School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID Region Division

School Name School Year

ADDRESS

NAME Sex BIRTH DATE AGEFriday

as of MOTHER TONGUE IP
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) 1stJune (Grade 1 to 3 Only) (Ethnic
Group)
RELIGION House #/ Street/ Municipality/
Sitio/ Barangay City Province
Purok
 ADDRESS

NAME Sex BIRTH DATE AGEFriday

as of MOTHER TONGUE IP
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) 1stJune (Grade 1 to 3 Only) (Ethnic
Group)
RELIGION House #/ Street/ Municipality/
Sitio/ Barangay City Province
Purok

List and Code of Indicators under REMARKS column

Indicator Code Required Information Indicator Code Required Information

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year

Dropped DRP Reason and Effectivity Date Learner With LWD Specify
Dissability
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data
 District

Grade Level Section

PARENTS GUARDIAN REMARKS

(If not Parent)
Contact Number
Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
Middle Name) Middle Name) page)
 PARENTS GUARDIAN REMARKS
(If not Parent)
Contact Number
Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
Middle Name) Middle Name) page)

Prepared by: Certified Correct:

REGISTERED BoSY EoSY

MALE

(Signature of Adviser over Printed Name) (Signature of School Head over Printed
FEMALE Name)

TOTAL

BoSY Date: EoSYDate: BoSY Date: EoSYDate:

 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID School Year Report for the Month of

Name of School Grade Level Section

(1st row for date)

LEARNER'S NAME
(Last 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 T W TH F

MALE | TOTAL Per Day

 (1st row for date)
LEARNER'S NAME
(Last 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 T W TH F

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enro
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollme
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Register
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
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 b.2. Overage
School Form 4. Once signed by the principal, this form should be returned to the adviser.
b.3. Death
Percen
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 b.4. Drug Abuse
consecutive days and/or those at risk of dropping out. b.5. Poor academic performance
Number of
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year 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 & clanfeuds) I certify that th
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer
to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY
 Total for the
Month REMARKS (If DROPPED OUT, state reason, please refer
to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
ABSENT TARDY

Month: No. of Days of Summary

Classes: M F TOTAL

* Enrolment as of (1st Friday of June)

Late Enrollment 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:

Drop out

Transferred out

Transferred in

certify that this is a true and correct report.

(Signature of Teacher over Printed Name)

Attested by:

(Signature of School Head over Printed Name)

 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID School Year

School Name Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First Name, Middle (Please refer to the
Name) Date Date Date Date Date Date Date Date legend on last page)

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

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First Name, Middle (Please refer to the
Name) Date Date Date Date Date Date Date Date legend on last page)

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

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)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian Date BoSY:____________ Date EoSY: ___________
(for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed. 2.2012.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 117700 Region VI Division SAGAY CITY District SAGAY V

School Name OLD SAGAY ELEMENTARY SCHOOL School Year 2022-2023 Report for the Month of Apr-23

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS
YEAR SECTION NAME OF ADVISER (As of End of the
Daily Average Percentage for (A) Cumulative as (B) For the Month (A+B) Cumulative (A) Cumulative as
as of End of the of (B) For the Month
(A+B) Cumulative (A) Cumulative as (A+B)
as of End of the of Previous Month (B) For the Month Cumulative as of
LEVEL Month) the Month of Previous Month Month Previous Month Month End of the 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
KINDER
147 110 257 137 102 239 93 93 93 3 1 4 0 0 0 3 1 4 2 3 5 0 0 0 2 3 5 4 4 8 0 0 0 4 4 8
GRADE 1
122 130 252 111 119 230 91 92 91.27 14 4 18 0 0 0 14 4 18 2 6 8 0 0 0 2 6 8 6 7 13 0 0 0 6 7 13
GRADE 2
136 125 261 128 122 250 94 98 95.79 2 0 2 0 0 0 2 0 2 2 1 3 0 0 0 2 1 3 3 3 6 0 0 0 3 3 6
GRADE 3
101 101 202 95 97 192 94 96 95 3 1 4 0 0 0 3 1 4 0 4 4 0 0 0 0 4 4 1 0 1 0 0 0 1 0 1
GRADE 4
162 152 314 153 143 296 94 97 94.27 1 0 1 0 0 0 1 0 1 3 2 5 1 0 1 4 2 6 0 2 2 0 0 0 0 2 2
GRADE 5
135 152 287 131 150 281 97 99 97.91 2 0 2 0 0 0 2 0 2 3 3 6 0 0 0 3 3 6 2 3 5 0 0 0 2 3 5
GRADE 6
117 119 236 115 118 233 98 99 98.73 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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 920 889 1809 870 851 1721 94.57 95.73 95.14 25 6 31 0 0 0 25 6 31 12 19 31 1 0 1 13 19 32 16 19 35 0 0 0 16 19 35
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 ELEANOR Y. LO
(Signature of School Head over Printed Name)
Page _____ of _____ pages
5`
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE ACTION TAKEN: High School. Elementary grades level that are still implementing RBEC
LEARNER'S NAME (Numerical Value in 2 PROMOTED, need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) decimal places and 3 IRREGULAR or
decimal places for
honor learners, and RETAINED From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only)

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)
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE ACTION TAKEN: High School. Elementary grades level that are still implementing RBEC
LEARNER'S NAME (Numerical Value in 2 PROMOTED, need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) decimal places and 3 IRREGULAR or
decimal places for
honor learners, and RETAINED 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 above)
TOTAL MALE

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

Division Representative

GUIDELINES:

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating per

subject area should be taken from the record of subject
teachers. The class adviser should compute for the
General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and *irregular (*for grade 7
onwards only) and the level of proficiency according to
the individual General Average.

4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC in
AVERAGE ACTION TAKEN: High School. Elementary grades level that are still implementing RBEC
LEARNER'S NAME (Numerical Value in 2 PROMOTED, need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) decimal places and 3 IRREGULAR or
decimal places for
honor learners, and RETAINED From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE

COMBINED
School Form 5: Page ____ of ________
 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)

School ID Region Division

School Name District School Year

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

PROMOTED

IRREGULAR (Grade 7 onwards only)

RETAINED

LEVEL OF PROFICIENCY (K to 12 Only) MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE

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.
TAL

TOTAL

TOTAL
 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)

School ID Region Division

School Name District School Year

(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 in (Contractual, Fund Source
(as it appears in the appointment Incumbent (as it appears in the appointment Incumbent the contract/document: Teacher, Clerk, Substitute, (SEF, PTA,
document/PSIPOP) document/PSIPOP) Security Guard, Driver etc.) Volunteer, others NGO's etc.)
specify) Teaching
Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Employee Nature of Subject Taught Remarks (For

No. (or Tax Name of School Personnel Fund Position/ Appointment/ (include Grade & Detailed Items,
Identification (Arrange by Sex Section), Advisory Class DAY Total Actual Indicate name of
Number - Position, Descending) Source Designation Employment Degree / Post Major/ & Other Ancillary (M/T/W/T From To Teaching school/office, For IP's
T.I.N.) Status Graduate Specialization Minor (00:00) (00:00) Minutes per
Assignments H/F) -Ethnicity)
Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)

Employee Nature of Subject Taught Remarks (For

No. (or Tax Name of School Personnel Fund Position/ Appointment/ (include Grade & Detailed Items,
Identification (Arrange by Sex Section), Advisory Class DAY Total Actual Indicate name of
Number - Position, Descending) Source Designation Employment Degree / Post Major/ & Other Ancillary (M/T/W/T From To Teaching school/office, For IP's
T.I.N.) Status Graduate Specialization Minor (00:00) (00:00) Minutes per
Assignments H/F) -Ethnicity)
Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

GUIDELINES: Submitted by:

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 the school year, an
updated Form 19 must be submitted 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. (Signature of School Head over Printed Name)
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 ________