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(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 302017 School Year 2017 - 2018 Report for the Month of
Name of School Pili NHS, Pili - Gov.Mariano E. Grade Level Grade 12 Section EMINENCE
(1st row for date)
Total for the REMARKS (If DROPPED OUT, state reason,
NAME
No. (Last Name, First Name, Middle Month please refer to legend number 2. If
TRANSFERRED IN/OUT, write the name of
Name) 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
2 BERNAS, GOCHOEL
6 CODILLO, JAYSON
7 DEL ROSARIO, JOSHUA
8 DIONARCE, RICARDO
9 JARCIA, LEMAR
11 OBIAS, JERARD
12 OSTOL, JOHN CLAVER
13 PORLAJE, ZALDY
15 TUNGALA, REYNALDO
16 VILLAMINA, JOVANNE
l x 100
A (beyond cut-off)
m a.1. Had to take care of siblings
te Enrolment as of 1st Friday of the school year
a.2. Early marriage/pregnancy
tn a.3. Parents' attitude toward schooling
Total Daily Attendance Registered Learners as of
e
t
a.4. Family problems
n Number of School Days in reporting month end of month
d
= Average daily attendance Percentage of Enrolment as of
a x 100
n Registered Learners as of end of the month b. Individual-Related Factors end of month
c b.1. Illness
e b.2. Overage Average Daily Attendance
b.3. Death
b.4. Drug Abuse Percentage of Attendance for the month
=
* b.5. Poor academic performance
B b.6. Lack of interest/Distractions Number of students absent for 5 consecutive days
e b.7. Hunger/Malnutrition
g
i Dropped out
n
n c. School-Related Factors
i Transferred out
c.1. Teacher Factor
n c.2. Physical condition of classroom Transferred in
g c.3. Peer influence
o d. Geographic/Environmental
f
d.1. Distance between home and school
I certify that this is a true and correct report.
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
S d.3. Calamities/Disasters
c
h e. Financial-Related
o REU AMOR PASION AMORGANDA
o e.1. Child labor, work (Signature of Adviser over Printed Name)
l
f. Others (Specify)
Y
e Attested by:
a
r JIM BALDERRAMA GUARNES
c (Signature of School Head over Printed Name)
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