SHS Forms
SHS Forms
SHS Forms
Sex (M/F)
LRN NAME BIRTHDATE AGE
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
SFRT 2017
ol Form 1 School Register for Senior High School (SF1
School ID 3054113 District 1
School Year 2017-2018 Grade Level
Course (For TVL Only) HOME ECONOMICS
COMPLETE ADDRESS
Religious Affiliation
Municipality/
House No./ Street/ Sitio/ Purok Barangay Province
City
Roman Catholic 116 MH. DEL PILAR STO. TOMAS PASIG CITY N/A
Born Again Christian 775 CHERRY ST. DAMAYAN MAYBUNGA PASIG CITY N/A
Roman Catholic 12 A. Lualhati St. Aruel 6 STA. LUCIA PASIG CITY N/A
Latter Day Saints Mormons E. Santos St. PINAGBUHATAN PASIG CITY N/A
Roman Catholic 181 Dr. Pilapil St. SAN MIGUEL PASIG CITY N/A
Roman Catholic 0467 Baltazar St. Sto. Tomas PASIG CITY N/A
Born Again Christian Purok 5 Tambakan II San Miguel PASIG CITY N/A
Roman Catholic 192 E. Villa Sula St. Palatiw PASIG CITY N/A
SFRT 2017
High School (SF1-SHS)
1 Division PASIG CITY Region
TWELVE (12) Track and Strand TECHNICAL VOCATIONAL LIVELIHOOD (HOME ECONOMICS)
CONOMICS
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
ANTONIO, RAMIL ESCAÑO, LEONIDA
CABILE MIRANDA
N/A N/A 6319458
Nañez, Rodrigo
Glinoga
Derosas, Rosanna Real N/A N/A
Nazar, Jr. Jose Avila Bautista, Nenita Reyes N/A N/A 09196568511
Austria, Ferdinand
Delos Santos, Analiza
Salazar
N/A N/A 9757318104
Bautista, Carlito
Ociana, Cristina Onan N/A N/A 9509109628
Sulayao
Capanes, Dominador
Luna, Lucila Ravina N/A N/A 9977238506
Manzo
SFRT 2017
NCR
L LIVELIHOOD (HOME ECONOMICS)
REMARKS
(Please refer to the legend)
SFRT 2017
Sex (M/F)
LRN NAME BIRTHDATE AGE
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
SFRT 2017
COMPLETE ADDRESS
Religious Affiliation
Municipality/
House No./ Street/ Sitio/ Purok Barangay Province
City
Born again Christian 832 5B Miguel St. Bambang PASIG CITY N/A
SFRT 2017
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Marquez, Carlota Marquez, Carlota
Sorralbo Sorralbo
N/A N/A 9551199556
SFRT 2017
REMARKS
(Please refer to the legend)
SFRT 2017
Sex (M/F)
LRN NAME BIRTHDATE AGE
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy)
SFRT 2017
COMPLETE ADDRESS
Religious Affiliation
Municipality/
House No./ Street/ Sitio/ Purok Barangay Province
City
Roman Catholic 208I C Dela Paz St. Caniogan PASIG CITY N/A
Roman Catholic 103 Maxville XII Eusebio Ave. San Miguel PASIG CITY N/A
Roman Catholic 18 Dr. Sixto Antonio St. Kapasigan PASIG CITY N/A
Roman Catholic 53 Lamberto St. Villa Alfonso Bambang PASIG CITY N/A
Roman Catholic 11L San Pedro Comp. Santolan PASIG CITY N/A
Roman Catholic Blk 2 Lot 21 Ilocos St. Nagpayong PASIG CITY N/A
Roman Catholic 155 B2 Dr. Pilapil St. San Miguel PASIG CITY N/A
Beginning of the
Code Required Information REGISTERED
Semester
CCT CCT Control/reference number & Effectivity Date Name
of school last attended & Year MALE 13
B/A Specify Exceptionality of the Learner
Specify Level & Effectivity Date
LWE
FEMALE 27
ACL
TOTAL 40
SFRT 2017
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
Fantolgo, Marites Fantolgo, Marites N/A N/A 9081232921
Quiamco, Marilyn
Bernal, Joey N/A N/A 9363659733
Saulog
Bautista, Michael
Rosell, Rosela Jabson
Vicencio
N/A N/A 9974733885
Prepared By:
End of the Semester
13
MR.MIGUEL C. IGNACIO
Signature of Adviser over Printed Name
27
SFRT 2017
REMARKS
(Please refer to the legend)
ACIO
me
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name School ID District Division Region
10
11
12
8
S)
MARKS
reason, please refer to legend number. 2. If
School. 3. If SHIFTING IN/OUT, write the name of
rand/Program).
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle
1. If No Longer in School (NLS), state reason, please re
TRANSFERRED IN/OUT, write the name of School. 3. If SHIF
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
9
MARKS
reason, please refer to legend number. 2. If
School. 3. If SHIFTING IN/OUT, write the name of
rand/Program).
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle
1. If No Longer in School (NLS), state reason, please re
TRANSFERRED IN/OUT, write the name of School. 3. If SHIF
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
10
11
12
13
14
15
16
17
2. REASONS/CAUSES FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)
Shifting Out
Summary
F TOTAL
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle
1. If No Longer in School (NLS), state reason, please re
TRANSFERRED IN/OUT, write the name of School. 3. If SHIF
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).
e. Financial-Related
e.1. Child labor, work Attested By:
Printed Name
Printed Name
School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
SF3-SHS)
Division Region
d Strand
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>
GUIDELINES: 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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
4. The Total Number of Copies of Books Returned shall be reflected in the form. code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
NO SECOND SEMESTER
REGISTERED
(School Leavers)
2ND SEMESTER
2ND SEMESTER
2ND SEMESTER
2ND SEMESTER
2ND SEMESTER
1ST SEMESTER
1ST SEMESTER
1ST SEMESTER
1ST SEMESTER
1ST SEMESTER
LEARNERS Daily
(As of End
TOTAL
TOTAL
TOTAL
TRACK STRAND Average % for the
of the Month) (MARCH Month
2018)
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 M F T M F T M F T M F T M F T
SHIFTED IN
TOTAL
M F T
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
School Name RIZAL HIGH SCHOOL School ID 305413 District 1 Division PASIG Region NCR
Track and Strand TECHNICAL VOCATIONAL LIVELIHOOD (HOME ECONOMICS) Course/s (only for TVL) HOME ECONOMICS
END OF
LEARNER'S NAME BACK SUBJECT/S END OF SCHOOL
No. LRN SEMESTER
(Last Name, First Name, Name Extension, Middle Name) List down subjects where learner obtained a rating below 75%) YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
MALE
1 136719050022 Antonio, Wayne Limar, Escaño COMPLETE SUMMARY TABLE 1ST SEM
4
305420110302 Codelana, Robert, Rabi COMPLETE INCOMPLETE 1 1 2
5
136730050035 Cruz, John Kennedy, Flordeliza COMPLETE TOTAL 14 27 41
305413110955 Eludo,Romel, Burac COMPLETE
6
109405050072 Esmenda,Glenn, Raymundo COMPLETE
7
136731050075 Lescano, Joselito Bayot COMPLETE
8
Physical Science, Pagbasa at Pagsusuri, Physical Health,
9 136721050346 Mamaradlo, John Michael, Tuico INCOMPLETE
Entrepreneurship, Cookery
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These data elements shall be
filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
End of School Year Status
END OF
LEARNER'S NAME BACK SUBJECT/S END OF SCHOOL
No. LRN SEMESTER
(Last Name, First Name, Name Extension, Middle Name) List down subjects where learner obtained a rating below 75%) YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
School Name RIZAL HIGH SCHOOL School ID 305413 District 1 Division PASIG Region NCR
Track and Strand TECHNICAL VOCATIONAL LIVELIHOOD (HOME ECONOMICS) Course/s (only for TVL) HOME ECONOMICS
MALE
136719050022 Antonio, Wayne Limar, Escaño COMPLETE REGULAR SUMMARY TABLE 2ND SEM
1
136728050037 Araza, Albert Yuri, Cuevas COMPLETE REGULAR
2 STATUS MALE FEMALE TOTAL
3
136743050149 Catinguel, Jhon Paul, Tenorio COMPLETE REGULAR COMPLETE 11 27 38
4
305420110302 Codelana, Robert, Rabi COMPLETE REGULAR INCOMPLETE 2 0 2
5
136730050035 Cruz, John Kennedy, Flordeliza COMPLETE REGULAR TOTAL 13 27 40
305413110955 Eludo,Romel, Burac INQUIRIES INVESTIGATION, AND IMMERSION INCOMPLETE IRREGULAR
6
109405050072 Esmenda,Glenn, Raymundo COMPLETE REGULAR
7
136731050075 Lescano, Joselito Bayot COMPLETE REGULAR
8
136729050110 Mayor, John Albert, Rivas COMPLETE REGULAR
9
EMPOWERMENT TECHNOLOGIES, INQUIRIES, INVESTIGATION, AND
10 305413120441 Moratalla, Justin Palma IMMERSION INCOMPLETE IRREGULAR
FEMALE REGULAR 11 27 38
1 136719050035 Agnote, Joana Glen Barrogo COMPLETE REGULAR
IRREGULAR 2 0 2
2 136735050032 Araño, Rozel Mendoza COMPLETE REGULAR
TOTAL 13 27 40
3 136724050020 Aromin, Anne Kyle Audrei Velasco COMPLETE REGULAR
10 136740050128 Dela Riva, Nekkie Jane Luarez COMPLETE REGULAR MR. MIGUEL C. IGNACIO
Signature of Class Adviser over Printed Name
11 406940150025 Galvez, Ma. Kristha Fantolgo COMPLETE REGULAR
22 165510050304 Roman, Christine Joy Llagas COMPLETE REGULAR MS. VIRGINIA R. MEMBREBE
Signature of School Head over Printed Name
23 136729050163 Rosell, Mary Jane Jabson COMPLETE REGULAR
27 136729050213 Virgo, Mary Jlyn Garcia COMPLETE REGULAR DR. GOMER O. AGON
Signature of Division Representative over Printed Name
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These data elements shall be filled up only
after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)
Completed SHS
in 2 SYs? (Y/N)
LEARNER'S FULL NAME National Certification
No. LRN Level Attained
(Last Name, First Name, Name Extension, Middle Name) (only if applicable)
MALE
GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School Year.
2. It should be compiled and
checked by the School Head and passed to the Division Office before graduation.
Completed SHS
in 2 SYs? (Y/N)
LEARNER'S FULL NAME National Certification
No. LRN Level Attained
(Last Name, First Name, Name Extension, Middle Name) (only if applicable)
FEMALE
1 136719050035 Agnote, Joana Glen Barrogo Y NCII Reviewed By:
2 136735050032 Araño, Rozel Mendoza Y NCII
3 136724050020 Aromin, Anne Kyle Audrei Velasco Y NCII MR. MIGUEL C. IGNACIO
Signature of Class Adviser over Printed Name
4 136720050049 Austria, Rosanna Delos Santos Y NCII
5 136743050084 Bautista, Jochelle Ociana Y NCII
6 136737050115 Capistrano, Angel Miguel Y NCII
7 136720050113 Capones, Marex Nicole Ravina Y NCII Certified Correct & Submitted By:
8 136729050049 Cruz, Maricris Sorel Y NCII
9 136726050064 Dela Cruz, Ma. Charlote, Dela Cruz Y NCII MS. VIRGINIA R. MEMBREBE
Signature of School Head over Printed Name
10 136740050128 Dela Riva, Nekkie Jane Luarez Y NCII
11 406940150025 Galvez, Ma. Kristha Fantolgo Y NCII
12 136740050232 Llenos, Aliah Mae, Concepcion Y NCII
13 136721050337 Macawadib, Salmah Abdul Y NCII Reviewed By:
14 136742050194 Maloto, Joyce Marion Sta. Ana Y NCII
15 136724050065 Marquez, Carmela Sofia Y NCII
16 136740050275 Orolfo, Elnie Morales Y NCII DR. GOMER O. AGON
Signature of Division Representative over Printed Name
17 136742050229 Pacampara, Joyce Ann Bojos Y NCII
18 305413121005 Ponce, Sharina Beatriz Arenaza Y NCII
19 136724050216 Quiamco, Rose Ann Saulog Y NCII
20 136739050519 Revillo, Jona Myka Medina Y NCII
21 320201120069 Rodriguez, Denise Ann Ferrera Y NCII
22 165510050304 Roman, Christine Joy Llagas Y NCII
23 136729050163 Rosell, Mary Jane Jabson Y NCII
24 136721050525 Sauquillo, April Rose Hernaez Y NCII
25 136743050518 Tercero, Lenny Sabasa Y NCII
26 136730050133 Villas, Julie Lawina Y NCII
27 136729050213 Virgo, Mary Jlyn Garcia Y NCII
School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS
School Name RIZAL HIGH SCHOOL School ID 305413 District 1 Division PASIG
Semester 1ST School Year 2017-2018
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE
GRADE 11
TRACK/STRAND/COURSE
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
G Region NCR
OOL YEAR
he second semester.)
LAR TOTAL
Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movemen
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lo
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only.
ssignment for Senior High School (SF7-SHS)
Division Region
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
FEMALE
SFRT 2017
Learner's Name Nutritional Sta
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
SFRT 2017
gh School (SF8-SHS)
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Reviewed By:
SFRT 2017
SFRT 2017
School Form 6 Summarized Report of Learner Status as of End of Semester
School Name RIZAL HIGH SCHOOL School ID 305413
ICT-A
ICT-B
ICT-C
ICT-D
ICT-E
ICT-F
ICT-G
ICT-H
ICT-I
ICT-J
TOTAL
IA-A
TOTAL
HE3-A
HE3-B
HE3-C
HE3-D
HE3-E
HE3-F
TOTAL
HE4-A
HE4-B
TOTAL
TVL TOTAL
SPORTS
TOTAL
SUBTOTAL
11 & 12 Total
21 38
16 35
13 35
14 35
64 143 0 0 0 0 0 0 0 0
29 40
33 41
21 39
23 39
26 41
27 41
28 41
24 37
24 37
24 29
259 385 0 0 0 0 0 0 0 0
31 42
28 40
32 42
28 40
24 40
23 37
166 241
489 769 0 0 0 0 0 0 0 0
0 0
15 43
14 37
10 31
15 38
10 35
12 39
14 42
15 38
0 0
12 38
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Noted By:
Signature of Division Representative over Printed Name Signature of Division Superintendent over Printed Name
Class Adviser, the School Head shall compute the grade level total per track/strand/course and school total.
y after the 2nd semester
ision Superintendent.
TOTAL
TOTAL
0
ent over Printed Name