School Form 1 (SF 1) School Register

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

School ID 405235 Region X Division CAGAYAN DE ORO CITY District BULUA

School Name MERRY CHILD SCHOOL School Year 2020-2021 Grade Level 12 Section SOCRATES

GUARDIAN (If not

ADDRESS NAME OF PARENTS REMARK/S
Parent) Contact
AGE as of IP
NAME Sex BIRTH DATE BIRTH PLACE MOTHER Number
LRN 1st Friday (Specify Ethnic RELIGION
(Last Name, First Name, Middle Name) (M/F) (mm/ dd/yy) (Province) TONGUE (Parent
of June Group) House # / Street/Sitio/ Father (1st name only if family Mother (Maiden: 1st Name, Middle & Last Relations (Please refer to the legend
Barangay Municipality/ City Province Name /Guardian)
Purok name identical to learner) Name) hip on last page)

MAAPE, ABRAHAM DEO LAID M 02/19/2003 Mis. Or. Cebuano N/A Catholic Zone-5 Patag Opol Mis. Or. Joven Monina Lusica Laid Monina L. Mother
Maape 9362738229
ATAY, ALEXANDER REY MONTEZA M 04/28/2002 Mis. Or. Cebuano N/A Catholic Iponan CDOC Mis. Or. Reynaldo Michelle Gay Calingacion Monteza Michelle Gay Mother
B-8, L-26, Redwood S M. Atay 9177773266
LUCERO, ANDREI ABAN M 04/19/2002 Mis. Or. Cebuano N/A Catholic Zone-5 Bulua CDOC Mis. Or. Pete Joece Acebes Aban Joece A. Mother
Lucero 9561656820
HALASAN, BJORN FRANCOIS ABRAGAN M 8/16/2002 CDOC Cebuano N/A Catholic Z-7 Barra Opol Mis. Or. Sander Ludycissa Edrozo Abragan Ludycissa A. Mother
Halasan 9358200868
M Mis. Or. Cebuano N/A Catholic B-33, L2, Steel St. Barra Opol Mis. Or. Lourey Ann Grace Mandriza Balabag Lucrecia M. Grandma 09161471493/
B-11, L-27, Lapu- Valmoria 09109155672
M Mis. Or. Cebuano N/A Catholic Iponan CDOC Mis. Or. John Bert Juris Fajardo Escolta 09654710248/
Lapu St., Regency
09175813167
Plain Subd.
M Mis. Or. Cebuano N/A Catholic Iponan Iponan CDOC Mis. Or. Bryan Mariebeliza Mabalatan Ytom

M Mis. Or. Cebuano N/A Catholic B-6, L-9 Virginia Iponan CDOC Mis. Or. Ranilo Salado Michelle Chavez Eleuterio Lilibeth S. Auntie
Homes
B-10, L-15, Jacinto Lomongo
M Mis. Or. Cebuano N/A Assembly of God St., Regency Plain Iponan CDOC Mis. Or. Ronello Jay Catherine Yap Yañez 09052448573/
09161186888
Subd.
M Mis. Or. Cebuano N/A Catholic Roxas Street CDOC Mis. Or. Heliodoro Ruby Rato Abueva 9265627250
M Mis. Or. Cebuano N/A Jehovah's B-19, L-8, Kisanlu Iponan CDOC Mis. Or. Hiromitsu Gerian Igot Bontuyan 9778342537
Witnesses Subd.
M Mis. Or. Cebuano N/A Catholic 221 Saarines St., Z-2Iponan CDOC Mis. Or. Miguel Godoredo La-Arni Espejon Sanchez 9177719097
M Mis. Or. Cebuano N/A Born-Again B-25, L-2, Igpit Opol Mis. Or. Reil Klugh Meldred Mariano Peasawen 9778546866
Youngsville Subd.
M Mis. Or. Cebuano N/A Catholic Z-6 Signal Hill Gruto Patag CDOC Mis. Or. Samuel Marchze Sayson Macaya 9274088263
M Mis. Or. Cebuano N/A IFI 325 Z-2, Colanda Iponan CDOC Mis. Or. Moses Celeste Naguita Pabilona 9557383189
M Mis. Or. Cebuano N/A Catholic B-37, L-19, Kisanlu Iponan CDOC Mis. Or. Mario Tessie Beringuel Cagas 9953346079
Subd.
M Mis. Or. Cebuano N/A Catholic J.R. Borja Memorial Carmen CDOC Mis. Or. George Emelita Narca Asilan 9351603448
City Hospital

ALAGON, CHELSEY ANN SALONOY F 1/7/2005 13 Mis. Or. Cebuano N/A Catholic F. Dabatian St. Carmen CDOC Mis. Or. Allan Milagros Ambal Salonoy 9274451537

AZUCENAS, PRINCESS BIANCA QUINTERO F 12/27/2005 13 Mis. Or. Cebuano N/A Born-Again Z-7 Bulua CDOC Mis. Or. Marlyn Palera Quintero + Glerie C. Uncle 9065412087
Genson
F 14 Mis. Or. Cebuano N/A Catholic B-18, L6, Kisanlu Iponan CDOC Mis. Or. Bryan Mary Grace Tagoon Abian 09052125264/
CADAVEZ, JEREMIE NICOLE ABIAN 9/27/2004
Subd. 09272509264
F 13 Lanao del Norte Maranao Maranao Islam B-14, L-16, Vamenta Barra Opol Mis. Or. Alim Norainie Dida-agun Ala 09299725030/
CAPAL, ALMAIRAH ALA 2/3/2006
Subd. 09182153607
DALAGUIADO, CJ LARA WAMELDA F 8/5/2006 13 Mis. Or. Cebuano N/A Catholic Z-1 Luyong Bonbon Opol Mis. Or. Larry Mirasol Boltiador Wamelda 9176877114

GERONA, ZYANN HEZEL SALINDO F 4/28/2006 13 Mis. Or. Cebuano N/A Catholic Baybayon Taboc Opol Mis. Or. Noli Cheryl Questadio Salindo 9751101979

GONGOB, ELWYNNAH HAZEL ABRAGAN F 3/19/2006 13 Mis. Or. Cebuano N/A Catholic Z-3 Bulao Iponan CDOC Mis. Or. Ebbie Emma Jamis Abragan 9173419221
F 13 Mis. Or. Cebuano N/A Catholic B-11, L-22 Regency Iponan CDOC Mis. Or. Jessie Leilani Barbosa Delola
HUYNO, KAIZAH DELOLA 4/13/2006 9753866627
Plains Subd.
F 15 Lanao del Norte Maranao Maranao Islam B-39, L-29, Vamenta Barra Opol Mis. Or. Edris
LANGLANG, ALEAH EDRIFAH SHARIEF 4/20/2004 Janifah Baulo Sharief 9187730995
Subd.
MANGADLAO, MAY ANN F 5/13/2006 13 Mis. Or. Cebuano N/A Catholic Z-1 Molugan El Salvador City Mis. Or. Jovito M. Balisco Venus Sulatan Mangadlao Virginia Paisa Auntie 9491628645
F 13 Mis. Or. Cebuano N/A Catholic Z-13, Assumption Patag CDOC Mis.Or. Zoilo Helen Rubiato Lorejo 09363157132/
MEJOS, UZZEL LOREJO 8/26/2006
Village 09169800181
SALOMABAO, NESHREN SOLAIMAN F 11/23/2004 14 Lanao del Norte Maranao N/A Islam B-29, L-39, Johndorf Barra Opol Mis.Or. Sailany Amal Imam Solaiman 9178822997
B-12, L-18
UAYAN, GWYNETH NICOLE JANOLINO F 12/27/2005 13 Mis. Or. Cebuano N/A Catholic Asphodale St., Iponan CDOC Mis.Or. Jonathan Glocelia Connendadorn Janolino 9053667112
**********NF**********
Bloomingdale

List and code of Indicators under REMARK column

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

T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 17
RACHEL ANNE A. PAJAL MS. MARIA ISABEL C. SALCEDO
T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 13 (Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
DRP Reason and Effectivity Date Learner With Dissability LWD Specify
TOTAL 30
LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: June 3, 2019 EoSYDate: BoSY Date: June 3, 2019 EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 405235 School Year 2020-2021 Report for the Month of AUGUST

Name of School MERRY CHILD SCHOOL Grade Level 12 Section SOCRATES

(1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.

10

11

12

13

14

17

18

19

20

21

24

25

26

27

28

31
(Last Name, First If TRANSFERRED IN/OUT, write the name of

TTH
Name, Middle Name)

TH

TH

TH

TH
W

W
ABSENT TARDY

M
School.)

F
1 AGANAN, RAMON CHRISTOPHER 2
2 ATAY, ALEXANDER REY 1
3 BACATAN, MILES 2
4 BACALSO, FLIENT GERARD
5 BACLAYON, NAP CARLO L.
6 BAGAPORO, JOHN VINCENT
7 CARDANIO, CLINT JUSTIN
8 ESCARDA, DISRAELI DRAKE
9 ESTRADA, MYKO M.
10 GUANGCO, RENZO LOUISE
11 HALASAN, BJORN FRANCOIS X 2 2
12 JANTAY, JOHN MICHAEL J.
13 LUCAS, NEIL JOHNSEN MODULAR
14 LUCERO, ANDREI A.
15 MAAPE, ABRAHAM DEO L.
16 MAMAO, PANGOMPIG JR.
17 MANGILALA, KIM NICOLE 2
18 QUIŇO, HANS OSCAR
19 SALCEDO, KEVIN
20 SUERTO, DENISE BRYLLE 2
21 TAN, JOSHUA JIMS MODULAR
22 TURIJA, JEZREEL JADE

MALE | TOTAL Per Day 00307

20

20

20

20

20

20

20

19

20

20

20

20

20

20
0

1 ANTICAMARA, COLLINE

2 ESPEJO, IANNE NICOLE

3 JARAP, NECOLE EVE
4 LAZON, JULIE X 1 2
5 MANGOTARA, SAHIRA

6 MOHAMMADSALLEH, NOR-ASH
7 MUIT, KATHERYN GRACE F. 1
8 OMANDAM, KRISELLA MADEILEEN
9 ROA, JANNA AZEL ROA

10 SALCEDO, KARLIN MARIE

11 TABARANZA, LARYSSA C.
 (1st row for date, 2nd row for Day: M,T,W,TH,F) Total for the Month
LEARNER'S NAME REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.

10

11

12

13

14

17

18

19

20

21

24

25

26

27

28

31
(Last Name, First If TRANSFERRED IN/OUT, write the name of

TTH
Name, Middle Name)

TH

TH

TH

TH
W

W
ABSENT TARDY

M
School.)

F
12 TENA, MARIEL THERESE C. 1
13 VIZCARRA, GERMAGNE A.
14 ZINGAPAN, HANNAH BELLA 1 Liceo de Cagayan University

FEMALE | TOTAL Per Day 14 14 14 14 14 14 14 13 14 0 14 14 14 14 14 0 195

Combined TOTAL PER DAY 34 34 34 34 34 34 34 32 34 0 34 34 34 34 34 0 474

Summary for the

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of
Month
Classes:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. M F TOTAL
blank- Present; (x)- Absent; Tardy (half shaded= Upper
2. Dates shall be written in the preceding columns beside Learner's Name.
for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of July) 22 14 36
3. To compute the following:
Registered Learner as of End of the Month 2. REASONS/CAUSES OF DROP-OUTS Late Enrollment during the month
a. Percentage of Enrolment = x 100 0 0 0
Enrolment as of 1st Friday of June a. Domestic-Related Factors (beyond cut-off)
Total Daily Attendance a.1. Had to take care of siblings
b. Average Daily Attendance = Registered Learner as of end of the month 22 14 36
Number of School Days in reporting month a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling Percentage of Enrolment as of end of the month 100 100 100
c. Percentage of Attendance for the month = x 100
Registered Learner as of End of the month a.4. Family problems

b. Individual-Related Factors Average Daily Attendance 1.42 1 2.42

4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of b.1. Illness
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser. Percentage of Attendance for the month 90% 100 90
b.2. Overage
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive b.3. Death Number of students with 5 consecutive days of

0.0%

0.0%
0%
days of absences or those with potentials of dropping out b.4. Drug Abuse absences:
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
Drop out 0 0 0
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
Transferred out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred in 0 1 1
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental I certify that this is a true and correct report.
d.1. Distance between home and school
JESSA MAE N. SARDAN
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
(Signature of Teacher over Printed Name)
d.3. Calamities/Disasters
e. Financial-Related Attested by:
e.1. Child labor, work
School Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaced Form 1 & Inventory of Text Book)

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 REMARK/ACTION TAKEN

NO. (Last Name, First Name, Middle Name) (Please refer to the
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 REMARK/ACTION TAKEN

NO. (Last Name, First Name, Middle Name) (Please refer to the
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: In case of losses/unreturned, 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. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
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 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 Custodian
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, Date BoSY:____________ Date EoSY: ___________
2.2012.
 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 REMARK/ACTION TAKEN

NO. (Last Name, First Name, Middle Name) (Please refer to the
Date Date DateRemark/Action Taken,
B. In Column Date Date Letter from LearnerDate
codes are: LLTR=Secured Date (for
duly signed by parent/guardian Date legend on last page)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian
Issued Returned Issued Returned (forIssued Returned
code TDO), PTL=Paid Issued Returned
by the Learner (for codeIssued Returned DO#23,
NEG). References: Issueds.2001,
Returned IssuedDO#14,
DO#25, s.2003, Returned Issued Returned
2.2012.
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed. School Form 3: Page 2 of ________
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Region Division District

School ID

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNER
NAME OF ADVISER YEAR SECTION (As of End of the (A+B) Cumulative (A+B) Cumulative (A+B)
Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
LEVEL Month) 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
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 forms 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 copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head over Printed Name)
4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

Region X Division CAGAYAN DE ORO CITY District BULUA

School ID 405235 School Year 2019-2020 Curriculum K to 12

School Name MERRY CHILD SCHOOL Grade Level 8 Section MENDEL

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12
AVERAGE
(Numerical Value ACTION TAKEN: Curriculum and remaining RBEC in High School. SUMMARY TABLE GUIDELINES:
LEARNER'S NAME in 3 decimal
PROMOTED, Elementary grades level that still implementing RBEC
LRN places for honor
(Last Name, First Name, Middle Name) learner, 2 for non- *IRREGULAR or need not to fill up this column)
honor & RETAINED
Descriptive STATUS MALE FEMALE TOTAL 1. For All Grade/Year Levels
Completed as of end
Letter) as of End of the current SY
of current SY PROMOTED 16 13 29 2. To be prepared by the Adviser. Final rating per subject area should
be taken from the record of subject teacher. The class adviser should
MAAPE, ABRAHAM DEO LAID PROMOTED COMPLETED make the computation of General Average.
0 84.00
*IRREGULAR 1 0 1
0 ATAY, ALEXANDER REY MONTEZA 91 PROMOTED COMPLETED 3. On the summary table, reflect the total number of learners promoted,
retained and irregular ( *for grade 7 onwards only) and the level of
0 LUCERO, ANDREI ABAN 77.00 PROMOTED COMPLETED proficiency according to the individual general average
RETAINED 0 0 0
0 HALASAN, BJORN FRANCOIS ABRAGAN 82 PROMOTED COMPLETED
0 0 90 PROMOTED COMPLETED 4. Must tallied with the total enrollment report as of End of School Year
0 0 77 IRREGULAR INCOMPLETE FILIPINO 8 LEVEL OF PROFICIENCY GESP /GSSP (BEIS)
0 0 78 PROMOTED COMPLETED MALE FEMALE TOTAL 5. Protocols of validation & submission will remain under the discretion of
0 0 81 PROMOTED COMPLETED BEGINNNING the Schools Division Superintendent
(B: 74% and 0 0 0
0 0 81 PROMOTED COMPLETED below) School Form 5: Page 2 of ________
0 0 79.00 PROMOTED COMPLETED DEVELOPING (D:
4 1 5
0 0 87.00 PROMOTED COMPLETED 75%-79%)
APPROACHING
0 0 82 PROMOTED COMPLETED PROFICIENCY
8 7 15
0 0 83 PROMOTED COMPLETED (AP: 80%-
84%)
0 0 83 PROMOTED COMPLETED PROFICIENT
0 1 1
0 0 91 PROMOTED COMPLETED (P: 85% -89%)

0 0 83 PROMOTED COMPLETED ADVANCED

(A: 90% and 3 3 6
12799820269 0 86 PROMOTED COMPLETED above)
17 TOTAL MALE 83.24
127995121224 ALAGON, CHELSEY ANN SALONOY 83 PROMOTED COMPLETED PREPARED BY:
461526150073 AZUCENAS, PRINCESS BIANCA QUINTERO 82 PROMOTED COMPLETED Rachel Anne A. Pajal
405235150140 CADAVEZ, JEREMIE NICOLE ABIAN 79 PROMOTED COMPLETED Class Adviser
406086150249 CAPAL, ALMAIRAH ALA 89.00 PROMOTED COMPLETED
127846120256 DALAGUIADO, CJ LARA WAMELDA 83 PROMOTED COMPLETED CERTIFIED CORRECT & SUBMITTED:
405235150179 GERONA, ZYANN HEZEL SALINDO 90 PROMOTED COMPLETED
126638120062 GONGOB, ELWYNNAH HAZEL ABRAGAN 91 PROMOTED COMPLETED Ma. Isabel C. Salcedo, MAEd
128003110122 HUYNO, KAIZAH DELOLA 82 PROMOTED COMPLETED School Head
126638120062 LANGLANG, ALEAH EDRIFAH SHARIEF 82 PROMOTED COMPLETED REVIEWED BY:
405235150150 MANGADLAO, MAY ANN 83 PROMOTED COMPLETED
127940120864 MEJOS, UZZEL LOREJO 82 PROMOTED COMPLETED
461561150200 SALOMABAO, NESHREN SOLAIMAN 93 PROMOTED COMPLETED
128003110240 UAYAN, GWYNETH NICOLE JANOLINO 87 PROMOTED COMPLETED Cherry Mae L. Limbaco, Ph.D., CESO VI
13 TOTAL FEMALE 85.55 Division Representative
30 COMBINED 84.39
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12
AVERAGE
(Numerical Value ACTION TAKEN: Curriculum and remaining RBEC in High School. SUMMARY TABLE GUIDELINES:
LEARNER'S NAME in 3 decimal
PROMOTED, Elementary grades level that still implementing RBEC
LRN places for honor
(Last Name, First Name, Middle Name) learner, 2 for non- *IRREGULAR or need not to fill up this column)
honor & RETAINED
Descriptive STATUS MALE FEMALE TOTAL 1. For All Grade/Year Levels
Completed as of end
Letter) as of End of the current SY
of current SY PROMOTED 16 13 29 2. To be prepared by the Adviser. Final rating per subject area should
be taken from the record of subject teacher. The class adviser should
make the computation of General Average.

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 teacher. The class adviser should make the computation of 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
CHERRY MAE L. LIMBACO, Ph.D. CESO V

4. Must tallied with the total enrollment report as of End of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain under the discretion of the Schools
Division Superintendent
School Form 5: Page 2 of ________
 School Form 6 (SF6) Summarized Report on Promotion
and Level of Proficiency
(This replaced 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

Nos. of BEGINNNING
(B: 74% and below)

Nos. of DEVELOPING
(D: 75%-79%)

Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)

Nos. of PROFICIENT
(P: 85% -89%)

Nos. of 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 Total for Grade Level in order to reflect the result in each data field.
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 will remain under the discretion of the Schools Division Superintendent
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaced 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
Title of Designation Appointment: Number of
Title of Plantilla Position Title of Plantilla Position (Designation as (Contractual, Fund Source Incumbent
Number of Number of
(as appeared in the appointment (as appeared in the appointment appeared in the contract/document: Substitute, (SEF, PTA,
Incumbent Incumbent Non-
document/PSIPOP) document/PSIPOP) Teacher, Clerk, Security Guard, Driver Volunteer, others NGO's etc.) Teaching
etc.) specify) Teaching

EDUCATIONAL QUALIFICATION * Daily Program (time duration)

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

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Remark/s (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section), Total Actual Detailed Items,
(Arrange by Sex Indicate name of
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To
Teaching
Number Position, Descending) Minor Minutes school/office, For IP's
-T.I.N.) Status Graduate Specialization Ancillary Assignment (M/T/W/T (00:00) (00:00)
H/F) Assignment -Ethnicity)
per 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 SY, updated Form 19
must submit 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. This form (Signature of School Head over Printed Name)
shall also serve as inventory list of school personnel.
 EDUCATIONAL QUALIFICATION * Daily Program (time duration)
Employee Remark/s (For
Nature of Subject Taught (include
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Grade & Section), Total Actual Detailed Items,
(Arrange by Sex Indicate name of
Identification
Source Designation Employment Degree / Post Major/ Advisory Class & Other DAY From To
Teaching
Number Position, Descending) Minor Minutes school/office, For IP's
-T.I.N.) Status Graduate Specialization Ancillary Assignment (M/T/W/T (00:00) (00:00)
H/F) Assignment -Ethnicity)
per Week

3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: ___________________________
4. * Daily Program Column is for teaching personnel only.
School Form 7, Page 2 of ________
SF 10 -JHS
Republic of the Philippines
Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: ABIAN FIRST NAME: ____________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___________________
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________ Sex: _____________________________

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Specify): ___________
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ____________________________________

SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: __________
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks
Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: __________
QUARTER FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________

Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for admission to Grade ____.
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: _________________________
________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
SF 10-JHS Pag 2 of ________
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________

LEARNING AREAS QUARTER FINAL REMARKS

1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Grade Remarks

School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
LEARNING AREAS QUARTER FINAL REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks
Grade

For Transfer Out /JHS Completer Only

CERTIFICATION

I CERTIFY that this is a true record of _____________________________with LRN ________________ and that he/she is eligible for admission to Grade ____.
Name of School: ____________________________________ School ID __________________ Last School Year Attended: _________________________

_____________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
(May add Certification box if needed) SFRT Revised 2017