School Form 1 (SF 1) School Register

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

300653 Region II Division QUIRINO District AGLIPAY

School ID

School NameVICTORIA HIGH SCHOOL School Year 2018- 2019 Grade Level NINE(9) Section NARRA

GUARDIAN (If
ADDRESS PARENTS REMARKS
not Parent)

AGE as of IP
NAME BIRTH DATE MOTHER Contact Number of
LRN Sex (M/F) 1st Friday (Ethnic RELIGION
(Last Name, First Name, Middle Name) (mm/dd/ yyyy) TONGUE House #/ Street/ Parent or Guardian
June Group) Father's Name (Last Name, First Name, Mother's Maiden Name (Last Name, First (Please refer to the
Sitio/ Barangay Municipality/ City Province Name Relation-ship
Middle Name) Name, Middle Name) legend on last page)
Purok

1 104235090001 ABBIGAT, JONHEL TAPAOAN M 9/25/2003 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO ABBIGAT, JOSE WAGINA TAPAOAN, BERNALYN TIBURCIO

104250090003 VILLA
2 BABARAN, JOMARIE MAXIMO M 12/16/2001 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO BABARAN, JOMAR BORROMEO MAXIIMO, ROSELETH ANTONIO

104235080003 SABADO, JOCELYN

3 BAJA, WILJUN JR. SABADO M 11/14/2002 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO BAJA, WILJUN SR. BAYON ENCOMIENDA

104233090005
4 BATANG, MENESES SORIANO M 11/26/2003 ILOKO CHRISTIANITY DUNGO AGLIPAY QUIRINO BATANG, SAMMY PANGNGEL SORIANO, LAARNIE BAYAN

104228090001
5 BULING, FRANKLIN IMMATONG M 10/4/2002 IFUGAO CHRISTIANITY DIAWE AGLIPAY QUIRINO BULING, JOSE IMMATONG, ELLENA

104250090008 VILLA
6 CALUZA, JENWILREI ALBERTO M 1/4/2004 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO CALUZA, WILSON QUIMING ALBERTO, JENEFER CASPILLO

104243090007
7 DELOS SANTOS, ADRIAN S. M 10/16/2003 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO DELOS SANTOS, MC ARTHUR

104245090003
8 DULNUAN, GREGORIO HITLER M 3/27/2004 ILOKO CHRISTIANITY SAN MANUEL AGLIPAY QUIRINO DULNUAN, MARIO GAYODAN HITLER, MILAGROS TALLOC

104243090013
9 FELIPE, MARK JEZRELL M 6/21/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO

103017090020 BERGANIO, MARITESS

10 LEGASPI, MICHAEL BERGANIO M 9/9/2001 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO LEGASPI, JUANITO VILLUAN GATCHALIAN MARCOS BERGONIO UNCLE

104235090015
11 LUMOTAN, MARK ANTHONY AVELLANOZA M 6/24/2004 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO LUMOTAN, MARCELO PORTIZ AVELLANOZA, ROSALIE TABON

104250070014 VILLA
12 OLLIER, MARC HENSON SOTTO M 12/12/2001 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO OLLIER, ROLANDO SOTTO, JULIET
104243090020
13 PACQUING, VHICYLLE JAY RAMENTO M 12/2/2003 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO PACQUING, VIC BURGONIO RAMENTO, SHERYL SANTOS

104243090018 RAMENTO, GORGONIO JR.

14 RAMENTO, NATHANIEL ANGELO BASCOS M 9/14/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO SALGADO BASCOS, MARITES LAYCO

135765120024
15 SOLIMAN, ANGELO TABLANG M 5/23/2000 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO SOLIMAN, ROLLY T. TABLANG, EVANGELINE

104235090027
16 TAPAOAN, KEVIN VALDEZ M 7/1/2004 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO TAPAOAN, JOYLOR TIBURCIO VALDEZ, MARGIE MANTILE

104267090015 YACAPIN, JOYCE ANN

17 TAYABAN, JHADE LAWRENCE YACAPIN M 5/26/2004 ILOKO CHRISTIANITY DUNGO AGLIPAY QUIRINO TAYABAN, JIMMY PUDAO AGDUYENG

104243090027
18 VELASCO, JAYRALD NAPLAZA M 3/30/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO VELASCO, RANDY NAVAL NAPLAZA, JENIELYN REYES

1 300660150038 ANUDON, MARIBEL DINAMLING F ILOKO CHRISTIANITY VICTORIA AGLIPAY QUIRINO

2 103969090005 BARNACHEA, KYLA RAFAEL F 3/22/2004 ILOKO CHRISTIANITY VICTORIA AGLIPAY QUIRINO BARNACHEA, JUN FERNANDEZ RAFAEL, VIRGIE SALCEDO

3 104255090028 CABANIT, AVHY JANE F 9/10/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO CABANIT, ANALYN BUCA

4 104243090005 CALONGE, PRINCESS ALTHEA AGGALOT F 4/9/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO CALONGE, JERRY NAVAL AGGALOT, JONALYN MILLARE
VILLA
5 104250090007 CALUZA, ANGILIKA GADAYOS F 3/20/2004 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO CALUZA, FREDDIE ISIDRO GADAYOS, BELINDA BENINSIG

6 104248090003 CULANG, JONALYN S. F 7/16/04 ILOKO CHRISTIANITY VICTORIA AGLIPAY QUIRINO

DE GUZMAN, JHONSON
7 104248090004 DE GUZMAN, VENUS MAINIT F 7/10/2003 ILOKO CHRISTIANITY VICTORIA AGLIPAY QUIRINO SANTOS MAINIT, MAGRIE ORDINARIO
DEL ROSARIO, WARLITO
8 104233090008 DEL ROSARIO, AILEEN SIOBAL F 10/30/2004 ILOKO CHRISTIANITY DUNGO AGLIPAY QUIRINO DORONI SIOBAL, LEONILA BALTAR

9 104235140005 FERRER, KC ANN PEREZ F 7/10/2003 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO FERRER, CARLITO BATIN PEREZ, MARITES DOMONDON

10 104243090014 GARCIA, KRYZHA CASSANDRA CALONGE F 8/13/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO GARCIA, AL CABUSO CALONGE, MAILYNE RAMENTO

11 104234090003 JOAQUIN, ROSEMARIE ATTUB F 9/22/2003 ILOKO CHRISTIANITY DUNGO AGLIPAY QUIRINO JOAQUIN, ROMEO CALINGAYAN ATTUB, MARY NGITIT

12 104228090003 LA TORRE IRENE JOY F 2/28/2003 ILOKO CHRISTIANITY VICTORIA AGLIPAY QUIRINO LA TORRE, JHYTHIA BATALLA
VILLA
13 104250090019 MANAGUELOD, JOYCE PARAGAS F 10/27/2004 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO MANAGUELOD, LEO ULEP PARAGAS, DAISY BENTILLO
MELCHOR, MARVIN DELOS
14 104243090016 MELCHOR, ELAIZAH BELOGOT F 8/8/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO TRINO BELOGOT, ROWENA ACOSTA

15 104243090017 NAVAL, JAMAICA REINE ROXAS F 6/27/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO NAVAL, RENE DELOS TRINO ROXAS, EMERINA OCAMPO
VILLA
16 104250090024 ORPERIA, MARRY GRACE SAURA F 6/5/2004 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO ORPERIA, JONARD PANEN SAURA, FLORENDA MANUEL

17 104338090012 PALMA, PRINCESS DIANE VALDEZ F 10/22/2004 ILOKO CHRISTIANITY SAN SALVADOR MADDELA QUIRINO PALMA, JESSIE FERNANDEZ VALDEZ, JOVELYN ORTEZ
VILLA PAPAGAYO, CESAREO DELA
18 104250090028 PAPAGAYO, RIZALINA MAXIMO F 12/30/2003 ILOKO CHRISTIANITY SANTIAGO AGLIPAY QUIRINO CRUZ MAXIMO, MARILOU CALIBUSO
MANGANDING
19 104243090021 PASTOR, JESSHANE PED F 4/7/2004 ILOKO CHRISTIANITY AY CABARROGUIS QUIRINO PASTOR, JONATHAN COMPAY PED, GERNALYN SANTOS

20 104033090016 TANOMNA, GINAROSE PEDRO F 9/23/2003 ILOKO CHRISTIANITY SAN MANUEL AGLIPAY QUIRINO TANOMNA, RICKY PAKELMAN PEDRO, GINA ELAJE
BALTAZAR, ELEANOR
21 104235090028 TIBURCIO, JHANZEL JADE BALTAZAR F 12/28/2003 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO TIBURCIO, JIMMY CALILAO UMENGAN

22 104235090029 TIBURCIO, JOY MILLADO F 10/4/2003 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO TIBURCIO, JOIE SABADO MILLADO, ENRICA BALAGAN

23 104235090031 TIBURCIO, MERLYN RONDENA F 2/20/2003 ILOKO CHRISTIANITY PALACIAN AGLIPAY QUIRINO TIBURCIO, NOMER MEDINA RONDENA RONALYN PEDERICO
RODOLFO E.
24 104330120211 ULO, ALTHEA CRESENT JOY GABALES F ILOKO CHRISTIANITY VICTORIA AGLIPAY QUIRINO REVOLLEDO JR. UNCLE
DELOS TRINO, AURELIA DELA
25 104243090026 VALDEZ, CHARLIE MYLES DELOS TRINO F 1/26/2004 ILOKO CHRISTIANITY SAN FRANCISCO AGLIPAY QUIRINO VALDEZ, CHARLIE LOPEZ CRUZ

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE 19
ROMELA F.. MINIA ERNESTENITA S. RUIZ
(Signature of Adviser over Printed Name) (Signature of School Head over Printed
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE 26 Name)

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL 45
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) D

School ID 300653 School Year 2017-2018

Name of School VICTORIA HIGH SCHOOL

LEARNER'S NAME (1st r

(Last Name, First Name, Middle Name)

M T W TH F M T W TH

1 ACOSTA, ROY VINSON

2 BEJERAS, RENDALL
3 DACUSO, MARK ADRIAN
4 ESTEBAN, MIZAEL

5 FELICIANO, JOHN DENVER

6 FLORES, MARK JOHN LLOYD

7 LABUGEN, MARK JAMES

8 LUCAS, MIKE
9 MAHIWO, CLINTON

10 MANGILI, FRENDUEL
11 MEDINA, JOHN

12 MINA, MARK KENNEDEN

13 NAVARRO, JOE MARK
14 OPIDO, JOHN LLOYD

15 PA-IT, MARCELINO
16 PALAYON, FREDDIE

17 SOLIMAN, ALVIN
18 TIBURCIO, JOHN ARJAY
19 UGOT, BONIFACIO
 MALE | TOTAL Per Day
1 ALBANO, DIMPLE
2 ALBANO, LIEZLE
3 AMBOJNON, MONALIZA

4 ANCHETA, GWYNETH EIRA

5 APIL, SHEENA

6 BARNACHEA, JUSTIN MICA

7 BEJERAS, ABEGAIL
8 BOTICARIO, CRISHA SHANE

9 CALINGAYAN, FAREN BRITHNIE

10 CARBONEL, ROSELYN

11 CARIAGA, LIEZEL
12 CASTILLO, ABEGAIL
13 CUMARAT, CLAIRE

14 DECENA, JULEE PEARL

15 GABRIEL, ARLYN JOY

16 GAGABI, KRYSTEL
17 JOAQUIN, REGINA MAE

18 MARTIN, ANGELYN
19 MOLINA, AISHA JEDE
20 OBRA, PRINCESS

21 PADILLA, JACQUELINE
22 SABAFO, CARREN

23 SEATRIZ, HANNA MAE

24 SILAO, JARA JOY
25 TIBURCIO, NORALYN

26 TOMAS, SWEET NORLYN

 FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES:
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:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month

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.
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.
* Beginning of School Year cut-off report is every 1st Friday of the School Year

School Form 2 : Page ___ of ________

Form 2 (SF2) Daily Attendance Report of Learners

2017-2018 Report for the Month of

OOL Grade Level 9 Section NARRA

(1st row for date) Total for the

Month

F M T W TH F M T W TH F M T W TH F ABSENT TARDY
 1. CODES FOR CHECKING ATTENDANCE Month:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of J
2. REASONS/CAUSES FOR DROPPING OUT
the month a. Domestic-Related Factors Late Enrollment during the month
x 100
school year a.1. Had to take care of siblings (beyond cut-off)
a.2. Early marriage/pregnancy
Registered Learners as of end of the
ing month a.3. Parents' attitude toward schooling
e a.4. Family problems
x 100 Percentage of Enrolment as of end of t
the month b. Individual-Related Factors
b.1. Illness
Average Daily Attendance
ding of summary table b.2. Overage
b.3. Death
Percentage of Attendance for the m
ner/s who were absent for 5 b.4. Drug Abuse
b.5. Poor academic performance
Number of students absent for 5 consec
b.6. Lack of interest/Distractions
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
f. Others (Specify)
Attested by:

(Signature of School He
NARRA

REMARKS (If DROPPED OUT, state reason, please

refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
 No. of Days of Summary
Classes: M F TOTAL

lment as of (1st Friday of June)

ent during the month

(beyond cut-off)

d Learners as of end of the month

of Enrolment as of end of the month

Average Daily Attendance

tage of Attendance for the month

tudents absent for 5 consecutive days:

Drop out

Transferred out

Transferred in

s is a true and correct report.

(Signature of Teacher over Printed Name)

(Signature of School Head over Printed Name)

 School Form 2 (SF2) Daily Attendance Report of Learners

School ID 300653 School Year 2018- 2019 Report for the Month of

Name of School VICTORIA HIGH SCHOOL Grade Level 9 Section NARRA

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

1 ABBIGAT, JONHEL TAPAOAN

2 BABARAN, JOMARIE MAXIMO

3 BAJA, WILJUN JR. SABADO

4 BULING, FRANKLIN IMMATONG

5 CALUZA, JENWILREI ALBERTO

6 DELOS SANTOS, ADRIAN S.

7 DULNUAN, GREGORIO HITLER

8 FELIPE, MARK JEZRELL

9 LEGASPI, MICHAEL BERGANIO

10 LUMOTAN, MARK ANTHONY AVELLANOZA

11 OLLIER, MARC HENSON SOTTO

12 PACQUING, VHICYLLE JAY RAMENTO

13 RAMENTO, NATHANIEL ANGELO BASCOS

14 SOLIMAN, ANGELO TABLANG

15 TAPAOAN, KEVIN VALDEZ

16 TAYABAN, JHADE LAWRENCE YACAPIN

17 VELASCO, JAYRALD NAPLAZA

18

MALE | TOTAL Per Day

1 BARNACHEA, KYLA RAFAEL
2 CABANIT, AVHY JANE

3 CALONGE, PRINCESS ALTHEA AGGALOT

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

4 CALUZA, ANGILIKA GADAYOS

5 CULANG, JONALYN S.
6 DE GUZMAN, VENUS MAINIT

7 DEL ROSARIO, AILEEN SIOBAL

8 FERRER, KC ANN PEREZ

9 GARCIA, KRYZHA CASSANDRA CALONGE

10 JOAQUIN, ROSEMARIE ATTUB

11 LA TORRE IRENE JOY

12 MANAGUELOD, JOYCE PARAGAS

13 MELCHOR, ELAIZAH BELOGOT

14 NAVAL, JAMAICA REINE ROXAS

15 ORPERIA, MARRY GRACE SAURA

16 PALMA, PRINCESS DIANE VALDEZ

17 PAPAGAYO, RIZALINA MAXIMO

18 PASTOR, JESSHANE PED

19 TANOMNA, GINAROSE PEDRO

20 TIBURCIO, JHANZEL JADE BALTAZAR

21 TIBURCIO, JOY MILLADO

22 TIBURCIO, MERLYN RONDENA

23 ULO, ALTHEA CRESENT JOY GABALES

24 UNUDON, MARIBEL DINAMLING

25 VALDEZ, CHARLIE MYLES DELOS TRIVALDEZ, CHARLIE MYLES

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) 17 25 42
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 0 0 0
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
LEARNER'S NAME (1st row for date) Total for the
(Last Name, Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
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
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 17 25 42
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 ROMELA F. MINIA
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ FELIZA F. BATARAO
(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

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES

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

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
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
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
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
ned

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

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned
ct Area & Title Subject Area & Title Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date Date Date legend on last page)
Returned Issued Returned Issued Returned

llowing code: Prepared By:

/Dropout, NEG=Negligence
rner duly signed by parent/guardian (Signature over printed name)
for submission to School Property Date BoSY:____________ Date EoSY: ___________
ces: DO#23, s.2001, DO#25, s.2003,
 School Form 4 (SF4) Monthly Learner's Movement and Atten
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year

ATTENDANCE DROPPED OUT TRAN

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

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
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

Page _____ of _____ pages

ttendance

Report for the Month of

TRANSFERRED OUT TRANSFERRED IN

(A+B) Cumulative (A+B)

(A) Cumulative as
(B) For the Month as of End of the (B) For the Month Cumulative as of
of Previous Month
Month End of the Month

M F T M F T M F T M F T M F T
epared and Submitted by:

(Signature of School Head over Printed Name)

 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region 02 Division QUIRINO District

School ID 300653 School Year 2013-2014 Curriculum

School Name VICTORIA HIGH SCHOOL Grade Level

INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
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
School Year

300653120042 ABAD, Harold James M. 81.05 PROMOTED

300653130003 AGTARAP, Jerahmeel G. 78.55 PROMOTED

300653110017 ANDRES, Lester Klein C. 85.70 PROMOTED

300653110021 AQUINO, Ezra Eli D. 84.50 PROMOTED

300653110055 GAFFUD, Deven R. 81.90 PROMOTED

300653110056 GAGABI, Jay-ar A. 80.00 PROMOTED

300653110045 GUILLERMO, Mark Kevin M. 81.80 PROMOTED

300653110066 LADIA, Francis B. 81.15 PROMOTED

300653130004 MUNAR, Arviejojo B. 81.35 PROMOTED

300653110090 PAGUYOD, Hanz A. 82.25 PROMOTED

300653130005 PUCYA, Ryx K T. 81.50 PROMOTED

 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
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
School Year

300653110106 REYES, Reymart Q. 80.15 PROMOTED

300653110110 SABUG, Jay Angelo D. 76.00 PROMOTED

300653110111 SALSAEN, Dwight V. TRANSFERRED

300653110113 SARANDI, Sundrix O. 81.35 PROMOTED

300653110114 SARDAN, Emerson S. 86.20 PROMOTED

300653120044 SEATRIZ, Sonny Gerson B. 78.50 PROMOTED

300653110118 TANGONAN, Joemar N. 79.75 PROMOTED

300653110120 TERUEL, Mark Junell L. 81.85 PROMOTED

300653110125 ULILA, Dominic F. 79.40 PROMOTED

300653110129 VENTURA, Czerjim Alwyn J. TRANSFERRED

300505110183 VISAYA, John Mark R. 78.40 PROMOTED

22 TOTAL MALE

300653110006 ADUCA, Divine Rose B. 88.050 PROMOTED

300653110007 ALBANO, Diana O. 88.450 PROMOTED

300660110097 BUYAWE, Mhelanie S. 87.800 PROMOTED

300653110041 DELOS SANTOS, Charlotte Lois S. 87.200 PROMOTED

300653110044 DULAY, Angel Princess D.T. 84.15 PROMOTED

300653110046 DULDULAO, Lovely Grace R. 86.35 PROMOTED

 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
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
School Year

300653110059 GANO, Maridel B. 82.90 PROMOTED

300653110064 HOGGANG, Sherry-Ann T. 90.950 PROMOTED

300653110070 LEANO, Ailyn C. 81.45 PROMOTED

300653110051 LEANO, Eframe Kaye L. 92.250 PROMOTED

300653130006 LEANO, Trisha Mae T. 87.95 PROMOTED

300653110077 MUNAR, Valen Joy B. 87.900 PROMOTED

300653110079 NAVAL, Karren Joy A. 90.750 PROMOTED

300653110084 OPIDO, Princess Jane R. 81.75 PROMOTED

300653110089 PADILLA, Anaruth G. 80.65 PROMOTED

300653110091 PAPAGAYO, Imee Magdalen M. 84.60 PROMOTED

300653110095 PEREZ, Judy-Ann M. 83.55 PROMOTED

300653110099 QUERO, Shiela Mae N. 85.950 PROMOTED

300653110102 RAFAEL, Jessa Mae V. 89.400 PROMOTED

300653120045 RAMON, Jhomeryn Rose T. 86.050 PROMOTED

300653110112 SALES, Jennelyn G. 84.45 PROMOTED

300652110078 SISON, Wilma J. 79.60 PROMOTED

300653110124 UGOT, Marvie L. 83.50 PROMOTED

 INCOMPLETE SUBJECT/S
GENERAL
(This column is for K to 12 Curriculum and remaining
AVERAGE
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
School Year

23 TOTAL FEMALE

45 COMBINED
of Proficiency

AGLIPAY

RBEC

THIRD YEAR Section NARRA

T/S
mn is for K to 12 Curriculum and remaining
l. Elementary grades level that are still
EC need not to fill up these columns)

As of end of current School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED 20 23 43

IRREGULAR 0 0 0

RETAINED/
2 0 2
TRANSFERRED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
 T/S
mn is for K to 12 Curriculum and remaining
l. Elementary grades level that are still
EC need not to fill up these columns)

As of end of current School Year

BEGINNNING
(B: 74% and
below)

DEVELOPING (D:
75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED (A:
90% and above)

PREPARED BY:

FANNIVER S. MARCELO

Class Adviser

(Name and Signature)

 T/S
mn is for K to 12 Curriculum and remaining
l. Elementary grades level that are still
EC need not to fill up these columns)

As of end of current School Year

CERTIFIED CORRECT & SUBMITTED:

TESSIE A. DUYAN, Ph.D.

School Head

(Name and Signature)

REVIEWED BY:

REYNALDA R. BANGUNAN, Ph.D., CESO V

(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)
 T/S
mn is for K to 12 Curriculum and remaining
l. Elementary grades level that are still
EC need not to fill up these columns)

As of end of current School Year

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

School Form 5: Page __2__ of ____2____

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)

School ID Region Division

School Name District

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / G
SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE

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 SUPE
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 Year

RADE 6 / GRADE 12 TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

FEMALE TOTAL MALE FEMALE TOTAL

SION 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

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding

Title of Designation Appointment:

Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual,
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others
specify)

EDUCATIONAL QUALIFICATION Daily Program (time d

Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

ENGLISH III M-F 7:30

Educational Management
MAPEH III M-F 1:00
Teacher III
National

Regular Doctor of
MARCELO, Fanniver Sabug M NONE
Permanent Philosophy

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time d
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time d
Employee Subject Taught
Nature of
No. (or Tax Name of School Personnel Fund Position/ Appointment/
(include Grade &
Identification (Arrange by Sex Section), Advisory Class DAY
Source Designation Employment Degree / Post Major/
Number Position, Descending) Minor & Other Ancillary (M/T/W/ From
-T.I.N.) Status Graduate Specialization (00:00)
Assignments TH/F)

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 o
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: __
Sc
Profile

School Year

nts and Funding Sources

Number of
Incumbent
Fund Source
(SEF, PTA,
NGO's etc.) Teaching Non-
Teaching

y Program (time duration)

Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

4:00 900
4:00 480

Minutes per Day 23

y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Minutes per Day

Minutes per Day

y Program (time duration)
Remarks (For
Detailed Items,
Total Actual Indicate name of
To Teaching school/office, For
(00:00) Minutes per IP's -Ethnicity)
Week

Minutes per Day

Minutes per Day

Submitted by:

(Signature of School Head over Printed Name)

Updated as of: ___________________________

School Form 7, Page ___ of ________