School Forms
School Forms
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE
ADDRESS PARENTS GUARDIAN REMARKS
(If not Parent)
NAME Sex BIRTH DATE AGEFriday
as of MOTHER IP Contact Number
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) 1stJune TONGUE (Ethnic
Group)
RELIGION House #/ Municipality/ Father's Name (Last Name, Mother's Maiden Name (Last of Parent or
Guardian (Please refer to the
Street/ Sitio/ Barangay City Province First Name, Middle Name) Name, First Name, Middle Name Relation-ship legend on last page)
Purok Name)
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE
School ID 127510 School Year 2018-2019 Report for the Month of JUNE
Name of School SAPANG AMA INTEGRATED SCHOOL Grade Level 6 Section CHERRY
3 BALIOS,RODFELIX KILAT
4
BOLONGAITA,JOHN CHARLIE SHEN TAMPARONG
6 CABANEROS,JOCEBIER RAMON
9 GALOPE,ADRIAN TAGAPAN
10 GUMITER,MEKHU SUMOHID
13 MONTEBON,ANGELOU GULAGULA
14 PADAYHAG,JUNLY QUILICOT
15 PAJE,JHONASHLY MANLUPIG
16 SAJOL,RAINIER KILAT
17 TAGAPAN,MARK IAN -
18 TARUC,JANREY EGAY
19 VEGA,MARK GIAN -
20 YARAG,JUNBERT -
2 BAYER,JELIEZAH GARCIA
4 MANLUPIG,JINKY PACALDO
5 MANLUPIG,KLENDY TAGAPAN
6 SAGAYNO,SHYREN GULAGULA
7 SUMINGUIT,JYL FLORIN
8 CORDA,RAMCES
10
(1st row for date) Total for the
LEARNER'S NAME Month REMARKS (If DROPPED OUT, state reason, please refer to
(Last Name, First legend number 2.
Name, Middle Name) If TRANSFERRED IN/OUT, write the name of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
11
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
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.
2. The Date of Issuance and the Date of Return shall be reflected in the form. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
3. The Total Number of Copies issued at BoSY 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 (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
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
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 and Submitted by:
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
(Signature of School Head over Printed Name)
Page _____ of _____ pages
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
127280
School ID School Year 2022-2023 Curriculum K -12
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE in High School. Elementary grades level that are still implementing
LEARNER'S NAME (Numerical Value in ACTION TAKEN:
PROMOTED, RBEC need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) 2 decimal places and IRREGULAR
3 decimal places for RETAINED or
honor learners, and From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
LEVEL OF PROFICIENCY
BEGINNNING
(B: 74% and 0 0 0
below)
DEVELOPING 1 0 1
(D: 75%-79%)
APPROACHING
PROFICIENCY 2 0 2
(AP:
80%-84%)
PROFICIENT 2 7 9
(P: 85% -89%)
ADVANCED
(A: 90% and 1 5 6
above)
INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE in High School. Elementary grades level that are still implementing
LEARNER'S NAME (Numerical Value in ACTION TAKEN:
PROMOTED, RBEC need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) 2 decimal places and IRREGULAR
3 decimal places for RETAINED or
honor learners, and From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year ADVANCED
(A: 90% and 1 5 6
7 TOTAL MALE above)
PROMOTED
127280160003 ACUŇA,CASEY MEL, OVALO 95.750
PROMOTED
127280160005 BABAIL,KERALGEN, ARBONIDA 93.875 PREPARED BY:
127280160006 BUTALID,DAILY MAY, VENTOLERO 88.88 PROMOTED JESS N. JUTBA
127322150018 GAHUM,AILYN, LADION 88.63 PROMOTED Class Adviser
127322160011 INDUS,MAJELAH ROSE, SERENUELA 88.38 PROMOTED (Name and Signature)
127280160010 LABAJO,GLYZA, MIRATA 89.25 PROMOTED
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 / GRADE 12 TOTAL
SUMMARY TABLE
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
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 SUPERINTENDENT
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 Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Number of
Title of Designation Appointment: Incumbent
Title of Plantilla Position Number of Title of Plantilla Position Number of (as it appears (Contractual, Fund Source
(as it appears in the appointment Incumbent (as it appears in the appointment document/PSIPOP) Incumbent in the contract/document: Teacher, Substitute, (SEF, PTA,
document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.)
specify) Teaching
Non-
Teaching
MAPEH/PEHM
Jess N. Jutba M Permanent MAED
MAPEH/P
Jess N. Jutba M Permanent MAED
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
Employee Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Detailed Items,
Identification (Arrange by Sex DAY Total Actual Indicate name of
Number - Position, Descending) Source Designation Employment Degree / Post Major/ Class & Other From To Teaching school/office, For
T.I.N.) Status Graduate Specialization Minor Ancillary (M/T/W/ (00:00) (00:00) Minutes per
Assignments TH/F) IP's -Ethnicity)
Week
Permanent
Teacher 3
MATHEMATICS M-F 10:05 10:55 250
Lita O. Acuňa F MOTHER TONGUE M-F 10:55 11:45 250
FILIPINO M-F 2:20 3:10 250
MAPEH M-F 3:10 3:50 200
Ave. Minutes per Day 310
EsP 5 M-F 7:50 8:20 30
MATHEMATICS 5 M-F 8:20 9:10 50
ARAL PAN 5 M-F 9:10 9:50 50
MATHEMATICS 6 M-F 10:05 10:55 50
FILIPINO 5 M-F 1:30 2:20 50
Rommel V. Acuňa M Teacher 3 Permanent MAPEH 5 M-F 2:20 3:00 40
EPP 5 M-F 3:00 3:50 50
320
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. Updated as of: ___________________________
School Form 7, Page ___ of ________