Deliberation Form 1

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Schools Division of Cebu City
TISA NATIONAL HIGH SCHOOL
Grade and Section: Subject Area:

Students Name Quarterly Grades

No. Reason/s for Failing the Subject
Family Name First Name 1st 2nd 3rd
1
2
3
4
5
6
7
8
9
10
Possible Reasons:
Absenteeism/Tardiness/Inattentive/Lack of Interest or Motivation/Economic Problem/Distracted by Online Games/
Peer Pressure/Personal Problem/Health Reasons/Family Problem/Other Please specify

Prepared by: Checked by:

Subject Teacher Grade Leader

Contents Noted: Noted:
ELSY A. BULAN YOLANDA A. JUANIZA
Assisting Principal – JHS NIGHT School Principal
Deliberation Form 2

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Schools Division of Cebu City
TISA NATIONAL HIGH SCHOOL

REPORT ON DELIBERATION
GRADE 7 (DAY)
S.Y. 2019 – 2020

STUDENTS TO BE
STUDENTS TO
CONDITIONALLY
NO SECTION ADVISER BE RETAINED
PROMOTED
M F Total M F Total

TOTAL
Prepared by:

Grade Leader

Contents Noted:

CHALO MATURAN
School Guidance Coordinator

Noted:
ELSY A. BULAN YOLANDA A. JUANIZA
Assisting Principal – JHS NIGHT School Principal
 Deliberation Form 3

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Schools Division of Cebu City
TISA NATIONAL HIGH SCHOOL

REPORT ON DELIBERATION
STUDENTS’ AT RISK OF FAILING
GRADE__________________
S.Y. 2019 – 2020

MALES SUBJECT/S FAILED

1
2
3
4
5
6
7
8
9
10
FEMALES
1
2
3
4
5
6
7
8
9
10

Summary:
Males :
Females :
Total :
Prepared by:

Class Adviser

Noted by:

Grade Leader

Contents Noted: Noted:

ELSY A. BULAN YOLANDA A. JUANIZA

Assisting Principal – JHS NIGHT School Principal