Section

REMARKS
House #/ Street/
Sitio/
Purok
Barangay Municipality/ City Name Relation-ship
(Please refer to
the legend on
last page)
School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School ID
Region Division District
School Year
RELIGION
ADDRESS PARENTS
Grade Level
Father's Name (Last
Name, First Name,
Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
GUARDIAN
(If not Parent)
Contact
Number of
Parent or
Guardian
AGE as of
1st Friday
of class
BIRTH PLACE
(Province)
Province
REMARKS
House #/ Street/
Sitio/
Purok
Barangay Municipality/ City Name Relation-ship
(Please refer to
the legend on
last page)
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS PARENTS
Father's Name (Last
Name, First Name,
Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
GUARDIAN
(If not Parent)
Contact
Number of
Parent or
Guardian
AGE as of
1st Friday
of class
BIRTH PLACE
(Province)
Province
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY
List and code of Indicators under REMARK column
Prepared by: Certified Correct:
REMARKS
House #/ Street/
Sitio/
Purok
Barangay Municipality/ City Name Relation-ship
(Please refer to
the legend on
last page)
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
MOTHER
TONGUE
IP
(Ethnic
Group)
NAME
(Last Name, First Name, Middle Name)
RELIGION
ADDRESS PARENTS
Father's Name (Last
Name, First Name,
Middle Name)
Mother's Maiden Name (Last
Name, First Name, Middle
Name)
GUARDIAN
(If not Parent)
Contact
Number of
Parent or
Guardian
AGE as of
1st Friday
of class
BIRTH PLACE
(Province)
Province
Transferred Out T/O CCT Recipient CCT MALE
Transferred IN T/I Balik-Aral B/A Name of school last attended & Year FEMALE
Dropped DRP Learner With Dissability LWD Specify
Late Enrollment LE Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
TOTAL
CCT Control/reference number & Effectivity Date
(Signature of Adviser over Printed Name) (Signature of School Head over Printed
Name)
Name of Public (P) Private (PR) School & Effectivity Date
Name of Public (P) Private (PR) School & Effectivity Date
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
School ID School Year
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
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
1
2
3
4
5
MALE | TOTAL Per Day
School Form 2 (SF2) Daily Attendance Report of Learners
(1st row for date)
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Report for the Month of
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Total for the
Month
Section Grade Level
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
(1st row for date)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Total for the
Month
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:
M F
2. REASONS/CAUSES FOR DROPPING OUT
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
Number of students absent for 5 consecutive days:
Percentage of Attendance for the month
Average Daily Attendance
Enrolment as of 1st Friday of the school year
Average Daily Attendance =
Percentage of Enrolment =
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Average daily attendance
Percentage of Attendance for the month =
b.
x 100
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
School Form 4. Once signed by the principal, this form should be returned to the adviser.
x 100
Registered Learners as of end of the month
* Enrolment as of (1st Friday of June)
c.
Total Daily Attendance
Number of School Days in reporting month
Registered Learners as of end of the month
Registered Learners as of end of the month
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late
Commer, Lower for Cutting Classes)
Combined TOTAL PER DAY
FEMALE | TOTAL Per Day
Summary
No. of Days of
Classes:
Percentage of Enrolment as of end of the month
Late Enrollment during the month
(beyond cut-off)
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out.
a.
b.5. Poor academic performance
Number of students absent for 5 consecutive days:
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5
consecutive days and/or those at risk of dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* 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 this is a true and correct report.
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify) Attested by:
(Signature of School Head over Printed Name)
Transferred in
Drop out
Transferred out
Number of students absent for 5 consecutive days:
Beginning of School Year cut-off report is every 1st Friday of the School Year
School Form 2 : Page ___ of ________
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
REMARKS (If DROPPED OUT, state reason, please refer to
legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
TOTAL
Summary
School ID School Year
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
1
2
Subject Area & Title Subject Area & Title English/ Excelent
Reading
Subject Area & Title Subject Area & Title
Date Date Date Date
Subject Area & Title
Grade Level
(This replaces Form 1 & Inventory of Textbooks)
School Form 3 (SF3) Books Issued and Returned
Date
Section
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARKS / ACTION TAKEN
(Please refer to the legend on last
page) Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
Subject Area & Title Subject Area & Title English/ Excelent
Reading
Subject Area & Title Subject Area & Title
Date Date Date Date
Subject Area & Title
Date
NO.
Date Date
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARKS / ACTION TAKEN
(Please refer to the legend on last
page) Date
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:
Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
(Signature over printed name)
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
1. Title of Books Issued to each learner must be recorded by the class adviser.
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian
(for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14,
2.2012.
School ID
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
Kinder Love 12 14 26 12 14 26 100% 100% 100% 1 0 1 0 0 0 1 0 1 1 0 1 1 0 1 2 0 2 2 1 3 0 0 0 2
Kinder Faith 11 16 27 11 15 26 100% 94% 96% 2 1 3 0 1 1 2 2 4 2 1 3 0 2 2 2 3 5 3 2 5 0 1 1 3
1 A 23 21 44 22 20 42 96% 95% 95% 2 2 4 0 1 1 2 3 5 0 0 0 1 0 1 1 0 1 0 0 0 2 1 3 2
1 B 24 21 45 23 20 43 96% 95% 96% 0 1 1 1 0 1 1 1 2 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 1
1 C 26 19 45 25 19 44 96% 100% 98% 1 0 1 0 0 0 1 0 1 0 0 0 2 0 2 2 0 2 0 1 1 1 0 1 1
2 A 21 20 41 21 20 41 100% 100% 100% 0 1 1 0 0 0 0 1 1 0 2 2 0 0 0 0 2 2 0 0 0 1 0 1 1
2 B 19 23 42 18 22 40 95% 96% 95% 0 1 1 0 0 0 0 1 1 1 0 1 0 1 1 1 1 2 0 1 1 0 1 1 0
2 C 17 26 43 17 25 42 100% 96% 98% 1 0 1 0 0 0 1 0 1 2 0 2 1 0 1 3 0 3 1 0 1 0 0 0 1
3 A 18 25 43 18 25 43 100% 100% 100% 0 1 1 0 1 1 0 2 2 1 0 1 0 0 0 1 0 1 0 1 1 0 0 0 0
3 B
3 C
4 A
4 B
5 A
5 B
6 A
6 B
ELEMENTARY/SECONDARY:
23 30 53 23 29 52 100% 97% 98% 3 1 4 0 1 1 3 2 5 3 1 4 1 2 3 4 3 7 5 3 8 0 1 1 5
73 61 134 70 59 129 96% 97% 96% 3 3 6 1 1 2 4 4 8 0 1 1 3 0 3 3 1 4 1 1 2 3 1 4 4
57 69 126 56 67 123 98% 97% 98% 1 2 3 0 0 0 1 2 3 3 2 5 1 1 2 4 3 7 1 1 2 1 1 2 2
18 25 43 18 25 43 100% 100% 100% 0 1 1 0 1 1 0 2 2 1 0 1 0 0 0 1 0 1 0 1 1 0 0 0 0
GUIDELINES: Prepared and Submitted by:
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
(Signature of School Head over Printed Name)
Endozo, Melva
Sampayan, Isabelita
1st
Nimfa Gabretan
Ruby Lazaro
ATTENDANCE
(B) For the Month
Report for the Month of
(B) For the Month
Alonzo, Alma
Penaloza, Yolanda
Henrich Yson
Roberto Aquino
Gloria Berdos
TOTAL
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.
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
KINDER
SECTION NAME OF ADVISER
School Form 4 (SF4) Monthly Learner's Movement and Attendance
DROPPED OUT TRANSFERRED OUT TRANSFERRED IN
Daily Average
Percentage for the
Month
(A) Cumulative as
of Previous Month
(B) For the Month
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
GRADE 1/GRADE 7
(A+B)
Cumulative as of
End of the Month
REGISTERED
LEARNERS
(As of End of the
Month)
IV-A Lipa City 109641
November 2013-2014 Jose K. Abando Memorial Elementary School
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Name
Region Division District
School Year
GRADE/
YEAR
LEVEL
F T
1 3
3 6
1 3
0 1
1 2
0 1
2 2
0 1
1 1
4 9
2 6
2 4
1 1
School Form 4 (SF4) Monthly Learner's Movement and Attendance
TRANSFERRED IN
(A+B)
Cumulative as of
End of the Month
November
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
Region XI Division District
Curriculum
Grade Level VI Section
129076120423 79.83
Promoted
129076060007 81.17
Promoted STATUS MALE FEMALE TOTAL
129076070008 79.00
Promoted
129076070029
79.50
Promoted
129076070063
82.83
Promoted
129076070069
78.83
Promoted
129076070071
81.17
Promoted
129076070082
81.67
Promoted
129076070089
79.00
Promoted
129076070090
80.67
Promoted
129076070125
81.67
Promoted MALE FEMALE TOTAL
129076070153
76.83
Promoted
129076070163
82.00
Promoted
13
Page 1 of 2
0 5 5
ADVANCED (A:
90% and above)
0 0 0
APPROACHING
PROFICIENCY
(AP: 80%-84%)
7 18 25
PROMOTED 13 23 36
IRREGULAR 0 0 0
SUMMARY TABLE
MABINI
2013-2014
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
School. Elementary grades level that are still implementing RBEC need
not to fill up these columns)
From previous school years
completed as of end of current
School Year
As of end of current School Year
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
Adang, Jacob Reyes
Agom, Welter Madyo
Bisquera, Aljerico Jr. Abraham
Degamo, Jerald Bernado
Emba, Alger Ogot
DAVAO DEL SUR
ASTORGA CENTRAL ELEM. SCHOOL
Abay, Jeremiah Bacay
RBEC
STA. CRUZ
129076
Soriano, Ryan Abergas
Toroba, Dom J Nice Sanchez
Total Male
Enhambre, James Paul Portulaso
Gonzales, Jeffrey Bacamante
Jayme, Christian Jhon Leal
Jayme, Joshua Baiza
Palaca, Jesie Pactol
0 0 RETAINED 0
LEVEL OF PROFICIENCY
DEVELOPING (D:
75%-79%)
BEGINNNING
(B: 74% and below)
0 0 0
6 0 6
PROFICIENT
(P: 85% -89%)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in High
School. Elementary grades level that are still implementing RBEC need
not to fill up these columns)
From previous school years
completed as of end of current
School Year
As of end of current School Year
LRN
GENERAL
AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for
honor learners, and
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
129076070014 Aradillos, Maria Fe Flores 81.83
Promoted
128785070037 Banawan, Mae Ann Villarosa 86.67
Promoted
129076070026 Beli, Jessa Laidan 80.67
Promoted
129076070048 Casanova, Dulcemae Poliran 80.83
Promoted
129076070044 Castro, Marienilla Utad 81.17
Promoted
129076070051 Claveria, Janelle Anne Beltran 83.00
Promoted
129076070052 Custodio, Erjelie Amparo 86.67
Promoted CERTIFIED CORRECT & SUBMITTED:
129076070055 Dadula, Desiree Guinares 85.33
Promoted
129076070057 David, Shelamea Adang 83.83
Promoted
129076070058 Daya, Laiza Jane Malasogue 80.83
Promoted
129076070060 Dayaganon, Ara Mae Allawan 84.67
Promoted
129076070062 De Castro, Angelou Calago 80.00
Promoted REVIEWED BY:
129076070064 Delada, Reyna Mae Bentulan 84.17
Promoted
129076070067 Domingo, Monica Mamalangcay 83.83
Promoted
129076070077 Ferolina, Aldemae Gonzales 84.00
Promoted
129076070081 Gomia, Airiz Mae Malcampo 84.00
Promoted GUIDELINES:
129076070094 Laidan, Jireh Jane Victor 81.5
Promoted
129076070102 Loreana, Catrine Villafuerte 85.17
Promoted
129076070103 Loreniana, Dezel Bantan 84.17
Promoted
129076070109 Manuba, Christyll 82.83
Promoted
129076070132 Pizaa, Rejielene 85.00
Promoted
129076070133 Plaza, Mary Joy Lascua 82.83
Promoted
120976070154 Soriano, Yna Cayanong 84.17
Promoted
23
36
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)
School Form 5: Page 2 of 2
PREPARED BY:
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
1. For All Grade/Year Levels
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
(Name and Signature)
Division Representative
DOROTHY M. FUSILERO
RAZIEL C. FRANCISCO
CHRISTOPHER C. FELIPE
Combined
Total Female
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
55 78 133 57 78 135 56 87 143 65 76 141 78 80 158 48 89 137 359 488 847
2 3 5 3 1 4 4 2 6 1 2 3 1 0 1 3 1 4 14 9 23
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
57 81 138 60 79 139 60 89 149 66 78 144 79 80 159 51 90 141 373 497 870
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
GUIDELINES:
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.
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.
44 98 118
28 42 94 136 23 12 15 27 4 24
216 37 14 30
ADVANCED
(A: 90% and above)
5 15
16 29 14 22 36 13 12
19 21 4 13 17 15 8
25 21
20 2
119 151 270
PROFICIENT
(P: 85% -89%)
22 23 45 14 15
37 21 29 50 22 17 50 23 33 56 13
3 1 4
39
APPROACHING
PROFICIENCY
(AP: 80%-84%)
15 23 38 25 25
56 24 20 35 15 19 34 24
DEVELOPING
(D: 75%-79%)
13 44 8 18
24
2 3 1 0 1 3 1 4 4 2 6
School Form 6 (SF6)
(This replaces Form 20)
IRREGULAR
TOTAL
BEGINNNING
(B: 74% and below)
2 3 5
17 30 16 19 32
14 9
26 100 125 225
Summarized Report on Promotion and Level of Proficiency
GRADE 1 /GRADE 7
23 1
PROMOTED
RETAINED
School Year 2013-2014 1st
NCR
Sta. Ana Elementary School School Name
Region Division
Manila
District
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL
SUMMARY TABLE
13568
School ID
Region IV-A
Teaching
1 2
1 1
1
1
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
English III-Copper M-F 7:30 8:30 300
English III-Gold M-F 8:30 9:30 300
English III-Silver M-F 9:30 10:30 300
English III-Lead M-F 10:30 11:30 300
English III-Platinum M-F 4:00 5:00 300
EBEIS & LIS Coordinator
300
MAPEH VII-ARO M-TH 3:00 4:00 240
MAPEH VII-SPV M 8:15 9:15 60
MAPEH VII-SPV T-TH 4:00 5:00 180
Math II-LEC M-F 9:30 10:30 300
Math II-OTJ M-F 10:30 11:30 300
216 Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Master Teacher II
231-345
Garcia, Lailanie 653-7897 F
132-435 Vargas, Sherwin
Position/
Designation
Domingo, Mary Grace O
National
National
National
Nature of
Appointment/
Employment
Status
Math
Number of
Incumbent
Title of Plantilla Position
(as it appears in the appointment
document/PSIPOP)
Teacher III 11
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
Teacher I
Teacher II 13
M
F
Contractual
Contractual
Contractual
Number of
Incumbent
Minor
SEF
Appointment:
(Contractual,
Substitute,
Volunteer, others
specify)
EDUCATIONAL QUALIFICATION
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignments
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Daily Program (time duration)
NGO's
PTA
Major/
Specialization
NGO's
Administrative Assistant V
Doctor of
Philosophy
BS-Mathematics
Bachelor of Arts
Permanent
Permanent
Master Teacher
II
Master Teacher
II
Principal II
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 Year 2013-2014
Quezon School ID
School Name
301301 Division
Cagbalete Island National High School District
Fund Source
(SEF, PTA, NGO's
etc.)
SEF
English
Permanent
Propoerty Custodian & PESS Coordinator
School Head
Teacher
Teacher
Clerk
Driver
Security Guard
(B) Nationally-Funded Non Teaching Items
3
Title of Designation
(as it appears in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
Bookkeeper
School Health Nurse I
Administrative Officer I
(A) Nationally-Funded Teaching & Teaching Related Items
1 Principal II
25
Number of
Incumbent
Title of Plantilla Position
(as it appears in the appointment
document/PSIPOP)
(C ) Other Appointments and Funding Sources
Detailed
Contractual
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)
From
(00:00)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
Garcia, Lailanie 653-7897 F
Position/
Designation
National
Nature of
Appointment/
Employment
Status
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)
Sex
Fund
Source
Minor
EDUCATIONAL QUALIFICATION
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignments
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
Daily Program (time duration)
Major/
Specialization
Doctor of
Philosophy
Principal II Permanent School Head
GUIDELINES: Submitted by:
(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.
Updated as of: ___________________________
Ave. Minutes per Day
School Form 7, Page ___ of ________
Ave. Minutes per Day
4. Daily Program Column is for teaching personnel only.
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 .
Ave. Minutes per Day
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.
Non-
Teaching
2
1
2
Number of
Incumbent
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
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)
2013-2014
(C ) Other Appointments and Funding Sources
Remarks (For
Detailed Items,
Indicate name of
school/office, For
IP's -Ethnicity)
(Signature of School Head over Printed Name)
Updated as of: ___________________________
School Form 7, Page ___ of ________