School Forms 2
School Forms 2
School Forms 2
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
School Name
Region III
105151
Division
BULACAN
School Year
District
2014 - 2015
Grade Level
STA. MARIA
IV
ADDRESS
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of
1st Friday
June
MOTHER
TONGUE
IP
(Ethnic Group)
RELIGION
Barangay
Municipality/ City
Section
PARENTS
Province
10515110006
10/23/04
10
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
105151100019
2/22/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
1051517100017
7/22/05
Tagalog
Catholic
Pantaleon St.
Guyong
Sta. Maria
Bulacan
13641100196
7/26/05
Tagalog
Catholic
Blk. 3
Belmont
Sta. Maria
Bulacan
1051516810060
Beto,Jules Yvanne
4/10/05
Tagalog
Catholic
Gulod
Guyong
Sta. Maria
Bulacan
105151100087
9/28/04
10
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
105151090078
11/17/02
11
Tagalog
Catholic
176 Malawak
Guyong
Sta. Maria
Bulacan
105151100101
9/15/05
Tagalog
Catholic
87 Liwasan
Guyong
Sta. Maria
Bulacan
105151100110
1/14/05
Tagalog
JIL
Malawak
Guyong
Sta. Maria
Bulacan
105151100116
9/2/05
Tagalog
Catholic
Pantaleon St.
Guyong
Sta. Maria
Bulacan
105151100123
10/17/05
Tagalog
Catholic
Lote
Guyong
Sta. Maria
Bulacan
Mendoza, Janehyne
Echavaria
Ignacio, Luzviminda Norada
105151100152
8/11/05
Tagalog
Catholic
Pantaleon St.
Guyong
Sta. Maria
Bulacan
105151100154
Ledesma,Jeepoy Zulueta
5/27/04
10
Tagalog
Catholic
Kaykanlong St.
Guyong
Sta. Maria
Bulacan
105151100159
10/12/04
10
Tagalog
Catholic
Matang Tubig
Guyong
Sta. Maria
Bulacan
Longos,Marites Pangulong
105151080141
1/12/02
12
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
10516100136
9/3/04
10
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
107912100537
Montejo,Mcgyver Mones
8/18/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
105151100201
Nuada,Jhasper Paulino
9/14/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
105151100212
8/27/05
Tagalog
Protestant
009 Libis
Tabing Bakod
Sta. Maria
Bulacan
105168100369
5/25/05
Tagalog
Catholic
Libis
Guyong
Sta. Maria
Bulacan
105168100400
9/21/05
Tagalog
Catholic
Sunrays
Guyong
Sta. Maria
Bulacan
Rodriguez, Romel
Mendoza
Laudit,Roselyn,Merico
Macalalad, Margie Villacera
Francisco, Jennifer Ancheta
ANDRES BONIFACIO
GUARDIAN
(If not Parent)
Name
Relation-ship
105151100219
7/30/05
Tagalog
Catholic
063 Malawak
Guyong
Sta. Maria
Bulacan
105151100253
Sumilhig,Gerald Libuna
3/2/05
Tagalog
Catholic
Libis
Guyong
Sta. Maria
Bulacan
Quintans, Sony de
Salvador, Rubie Ann Borja
Guzman
Sumilhig,Genden Gepolan Libuna, Gina Mina
105151100268
7/23/05
Tagalog
Catholic
Matangtubig
Guyong
Sta. Maria
Bulacan
136444100012
7/14/05
Tagalog
Catholic
Malawak
Guyong
Sta. Maria
Bulacan
Andrade,Joselito Daluz
105151100025
8/16/05
Tagalog
Catholic
23 Pantaleon St.
Guyong
Sta. Maria
Bulacan
105151100109
2/11/05
10
Tagalog
Catholic
084 Gulod
Guyong
Sta. Maria
Bulacan
Francisco,Pedro Gimeno
Dalioan,Julie Soriano
112201100037
Francisco,Canary Opabla
7/30/04
Tagalog
Catholic
412Malawak St.
Guyong
Sta. Maria
Bulacan
Francisco,Joel Santiago
Opalda,Liza Bien
10515110012
7/28/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
Francisco,Byron Rejano
10515100118
Francisco,Ryaline Banila
5/18/05
Tagalog
Catholic
Malawak
Guyong
Sta. Maria
Bulacan
105151100121
6/14/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
105151100136
5/18/05
Tagalog
Catholic
Pintong Bato
Guyong
Sta. Maria
Bulacan
Francisco,Pepito Reden
Ryan
Gabita,Anthony
Magayanes
Gutierrez,Arnold Umali
Galura,Marie Antonette
Hillaco
Banila,Caroline Lumapas
4/27/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
Hiponia,Ronel Jison
Nicolas,Angeline Francisco
105151100137
6/24/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
Ibanez,Rey Francisco
Satajo,Joreza Along
105151100143
7/17/05
Tagalog
Catholic
Luwasan St.
Guyong
Sta. Maria
Bulacan
Sarno,Jennifer Cascabel
105151100164
Macalalad,Shaquira May
Elizarde
Mariano,Nicole Hije
7/17/05
Tagalog
Catholic
FFHNAS
Guyong
Sta. Maria
Bulacan
Macalalad,Emiliano Y.
Elizarde,May S.
4/6/02
12
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
Mariano,Manuel Reyes
10515110081
Maul,Leslieann Abana
3/9/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
Maul,Renante Loque
Abana,Marina Torejas
105151100192
Monilla,Christine Ponteres
9/7/03
10
Tagalog
Catholic
Sitio Bato
Guyong
Sta. Maria
Bulacan
Monilla,Antonio M.
Ponteres,Edna D.
10515100231
4/22/04
10
Tagalog
Catholic
0197 Gulod
Guyong
Sta. Maria
Bulacan
Rosal,Edgar Lariosa
Sintoy,Rosemae Situring
107163100675
Sales,Cyra Antonio
7/28/05
Tagalog
Catholic
Pantaleon St.
Guyong
Sta. Maria
Bulacan
Sales,Wilfredo Ambay
Antonio,Reolyn Besas
105151100240
10/30/05
Tagalog
Catholic
Guyong
Sta. Maria
Bulacan
Santos,Victor Cabuhat
Malabed,Sherlle Quiason
105151100242
Santos,Micaella Morata
9/28/04
11
Tagalog
Catholic
262 Malawak
Guyong
Sta. Maria
Bulacan
Santos,Antonio Maningas
Morato,LoidaCatarining
105151100246
10/26/04
Tagalog
Catholic
Lote
Guyong
Sta. Maria
Bulacan
Sarte,George Serrano
Elido,Estelita Molo
105151100026
Benesa,Althea Bolilan
9/18/04
Tagalog
Catholic
Malawak
Guyong
Sta.Maria
Bulacan
Benesa,Rodelio Borelia
Bolilan,Meliza Bueno
105151100102
12/16/04
Tagalog
Catholic
125Matang Tubig
Guyong
Sta.Maria
Bulucan
10792309414
Rada,Gean Palaca
Celestino,Rosalie Cabigao
Code
Required Information
Code
Required Information
Transferred Out
T/O Name of Public (P) Private (PR) School & Effectivity Date
CCT
Transferred IN
T/I
B/A
LWD
ACL
Specify
Specify Level & Effectivity Data
Dropped
Late Enrollment
REGISTERED
BoSY
EoSY
Prepared by:
MALE
(Signature of Adviser over Printed Name)
FEMALE
TOTAL
BoSY Date:
EoSYDate:
ANDRES BONIFACIO
REMARKS
Contact Number of
Parent or Guardian
9058099629
9336240159
9277776765
9236482344
9195834999
90772585764
923366060
9233542417
9332739302
9331909776
9058197581
9231590169
9438229340
9224423321
9424579877
9204720917
9184303360
9361626390
(Please refer to
the legend on
last page)
9068412927
903733518
9971845789
9057688897
9069771971
9276573518
9051513190
9193601384
9061791231
99435032907
9081289729
9178511271
9068889484
91963916914
9498668929
9361768329
9081135642
9222585516
9065808163
9224792020
9339172411
9293538292
9434542799
9334992648
Certified Correct:
BoSY Date:
EoSYDate:
School ID
105151
2014 - 2015
School Year
IV
Section
TH
TH
TH
ANDRES BONIFACIO
TH
TH
ABSENT TARDY
6 Francisco,Ryaline Banila
7 Gabita,Angel Marie Rada
8 Gutierrez,Joannna Mikaela Celestino
9 Hiponia,Anna Marie Nicolas
10 Ibanes,Riza Mae Satajo
11 Ladia,Hazel Ann Sarno
12 Macalalad,Shaquira May Elizarde
13 Mariano,Nicole Hije
14 Maul,Leslieann Abana
15 Monilla,Christine Ponteres
16 Rosal,Glaysa Mae Sintoy
17 Sales,Cyra Antonio
18 Santos,Althea Victoria Malabed
19 Santos,Micaella Morata
20
a. Percentage of Enrolment =
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.
Month:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late
* Enrolment as of (1st Friday of June)
Commer, Lower for Cutting Classes)
2. REASONS/CAUSES FOR DROPPING OUT
x 100
x 100
a. Domestic-Related Factors
Late
Enro
llme
nt
duri
ng
the
mon
th
(bey
ond
cutoff)
Regi
stere
Perc
enta
Average Daily Attendance
No. of Days of
Classes:
Summary
M
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.
b.3. Death
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
Perc
enta
ge of
Atte
ndan
ce
for
the
mont
h
Num
ber
Drop out
Transferred out
Transferred in
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
Summary
F
TOTAL
d Name)
School ID
School Name
School Year
105151
GUYONG ELEMENTARY SCHOOL
English For You and Me
Reading
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NO.
Grade Level
English For For You
and Me Language
Date
Issued
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
Returned
2014-2015
Hiyas sa Pagbasa
Date
Issued
Returned
IV
Section
Hiyas sa Wika
Date
Issued
Returned
ANDRES BONIFACIO
Mathematics for a Better
Life
Date
Issued
Returned
Kapaligirang Pilipino
Date
Issued
Returned
Date
Issued
Returned
Issued
Returned
REMARKS/ACTION TAKEN
(Please refer to the legend on last
page)
24
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
6/2/2014
In case of lost/unreturned books, please provide information with the following code:
Prepared By:
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.
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 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.
Region
School ID
Division
District
School Name
GRADE/
YEAR
LEVEL
School Year
SECTION
NAME OF ADVISER
REGISTERED
LEARNERS
(As of End of the
Month)
M
(A+B) Cumulative
as of End of the
Month
(A) Cumulative as
of Previous Month
M
(A+B) Cumulative
as of End of the
Month
TRANSFERRED IN
26
24
50
100
100
100
A. BONIFACIO
MARIFLOR S. DIZON
28
20
48
28
20
48
100
100
100
DOMINICA A. PEREZ
29
22
51
29
22
51
100
100
100
32
16
48
32
16
48
100
100
100
ELOISA C. MANINGAS
30
19
49
30
19
49
100
100
100
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:
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.
50
ELEMENTARY/SECONDARY:
(A) Cumulative as
of Previous Month
24
F. BALAGTAS
TRANSFERRED OUT
26
A. MABINI
Daily Average
DROPPED OUT
J. P. RIZAL
ATTENDANCE
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
NSFERRED IN
(A+B) Cumulative
as of End of the
Month
ted Name)
Region
School ID
School Name
LRN
10515110006
105151100019
1051517100017
13641100196
1051516810060
105151100087
105151090078
105151100101
105151100110
105151100116
105151100123
105151100152
105151100154
105151100159
105151080141
10516100136
107912100537
105151100201
105151100212
III
Division
105151
BULACAN
School Year
District
2014 - 2015
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2 ACTION TAKEN:
decimal places and 3
PROMOTED,
IRREGULAR or
decimal places for
RETAINED
honor learners, and
Descriptive Letter)
Curriculum
Grade Level IV
STA. MARIA
PELC
Section
ANDRES BONIFACIO
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
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
FEMALE
105168100369
105168100400
105151100219
105151100253
105151100268
ADVANCED
(A:
90% and above)
PREPARED BY:
TOTAL MALE
136444100012
105151100025
105151100109
112201100037
10515110012
10515100118
105151100121
105151100136
105151100137
105151100143
105151100164
10792309414
10515110081
105151100192
10515100231
107163100675
105151100240
105151100242
105151100246
TOTAL FEMALE
COMBINED
Class Adviser
(Name and Signature)
School Head
(Name and Signature)
REVIEWED BY:
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.
E
TOTAL
NCY
TOTAL
ve
l number of
ar (*for grade 7
y according to the
ort as of End of
s under the
ntendent
e ____ of ________
School ID
Region
Division
School Name
District
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
GRADE 4 / GRADE 10
School Year
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
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY
BEGINNNING
(B: 74% and below)
DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
(A: 90% and above)
TOTAL
Noted by:
DIVISION REPRESENTATIVE
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.
OTAL
TOTAL
TOTAL
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
Division
Region
School Name
District
Number of
Incumbent
School Year
Number of
Incumbent
EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)
Sex
Fund
Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/
Specialization
Minor
Appointment:
(Contractual,
Fund Source
Substitute,
(SEF, PTA, NGO's etc.)
Volunteer, others
specify)
To
(00:00)
Total Actual
Teaching
Minutes per
Week
EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)
Sex
Fund
Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/
Specialization
Minor
To
(00:00)
Submitted by:
Total Actual
Teaching
Minutes per
Week
EDUCATIONAL QUALIFICATION
Employee
No. (or Tax
Identification
Number T.I.N.)
Sex
Fund
Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/
Specialization
Minor
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.
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.
To
(00:00)
Total Actual
Teaching
Minutes per
Week
ces
Number of Incumbent
Teaching
NonTeaching