School Form 1 (SF 1) School Register
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
School ID
305303
School Name
Region
NCR
Division
Manila
District
School Year
Raja Soliman Science and Technology High School
LRN
10
11
12
13
14
15
16
17
18
19
20
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st MOTHER TONGUE (Grade 1
IP
Friday June
to 3 Only)
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Section
Grade Level
ADDRESS
NAME
(Last Name, First Name, Middle Name)
Third
Barangay
Municipality/ City
PARENTS
Province
Father's Name (Last Name, First
Name, Middle Name)
Mother's Maiden Name (Last Name,
First Name, Middle Name)
ADDRESS
LRN
21
22
23
24
25
26
27
10
11
12
13
14
15
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st MOTHER TONGUE (Grade 1
IP
Friday June
to 3 Only)
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
PARENTS
Province
Father's Name (Last Name, First
Name, Middle Name)
Mother's Maiden Name (Last Name,
First Name, Middle Name)
ADDRESS
NAME
(Last Name, First Name, Middle Name)
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st MOTHER TONGUE (Grade 1
IP
Friday June
to 3 Only)
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
PARENTS
Province
Father's Name (Last Name, First
Name, Middle Name)
Mother's Maiden Name (Last Name,
First Name, Middle Name)
16
17
18
19
20
21
22
23
24
25
26
27
28
29
List and Code of Indicators under REMARKS column
Indicator
Code
Transferred Out
T/O
Transferred IN
T/I
Dropped
DRP
Late Enrollment
LE
Required Information
Indicator
Code
Required Information
REGISTERED
Name of Public (P) Private (PR) School & Effectivity Date
CCT Recipient
CCT
CCT Control/reference number & Effectivity Date
MALE
Name of Public (P) Private (PR) School & Effectivity Date
Balik-Aral
B/A
Name of school last attended & Year
FEMALE
Reason and Effectivity Date
Reason (Enrollment beyond 1st Friday of June)
Learner With
Dissability
Accelarated
LWD
Specify
ACL
Specify Level & Effectivity Data
BoSY
Prepared by:
EoSY
(Signature of Adviser over Printed Name)
TOTAL
BoSY Date:
EoSYDate:
rd
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
(Please refer to the legend
on last page)
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
(Please refer to the legend
on last page)
GUARDIAN
Name
REMARKS
Relation-ship
Contact Number of
Parent or Guardian
Prepared by:
ure of Adviser over Printed Name)
e:
(If
not Parent)
EoSYDate:
(Please refer to the legend
on last page)
Certified Correct:
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID
305303
Name of School
School Year
2014 - 2015
Report for the Month of
Raja Soliman Science and Technology High School
Grade Level
Section
(1st row for date)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to
If TRANSFERRED IN/OUT, write the name of Sc
M
TH
TH
TH
TH
TH
ABSENT
TARDY
(1st row for date)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
REMARKS (If DROPPED OUT, state reason, please refer to
If TRANSFERRED IN/OUT, write the name of Sc
M
MALE | TOTAL Per Day
Total for the Month
TH
TH
TH
TH
TH
ABSENT
TARDY
(1st row for date)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Total for the Month
REMARKS (If DROPPED OUT, state reason, please refer to
If TRANSFERRED IN/OUT, write the name of Sc
M
TH
TH
TH
TH
TH
ABSENT
TARDY
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES:
1. CODES FOR CHECKING ATTENDANCE
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
3. To compute the following:
Percentage of Enrolment =
b.
Average Daily Attendance =
c.
Percentage of Attendance for the month =
No. of Days of Classes:
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
2. Dates shall be written in the columns after Learner's Name.
a.
Month:
* Enrolment as of (1st Friday of June)
2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
x 100
Total Daily Attendance
Average daily attendance
a.1. Had to take care of siblings
Late Enrollment during the month
(beyond cut-off)
a.2. Early marriage/pregnancy
Number of School Days in reporting month
Registered Learners as of end of the month
a. Domestic-Related Factors
Registered Learners as of end of the month
a.3. Parents' attitude toward schooling
x 100
a.4. Family problems
b. Individual-Related Factors
Percentage of Enrolment as of end of the month
b.1. Illness
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.2. Overage
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.
b.4. Drug Abuse
ners 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
Average Daily Attendance
b.3. Death
b.5. Poor academic performance
b.6. Lack of interest/Distractions
Percentage of Attendance for the month
Number of students absent for 5 consecutive days:
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 over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________
Dr. Imelda M. Mendez
Principal IV
(Signature of School Head over Printed Name)
REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of School.)
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 Classes:
(1st Friday of June)
onth
d cut-off)
as of end of the month
t as of end of the month
ly Attendance
dance for the month
ent for 5 consecutive days:
p out
erred out
erred in
of Teacher over Printed Name)
Dr. Imelda M. Mendez
Principal IV
ignature of School Head over Printed Name)
Summary
M
TOTAL
31
26
57
School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)
School ID
School Name
NO.
305303
School Year
Raja Soliman Science and Technology High School
Section
Grade Level
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
NO.
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Date
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
Date
Returned
Issued
TOTAL FOR MALE | TOTAL COPIES
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.
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 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.
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.
Prepared By:
(Signature over printed name)
Date BoSY:____________ Date EoSY: ___________
REMARKS/ACTION TAKEN
refer to the legend on last page)
Date
Returned
(Please
REMARKS/ACTION TAKEN
refer to the legend on last page)
(Please
Date
Returned
(Signature over printed name)
Date BoSY:____________ Date EoSY: ___________
School Form 3: Page ___ of ________
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School ID
Region
Division
District
School Name
GRADE/
YEAR LEVEL
School Year
SECTION
NAME OF ADVISER
ATTENDANCE
REGISTERED
LEARNERS
(As of End of the
Month)
M
Daily Average
M
DROPPED OUT
Percentage for the Month
T
(A) Cumulative as of
Previous Month
M
(B) For the Month
M
TRANSFERRED OUT
(A+B) Cumulative as
of End of the Month
M
(A) Cumulative as of
Previous Month
M
(B) For the Month
M
(A+B) Cumulative as
of End of the Month
M
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 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
(Signatu
Page _____ of _____ pages
Learner's Movement and Attendance
S Form 4-Absenteeism and Dropout Profile)
Report for the Month of
TRANSFERRED OUT
TRANSFERRED IN
(A+B) Cumulative as
of End of the Month
T
(A) Cumulative as of
Previous Month
M
(B) For the Month
M
(Signature of School Head over Printed Name)
(A+B) Cumulative as
of End of the Month
M
School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)
Region
Division
School ID
District
School Year
Curriculum
School Name
LRN
Grade Level
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
Section
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
As of end of current School Year
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL MALE
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
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
As of end of current School Year
LRN
LEARNER'S NAME
(Last Name,
First Name, Middle Name)
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Numerical Value in 2
decimal places and 3
decimal places for honor
learners, and Descriptive
Letter)
ACTION TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
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
As of end of current School Year
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
IRREGULAR
RETAINED
LEVEL OF PROFICIENCY (K to 12 Only)
MALE
BEGINNNING
(B: 74% and below)
DEVELOPING (D:
75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P:
85% -89%)
ADVANCED
(A: 90%
and above)
FEMALE
TOTAL
ADVANCED
(A: 90%
and above)
PREPARED BY:
Class Adviser
(Name and Signature)
CERTIFIED CORRECT & SUBMITTED:
School Head
(Name and Signature)
REVIEWED BY:
(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)
5. Protocols of validation & submission is under the discretion of the
Schools Division Superintendent
5. Protocols of validation & submission is under the discretion of the
Schools Division Superintendent
School Form 5: Page ____ of ________
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
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
PROMOTED
IRREGULAR (Grade 7 onwards only)
RETAINED
LEVEL OF PROFICIENCY (K to 12 Only)
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:
SCHOOL HEAD
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.
SCHOOLS DIVISION SUPERINTEN
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.
ool Form 6 (SF6)
Promotion and Level of Proficiency
This replaces Form 20)
otal.
School Year
GRADE 6 / GRADE 12
TOTAL
FEMALE
TOTAL
MALE
FEMALE
TOTAL
FEMALE
TOTAL
MALE
FEMALE
TOTAL
SCHOOLS DIVISION 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 Fundi
Title of Designation
Title of Plantilla Position
(as it
Number of Incumbent
appears in the appointment document/PSIPOP)
Title of Plantilla Position
(as it
appears in the appointment document/PSIPOP)
Number of
Incumbent
(as it appears in the
contract/document: Teacher, Clerk, Security
Guard, Driver etc.)
Appointment:
(Contractual,
Substitute, Volunteer,
others specify)
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Daily Program (t
Minor
Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes p
Ave. Minutes p
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Daily Program (t
Minor
Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH
/F)
From
(00:00)
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
Ave. Minutes p
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.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
(Sig
EDUCATIONAL QUALIFICATION
Employee No. Name of School Personnel
(or Tax
(Arrange by Position, Descending)
Identification
Number -T.I.N.)
4. Daily Program Column is for teaching personnel only.
Sex
Fund Source
Position/
Designation
Nature of
Appointment/
Employment
Status
Degree / Post
Graduate
Major/ Specialization
Daily Program (t
Minor
Subject Taught (include
Grade & Section), Advisory
Class & Other Ancillary
Assignments
DAY
(M/T/W/TH
/F)
From
(00:00)
Updated as of: _
School Year
nts and Funding Sources
Number of Incumbent
Fund Source
(SEF, PTA, NGO's etc.)
Teaching
NonTeaching
aily Program (time duration)
To (00:00)
Ave. Minutes per Day
Ave. Minutes per Day
Total Actual
Teaching
Minutes per
Week
Remarks (For Detailed
Items, Indicate name of
school/office, For IP's
-Ethnicity)
aily Program (time duration)
To (00:00)
Total Actual
Teaching
Minutes per
Week
Remarks (For Detailed
Items, Indicate name of
school/office, For IP's
-Ethnicity)
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
Ave. Minutes per Day
ubmitted by:
(Signature of School Head over Printed Name)
aily Program (time duration)
To (00:00)
Total Actual
Teaching
Minutes per
Week
Remarks (For Detailed
Items, Indicate name of
school/office, For IP's
-Ethnicity)
pdated as of: ___________________________
School Form 7, Page ___ of ________
