilled at the end of the 1st Semester. These

ed (with grade less than 75%)

 School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name Aurora Pioneers Memorial College School ID 404834 District 1 Division ZDS Region 1X
Semester 1ST School Year 2018-2019 Section KAAMULAN
Track and Strand TVL Course/s (only for TVL) HOME ECONOMICS

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

MALE

SUMMARY TABLE A
1 124893050007 BADANA, JHON MARK JAYME N STATUS MALE FEMALE TOTAL
2 125439060004 BATALLA, NORMAN ROSALEJOS N Learners who
3 124876120024 HANGKA, JUNBERT ASIS N completed SHS
Program within 2
FEMALE SYs or 4
1 128163120164 ALINSUG, GEREDEM BURLAT N semesters

2 124874060006 BALOLOY, JOVELYN PONCE N Learners who

3 124878050011 BANGUIS, DAISERIE CAIBAN N completed SHS
Program in more
4 127012060026 BENDECIO, MARY GRACE COLLADO N than 2 SYs or 4
5 124879060004 COCA, NESTLE CABASAG N semesters

6 124896060014 COLONGAN, GERONILYN LINGUIZ N TOTAL

7 124899060013 ERMONTE, CHARIS NARVASA N
8 404834150491 JAYME, ANA JANE N
9 125232060002 LUGAY, JUDY AN B. N
10 124874060021 MORA, DONNA ROSE DAAS N SUMMARY TABLE B
11 404834150709 OPO, HONEY RUBENJANE BASILGO N STATUS MALE FEMALE TOTAL
12 196021060029 QUIÑO, RHEYA MAY GAPOL N NC III
13 125419060017 QUINTO, SYRAMIE VILLACORTA N NC II
14 124899060028 SALID, GENELYN OPLE N NC I
15 124867060023 SENINING, MARIEL GRACE BUTOHAN N TOTAL

Note: NCs are recorded here for documentation but is not a requirement for
graduation.
 Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)

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.

Reviewed By:

JERSON S. ALFEREZ
Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

LILYBETH A. VILLEGAS
Signature of School Head over Printed Name

Reviewed By:

JEANELYN A. ALEMAN, Ph.D. LL.B.

Signature of Division Representative over Printed Name
 School Form 7 School Personnel Basic Profile and Assign
School Name AURORA PIONEERS MEMORIAL COLLEGE School ID 404834 District
Semester 1ST School Year 2018-2019
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items

Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)

EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
TEACHER

FILIPINO
SALARY

347-797-417-0000 JERSON S. ALFEREZ MALE REGULAR BSED

 EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
 EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended

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 movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
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 lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
1 Division ZDS Region IX

(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

of Designation
(Contractual, Fund Source
(as it appears in the contract/document:
Substitute, (SEF, PTA,
her, Clerk, Security Guard, Driver etc.)
Volunteer, Others NGO's etc.) Teaching Non-Teaching
specify)

Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

First Semester:
PHYSICAL EDUCATION 12-KAAMULA W 7.:30 9:30 120
FILIPINO KAAMULAN M/T/TH/F 7:30 8:30 240
FILIPINO KADYAWAN M/T/TH/F 8:30 9:30 240
FILIPINO PANAGBENG M/T/TH/F 10:00 11:00 240
FILIPINO SINULOG M/T/TH/F 11:00 12:00 240
FILIPINO MEGAYON M/T/TH/F 1:00 2:00 240
Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
 Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
 Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week

movement of teachers and other

LILYBETH A. VILLEGAS
k to the lowest. Signature of School Head over Printed Name
rted.
Updated as of:

School Form 7, Page ___ of ________