School Form 1 (SF 1) School Register

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

School ID 304119 Region X Division CAGAYAN DE ORO CITY District SOUTHWEST 1

School Name LUMBIA NATIONAL HIGH SCHOOL School Year 2017-2018 Grade Level 12 Section E
GUARDIAN
ADDRESS PARENTS (If not REMARKS
Parent)
AGE as
BIRTH DATE IP
NAME Sex of 1st BIRTH PLACE MOTHER Contact Number of
LRN (mm/dd/ (Ethnic RELIGION House #/ Street/ Mother's Maiden Name
(Last Name, First Name, Middle Name) (M/F) Friday (Province) TONGUE Municipality/ Father's Name (Last Name, Relation- Parent or Guardian (Please refer to the
yyyy) Group) Sitio/ Barangay Province (Last Name, First Name, Name
June City First Name, Middle Name) ship legend on last page)
Purok Middle Name)

1 127962060031 Balabat, Cris Michael Elle M 12/9/99 18 Consolacion CDO

Bisaya Christian B3 L13 Xavier Eco LUMBIA CDO Mis.Or ELLE, MERRYBEL ALFANDO BALABAT, CRITINO AMPO

Bisaya Christian Kiam-is Lumbia CDO LUMBIA CDO Mis.Or Balcon, Suan Emilio Balcon, Vidra Annie
2 127976060002 Balcon, Melvin Vedra M 8/27/00 17 Kiam-is LumbiaCDO

Bisaya Christian Kiam-is Lumbia CDO CDO Mis.Or CELEDONIO, COMINGUEZ BALCON EMELDA, LUCINO

3
127797606001 Balcon, Efren Lucenio M 7/2/00 17 UPPER KIAM-IS CDO LUMBIA

Bisaya Christian PATPAT LUMBIA CDO Mis.Or JOSILITO, LAMUAS MAGSALOS MAGSALOS, ROSE DAMALAN
4 304119120010 MAGSALOS, JOEY MARK DAMALAN M 11/26/96 21 PATPAT LUMBIA CDO

BISAYA Christian UPPERPALALAN LUMBIA CDO Mis.Or MALINAO, JESSIE ATIBAGOS MALINAO, JESSIE SUMO

5
132107060172 MALINAO, JESSLEY JAKE SUMO M 11/4/99 18 BUTUAN CITY

Bisaya Christian XAVIER ECO VILLE LUMBIA CDO Mis.Or ODARVE, VICENTE ALLEGO ODARVE, ROXANNE EDULSA
6 127940060789 ODARVE, VINCENT EDULSA M 5/25/00 18 Consolacion CDO

Bisaya Christian XAVIER ECO VILLE LUMBIA CDO Mis.Or PAJE, CARLOS JR. OCHAVILLO PAJE, LILIBETH FLORES

7
127977120332 PAJE, CHRISTIAN JOHN FLORES M 6/14/01 17 Consolacion CDO

Bisaya Christian UPPER KIAM,-IS LUMBIA CDO Mis.Or CABIGON, ROSIE GABOY DECEASED
8 127976060004 SAGUING, CHRISTIAN JAY M 6/27/00 17 SIMPAK LALA DEL NORTE

9
127940061125 VASAYA, BRANDON JOHN MADULIN M 1/31/2000 18 LILA COGON BOHOL Bisaya Christian XAVIER ECO VILLE LUMBIA CDO Mis.Or VASAYA, RENANTE BULOGA VASAYA, VIRGILLA MANDULN

Bisaya Christian XAVIER ECO VILLE LUMBIA CDO Mis.Or VILLEZ, RICARDO SR. MALLARI VILLEZ, BERTROSS JABONGA
10 127962060236 VILLEZ, RICARDO JR.JABONGA M 7/16/01 16 Consolacion CDO

BISAYA CHRISTIAN ACASIA GRAN EUROPA LUMBIA CDO MIS.OR ALAHAYAN, BALODOY SAGUMHAY ALAHAYAN, CARMELA
ALAHAYAN, DAISY NUEVA BALDESANSO F 0819/00 17 BALDESANSO
1 126605060011 MALITBOG BUKIDNON

BISAYA CHRISTIAN LINGATING LUMBIA CDO MIS.OR ARION, RUEL CAJARDO ARION, ANALIZA VILLASTIQUE
ARION, ALIZA JHEAN VILLASTIQUE F 9/3/00 17
2 126272060017 LINGATING BUKIDNON

BISAYA CHRISTIAN YSALINA STREET LUMBIA CDO MIS.OR AMOGUIS, FELOMINO DELAPOS AMOGUIS,ROBERTA CASTULO
AMOGUIS, ANGELICA CASTULO F 8/20/00 18
118346060002
BOHOL
3
BISAYA CHRISTIAN MABUHAY LUMBIA CDO MIS.OR BEOYO, ROBERTO EJURCADAS JANIO,MARY SOL CURAY
BEOYO, ROSE MARIE CURAY F 1/6/00 18
4 127964060059 CDO

BISAYA CATHOLIC BALUARTE LUMBIA CDO MIS.OR CLOMA, EDUARDO ABRATIGUIN SILAO. REBECCA DAPITON
CLOMA, MIA AQUILANG SILAO F 6/12/01 17
5 127940060302 NMRTH, CDO

BISAYA CHRISTIAN TABANG CAGAYAN LUMBIA CDO MIS.OR JAIME, AUGUSTO ORBE JAIME, JOCELYN ANDRAN
JAIME, MA. SAIRA GENEVA ANDRAN F 1/3/01 17
6 127992060114 GINGOOG

BISAYA CHRISTIAN PATPAT LUMBIA CDO MIS.OR LUNTAYAO, LARRY GALARPE LUNTAYAO, MERIAM ALTIZA

7
304121130007 LUNTAYAO, AIZA ALTIZA F 8/26/1998 19 VILLANUEVA

BISAYA CHRISTIAN TAGPANGI LUMBIA CDO MIS.OR MADRIDANO, JOSEPH SR ELLO MADRIDANO, CHONIE
09757547019/09
8
127985060042 MADRIDANO, AISA SINUGBUHAN F 5/12/99 19 TAGPANGI SINOGBUHAN
09264728763
BISAYA CHRISTIAN BALUARTE LUMBIA CDO MIS.OR MAGSALAY, LEONARDO JR CABULAY MAGSALAY, ROSALIE SUAN
MAGSALAY. JACENT LOU SUAN F 6/22/99 18 BALUARTE
9 127970060020
BISAYA CHRISTIAN BALUARTE LUMBIA CDO MIS.OR MAGSALAY, MAGSALAY, ROSALIE
MAGSALAY, LOVELY SIGMOYON F 3/13/00 18 RODRIGO
10 127970050017 ULAS DAVAO ORIENTAL
CABULAY
SIGMOYON
BISAYA CHRISTIAN BATO DANSOLIHON LUMBIA CDO MIS.OR NACALABAN, WENIFREDO LAQUE NACALABAN, EDITHA ACULAN

11
127975060015 NACALABAN, JESSECA ACULAN F 10/10/99 18 BATO DANSOLIHON

BISAYA CHRISTIAN UPPER KIAM-IS LUMBIA CDO MIS.OR NADAYAG, ANDREW BATINSILA NADAYAG, CLARRISSA
NADAYAG, HAZEL KIEM PADERAN F 9/20/00 17 KIAM-IS PADERAN
12 127976060013
 GUARDIAN
ADDRESS PARENTS (If not REMARKS
Parent)
AGE as
BIRTH DATE IP
NAME Sex of 1st BIRTH PLACE MOTHER Contact Number of
LRN (mm/dd/ (Ethnic RELIGION House #/ Street/ Mother's Maiden Name
(Last Name, First Name, Middle Name) (M/F) Friday (Province) TONGUE Municipality/ Father's Name (Last Name, Relation- Parent or Guardian (Please refer to the
yyyy) Group) Sitio/ Barangay Province (Last Name, First Name, Name
June City First Name, Middle Name) ship legend on last page)
Purok Middle Name)

BISAYA CHRISTIAN XAVIER ECO LUMBIA CDO MIS.OR CABASAG, JOEL PIEL OBLAD,MAE HEIZEL OLANA
OBLAD, DANIELLA HAZEL OLANA F 11/9/00 17 ILIGAN
13 126273060034
BISAYA CHRISTIAN XAVIER HEIGHTS LUMBIA CDO MIS.OR OLAGUER, FLORENCIO SR MAPUTI OLAGUER, MILA CAMUS
OLAGUER, IRENE CAMUS F 3/3/01 17 BOHOL
14 118350060014
BISAYA CHRISTIAN ZONE 2 AIRPORT LUMBIA CDO MIS.OR OCULARIS, ERNESTO SABALO DECEASED
ORONG, ERLYN JEAN F 3/6/00 18 UPPER PALALAN
15 127977120449
BISAYA CHRISTIAN ZONE 4 PATPAT LUMBIA CDO MIS.OR PEREZ, MAURICIO ALBARRACIN PEREZ, MARY JANE PADERAN
PEREZ, MARY ROSE PADERAN F 8/11/00 17 PATPAT
16 304119140427
BISAYA CHRISTIAN BALUARTE LUMBIA CDO MIS.OR POBLETE, ARMAN BERSANO POBLETE, LUZ PUGOSA
POBLETE, APRIL GRACE PUGOSA F 4/8/01 17 BALUARTE
17 304119130195
BISAYA CHRISTIAN LOWER DULAWON LUMBIA CDO MIS.OR OPALLA, CARLITO UBALDO OPALLA, ROSSETTE
PODADERA, EVANGELINE F 1/10/00 18
18 12800060136 BUTUAN PODADERA

BISAYA CHRISTIAN LIBORAN LUMBIA CDO MIS.OR REGASA, RICKY BARNUEVO ALIA, GEMMA BACAS
REGASA, GLYZIEL ANN ALIA F 7/3/00 17 MARIKINA
19 126271060069
BISAYA CHRISTIAN PATPAT LUMBIA CDO MIS.OR RICO, HERNANDO SAMUEL RICO, ERAFLOR NICOLAY
RICO, MA. ANTONETTE PADERAN F 12/20/00 17 PATPAT
20 127977060110 MANREAL

BISAYA CHRISTIAN XAVIER ECO VILL LUMBIA CDO MIS.OR DECEASED SABINAY, VIRGIE
SABINAY, NOVA DAMULOAN F 11/24/98 19 PUNTOD BALULANG
21 127990060208 DAMULOAN

BISAYA CHRISTIAN MABUHAY LUMBIALUMBIA CDO MIS.OR SALDIVAR,TITO PAICAN SALDIVAR, BERNADETH

22
126536060041 SALDIVAR, CRESLYN SANGHILAN F 4/2/00 18 BUSDI MALAYBALAY CITY SANGHILAN

BISAYA CHRISTIAN PATPAT LUMBIA CDO MIS.OR SAMUEL, RONELO MAGSALOS SAMUEL, DOROTEA
23
126803060053 SAMUEL, DAISY GRACE EBONDAS F 1/30/99 18 TALAKAG BUKIDNON EBONDAS

BISAYA CHRISTIAN LUMBIA CDO MIS.OR ROSARIO, KAI MURIEL

SATUROS, CAROL JUSTOL F 7/5/97 20 VALENCIA CITY
24 126540060029
Bisaya CHRISTIAN
26
127974060068 SARANIA, MARIEL MONTANO F 2/1/01 17 P2, DANSOLIHON

BISAYA CHRISTIAN LUMBIA CDO MIS.OR TABUCO, TERESITA

27
304119170226 TABUCO, JOCELYN MAGLASANG F 1/30/96 22 CEBU CITY MAGLASANG

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Indicator Code Required Information REGISTERED BoSY EoSY
Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT CCT Control/reference number & Effectivity Date MALE 13 13
LUZVIMINDA B. RAGMAC WENNIE RUTHSEN C. PILAPIL
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 32 32

Dropped DRP Reason and Effectivity Date Learner With Dissability LWD Specify TOTAL 45 45

Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: 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 304119 School Year 2017-2018 Report for the Month of JULY

Name of School LUMBIA NATIONAL HIGH SCHOOL Grade Level 12 Section E

(1st row for date) Total for the Month

LEARNER'S NAME
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
(Last Name, First Name, Middle If TRANSFERRED IN/OUT, write the name of School.)
Name) 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
1 Aninion, Mark Anthony Abao 0 6
2 Balabat, Cris Michael E 0 0

3 Balcon, Efren L 0 4

4 Balcon, Melvin V. 0 6
5 Domaghan, Richard C. 0 6

6 Lisondra, John Robert Cantoja 0 5

7 Magsalos, Joey Mark D. 0 0

8 Malinao, Jessley S 0 2

9 Odarve, Vincent E 0 0

10 Paje, Christian Flores 0 0

11 Saguing, Christian Jay 0 0

12 Vasaya, Brandon M 0 3
13 Villez, Ricardo Jr 0 0

MALE | TOTAL Per Day

286
13

13

13

13

13

13

13

13

13

13

13

13

13

13

13

13

13

13

13

12

13
1 Alcantara, Ritchie Abanete 0 3

2 Alahayan, Daisy Nueva Badomero 0 1

3 Arion, Alisa Jhean Villatigue 0 2

4 Amoguis, Angelica C. 0 5

5 Boeoyo, Rose Marie J 0 0

6 Bonglto, Jessa C. 0 4

7 Cloma, Mia Aquilang 0 1

8 Hagonao, Cherry lou C 0 1

9 Jaime, Saira Geneva A. 0 2

10 Luntayao, Aiza A 0 0

11 Madridano, Aisa S 0 5

12 Magsalay, Jacent Lou S 0 2

13 Magsalay, Lovely S 0 2

14 Moralde, Emalyn A 0 2

15 Nacalaban, Jesseca A 0 2

16 Nadayag, Hazel Kiem P 0 4

17 Oblad, Daniella Hazel 0 3

18 Olaguer, Irene C 0 3

19 Orong, Erlyn Jean 0 3

20 Perez, Mary Rose P 0 1

21 Pimentel, Jayne Ferseponie 0 1

22 Poblete, April Grace P 0 2

23 Podadera, Evangeline 0 2

24 Regasa, Glyziel Ann 0 0

25 Rico, MA. Anthonette P 0 1

26 Sabinay, Nova D 0 0

27 Salac, Shaina B. 0 9
 (1st row for date) Total for the Month
LEARNER'S NAME
1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26 27 28 29 30 REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.
(Last Name, First Name, Middle If TRANSFERRED IN/OUT, write the name of School.)
Name) 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
28 Saldivar, Creslyn S 0 0

29 Samuel, Daisy Grace E 0 1

30 Saturos, Carol J 0 2

31 Tabuco, Jocelyn M. 0 2

32 Sarania, Mariel Montano 0 2

FEMALE | TOTAL Per Day 1Q1 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 32 704

Combined TOTAL PER DAY 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45

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. 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) 13 32 45
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 0 0 0
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 13 32 45
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems 100% 100.00% 100
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 13 32 45
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 School Form 4. Once b.2. Overage
signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 100% 100% 100%
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 b.4. Drug Abuse
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 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 0 0
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 RAYMOND JOHN M. BALILING
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ WENNIE RUTHSEN C. PILAPIL
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID X School Year 2017-2018

School Name LUMBIA NATIONAL HIGH SCHOOL Grade Level 11 Section E

S ENGLISH FILIPINO MATH SCIENCE MUSIC/ARTS PE/HEALTH ESP AP
u
LEARNER'S NAME b REMARKS/ACTION TAKEN
D
NO. (Last Name, First Name, Middle j (Please refer to the
a
Name) e Date Date Date Date Date Date Date DATE legend on last page)
t
c
e Issued
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued returned
t

1
Aninion, Mark Anthony Abao NONE
A
r
2 Balabat, Cris Michael E e NONE
a
3 Balcon, Efren L NONE
&
4 Balcon, Melvin V. NONE
T
5 Domaghan, Richard C. i NONE
t
6 Lisondra, John Robert Cantoja l NONE
Magsalos, Joey Mark D. e
7 NONE

8
Malinao, Jessley S NONE

9
Odarve, Vincent E NONE

10
Paje, Christian Flores NONE

11 Saguing, Christian Jay NONE

12
Vasaya, Brandon M NONE

13
Villez, Ricardo Jr NONE
TOTAL FOR MALE | TOTAL COPIES NONE

Alcantara, Ritchie NONE

Ampo, Kathleen Ann F.
1 Alahayan, Disy Nueva Badomero NONE

2 Archua, Mary Claire B

Aranas, Merian M. NONE

3 Arion, Aliza J
Burias, Erica S. NONE

4
Amoguis, Angelica C. Caayaman, Dasmari NONE

5
Boeoyo, Rose Marie J Cutillas, Julia T. NONE

6
Bonglto, Jessa C. NONE

7
Canillas, Lucia M. Datahan, Melanie O. NONE

8 Guardario, Lendy May Demerito, Angeline P. NONE

9 Hagonao, Cherry lou C NONE

10 Hallasgo, Flordeliz A Gadiano, Rhea Mae O. NONE

11 Jaime, Saira Geneva A.

Gamotin, Zaira Claire R. NONE

12
Luntayao, Aiza A Gensula, Cheese Marie D. NONE

13
Madridano, Aisa S Gomez, Princess NONE

14 Magsalay, Jacent Lou S

Hinagdanan, Micaella R. NONE
 S ENGLISH FILIPINO MATH SCIENCE MUSIC/ARTS PE/HEALTH ESP AP
u
LEARNER'S NAME b REMARKS/ACTION TAKEN
D
NO. (Last Name, First Name, Middle j (Please refer to the
a
Name) e Date Date Date Date Date Date Date DATE legend on last page)
t
c
e Issued
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued returned
t

15 Magsalay, Lovely S Janubas, Jessel Jane U. NONE

A
Moralde, Emalyn A r Cherry
Locnoran,
16 e NONE
a Mae B.
Mabal, Lyza
17 Nacalaban, Jesseca A NONE
&
18 Nadayag, Hazel Kiem Magsalos,
P Hannah Karyll O. NONE

19
Oblad, Daniella Hazel Ogoc, TiDiane NONE
t
20 Olaguer, Irene C Palma, Antonette
l
Jane A. NONE
e
21 Orong, Erlyn Jean Pimentel Shiantal I. NONE

22
Perez, Mary Rose P NONE

23 Pimentel, Jayne Ferseponie

Rosas, Keziah L. NONE

24 Poblete, April Grace P NONE

25
Podadera, Evangeline NONE

26
Regasa, Glyziel Ann NONE

27
Rico, Ma. Anthonette P NONE

28 Sabinay, Nova D NONE

29 Salac, Shaina B. NONE

30
Saldivar, Creslyn S NONE

31
Samuel, Daisy Grace E NONE

32 Saturos, Carol J NONE

33 Tabuco, Jocelyn M. NONE

34 Sarania, Mariel Montano NONE

Tala, Karl Heinz T.
Tapiahan, Marivail M.
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 LUZVIMINDA B. RAGMAC
3.
4. The
The Total
Total Number
Number of
of Copies
Copies issued at BoSY
of Books shallatbe
Returned thereflected in the
EoSYshall beform.
reflected B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code (Signature over printed name)
in the form. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if need 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 Region Division District

School Name School Year 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

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 X Division District II

School ID 304107 2018-2019 Curriculum K TO 12

School Name BUGO NATIONAL HIGH SCHOOL ade Level 11 Section DIAMOND

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12
AVERAGE Curriculum and remaining RBEC in High School.
ACTION TAKEN:
(Numerical Value in Elementary grades level that are still implementing
LEARNER'S NAME PROMOTED,
LRN 2 decimal places and RBEC need not to fill up these columns)
(Last Name, First Name, Middle Name) IRREGULAR or
3 decimal places for From previous school
RETAINED
honor learners, and years completed as of As of end of current School
Descriptive Letter) end of current School Year
Year
1 127865070005 ADANE, ERNEST JAN OLIVER JIMUNZALA 81% PROMOTED SUMMARY TABLE

2 127953070023 BACALSO, JAN NIÑO RAMOSO 83% PROMOTED STATUS MALE FEMALE TOTAL

3 304137130085 BANTUG, FIDEL AUGUSTOS NGOJO 79% PROMOTED

PROMOTED 5 15 20
4 126863070586 LUCAJO, DENNIS SOLITARIO 77% PROMOTED

5 126863070586 PADREQUIL, JASTINE DANICO 81% PROMOTED

IRREGULAR 1 0 1
6 127949060284 RACAZA, OLIVER KING FLORES 77% IRREGULAR

7
RETAINED 0 0 0
8

10 LEVEL OF PROFICIENCY

11 MALE FEMALE TOTAL

13 BEGINNNING
(B: 74% and 0 0 0
14 below)

15
DEVELOPING
(D: 75%-79%)
3 2 5
16

17 APPROACHING
PROFICIENCY
(AP:
3 5 8
18 80%-84%)

19
PROFICIENT
0 6 6
(P: 85% -89%)
20

21 ADVANCED
(A: 90% and 0 2 2
22 above)
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12
AVERAGE Curriculum and remaining RBEC in High School.
ACTION TAKEN:
(Numerical Value in Elementary grades level that are still implementing
LEARNER'S NAME PROMOTED,
LRN 2 decimal places and RBEC need not to fill up these columns)
(Last Name, First Name, Middle Name) IRREGULAR or
3 decimal places for From previous school
RETAINED
honor learners, and years completed as of As of end of current School
Descriptive Letter) end of current School Year
Year
6 TOTAL NUMBER OF MALES

1 136483050029 BARNIDO, KRYSTAL SUELO 83% PROMOTED PREPARED BY:

2 127949070126 DE LA CALZADA, FRANCES PAULINE BABIERA 87% PROMOTED JENELIN S. ENERO

3 127949060153 GALLARON, QUEENEVIE ALVARICO 80% PROMOTED (Name and Signature)

4 126880070022 GALSIM, SHANYL JOY AMONCIO 91% PROMOTED

5 127704070020 IHALAS, JADE MAR EBUEZA 79% PROMOTED CERTIFIED CORRECT & SUBMITTED:

6 127704070020 LANZADERAS, PRINCESS JEAN CAILING 88% PROMOTED

7 127328070011 NESTAL, IRISH MAE ABADILLA 85% PROMOTED ROEL R. LAMBERTE

8 127949120624 OÑEZ, AIREN MAE RODA 83% PROMOTED School Principal 1

9 127909060164 PADUA, JELLY ROSE DELOS SANTOS 78% PROMOTED (Name and Signature)

10 459579150043 PAMISA, NEL GRACE EGSOLIN 86% PROMOTED

PROMOTED
11 127949070307 REINTEGRADO, JIANN ABOL 92% REVIEWED BY:

PROMOTED
12 126686070025 SAGOLILI, ROMELYN ROXAS 83%

13 126868070028 SUR, FRILY JEAN BAROTAG 89% PROMOTED (Name and Signature)

14 127953060018 TOMAS, ROXAN TIRARIRAY 89% PROMOTED Division Representative

15 127867070130 ZAMBAS, RIMA MAE SUMINANG 81% PROMOTED GUIDELINES:

16 1. For All Grade/Year Levels

17
2. To be prepared by the Adviser. Final rating per
subject area should be taken from the record of subject
18
teachers. The class adviser should compute for the
General Average.
19

3. On the summary table, reflect the total number of

20 learners promoted, retained and *irregular (*for grade 7
onwards only) and the level of proficiency according to
21 the individual General Average.
22
15 TOTAL FEMALE

21 COMBINED 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 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

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)

Employee Remarks (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 school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (M/T/W/ (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Employee Remarks (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/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
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)
Employee Remarks (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/ school/office, For
-T.I.N.) Status Graduate Specialization Ancillary Assignments (00:00) (00:00) Minutes per
TH/F) IP's -Ethnicity)
Week

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