School Form 1 (SF 1) School Register

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

School ID 3021716 Region XVIII (NIR) Division Bacolod City District VII

School Name SUM-AG NATIONAL HS School Year 2016-2017 Grade Level 10 Section Achievers
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER RELI-
LRN 1st Friday (Ethnic House #/ Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE GION Municipality/
June Group) Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
City
Purok Middle Name) Middle Name) page)

117490060001 Buenaventura, James Patrick Carmona

117491060020 Cabansag, Alfred Lantad

117491060039 Carmelotes, Jay Ismael

117491060044 Cordova, Rey Aljune Mercolino

117491060055 Faniega, Jose Emmanuel Samson

117491060028 Galas, Dariel Morales

117220060033 Grande, Genie Ginete

117491060087 Juanites, Karl Darain Escarlan

117496060034 Lacibar, Jal Cristian Bales

117491060112 Lamis, Juven Barrios

117491060134
Lopez, Jhon Norbert Posadas

117491060207 Matchite, Gabriel Oliver

117491060220 Mingke, John Jay Ningasca

117491060250 Palma, Stephen Nobleza

117491060294 Sabio, Jerald Guilaran

117491060301 Seguiro, Ryan Orcajo

302716130074 Sixto, Eugene Ochida

117496060071 Ventura, France Pacione

117491060366

117491060375

117491060425

117500060082

117498060114

117500060087
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER RELI-
LRN 1st Friday (Ethnic House #/ Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE GION Municipality/
June Group) Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
City
Purok Middle Name) Middle Name) page)

117491060538

117491060010

117491060015

117496060008

117491060034

117496060020

117513060017

117498060018

117468060140

117494060023

117491060229

117496060055

117491060234

117491060254

117490060064

117491060270

117498060069

117490060078

117491060330

117491060331

117500060061

117491060349

117491060399

117490060121

117496060101

117491060529
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of IP Contact Number
NAME Sex BIRTH DATE MOTHER RELI-
LRN 1st Friday (Ethnic House #/ Father's Name (Last Mother's Maiden Name of Parent or (Please refer to the
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE GION Municipality/
June Group) Street/ Sitio/ Barangay Province Name, First Name, (Last Name, First Name, Name Relation-ship Guardian legend on last
City
Purok Middle Name) Middle Name) page)

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY
CCT Control/reference number & Effectivity
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Dat CCT MALE
Date
(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 Dat B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data 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

LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, First 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

MALE | TOTAL Per Day

LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, First 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

FEMALE | TOTAL Per Day

Combined TOTAL PER DAY
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(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)
* Enrolment as of (1st Friday of June)
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month
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 of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average Daily Attendance
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
Percentage of Attendance for the month
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 students absent for 5 consecutive days:
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
Drop out
c. School-Related Factors
c.1. Teacher Factor
Transferred out
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in
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)
 LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, First 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
Attested by:
School Form 2 : Page ___ of ________
(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 (Please refer to the
Name, Middle 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 (Please refer to the
Name, Middle 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:
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.
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.
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
In case of lost/unreturned books, please provide information with the following code: Prepared By:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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 Date BoSY:____________ Date EoSY: ___________
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 Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
Daily Average (B) For the Month as of End of the (B) For the Month as of End of the (B) For the Month Cumulative as of
LEVEL the Month) the Month of Previous Month
Month
of Previous Month
Month
of Previous 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

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)

Region 6 Division Bacolod City District VII

School ID 302716 School Year 2017-2018 Curriculum K to 12

School Name Sum-ag National High School Grade Level 10 Section Achievers

GENERAL INCOMPLETE SUBJECT/S

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

117621070020 BALASABAS,ALBERT JOY LONGANILLA 93.000 PROMOTED SUMMARY TABLE

117491070078 BORDA,ALDRICH GELISANGA 92.000 PROMOTED STATUS MALE FEMALE TOTAL

117513070028 CHAVEZ,JEMUEL JR TRANQUILLERO 91.000 PROMOTED

PROMOTED 20 31 51
117490070035 COLADILLA,CHARLES WILLIAM MAGBANUA 93.000 PROMOTED

117500070023 CORNEL,ROMUEL BELONIO 91.000 PROMOTED

IRREGULAR 0 0 0
117490070034 DE LOS SANTOS,JORGIE CHANGCO 93.000 PROMOTED

117491070221 GAVITO,CHRISTIAN JOHN ANTOYO 93.000 PROMOTED

RETAINED 0 0 0
117490070052 GUBATON,JOHN REY PAYO 90.000 PROMOTED

117491070260 JALEA,RODIN FERNANDEZ 93.000 PROMOTED

117494070046 JEMINA,JOHN ROBERT SIOCO 92.000 PROMOTED LEVEL OF PROFICIENCY

117500070054 MAHINAY,HUNS CORNEL 91.000 PROMOTED MALE FEMALE TOTAL

117491070367 NIZA,ALFREDO PELLE 90.000 PROMOTED BEGINNNING

(B: 74% and 0 0 0
117491070373 OLETA,REXIE VILLAESTER 92.000 PROMOTED below)

117491070415 PUERTAS,JOSEPH BACUNA 92.000 PROMOTED

117498070135 SARONA,JOENEL GUADALUPE 91.000 PROMOTED DEVELOPING

(D: 75%-79%)
0 0 0
117491070471 SUMAYANG JR,ARMALEM DELICANO 92.000 PROMOTED

117491070483 TAN,RICHMOND VILLAR 93.000 PROMOTED

APPROACHING
PROFICIENCY
117491070499 TUBAL,LEOGEN ARANA 94.000 PROMOTED (AP:
0 0 0
80%-84%)
117502070121 TUMBAGAHAN,RICHARD PUERTAS 93.000 PROMOTED

117496070093 VILLANUEVA,PAOLO NESSIA 91.000 PROMOTED

PROFICIENT
20 TOTAL MALE (P: 85% -89%)
0 1 1
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12 Curriculum and remaining
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
PROFICIENT
School Year (P: 85% -89%)
0 1 1

117496070004 ALEGIA,ZYRYL VILLANUEVA 94.000 PROMOTED

117491070075 BONIFACIO,WELLA MAE DOCTOLERO 93.000 PROMOTED ADVANCED

(A: 90% and 20 30 50
117513070023 CALFOFORO,REGIE ANN TIZON 95.000 PROMOTED above)

117491070108 CATOLICO,KASSANDRA YNEZ CELIS 95.000 PROMOTED

117491070110 CLARIDAD,ANGELICA ZAMORA 94.000 PROMOTED PREPARED BY:

119989070162 DESCARTIN,ANIKA GAIL DUCA 93.000 PROMOTED MELANIE B. GUINABO

117496070033 DIEGO,LEAH MAE SALVADOR 95.000 PROMOTED Class Adviser

117491070169 DUAQUINO,BLESS MARIE APOSTOL 92.000 PROMOTED (Name and Signature)

117491070181 ESCANES,FLORENCE LAURON 92.000 PROMOTED

117497070012 ESTANZUELA,MELGIE MAGSIPOC 92.000 PROMOTED CERTIFIED CORRECT & SUBMITTED:

117491070186 EVARISTO,SARAH ANGELA LUCENTE 95.000 PROMOTED

117834070023 EXIM,AIMIE SABRIN 95.000 PROMOTED WARLITO D. ROSAREAL

117498070066 GARCIA,HANNIE REMENTAS 93.000 PROMOTED Secondary School Principal IV

117491070253 HONTEVEROS,MARY JANE ESPAÑOLA 94.000 PROMOTED (Name and Signature)

117491070262 JAMAYBAY,EUNICE MATCHICO 96.000 PROMOTED

117491070269 JEROTA,HONEY FAITH JANDUMON 92.000 PROMOTED REVIEWED BY:

117496070047 LADONCE,JESSICA ANTOQUE 93.000 PROMOTED

117491070340 MESTRE,JASMEN BALLENAS 95.000 PROMOTED

117491070393 PARAS,KATHRINA JANE GARFIL 94.000 PROMOTED EPS I

117491121061 PATRICIO,TRISHA - 93.000 PROMOTED Division Representative

117491070401 PEDRAJAS,WENA ROSE DE LA CRUZ 94.000 PROMOTED GUIDELINES:

117491070417 QUIATCHON,ANGEL MAE BATINON 93.000 PROMOTED 1. For All Grade/Year Levels

117490070095 RASONABLE,AIRECA MARIE - 94.000 PROMOTED 2. To be prepared by the Adviser. Final rating per
subject area should be taken from the record of subject
117491070425 REBOTON,CLAIRE GARFIL 94.000 PROMOTED teachers. The class adviser should compute for the
General Average.
117491070428 REYES,JUNELLA BARREDO 93.000 PROMOTED

117513070078 SALO,JULIANNE GRACE CANDIDO 93.000 PROMOTED 3. On the summary table, reflect the total number of
learners promoted, retained and *irregular (*for grade 7
117486070082 SAUSA,ROMELYN ORIAS 93.000 PROMOTED onwards only) and the level of proficiency according to
the individual General Average.
117491070478 TAMBA,APRIL JOY EBRONA 93.000 PROMOTED
 GENERAL INCOMPLETE SUBJECT/S
AVERAGE (This column is for K to 12 Curriculum and remaining
ACTION TAKEN: RBEC in High School. Elementary grades level that are still
(Numerical Value in 2
LEARNER'S NAME PROMOTED, implementing RBEC need not to fill up these columns)
LRN decimal places and 3
(Last Name, First Name, Middle Name) IRREGULAR or
decimal places for
RETAINED From previous school years
honor learners, and
Descriptive Letter) completed as of end of current As of end of current School Year
School Year

117491070496 TOMBO,LUVELYN SASEL 89 PROMOTED 4. Must tally with the total enrollment report as of End
of School Year GESP /GSSP (EBEIS)
117491070502 TUMAMOT,JUNORAH MAE DULLER 93.000 PROMOTED
117491120999 VILLAREZA,GERJEN NIFRAS 93.000 PROMOTED
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
31 TOTAL FEMALE

51 COMBINED School Form 5: Page 3 of _3

 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 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)

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

EDUCATIONAL QUALIFICATION Daily Program (time duration)

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

Ave. Minutes per Day

Ave. Minutes per Day

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

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________