School Form 1 (SF 1) School Register

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

D Region CAR Division BENGUET District La Trinidad

School Name Northskills Polytechnic College Inc. School Year 2019-2020 Grade Level 8 Section A
GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Mother's Maiden Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Father's Name (Last Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Municipality/ (Please refer to the legend
June Sitio/ Barangay Province Name, First Name, Name, First Name Relation-ship Guardian
City on last page)
Purok Middle Name) Name, Middle
Name)
Bagsiao, Jeiambi San Jose M 6/5/03 16 Ilocano;KankanaKankana-ey Anglican IC 110 Km.6 Betag La Trinidad Benguet Bagsiao, Jericho San Jose, Gloria 09385886245/09 Old Student
Pontino Bagni 079941104
Bala-oy, Giero Liann Dadi M 3/10/2005 14.0 Tagalog Roman IA67 Betag La Trinidad Benguet Balaoy, Maggie Bala- Grandmother 09463405137/0 Old Student
135624100039
Catholic Ciel Dadi oy,Margaritta 9292335779
Brocelango, Andrew Dominic Dulagan 2/21/2005 14.0 English/TagaogIlocano Baptist IC05 Betag La Trinidad Benguet Brocelango, Celso Binonga, Dadi 09206858068 Old Student
479504150083 M
Ramos Dolores
479504150105 Inso, Ivan Romeo Tictica 1/19/2005 14.0 Ilocano; Englis Ilocano Roman Upper Ambiong La Trinidad Benguet Inso, Romeo Dulagan
Tictica, 09201105552 Old Student
M
Catholic Panacan Florence
Libunao, Juin Eldridge Palaly 6/12/2005 14 Ibaloi;KankanaKankana-ey Iglesia Ni IB80-D Betag La Trinidad Benguet Libunao, Julius Alejandro
Palaly, 09293954365 Old Student
479504150087 M
Cristo Liskeng Jenniffer
Linggon, Gregory Jacob 10/25/2005 13.0 Ilocano Ilocano Anglican IB90A Betag La Trinidad Benguet Linggon Dennis Camacho
Jacob, Mary 09479781649 Old Student
479504150088 M
Jose Rose Madanes
Olante, Marvin Samuel M 5/5/2006 13 Ilocano Ilocano Anglican LB137 Lubas La Trinidad Benguet Olante,Allan Samuel, 09098081066 Old Student
135628110089
Leonora
Pascua, Jefferson Walsie 11/6/2005 13 Ilocano Ilocano Roman IB73A Betag La Trinidad Benguet MarquezEmilou
Pascua, Romulu Jr. Walsie, 09082363740 Old Student
479504150090 M
Catholic Olarte Gayaso
Mercado, Rynalyn Langgato F 10/4/2005 13.0 Kankanaey Kankana-ey Assembly of JC358-01 Central Pico La Trinidad B Mercado, 09502268083 Old Student
479504150097
God e Henry Uci
Mercado, Ryvelyn Langgato 10/4/2005 13 Kankanaey Kankana-ey Assembly of JC358-01 Central Pico La Trinidad nB Mercado, 09502268083 Old Student
479504150098 F ge
God Henry Uci
un
eg
tu
e
t
 GUARDIAN
ADDRESS PARENTS REMARKS
(If not Parent)
AGE as of Mother's Maiden Contact Number
NAME Sex BIRTH DATE MOTHER IP
LRN 1st Friday RELIGION House #/ Street/ Father's Name (Last Name (Last of Parent or
(Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) TONGUE (Ethnic Group) Municipality/ (Please refer to the legend
June Sitio/ Barangay Province Name, First Name, Name, First Name Relation-ship Guardian
City on last page)
Purok Middle Name) Name, Middle
Name)

List and Code of Indicators under REMARKS column

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

Transferred Out T/O Name of Public (P) Private CCT CCT Control/reference number & Effectivity Date MALE 2
LOUIE GINA S. KISIM JOHN P. BOTENGAN JR.
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private B/A Name of school last attended & Year FEMALE 44

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL 46
Late Enrollment LE Reason (Enrollment beyond 1 ACL Specify Level & Effectivity Data BoSY Date: 8/15/16 EoSYDate: BoSY Date: 8/15/16 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 School Year Report for the Month of

Name of School Grade Level Section

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

MALE | TOTAL Per Day

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

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. AUGUST 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)
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
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)

Total Daily Attendance a.2. Early marriage/pregnancy

b. Average Daily Attendance = Registered Learners as of end of the month
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
 LEARNER'S NAME (1st row for date) Total for the
(Last Month REMARKS (If DROPPED OUT, state reason, please
refer to legend number 2.
Name, 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
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 ________
(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 Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

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

NO. (Last Name, First (Please refer to the
Name, Middle Name) 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 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. 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)
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. 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.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 479504 Region CAR Division BENGUET District LA TRINIDAD

School Name NORTHSKILLS POLYTECHNIC COLLEGE INC. School Year 2017-2018 Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS (A+B) Cumulative (A+B) Cumulative (A+B)
YEAR SECTION NAME OF ADVISER (As of End of Percentage for (A) Cumulative as (A) Cumulative as (A) Cumulative as
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
LEVEL the Month) 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
GRADE 8 N/A NOVELYN D. MOGADO 5 4 9 4.71 3.95 8.66 94.2 98.8 96.5

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
 (Signature of School Head over Printed Name)
Page _____ of _____ pages
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region CAR Division BENGUET District LA TRINIDAD

479504
School ID School Year 2017-2018 Curriculum K+12

School Name NORTHSKILLS POLYTECHNIC COLLEGE INC. Grade Level 8 Section N/A

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 As of end of current School Year
School Year

135621080008 BUGTONG, THRISTAN TOMIS 78 PROMOTED SUMMARY TABLE

135621090013 CHAMOS, ERVIN KEITH LAMSIS 78.25 PROMOTED STATUS MALE FEMALE TOTAL

104117120028 GUELBAY, KENNETH PORTER 82.750 PROMOTED

PROMOTED 5 4 9
406150150037 LOPEZ, JEN GABRIEL CALARO 83.13 PROMOTED

479540160003 PASCUA, JERIC WALSIE 78.63 PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL

BEGINNNING
(B: 74% and
below)

DEVELOPING
(D: 75%-79%)
3 1 4

APPROACHING
PROFICIENCY
(AP:
2 2 4
80%-84%)

PROFICIENT
(P: 85% -89%)
1 1

ADVANCED
(A: 90% and
above)
 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 As of end of current School Year
School Year ADVANCED
(A: 90% and
5 TOTAL MALE above)

219521090004 ATIW-AN, PRECIOUS PALID 85.25 PROMOTED

135613080014 BENTRIZ,PEARL ANGEL GALUBA 78.5 PROMOTED PREPARED BY:

136314090001 CAMANGNIAN, ARABELLA BARBA 81.88 PROMOTED NOVELYN D. MOGADO
479540160004 YAGYAGEN, YASMIN DALE BAGSIAO 80.38 PROMOTED 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
 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 As of end of current School Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
4 TOTAL FEMALE

9 COMBINED School Form 5: Page ____ of ________

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

School ID 479504 Region CAR Division BENGUET

School Name NORTHSKILLS POLYTECHNIC COLLEGE INC. District LA TRINIDAD School Year 2017-2018

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 5 4 9

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

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 SUPERINTENDENT
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 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 School Year

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

Number of
Title of Designation Appointment:
Incumbent
Title of Plantilla Position Title of Plantilla Position (as it appears (Contractual, Fund Source
Number of Number of
(as it appears in the appointment (as it appears in the appointment in the contract/document: Teacher, Substitute, (SEF, PTA,
Incumbent Incumbent
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) Volunteer, others NGO's etc.) Teaching
specify) Non-
Teaching

EDUCATIONAL QUALIFICATION Daily Program (time duration)

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

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments 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 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 of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught
Employee Remarks (For
Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Total Actual
Detailed Items,
Identification (Arrange by Sex DAY Indicate name of
Source Designation Employment Degree / Post Major/ Class & Other From To Teaching
Number Position, Descending) Minor (M/T/W/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Assignments Week

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________