School Forms
School Forms
School Forms
School Name JPI OF TECHNOLOGY- MUZON CAMPUS, INC. School ID 409920 District BULACAN Division CSJDM Region III
Semester 1st School Year 2023- 2024 Grade Level GRADE 11 Track and Strand ACCOUNTANCY, BUSINESS AND MANAGEMENT (ABM)
Section TAKI Course (For TVL Only)
GUARDIAN
COMPLETE ADDRESS PARENTS Contact
(if learner is not Living with Parent) REMARKS
Sex (M/F)
NAME Number of
BIRTHDATE
LRN (Last Name, First Name, Name Extension, Middle AGE Religious Affiliation Mother's Maiden Name Name (Please refer to the legend)
(mm/dd/yyyy) Father's Name Parent/
Name) House No./ Street/ Sitio/ Purok Barangay Municipality/ City Province (Last Name, First Name, Name Extension, (Last Name, First Name, Relationship
(Last Name, First Name, Name Extension, Middle Name)
Middle Name) Name Extension, Middle Guardian
Name)
136639121450 Alarde, Shawn Cedric Mercan M 4/15/2006 17 Christianity Blk 3 Lot 4 Sec 1 Phase 1 2000 Brgy. Muzon City of San Jose del Monte Bulacan Alejandro Alarde Marilyn C. Merca Marianne Mercan Aunt 9675913216
103146140043 Allauigan, Allan James Oloya M 4/19/2007 16 Christianity Door 4 Melody Heights Brgy. Muzon City of San Jose del Monte Bulacan Jayjoemar Mabbayad Allauigan Analyn villare oloya Analyn Alauigan Mother 9656316076
107158120594 Cabuños, Marcky Valdez M 1/13/2006 17 Christianity Blk 3 Lot 11 Sec 21 Ph-3 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Benjie M. Cabuños Julie Ann C. Valdez Julie Ann Valdez Mother 9918708323
107158120110 Cura, Allwyne Borromeo M 12/12/2006 16 Christianity Blk 12 Lot 1 Sec 18 Ph-1 Pabahay Brgy. Muzon City of San Jose del Monte Bulacan Orlando Cura Alma Cotibod Borromea Orlando Cura Father 9351644853
104902140139 Lacsa, Darriel Alombo M 7/18/2007 16 Christianity Blk 5 Lot GALAHAPMAI Village 1 Brgy. Muzon City of San Jose del Monte Bulacan David Lacsa Vilma Alombo Vilma Lacsa Mother 9052065161
104928120022 Lansang, Jerick Demafelix M 04/08/2006 17 Christianity Blk 6 Lot 14 Sec 25 Ph-3 PABAHAY 2000 Brgy. Muzon City of San Jose del Monte Bulacan Jesus lansang Mercedes Demafelix Mercedes Demafelix Mother 9916418007
104829120285 Lucas, Eugene Lovino M 10/30/2006 16 Christianity Blk 4 Lot 6 Sec 9 Ph-1 Pabahay 1 Brgy. Muzon City of San Jose del Monte Bulacan Edmon guevarra Alfonsa C lobino Pamela Lucas Sister 9565409754
136821120578 Maboloc, John Bernie Avenue M 4/25/2007 16 Christianity Blk 39 Lot 4 Ph-1 San Jose Heights City of San Jose del Monte Bulacan Bernabe G. Maboloc Wenchita Rose Avenue Wenchita Rose Mother 9682127813
136826120229 Macaraeg, Vince Caturan M 05/12/2007 16 Christianity Blk 27 Lot 24 St. Peter St. Mountain View Subd. Brgy. Muzon City of San Jose del Monte Bulacan Victorio Macaraeg Virgie Sabandal Caturan Virgie
Avenue
Caturan Mother 9662605548
119893130166 Novera, King Justine Emeterio M 11/18/2006 16 Christianity Pakulis 1 Brgy. Muzon City of San Jose del Monte Bulacan Awi Rizon Rosal Emeterio Aravela Grace Novera Sister 9974720275
107158120430 Ollanas, Gersann Kennedey Aruta M 6/14/2007 16 Christianity Blk37, Lot1, Melody Heights Zone 4 Brgy. Muzon City of San Jose del Monte Bulacan Gerardo Ollanas Rosanna Aruta Gerardo Ollanas Father 9083508858
107158130510 Pancho, Bjade Fermilan M 8/28/2007 16 Christianity Blk 20 Lot 22 Ph-1 Sec 7 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Rodelio Pancho Judy Fermilan Rodelio Pancho Father 9559652075
136533130234 Sujede, Nheann De Guzman M 04/02/2006 17 Christianity Blk 28 Lot 7 Ph-2a San Jose Heights City of San Jose del Monte Bulacan Anthony s sujede Leah d guzman Leah Sujede Mother 9484051221
13 <=== T O T AL M ALE
136544141091 Amparado, Vanessa Joy Sedano F 11/03/2006 16 Christianity Blk 26 Lot 19 Isaac St. Zone 2 Melody Plains Subd. Brgy. Muzon City of San Jose del Monte Bulacan Juvannie G. Amparado Joyce B. Sedano Joyce Amparado Mother 9194537367
422545150128 Arquiza, Raiza Hular F 10/02/2006 16 Christianity Blk 5 Lot 39 Tierra Benita Brgy. Muzon City of San Jose del Monte Bulacan Dominic Briones Arquiza Michelle Pemaña Hular Michelle Arquiza Mother 9222678185
158531130582 Baldomar, Marian Cepeda F 10/28/2007 15 Christianity Northville 4 Brgy. Lambakin Marilao Bulacan Macario Baldomar Nena Cepeda Manilyn Baldomar Aunt 9187249451
107158120473 Beroy, Raven Alliya Villanueva F 7/23/2007 16 Christianity Blk 10 Lt 1 Ph 1 Sec 1 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Alfonso E. Beroy Rienalyn R. Villanueva Rienalyn Beroy Mother 9306341789
107156120211 Calma, Marianne Alba F 9/29/2007 15 Christianity Blk 12 Gumaok West City of San Jose del Monte Bulacan Redgie Calma Gemma Ortiz Alba Margie Calma Aunt 9924156179
107158120649 Camba, Allyson Rangel F 12/17/2006 16 Christianity Blk 21 Lot 16 Sec 7 Ph-1 PABAHAY 2000 Brgy. Muzon City of San Jose del Monte Bulacan Camba Sony Boy Rangel Emily Villalobos Camille Rangel Sister 9353765569
105164120207 Cartagenas, Erika Mae Palagtiw F 04/07/2007 17 Christianity Morning Glory Poblacion City of San Jose del Monte Bulacan Niño Cartagenas Roselyn P. Palagtiw Roselyn Cartagenas Mother 9069565184
107158121075 Detera, Mary Gene Basinang F 09/08/2007 16 Christianity Blk 3 Lot 14 Harmony Paraguay St Brgy. Muzon City of San Jose del Monte Bulacan Nestor ebio Detera Gelene Bernado Basinang Regine Basinang Mother 9633052873
107158120391 Escorel, Mariz Carmona F 11/01/2006 16 Christianity Blk 7 Lot 12 Sec 8 Ph-1 Pabahay Brgy. Muzon City of San Jose del Monte Bulacan Larry Escorel Marina Carmona Marina Escorel Mother 9159793447
107158120677 Fernandez, Mickylla Mae Andres F 1/31/2007 17 Christianity Blk 20 Lot 3 Sec 16 Ph- 2 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Benjamin V. Fernandez jr. Michelle L. Andres Michelle Fernandez Mother 9056538015
107158130556 Garcia, Ashlie Mitch Martus F 1/16/2007 17 Christianity Blk 18 Lot 9 Sec 24 Ph-3 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Rhey T. Garcia Marnely M. Martus Nila Martus Grandmother 9352755466
136609130447 Gerondio, Princess Lea Corteza F 02/04/2008 15 Christianity Blk 12 Lot 8 Sec 4 Ph-1 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Bryan Gerondio Elsie Corteza Elsie Corteza Mother 9272702898
107161120137 Guban, Erika Joy Cruz F 5/30/2007 17 Christianity 031 , Poblacion 1 Poblacion City of San Jose del Monte Bulacan Gerry Gallardo Guban Lailen Mateo Cruz Catherine Ronquillo Cousin 9163815859
107153130056 Gulinao, Nicole Gerona F 11/16/2005 17 Christianity Sitio Himpot Dulong Bayan City of San Jose del Monte Bulacan Nestor Gulinao Eliza Bantolino Gerona Eliza Gulinao Mother 9994287949
115093110023 Incognito, Bernalyn Cooper F 04/05/2006 17 Christianity Lot 581 Amscaler Bagumbong Caloocan Cty Caloocan Bernardino R Incognito Margielyn Cooper Margielyn Cooper Mother 9701333239
107158120505 Laurel, Irish Joy Delos Martirez F 1/19/2007 16 Christianity BLK 29 LOT 14 SEC 9 PH 1 PABAHAY 2000 Brgy. Muzon City of San Jose del Monte Bulacan Ronie Laurel Rechil Cañete Dolores Laurel Grandmother 9151502859
107154120158 Losaynon, Nathalie Brinces F 12/10/2006 16 Christianity Blk 7 Lot 11 Dollar St. Kaypian City of San Jose del Monte Bulacan Lauro broquel losaynon Mary ann brinces nario Mary Ann Losaynon Mother 9302373879
136441131038 Manabat, Kymm Curly Latigar F 8/27/2006 17 Christianity Blk11 Lot22 Ph- 2b San Jose Heights City of San Jose del Monte Bulacan Edwin Manabat Cynthia Latigar Dolores Condes Aunt 9662054139
105147130471 Manahan, Christine Jane Lasala F 08/01/2007 16 Christianity Blk 43 Lot 11 Ph-1 San Jose Heights City of San Jose del Monte Bulacan Margarita Manahan Margarita Manahan Mother 9562780544
107159120151 Maritan, Jea Bandol F 05/11/2007 16 Christianity 1140 Zone 4 Benito Nieto Brgy. Muzon City of San Jose del Monte Bulacan Antonio G. Maritan Mercy Recto Bandol Mercy Maritan Mother 9603034317
107158120411 Marte, Nicolle Alolod F 3/23/2007 16 Christianity Blk 27 Lot 16 Sec 13 Ph- 2 Pabahay 2000 Brgy. Muzon City of San Jose del Monte Bulacan Fernando Marte Ma. Ailen Alolod Fernado Marte Father 9630810272
107158130645 Mendoza, Ma. Fuena Franchisca Ayao F 6/29/2007 16 Christianity Blk 12 Lot 27 Exp 5 San Jose Heights City of San Jose del Monte Bulacan Ferdinand Aruta Mendoza Divine Tawi Ayao Divine Mendoza Mother 9283227679
115408130259 Mojica, Allyson Mae Legaspi F 5/16/2006 17 Christianity Blk 26 Lot 18 Melody Plains Subd. Zone 2 Isaact St. Brgy. Muzon City of San Jose del Monte Bulacan Benigno Mojica Cresencia G. Legaspi Fidela Legaspi Grandmother 9976390467
114239120069 Mula Cruz, Shayra Joseyn Oseo F 3/29/2007 16 Christianity Brgy. Graceville Phase 1 Zone 4 Brgy. Muzon City of San Jose del Monte Bulacan Jose Mulacruz Jr. Ma. Salome G. Oseo Ma. salome Oseo Mother 9703068370
123967120012 Niedo, Ma. Angel Juab F 5/23/2007 16 Christianity Blk 11 Lot 11 Ph- 2b San Jose Heights City of San Jose del Monte Bulacan Mario C. Niedo Isabel B. Juab Jissabel Niedo Sister 9760567494
107161130283 Odevilas, Kristine Joy Tanudra F 12/25/2006 16 Christianity Blk 23 Lot 28 Ph- 2 San Jose Heights City of San Jose del Monte Bulacan Alvin Tocmo Odevilas Floresa Hamol-awon Tanudra Alissa Odevilas Sister 9568690673
107158120454 Pasibe, Lhallaine Acojido F 02/10/2007 16 Christianity Blk 18 Lot 4 Mountain View Subd. Brgy. Muzon City of San Jose del Monte Bulacan Charlie Pasibe Manilyn Acojido Charlie Pasibe Father 9814923851
109396130756 Robines, Princess Khaila Laborde F 10/26/2007 16 Christianity Blk 5 Lot 1 Sec 6 Ph- 1 San Jose Heights City of San Jose del Monte Bulacan Almar Robines Evelyn Laborde Evelyn Laborde Mother 9478663771
301060110981 Sacro, Marycris Magallon F 10/12/1998 24 Christianity Lot 71 Narra Ph- A Francisco Homes City of San Jose del Monte Bulacan Teodoro M Sacro Cristina Avanceña Isagani Villanue Uncle 9509857080
29 <=== TOTAL FEMALE
42 <=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Ind Beginning of the Prepared By:
ica Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
tor
Tra T/O CCT Recipient CCT CCT Control/reference number & Effectivity Date Name of school last attended & Year
nsf Specify Exceptionality of the Learner MALE 13
err
ed
Balik Aral B/A Specify Level & Effectivity Date NIÑ A MARGARRETTE JACOBE- MANUEL
Out T/I Name of School, Date of 1st 29 Signature of Adviser over Printed Name
Attendance and Date of Last Learner With LWE FEMALE
Tra Attendance if Transferred Out Exceptionality
nsf Accelerated ACL Beginning of the Semester Date: July 24, 2023 End of the Semester Date: May 28, 2024
err TOTAL 42
ed
In
SFRT 2017
S c h o o l F o rm 2 D a ily A tte n d a n c e R e p o rt o f L e a rn e rs fo r S e n io r H ig h S c h o o l (S F 2 -S H S )
School Name JPI OF TECHNOLOGIES- MUZON CAMPUS, INC. School ID 409920 District CSJDM Division BULACAN Region III
Semester 1ST School Year 24/02/2023 Grade Level 11 Track and Strand ACCOUNTANCY, BUSINESS & MANAGEMENT (ABM)
Section TAKI Course/s (only for TVL) Month of JULY
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 24 25 26 27 28 29 31 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).
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 W TH F S ABSENT TARDY
2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
e. Financial-Related
e.1. Child labor, work Attested By:
Semester 1ST School Year 24/02/2023 Grade Level 11 Track and Strand ACCOUNTANCY, BUSINESS & MANAGEMENT (ABM)
Section TAKI Course/s (only for TVL) Month of AUGUST
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 31 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).
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 W TH F S ABSENT TARDY
2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
e. Financial-Related
e.1. Child labor, work Attested By:
Semester 1ST School Year 24/02/2023 Grade Level 11 Track and Strand ACCOUNTANCY, BUSINESS & MANAGEMENT (ABM)
Section TAKI Course/s (only for TVL) Month of SEPTEMBER
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 4 5 6 7 8 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29 30 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).
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 W TH F S ABSENT TARDY
2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
e. Financial-Related
e.1. Child labor, work Attested By:
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
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TOTAL MALE ===>
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Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
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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 code
4. The Total Number of Copies of Books Returned shall be reflected in the form. TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
5. All textbooks being used must be included. Additional copies of this form may be used if needed. Signature of Class Adviser over Printed Name
School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SHS)
REGISTERED
(A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B)
LEARNERS
Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND (As of End of Daily % for the (B) Total for (B) Total for (B) Total for (B) Total for (B) Total for
Number as Number as of Number as Number as Number as Number as of Number as Number as of Number as Number as of
the Month) Average Month the Month the Month the Month the Month the Month
of Previous End of the of Previous of End of the of Previous End of the of Previous End of the of Previous End of the
Month Month Month Month Month Month Month Month Month Month
M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T
END OF
BACK SUBJECT/S END OF SCHOOL
LEARNER'S NAME SEMESTER
No. LRN List down subjects where learner obtained a rating YEAR STATUS
(Last Name, First Name, Name Extension, Middle Name) STATUS
below 75%) (Regular/ Irregular)
(Complete/ Incomplete)
MALE
SUMMARY TABLE 1ST SEM
TOTAL
TOTAL
TOTAL
FEMALE
Prepared 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 Semester. These
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 grade less than 75%)
Note: Do not include learners who are No Longer in School ( NLS )
END OF
BACK SUBJECT/S END OF SCHOOL
LEARNER'S NAME SEMESTER
No. LRN List down subjects where learner obtained a rating YEAR STATUS
(Last Name, First Name, Name Extension, Middle Name) STATUS
below 75%) (Regular/ Irregular)
(Complete/ Incomplete)
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Attained
(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 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) 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.
FEMALE
Reviewed By:
Reviewed By:
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
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 Division Superintendent over Printed Name
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 total.
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.
School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
School Name School ID District Division Region
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding Sources
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
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
GUIDELINES:
EDUCATIONAL QUALIFICATION Daily Program (time duration) Remarks:
Nature of *For Detailed Items, Indicate
Employee Appointment/ Grade and name of school/office,
No. (or Tax Name of School Personnel Employment Subjects Taught, Advisory Sections
Fund Position/ Major/ Total Actual *For IP - Ethnicity)
Identification (Arrange by Position, Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ From To Teaching *For additional loads from JHS-
Number - Descending) (Regular/ Minor Assignments sections (M/T/W/
Postgraduate Specialized taught) (00:00) (00:00) Minutes per please indicate the number of
T.I.N.) Probationary/ TH/F)
Training Attended Week teaching minutes per week)
Part Time)
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.
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. Signature of School Head over Printed Name
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. Updated as of:
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)
FEMALE
SFRT 2017
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Extension, Middle Name) (kg/m²) Category
SUMMARY TABLE
SFRT 2017
SFRT 2017