ATL- Modified School Forms-long-rev4 - Final- Provided With Formulas -New

NCR

Section

AGE as of 1st Friday of June (no. of years as per

last birthday)

REMARK/S

6/5/2014

House # / Street/Sitio/

PurokBarangay

Municipality/ City

Province NameRelations

hip(Please refer to the legend

on last page)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

GUARDIAN (If not Parent)

Contact Number (Parent /Guardian)

MOTHER TONGUE

NAME(Last Name, First Name, Middle Name)

Father (1st name only if family name identical to

learner) Mother (Maiden)

QUEZON CITY District

School Year

RELIGION

ADDRESS NAME OF PARENTS

Grade Level

IP (Specify Ethnic Group)

School Name

School ID Region Division

School Form 1 (SF 1) School Register(This replace Form 1, Master List & STS Form 2-Family Background and Profile)

No. LRNSex

(M/F)

BIRTH DATE (mm/

dd/yy)

BIRTH PLACE

(Province)

NCR

Section


last birthday)

REMARK/S

6/5/2014


PurokBarangay

Municipality/ City



on last page)



MOTHER TONGUE





School Year

RELIGION


Grade Level


School Name



No. LRNSex

(M/F)

BIRTH DATE (mm/

dd/yy)

BIRTH PLACE

(Province)

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

NCR

Section


last birthday)

REMARK/S

6/5/2014


PurokBarangay

Municipality/ City



on last page)



MOTHER TONGUE





School Year

RELIGION


Grade Level


School Name



No. LRNSex

(M/F)

BIRTH DATE (mm/

dd/yy)

BIRTH PLACE

(Province)

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

atl

List and code of Indicators under REMARK/S column

Code Required Information Indicator Code Required Information No. of Learners BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT Recipient CCT MALE 0

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral B/A Name of school last attended & Year FEMALE 0

Dropped Dr/O Reason and Effectivity Date Learner With Dissability LWD Specify Date: Date:Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data

Indicator

Certified Correct:Prepared by:

TOTAL 0 0

CCT Control/reference number & Effectivity Date

(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)

Region Division

School ID School Year

Name of School

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30

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 T/I T/O Dr/O

1 0 0

2 0 0

3 0 0

4 0 0

5 0 0

6 0 0

7 0 0

8 0 0

9 0 0

10 0 0

11 0 0

12 0 0

13 0 0

14 0 0

15 0 0

16 0 0

17 0 0

18 0 0

19 0 0

20 0 0

21 0 0

22 0 0

23 0 0

24 0 0

25 0 0

QUEZON CITY

SectionGrade Level

REMARKS*: (If DROPPED OUT, state reason, please refer to legend number 2.

If TRANSFERRED IN/OUT, write the name of School.)

School Form 2 (SF2) Daily Attendance Report of Learners

(2nd row for date, 1st row for day-count)

(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

NCR

SY 2014-2015

LEARNER'S NAME

(Last Name, First Name, Middle Name)

Report for the Month of

20Code (for

reason of

Dr/O)

School Name (if Tr/O)

Learner Movement (put a { / } in

the appropriate box)

June 30, 2014

Total for the Month

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30





LEARNER'S NAME

(Last Name, First Name, Middle Name) 20Code (for

reason of

Dr/O)




Total for the Month

26 0 0

27 0 0

28 0 0

29 0 0

30 0 0

31 0 0

32 0 0

33 0 0

34 0 0

35 0 0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0 0 0 0

1 0 0

2 0 0

3 0 0

4 0 0

5 0 0

6 0 0

7 0 0

8 0 0

9 0 0

10 0 0

11 0 0

12 0 0

13 0 0

14 0 0

15 0 0

16 0 0

17 0 0

18 0 0

19 0 0

20 0 0

21 0 0

22 0 0

23 0 0

24 0 0

25 0 0

MALE | TOTAL Per Day 0.0

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

6/2 6/3 6/4 6/5 6/6 6/9 6/10 6/11 6/12 6/13 6/16 6/17 6/18 6/19 6/20 6/23 6/24 6/25 6/26 6/27 6/30





LEARNER'S NAME

(Last Name, First Name, Middle Name) 20Code (for

reason of

Dr/O)




Total for the Month

26 0 0

27 0 0

28 0 0

29 0 0

30 0 0

31 0 0

32 0 0

33 0 0

34 0 0

35 0 0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0 0 0 0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0 0 0 0

GUIDELINES: 1.CODES FOR CHECKING ATTENDANCE Month:

M F TOTAL

2. REASONS/CAUSES OF DROP OUT

a. Domestic-Related Factors

a.1. Had to take care of siblings

a.2. Early marriage/pregnancy

a.3. Parents' attitude toward schooling

a.4. Family problems

b. Individual-Related Factors

b.1. Illness

b.2. Overage

b.3. Death

6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.4. Drug Abuse

* b.5. Poor academic performance

b.6. Lack of interest/Distractions

b.7. Hunger/Malnutrition

c. School-Related Factors

c.1. Teacher Factor

c.2. Physical condition of classroom

c.3. Peer influence I certify that this is a true and correct report.

d. Geographic/Environmental

d.1. Distance between home and school

d.2. Armed conflict (tribal wars & clan feuds)

d.3. Calamities/Disasters

e. Financial-Related Attested by:

e.1. Child labor, work

School Form 2 : Page of pages f. Others (Specify)

Registered Learners as of end of the month


0

Beginning of School Year cut-off report is every 1st Friday of the School Year

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.

c.

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.

Average Daily Attendance

Percentage of Attendance for the month =

b.

x 100

(Signature of Teacher over Printed Name)

Combined TOTAL PER DAY

Summary

(Signature of School Head over Printed Name)

(/) - Present; (a)- Absent; Tardy = (t)-[black]-Late-Comer, (t)-[red]-

Cutting Classes

0.0

0.0

0

a.

June 30, 201420

Total Daily Attendance

x 100

* Enrolment as of (1st Friday of June)

Using laptop or personal computer

Late Enrollment during the month

(beyond cut-off)

No. of Days of

Classes:

Enrolment as of 1st Friday of the school year

Average Daily Attendance =

Percentage of Enrolment =

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.

2. Dates shall be written in the columns after Learner's Name.

atl


Average daily attendance

Number of School Days in reporting month

3. To compute the following:

FEMALE | TOTAL Per Day

#DIV/0!

0

0

#DIV/0!

Number of students absent for 5 consecutive

days:

Percentage of Attendance for the month

0

0

0

#DIV/0!

00

0

Percentage of Enrolment as of end of the month

0

0 0

#DIV/0!

0 0

Drop out (Dr/O)

0

Transferred out (Tr/O)

#DIV/0!#DIV/0!

Transferred in (Tr/I)

Region NCR Division


School Name

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

0TOTAL FOR MALE | TOTAL COPIES

Grade Level

(This replace Form 1 & Inventory of Text Book)

School Form 3 (SF3) Books Issued and Returned

Section

QUEZON CITY

Subject Area &

Title

Subject Area &

Title

Date

NO.

Date Date

Subject Area &

Title

Subject Area &

Title

LEARNER'S NAME (Last Name,

First Name, Middle Name) REMARK/ACTION TAKEN

(Please refer to the code on last page)Date Date Date Date Date

Subject Area &

Title

Subject Area &

Title

Subject Area &

Title

Subject Area &

Title

Region NCR Division


School Name

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

Grade Level

(This replace Form 1 & Inventory of Text Book)

School Form 3 (SF3) Books Issued and Returned

Section

QUEZON CITY

Subject Area &

Title

Subject Area &

Title

Date

NO.

Date Date

Subject Area &

Title

Subject Area &

Title

LEARNER'S NAME (Last Name,

First Name, Middle Name) REMARK/ACTION TAKEN

(Please refer to the code on last page)Date Date Date Date Date

Subject Area &

Title

Subject Area &

Title

Subject Area &

Title

Subject Area &

Title

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

atlGUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:

3. The Total Number of Copies of Books issued at BoSY and returned at EoSY shall be reflected.

School Form 3 : Page of pages

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

(Signature over printed name)

2. The Date of Issuance and the Date of Return shall be reflected. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

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, s.2012.

1. Title of Books Issued to each learner must be recorded by the class adviser.

0

School ID Region Division District

School Name School Year Month Reporting

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

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

14

15

16

DROPPED OUT

1

2

NAME OF ADVISER Average Percentage

(A) Cumulative

as of Previous

Month

7

TRANSFERRED OUTREGISTERED

LEARNER (As

of End of the

Month)

5

6

GRADE/

YEAR

LEVEL

NCR QUEZON CITY

(This replace Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School Form 4 (SF4) Monthly Learner's Movement and Attendance

19

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(A+B)

Cumulative as

of End of the

Month

ATTENDANCE

12

13

8

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(B) For the

Month

3

4

9

10

SECTION (B) For the

Month

TRANSFERRED IN

(B) For the

Month

20

11

17

18

21

22

23

24

25




DROPPED OUT

1


(A) Cumulative

as of Previous

Month


LEARNER (As

of End of the

Month)

GRADE/

YEAR

LEVEL

NCR QUEZON CITY



(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(A+B)

Cumulative as

of End of the

Month

ATTENDANCE

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(B) For the

MonthSECTION (B) For the

Month

TRANSFERRED IN

(B) For the

Month

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

46

47

48

49

50

41

42

43

44

45

33

34

35

36

39

40

26

31

32

27

28

29

30

37

38




DROPPED OUT

1


(A) Cumulative

as of Previous

Month


LEARNER (As

of End of the

Month)

GRADE/

YEAR

LEVEL

NCR QUEZON CITY



(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(A+B)

Cumulative as

of End of the

Month

ATTENDANCE

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(B) For the


Month

TRANSFERRED IN

(B) For the

Month

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

58

59

60

57

55

53

51

56

52

67

68

61

62

69

70

71

72

73

74

54

75

63

64

65

66




DROPPED OUT

1


(A) Cumulative

as of Previous

Month


LEARNER (As

of End of the

Month)

GRADE/

YEAR

LEVEL

NCR QUEZON CITY



(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(A+B)

Cumulative as

of End of the

Month

ATTENDANCE

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(B) For the


Month

TRANSFERRED IN

(B) For the

Month

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ELEMENTARY/SECONDARY:

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

atl

GUIDELINES: Prepared and Submitted by:

2. Furnish copy to Division Office: a week after June 30, October 31 & March 31

3. Teachers who are handling advisory class shall be reported.

School Form 4 : Page of pages

81

82

83

85

84

TOTAL

1. This forms shall be accomplished every end of the month using the summary box of Form 1 submitted by the teachers/advisers to update figures for the month.

Columns for "Cumulative as of Previous Month" require the figures in "cumulative total reported from previous month".

4. Small school that has one section per grade/year level are 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.

TOTAL FOR NON-GRADED

GRADE 1/GRADE 7

GRADE 2/GRADE 8

GRADE 3/GRADE 9

GRADE 4/GRADE 10

GRADE 5/GRADE 11

(Signature of School Head over Printed Name)

KINDER

GRADE 6/GRADE 12

80

76

77

78

79

Region NCR Division District

Curriculum

Grade Level Grade 8 Section

Num. Val. Adj. Rtng

(B) IRREGULAR

(B) IRREGULAR MALE FEMALE TOTAL

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR Adj. Rating MALE FEMALE TOTAL

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

31

33

32

28

29

30

24

25

26

20

21

22

17

35

23

27

34

TOTAL MALE

19

15

16

7

8

1

9

6

10

11

2

12

13

14

18

INCOMPLETE SUBJECT/S

(This column is for K to 12 Curriculum and remaining RBEC in High

School. Elementary grades level that still implementing RBEC need not to

fill up this column)

Completed as of end of current SY as of End of the current SY

GENERAL AVERAGE (Numerical Value in 3

decimal places for honor

learner, 2 for non-honor

& Descriptive Letter)

School Year

3

4

5

School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replace Forms 18-E1, 18-E2, 18A)

LRN

ACTION

TAKEN: PROMOTED,

IRREGULAR or

RETAINED

School Name

School ID

LEARNER'S NAME


QUEZON CITY

ADVANCED (A:

90% and above)

35

0 0

IRREGULAR

RETAINED

35 35 70

SUMMARY TABLE

0 0 0

PROMOTED 0 0 0

LEVEL OF PROFICIENCY

BEGINNNING

(B: 74% and below)

DEVELOPING (D:

75%-79%)

0APPROACHING

PROFICIENCY

(AP: 80%-84%)

PROFICIENT (P:

85% -89%)

35 70

0 0

0

0

0

0 0

0 0

School Form 5: of 21 pages

Num. Val. Adj. Rtng










LRN

ACTION

TAKEN: PROMOTED,

IRREGULAR or

RETAINED

LEARNER'S NAME


(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR Certified Correct and Submitted:

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR GUIDELINES:

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

0

atl

34

31

32

28

29

25

26

9

8

2

6

5

4

1. For All Grades Levels23

3

13

10

24

27

30

33

14

12

11

22

21

20

19

15

1

7

TOTAL FEMALE

COMBINED

18

17

16

35

Prepared by:

Class Adviser

(Name and Signature)

School Head

(Signature over Printed Name )

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 and the level of proficiency according

to the individual general average

4. Must be tallied with the total enrollment

report as of End of School Year GESP /GSSP

(BEIS)


Region NCR Division District

Curriculum

Grade Level Section

Num. Val. Adj. Rtng

1 (B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR MALE FEMALE TOTAL

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR Num. Rating MALE FEMALE TOTAL

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR35

TOTAL MALE

33

34

31

32

29

30

27

28

25

26

23

24

21

2290% and above 0 0 0

19

2085% -89% 0 0 0

17

18 80%-84% 0 0 0

15

16

13

14

75%-79% 0 0 0

353574% and below

LEVEL OF PROFICIENCY

10

70

11

12

8

9

6

7

RETAINED 0 0 0

35IRREGULAR

3

35 70

4

5

SUMMARY TABLE

1

PROMOTED 0 0 0

2

School Name

LRN LEARNER'S NAME






ACTION

TAKEN: PROMOTED,

IRREGULAR or

RETAINED






School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replace Forms 18-E1, 18-E2, 18A)

QUEZON CITY



Num. Val. Adj. Rtng

1

LRN LEARNER'S NAME






ACTION

TAKEN: PROMOTED,

IRREGULAR or

RETAINED






(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR Certified Correct and Submitted:

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR GUIDELINES:

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

(B) IRREGULAR

0

atl

35

TOTAL FEMALE

34

COMBINED

32

33

30

31

28

29

26

27

24

25

4. Must be tallied with the total enrollment

report as of End of School Year GESP /GSSP

(BEIS)

21

22

23

3. On the summary table, reflect the total

number of learners promoted, retained and

irregular and the level of proficiency according

to the individual general average

18

19

20

16

17

13

1. For All Grades Levels

14

15

11 (Signature over Printed Name )

12

9

10 School Head

7

8

5 Class Adviser

6 (Name and Signature)

Prepared by:

3

4

1

2

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.


MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

atl

Prepared and Submitted by: Reviewed & Validated by: Noted by:

School Head:

(Signature over Printed Name and Position Title)

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 advisers, 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.

Division QUEZON CITY

District

(This cancel Form 20)

GRADE 1 / GRADE 7

PROMOTED

GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTAL

School Name

School ID Region

RETAINED

School Year

NCR

SUMMARY TABLEGRADE 2 / GRADE 8 GRADE 3 / GRADE 9

0 0

0 0 0

0

0

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

IRREGULAR

0

TOTAL

Nos. of BEGINNNING

(B: 74% and below)0

0

0

0 0

0

00

0 0 0Nos. of DEVELOPING

(D: 75%-79%)

0 0 0 0

Nos. of APPROACHING

PROFICIENCY

(AP: 80%-84%)

0

Nos. of PROFICIENT

(P: 85% -89%)0

0

0

0

00

0

0 0

00

Nos. of ADVANCED

(A: 90% and above)

0

00 0

0 0 0

0 0 0

ARACELI T. LIWANAGAN

Acting Division Planning Officer

Supervising Education Program Specialist

PONCIANO A. MENGUITO, CESO V

Schools Division Superintendent

(Printed Name)

(Position Title)

Region NCR

TeachingNon-

Teaching

atl

Degree / Post

Graduate

DAY

(M/T/

W/TH/

F)

From

(00:00)

To

(00:00)

Actual

Teaching/

Service

Render

(Mins/Day)

Ave. Minutes per Day :

Math 1 m 8-12nn 1-5pm 480

Math 2 w 8-12nn 1-5pm 480

Math 3 f 8-11nn 2-5pm 360

Eng1 t 8-12nn 1-4pm 420

Eng2 th 8-12nn 1-4pm 420

Clinic f 11-12nn 1-2pm 120

Ave. Minutes per Day : 380



23

45

67

marcoporfirio

manadakilasalahat m nat

ion

al

f T-I

II

per

man

ent

bse

mat

h

eng

QUEZON CITYSchool ID

School Name

Division

District School Year

12

34

5

segundina

carboradoratindahan

School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replace Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,

Form 29-Teacher Program and Form 31-Summary Information of Teachers)

Remark/s(For Detailed Items,

Indicate name of

school/office, For IP's -

Ethnicity )

Number of Incumbent

Minor

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment document)

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

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

Subject Taught

(include Grade &

Section) & Other

Ancillary Assignment

(Please Specify)

* Daily Program (time duration)

Fund Source

(SEF, PTA, NGO's etc.)

Nature of Appointment and Designation

(Contractual, Substitute, Volunteer & others)

Name of School

Personnel

(Arrange by Position,

Descending)

SexFund

Source

(A) Nationally-Funded Teaching Related Items

Number of Incumbent

Title of Plantilla Position

(as appeared in the appointment

document)

Em

plo

ye

e N

o.

pri

nci

pal

iv

per

man

ent

ph

d

Nature of

Appointment

gen

eral

Degree / Post

Graduate

DAY

(M/T/

W/TH/

F)

From

(00:00)

To

(00:00)

Actual

Teaching/

Service

Render

(Mins/Day)

23

45

67

marcoporfirio

manadakilasalahat m nat

ion

al

Remark/s(For Detailed Items,

Indicate name of

school/office, For IP's -

Ethnicity )

Minor

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Subject Taught

(include Grade &

Section) & Other

Ancillary Assignment

(Please Specify)

* Daily Program (time duration)

Name of School

Personnel

(Arrange by Position,

Descending)

SexFund

Source

Em

plo

ye

e N

o.

pri

nci

pal

iv

per

man

ent

ph

d

Nature of

Appointment







atl

Submitted by:GUIDELINES:

3. Subject Taught/Ancillary Assignment. Reflect all assignment per personnel such as ancillary/administrative duties.

School Form 7 : Page of pages4. * Daily Program Column is for teaching personnel only.

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

shall also serve as inventory list of school personnel.

(Printed Name )

(Printed Position Title)

(Signature of School Head)


Name of School

ABSENT TARDY

Grade Level

Month Reporting

REMARK/S (If DROPPED OUT, state

reason, please refer to legend number 2.

If TRANSFERRED IN/OUT, write the name

of School.)

(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

LEARNER'S NAME


Total for the

Month

Section

School Form 2 (SF2) Daily Attendance Report for learner

DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

MALE | TOTAL Per Day

ABSENT TARDY

REMARK/S (If DROPPED OUT, state

reason, please refer to legend number 2.

If TRANSFERRED IN/OUT, write the name

of School.)

LEARNER'S NAME


Total for the

Month DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

L E G E N D:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:

M F TOTAL

2. REASONS/CAUSES OF DROP-OUTS

a. Domestic-Related Factors

a.1. Had to take care of siblings

a.2. Early marriage/pregnancy

a.3. Parents' attitude toward schooling

a.4. Family problem

b. Individual-Related Factors

b.1. Illness

b.2. Overage

5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death

* b.4. Drug Abuse

b.5. Poor academic performance

b.6. Lack of interest/Distractions

b.7. Hunger/Malnutrition

c. School-Related Factors

c.1. Teacher Factor

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

(Signature of Teacher over Printed Name)

d.3. Calamities/Disasters

e. Financial-Related Attested by:

e.1. Child labor, workSchool Form 2: Page 2 of ________ f. Others (Signature of School Head over Printed Name)

d.2. Armed conflict (incl. Tribal wars & clan

feuds)

blank- Present; (x)- Absent; Tardy (half shaded=

Upper for Late Comer, Lower for Cutting Classes)

4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.

Combined TOTAL PER DAY

a.

c.

Total Daily Attendance

Number of School Days in reporting month

Registered Learner as of End of the month

Registered Learner as of End of the Month

Enrolment as of 1st Friday of June

No. of Days of

Classes:

Late Enrollment (beyond cut-off)

Registered Learner as of end of the month

Transferred out

Number of students with 5 consecutive days of

absences:

Percentage of Attendance for the month

Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

Percentage of Attendance for the month =

Transferred in

Percentage of Enrollment as of end of the

month

Average Daily Attendance

x 100Average daily attendance

Drop out

Average Daily Attendance =

Percentage of Enrolment =

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.

2. Dates shall be written in the preceding columns beside Learner's Name.

3. To compute the following:

b.

x 100

Enrollment as of (1st Friday of June)

Summary for the

Month

FEMALE | DAILY TOTAL

ATL- Modified School Forms-long-rev4 - Final- Provided With Formulas -New

Documents

Transcript of ATL- Modified School Forms-long-rev4 - Final- Provided With Formulas -New