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School Form 4 (SF4) Monthly Learner's(This replaces Form 3 & STS Form 4-Absente
School ID 125855 Region IX Division ZAMBOANGA SIBU
School N!e "UBURAN #$#M#N"ARY S%&OO$
S#%"ION NAM# O' AD(IS#R
ATTENDANCE DROED O
Dil) Averge *B+ 'or the M
M ' " M ' " M ' " M ' " M '
,in-er Str Nirgen ./ M0sn 13 22 13 22 144 144 144
One Gol- 'e R/ B--i 25 18 3 25 18 3 144 144 144
"6o Silver A!eli I/ .rgs 23 22 5 22/52 21/ /41 7/1 7/8 7/8
"hree .erl Merle (/ A!il 1 23 8/1 13/1 22/82 /3 /18
"hree 9-e Re)n-it B/ Silvno 14 11 21 /11 /78 1/ /13 88/3 /43
'o0r R0:) G;or N/ 9ihri 15 1 2 15 1 2 144 144 144
'ive S;;hire Ars!ir S/ M!ol 15 18 33 1/7 17/1 32/35 8/27 7/83 8/45
Si< Di!on- $en-) $/ $0chve= 12 1 2 11/83 13/1 25/7 8/55 /38 8/7
RAD#>AR $#(#$
R#GIS"#R#D$#ARN#RS
*As o? #n- o? theMonth+
.ercentge ?or theMonth
*A+ %0!0ltive s o?.revio0s Month
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EMENTAR"#SECONDAR"$
,IND#R 13 22 13 22 144 144 144
GRAD# 1 25 18 3 25 18 3 144 144 144
GRAD# 2 23 22 5 22/52 21/ /41 7/1 7/8 7/8
GRAD# 3 1 25 18/82 23/ 2/51 /47 /15 /1
GRAD# 15 1 2 15 1 2 144 144 144
GRAD# 515 18 33 1/7 17/1 32/35 8/27 7/83 8/45
GRAD# 12 1 2 11/83 13/1 25/7 8/55 /38 8/7
"O"A$ 'OR NONGRAD#D
"O"A$
D#$IN#S
his ?or! shll :e cco!;lishe- ever) en- o? the !onth 0sing the s0!!r) :o< o? S'2 s0:!itte- :) the techers>-visers to 0;-te ?ig0res ?or the !onth/
0rnish the Division O??ice 6ith co;) 6ee ?ter 90ne 34C Octo:er 34 Mrch 31
ge EE1EEE o? EEE1EE ;ges
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endance
istrict"A$USAN
l Yer 2412415 Re;ort ?or the Month o? AUGUS"
TRANSFERRED O!T TRANSFERRED %N
*B+ 'or the Month *B+ 'or the Month
' " M ' " M ' " M ' " M ' " M ' "
1 4 1
!0ltive s o?vio0s Month
*A@B+ %0!0ltive s o?#n- o? the Month
*A+ %0!0ltive s o?.revio0s Month
*A@B+ %0!0ltive so? #n- o? the Month
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1 4 1
1 4 1
re&ared and Smtted y$
BAIN# $/ &ARUNC#-/D (Signature of School ead o!er Printed "ame)
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School ID
School N!e
LRNNAME
(Last Name, Frst Name,
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LRNNAME
(Last Name, Frst Name,
Lst and Code o- %
%ndcator Code Re/red %n-orm
Trans-erred Ot T#O Name o- lc ()
Trans-erred %N T#% Name o- lc ()
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LRNNAME
(Last Name, Frst Name,
Dro&&ed DR Reason and E--ectv
Late Enrollment LE Reason (Enrollment
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Region
Se2 (M#F) ddle Name)
3%RT DATE(mm#dd# yyyy)
A5E as o- *stFrday 1ne
MOTER TON56 On
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Se2 (M#F) ddle Name)
3%RT DATE(mm#dd# yyyy)
A5E as o- *stFrday 1ne
MOTER TON56 On
dcators nder REMAR.S colmn
aton %ndcator
rvate (R) School 0 E--ectvty Date CCT Rec&e
rvate (R) School 0 E--ectvty Date 3al78Aral
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Se2 (M#F) ddle Name)
3%RT DATE(mm#dd# yyyy)
A5E as o- *stFrday 1ne
MOTER TON56 On
ty Date
eyond *st Frday o- 1ne) Accelarated
Learner 9tDssalty
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School Form * (SF *) Sch(This replaces Form #$ %aster ist & STS Form '-Fa
Division
School Yer
REL%5%ON (5rade * to %
(Ethnc 5ro&) ose :# Street#
Sto#ro7
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REL%5%ON (5rade * to %
(Ethnc 5ro&) ose :# Street#Sto#ro7
Code Re/red %n-ormaton
CCT CCT Control#re-erence nmer 0
3#A Name o- school last attended 0 "
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REL%5%ON (5rade * to %
(Ethnc 5ro&) ose :# Street#Sto#ro7
L9D S&ec-y
ACL S&ec-y Level 0 E--ectvty Data
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ol Re+steril ac*ground and Profile)
District
Gr-e $evel
ADDRESS
3aran+ay Mnc&alty# Cty rovnceFather's Name (
Name, Mddl
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ADDRESS
3aran+ay Mnc&alty# Cty rovnceFather's Name (
Name, Mddl
RE5%STERED BoSY
--ectvty Date MALE
ar FEMALE
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ADDRESS
3aran+ay Mnc&alty# Cty rovnceFather's Name (
Name, Mddl
TOTAL
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Section
ARENTS
Name
5!ARD%ANnot
ast Name, Frste Name)
Mother's Maden Name (Last Name,Frst Name, Mddle Name)
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ARENTS
Name
5!ARD%ANnot
ast Name, Frste Name)
Mother's Maden Name (Last Name,Frst Name, Mddle Name)
.re;re- :)#oSY
*Signt0re o? A-viser over .rinte- N!e+
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ARENTS
Name
5!ARD%ANnot
ast Name, Frste Name)
Mother's Maden Name (Last Name,Frst Name, Mddle Name)
BoSY Dte #oSYDte
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REMAR.S
Relaton8sh&
(%-rent)
Contact Nmer o-arent or 5ardan (lease re-er to the le+end
on last &a+e)
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REMAR.S
Relaton8sh&
(%-rent)
Contact Nmer o-arent or 5ardan (lease re-er to the le+end
on last &a+e)
%erti?ie- %orrect
*Signt0re o? School &e- over .rinte- N!e+
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REMAR.S
Relaton8sh&
(%-rent)
Contact Nmer o-arent or 5ardan (lease re-er to the le+end
on last &a+e)
BoSY Dte #oSYDte
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School ID I2571 School Yer
N!e o? School MA"IM #$#M#N"ARY S%&OO$
M T 9 T F M
1 AWWALUN, HAMJA ABDULHAKIM
2 EREBUAGAS, RODEL ANDAS
3 ISNAIN, NEJAR ARASAIN4 MAÑALAC, ELMER LIBRES
5 MONTECALBO, CHRISTIAN URBANO
6 PERONG, JOHN LOUID TUBAT
7 SAPPAYANI, ALCAAR TANDA
! USOP, JUNIMAR JAANI
" YUAYAN, REY LIBRES
MALE = TOTAL er Day1 ESNEROL, LARDISA SAJAROL
2 ISNAIN, NURSIDA SALAPUDDIN
3 JAANI, DARWINA NASARI
4 JAANI, EL#IE TERO
5 MADDAN, JENNELYN TANDA
6 PANDULI, NURSIDA ABDUL
7 SABBI, SARA JEAN TANDA! TANDA, SOPIYA MOHAMMAD
" TAPIA, MAY$ANN TUMAMPAL
1% YUSOP, HAMIDA ISNAIN
FEMALE = TOTAL er Day
Comned TOTAL ER DA"
LEARNER'S NAME(Last Name, Frst Name, Mddle Name)
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M T 9 T F M
LEARNER'S NAME(Last Name, Frst Name, Mddle Name)
!%DEL%NES$
"he tten-nce shll :e cco!;lishe- -il)/ Re?er to the co-es ?or checing lernersF tten-nce/ Dtes shll :e 6ritten in the col0!ns ?ter $ernerFs N!e/ "o co!;0te the ?ollo6ing
/ Percentage of +nrolment ,Registere- $erners s o? en- o#nrol!ent s o? 1st 'ri-) o? the
:/ A!erage Dail Attendance ,"otl Dil) Atten-nc
N0!:er o? School D)s in re;o
c/ Percentage of Attendance for the month ,Averge -il) tten-n
Registere- $erners s o? en- o
Atten-nce ;er?or!nce o? lerners 6ill :e re?lecte- in 'or! 137 n- 'or! 138 ever) gr-ing ;erio-/ Beginning o? School Yer c0to?? re;ort is ever) 1st 'ri-) o? the School Yer
School 'or! 2 .ge EEE o? EEEEEEEE
#ver) en- o? the !onthC the clss -viser 6ill s0:!it this ?or! to the o??ice o? the ;rinci;l ?or recor-ing o? s0!!r) t:le into rinci;lC this ?or! sho0l- :e ret0rne- to the -viser/
"he -viser 6ill ;rovi-e neccessr) interventions incl0-ing :0t not li!ite- to ho!e visittion to lerner>s 6ho 6ere :sent ?or 5ro;;ing o0t/
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hool Form ; (SF;) Daly Attendance Re&ort o- Learners(This replaces Form #$ Form ' & STS Form 4 - Absenteeism and Dropout Profile)
2415241 Re;ort ?or the Month o?
Gr-e $evel 'I(#
(*st ro< -or date)
9 T F M T 9 T F M T 9 T F M T 9 T
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(*st ro< -or date)
9 T F M T 9 T F M T 9 T F M T 9 T
*> CODES FOR CEC.%N5 ATTENDANCE
;> REASONS#CA!SES FOR DRO%N5 O!T
!onth< 144
a> Domestc8Related Factors
ol )er /1/ &- to te cre o? si:lings
/2/ #rl) !rrige>;regnnc)
!onth /3/ .rentsF ttit0-e to6r- schooling
< 144// '!il) ;ro:le!s
!onth > %ndvdal8Related Factors
:/1/ Illness:/2/ Overge
:/3/ Deth
:// Dr0g A:0se
:/5/ .oor c-e!ic ;er?or!nce
:// $c o? interest>Distrctions:/7/ &0nger>Mln0trition
c> School8Related Factors
c/1/ "echer 'ctorc/2/ .h)sicl con-ition o? clssroo!
c/3/ .eer in?l0enced> 5eo+ra&hc#Envronmental
-/1/ Distnce :et6een ho!e n- school
-/2/ Ar!e- con?lict *incl/ "ri:l 6rs cln?e0-s+
-/3/ %l!ities>Dissters
e> Fnancal8Related
e/1/ %hil- l:orC 6or
-> Others (S&ec-y)
*:ln+ 8 .resentH *
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ction SAN"AN
F ABS#N" "ARDY
Total -or the MonthREMAR.S *I? DROED O!TC stte resonC ;lese re?er to legen-
n0!:er 2/I? TRANSFERRED %N#O!TC 6rite the n!e o? School/+
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F ABS#N" "ARDY
Total -or the MonthREMAR.S *I? DROED O!TC stte resonC ;lese re?er to legen-
n0!:er 2/I? TRANSFERRED %N#O!TC 6rite the n!e o? School/+
Month$No> o- Days o- Classes$
Smmary
M F TOTAL
+nrolment as of (#st Frida of .une)
A!erage Dail Attendance
Percentage of Attendance for the month
"umber of students absent for / consecuti!e das0
Dro& ot
Trans-erred ot
Trans-erred n
1 certif that this is a true and correct report2
#$MA "#9AMO %ABARON
(Signature of Teacher o!er Printed "ame)
Atteste- :)N#NI"A SA$MORIN ABUGAN
(Signature of School ead o!er Printed "ame)
ate +nrollment during the month(beond cut-off)
egistered earners as of end of the month
Percentage of +nrolment as of end of the month
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Sc
School ID
School N!e
NO/
Sub5ect Area & Title Sub5ect Area & Title
Dte Dte
Iss0e- Ret0rne- Iss0e- Ret0rn
LEARNER'S NAME(Last Name, Frst Name, Mddle Name)
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NO/
Sub5ect Area & Title Sub5ect Area & Title
Dte Dte
Iss0e- Ret0rne- Iss0e- Ret0rn
LEARNER'S NAME(Last Name, Frst Name, Mddle Name)
"O"A$ 'OR MA$# J "O"A$ %O.I#S
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NO/
Sub5ect Area & Title Sub5ect Area & Title
Dte Dte
Iss0e- Ret0rne- Iss0e- Ret0rn
LEARNER'S NAME(Last Name, Frst Name, Mddle Name)
"O"A$ 'OR '#MA$# J "O"A$ %O.I#S
"O"A$ $#ARN#RS J "O"A$ %O.I#S
5!%DEL%NES$
/ "itle o? Boos Iss0e- to ech lerner !0st :e recor-e- :) the clss -viser// "he Dte o? Iss0nce n- the Dte o? Ret0rn shll :e re?lecte- in the ?or!// "he "otl N0!:er o? %o;ies iss0e- t BoSY shll :e re?lecte- in the ?or!/
/ "he "otl N0!:er o? %o;ies o? Boos Ret0rne- t the #oSYshll :e re?lecte- in the ?or!/
/ All te
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ol Form 6 (SF6) 3oo7s %ssed and Retrned(This replaces Form # & 1n!entor of Tetboo*s)
School Yer
Gr-e $evel Section
Sub5ect Area & Title Sub5ect Area & Title Sub5ect Area & Title Sub5ect Area & Title Sub5ect A
Dte Dte Dte Dte D
Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e-
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Sub5ect Area & Title Sub5ect Area & Title Sub5ect Area & Title Sub5ect Area & Title Sub5ect A
Dte Dte Dte Dte D
Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e-
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Sub5ect Area & Title Sub5ect Area & Title Sub5ect Area & Title Sub5ect Area & Title Sub5ect A
Dte Dte Dte Dte D
Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e- Ret0rne- Iss0e-
%n case o- lost#nretrned oo7s, &lease &rovde n-ormaton re;ort -0l) note- :) School &e- ?or s0:!ission to School .ro;ert) %0sto-in *?or co-e "DO+C TL.i- :) the $erneN#G+/ Re?erences DOL23C s/2441C DOL25C s/2443C DOL1C 2/2412/
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ea & Title Sub5ect Area & Title
te Dte
Ret0rne- Iss0e- Ret0rne-
R#MAR,S>A%"ION "A,#N(Please refer to the legend on last page)
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ea & Title Sub5ect Area & Title
te Dte
Ret0rne- Iss0e- Ret0rne-
R#MAR,S>A%"ION "A,#N(Please refer to the legend on last page)
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ea & Title Sub5ect Area & Title
te Dte
Ret0rne- Iss0e- Ret0rne-
R#MAR,S>A%"ION "A,#N(Please refer to the legend on last page)
re&ared 3y$
*Signt0re over ;rinte- n!e+
Dte BoSYEEEEEEEEEEEE Dte #oSY EEEEEEEEEEE
echer?or co-e
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School Form 4 (SF4) Monthly Learner's M(This replaces Form 3 & STS Form 4-Absenteeism a
School ID 12582 Region IX Division Z!:ong Si:0g)
School N!e AURORA .RIMARY S%&OO$
S#%"ION NAM# O' AD(IS#R
ATTENDANCE DROED O!T
Dil) Averge .ercentge ?or the Month *B+ 'or the Month
M ' " M ' " M ' " M ' " M ' "
n-er $I$#B#"& %/ ROBAN"# 14 14 144/44 144/44 144/44
One $I$#B#"& %/ ROBAN"# 12 8/25 3/75 12 2/44 /44 3/44
"6o $I$#B#"& %/ ROBAN"# 14 14 144/44 144/44 144/44
hree GA.OR N/ 9AI&ARI 5 11 5 11 144/44 144/44 144/44
o0r GA.OR N/ 9AI&ARI 14 7 17 14 7 17 144/44 144/44 144/44
AD#>
R $#(#$
R#GIS"#R#D$#ARN#RS
*As o? #n- o? theMonth+*A+ %0!0ltive s o?
.revio0s Month
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MENTAR"#SECONDAR"$
,IND#R 14 14 144/44 144/44 144/44
GRAD# 1 12 8/25 3/75 12 2/44 /44 3/44
GRAD# 2 14 14 144/44 144/44 144/44
GRAD# 3 5 11 5 11 144/44 144/44 144/44
GRAD# 14 7 17 14 7 17 144/44 144/44 144/44
GRAD# 5
GRAD#
"O"A$ 'OR NONGRAD#D
"O"A$ 37 2 4 3/25 23/75 4 8/4 8/84 8/4
D#$IN#S
is ?or! shll :e cco!;lishe- ever) en- o? the !onth 0sing the s0!!r) :o< o? S'2 s0:!itte- :) the techers>-visers to 0;-te ?ig0res ?or the !onth/
rnish the Division O??ice 6ith co;) 6ee ?ter 90ne 34C Octo:er 34 Mrch 31
e EE1 EEE o? EEE1 EE ;ges
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U;-te- s o? Mrch
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re&ared and Smtted y$
GA.OR N/ 9AI&ARIC#D/D (Signature of School ead o!er Printed "ame)
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Schoo
Region Division
School ID
School N!e
LRN LEARNER'S NAME (Last Name,
Frst Name, Mddle Name)
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LRN LEARNER'S NAME (Last Name,
Frst Name, Mddle Name)
"O"A$ MA$#
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LRN LEARNER'S NAME (Last Name,
Frst Name, Mddle Name)
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LRN LEARNER'S NAME (Last Name,
Frst Name, Mddle Name)
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LRN LEARNER'S NAME (Last Name,
Frst Name, Mddle Name)
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l Form ? SF ? Re ort on romoton 0 Level o- ro-cenc(This replaces Forms #6-+#$ #6-+'$ #6A and ist of 7raduates)
District
School Yer %0rric0l0!
Gr-e $evel
As o? en- o? c0rr
5ENERAL A@ERA5E *N0!ericl (l0e in 2-eci!l ;lces n- 3
-eci!l ;lces ?or honorlernersC n- Descri;tive
$etter+
ACT%ON TA.EN$ROMOTED,
%RRE5!LAR orRETA%NED
%NCOMLETE S!31ECT#Scol0!n is ?or , to 12 %0rric0l0! n- re!ining RB#% in &igh Scho
level tht re still i!;le!enting RB#% nee- not to ?ill 0; th
'ro! ;revio0s school )ers co!;lete- so? en- o? c0rrent School Yer
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As o? en- o? c0rr
5ENERAL A@ERA5E *N0!ericl (l0e in 2-eci!l ;lces n- 3
-eci!l ;lces ?or honorlernersC n- Descri;tive
$etter+
ACT%ON TA.EN$ROMOTED,
%RRE5!LAR orRETA%NED
%NCOMLETE S!31ECT#Scol0!n is ?or , to 12 %0rric0l0! n- re!ining RB#% in &igh Scho
level tht re still i!;le!enting RB#% nee- not to ?ill 0; th
'ro! ;revio0s school )ers co!;lete- so? en- o? c0rrent School Yer
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As o? en- o? c0rr
5ENERAL A@ERA5E *N0!ericl (l0e in 2-eci!l ;lces n- 3
-eci!l ;lces ?or honorlernersC n- Descri;tive
$etter+
ACT%ON TA.EN$ROMOTED,
%RRE5!LAR orRETA%NED
%NCOMLETE S!31ECT#Scol0!n is ?or , to 12 %0rric0l0! n- re!ining RB#% in &igh Scho
level tht re still i!;le!enting RB#% nee- not to ?ill 0; th
'ro! ;revio0s school )ers co!;lete- so? en- o? c0rrent School Yer
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As o? en- o? c0rr
5ENERAL A@ERA5E *N0!ericl (l0e in 2-eci!l ;lces n- 3
-eci!l ;lces ?or honorlernersC n- Descri;tive
$etter+
ACT%ON TA.EN$ROMOTED,
%RRE5!LAR orRETA%NED
%NCOMLETE S!31ECT#Scol0!n is ?or , to 12 %0rric0l0! n- re!ining RB#% in &igh Scho
level tht re still i!;le!enting RB#% nee- not to ?ill 0; th
'ro! ;revio0s school )ers co!;lete- so? en- o? c0rrent School Yer
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As o? en- o? c0rr
5ENERAL A@ERA5E *N0!ericl (l0e in 2-eci!l ;lces n- 3
-eci!l ;lces ?or honorlernersC n- Descri;tive
$etter+
ACT%ON TA.EN$ROMOTED,
%RRE5!LAR orRETA%NED
%NCOMLETE S!31ECT#Scol0!n is ?or , to 12 %0rric0l0! n- re!ining RB#% in &igh Scho
level tht re still i!;le!enting RB#% nee- not to ?ill 0; th
'ro! ;revio0s school )ers co!;lete- so? en- o? c0rrent School Yer
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As o? en- o? c0rr
5ENERAL A@ERA5E *N0!ericl (l0e in 2-eci!l ;lces n- 3
-eci!l ;lces ?or honorlernersC n- Descri;tive
$etter+
ACT%ON TA.EN$ROMOTED,
%RRE5!LAR orRETA%NED
%NCOMLETE S!31ECT#Scol0!n is ?or , to 12 %0rric0l0! n- re!ining RB#% in &igh Scho
level tht re still i!;le!enting RB#% nee- not to ?ill 0; th
'ro! ;revio0s school )ers co!;lete- so? en- o? c0rrent School Yer
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Section
ent School Yer
S!MMAR" TA3LE
STAT!S MALE FEMALE TOTAL
.ROMO"#D
IRR#GU$AR
R#"AIN#D
LE@EL OF ROF%C%ENC" (. to *; Only)
MALE FEMALE TOTAL
*"hisol/ #le!entr) gr-esse col0!ns+
B#GINNNING*B 7 n- :elo6+
D#(#$O.ING *D 757+
A..ROA%&ING.RO'I%I#N%Y
*A. 848+
.RO'I%I#N" *.
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ent School Yer
*"hisol/ #le!entr) gr-esse col0!ns+
.R#.AR#D BY
%lss A-viser
*N!e n- Signt0re+
%#R"I'I#D %ORR#%" SUBMI""#D
School &e-
*N!e n- Signt0re+
R#(I##D BY
*N!e n- Signt0re+
Division Re;resenttive
5!%DEL%NES$
1/ 'or All Gr-e>Yer $evels
85 8+
AD(AN%#D *A 4n- :ove+
2/ "o :e ;re;re- :) the A-viser/ 'inl rting ;er s0:Kect re sho0l-:e ten ?ro! the recor- o? s0:Kect techers/ "he clss -viser sho0l-co!;0te ?or the Generl Averge/
3/ On the s0!!r) t:leC re?lect the totl n0!:er o? lerners;ro!ote-C retine- n- irreg0lr *?or gr-e 7 on6r-s onl)+ n- thelevel o? ;ro?icienc) ccor-ing to the in-ivi-0l Generl Averge/
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ent School Yer
*"hisol/ #le!entr) gr-esse col0!ns+
School 'or! 5 .ge EEEE o? EEEEEEEE
/ M0st tll) 6ith the totl enroll!ent re;ort s o? #n- o? School YerG#S. >GSS. *#B#IS+
5/ .rotocols o? vli-tion s0:!ission is 0n-er the -iscretion o? theSchools Division S0;erinten-ent
-
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ent School Yer
*"hisol/ #le!entr) gr-esse col0!ns+
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ent School Yer
*"hisol/ #le!entr) gr-esse col0!ns+
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ent School Yer
*"hisol/ #le!entr) gr-esse col0!ns+
U;-te- s o? Mrch 31C 241
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SmmarBe
School ID
School N!e
S!MMAR" TA3LE5RADE * #5RADE 5RADE ; # 5RADE
MA$# '#MA$# "O"A$ MA$# '#MA$# "O"A$
ROMOTED
%RRE5!LAR (5rade on
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3/ "he Re;ort on .ro!otion ;er gr-e level is re?lecte- in the #n- o? School Yer Re;ort o? G#S.>GSS./
/ .rotocols o? vli-tion s0:!ission is 0n-er the -iscretion o? the Schools Division S0;erinten-ent/
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School Form (SF)Re&ort on romoton and Level o- ro-cency
(This replaces Form '8)
Region Division
District
5RADE 6 # 5RADE 5RADE 4 # 5RADE * 5RADE ? # 5RADE ** 5RADE
MA$# '#MA$# "O"A$ MA$# '#MA$# "O"A$ MA$# '#MA$# "O"A$ MA$# '#MA
MA$# '#MA$# "O"A$ MA$# '#MA$# "O"A$ MA$# '#MA$# "O"A$ MA$# '#MA
Note- :)
DI(ISION R#.R#S#N"A"I(# S%&OO$S DI(ISION SU.#RIN"
el totl n- school totl/
) the en- o? the school )er/
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School Yer
E *; TOTAL
"O"A$ MA$# '#MA$# "O"A$
"O"A$ MA$# '#MA$# "O"A$
N"
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School Form ((Thi
School ID #'/:3/ Region
School N!e 3!AN5%N MAA3A ELEMENTAR" S
(A) Natonally8Fnded Teachn+ 0 Teachn+ Related %tems (3) Natonally8Fn
N0!:er o? Inc0!:ent
.RIN%I.A$ 1 1"#A%R I 12
Se< '0n- So0rce
4533 A$I%# %/ DA&ONOS '
N A " I O N A $ $ Y ' U N D # D
. R I N % I . A $ I
R # G U $ A R
. # R M A N # N
"
8442 ISNIRAIYA B/ MA&AMOD '
N A " I O N A $ $ Y ' U N D #
D
" # A % & # R
I
R # G U $ A R
. # R M A N #
N "
"itle o? .lntill .osition *s it;;ers in the ;;oint!ent -oc0!ent>.SI.O.+
"itle o? .lntill .osition;;ers in the ;;oint!ent -oc0
#!;lo)ee No/ *or"< I-enti?ictionN0!:er "/I/N/+
N!e o? School .ersonnel*Arrnge :) .ositionC Descen-ing+
.osition>Designtion
Nt0re o?A;;oint!ent>
#!;lo)!ent Stt0s
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Se< '0n- So0rce#!;lo)ee No/ *or
"< I-enti?ictionN0!:er "/I/N/+
N!e o? School .ersonnel*Arrnge :) .ositionC Descen-ing+
.osition>Designtion
Nt0re o?A;;oint!ent>
#!;lo)!ent Stt0s
4423 Z#NONI"A A/ &ASIM '
N A " I O N A $ $ Y ' U N D # D
" # A % & # R
I
R # G U $ A R
. # R M A N # N
"
17 MARI$OU #/ .O""O '
N A " I O N A $ $ Y ' U N D # D
" # A % & # R
I
R # G U $ A R
. # R M A N # N "
8341 RAS(I# 9/ ABDU&ANI M
N A " I O N A $ $ Y ' U N D # D
" # A % & # R
I
R # G U $ A R > . # R M A N # N "
84424 "ORAD9 ,/ .O""O M
N A " I O N A $ $ Y ' U N D
# D
" # A % & # R
I
R # G U $ A R > . # R M A N
# N "
U N D # D
I
A N # N "
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Se< '0n- So0rce#!;lo)ee No/ *or
"< I-enti?ictionN0!:er "/I/N/+
N!e o? School .ersonnel*Arrnge :) .ositionC Descen-ing+
.osition>Designtion
Nt0re o?A;;oint!ent>
#!;lo)!ent Stt0s
84475 #R$INDA ./ S#R#O '
N A " I O N A
$ $ Y '
" # A
% & #
R # G U $ A R
. # R
1842 MARIB#$ ./ MAG&INAY '
N A " I O N A $ $ Y ' U N D # D
" # A % & # R
I
R # G
U $ A R
. # R M A N # N "
8442 #RAD9I A/ .O""O M
N A " I O N A $ $ Y ' U N D # D
" # A % & # R
I
R #
G U $ A R
. # R M A N # N "
8443 R#B#%%A N/ D#NO$AN '
N A " I O N
A $ $ Y ' U N D # D
" #
A % & # R
I
R # G U $ A
R
. # R M A N # N "
N D # D
I
A N # N "
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Se< '0n- So0rce#!;lo)ee No/ *or
"< I-enti?ictionN0!:er "/I/N/+
N!e o? School .ersonnel*Arrnge :) .ositionC Descen-ing+
.osition>Designtion
Nt0re o?A;;oint!ent>
#!;lo)!ent Stt0s
8447 MAY A/ .AGADOR '
N A " I O N A $
$ Y '
" # A %
& # R
R # G U $ A R
. # R
9U$I#" A/ #S$I" '
N A " I O N A $ $ Y ' U N D # D
" # A % & #
R
I
R # G U $ A R
. # R
M A N # N "
84484 9A%PU#$YN S/ %AS%A9O '
N A " I O N A $ $ Y ' U N D # D
" # A % & # R
I
R # G U $ A R
. # R M A N # N
"
BU,&ARI YUNOS M
% O N " R A % " U A
$
5!%DEL%NES$
1/ "his ?or! shll :e cco!;lishe- t the :eginning o? the school )er :) the school he-/ In cse o? !ove!ent o? techers n-
2/ All school ;ersonnelC regr-less o? ;osition>nt0re o? ;;oint!ent sho0l- :e incl0-e- in this ?or! n- sho0l- :e liste- ?ro! the3/ .lese re?lect s0:Kects :eing t0ght n- i? techer hn-ling -visor) clss or Ancillr) Assign!ent/ Other -!inistrtive -0tie
D # . # D
S U B S I D I Z # D
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Se< '0n- So0rce#!;lo)ee No/ *or
"< I-enti?ictionN0!:er "/I/N/+
N!e o? School .ersonnel*Arrnge :) .ositionC Descen-ing+
.osition>Designtion
Nt0re o?A;;oint!ent>
#!;lo)!ent Stt0s
/ Dil) .rogr! %ol0!n is ?or teching ;ersonnel onl)/
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F) School ersonnel Ass+nment Lst and 3asc ro-le replaces Form #'-%onthl Status eport for Teachers$ Form #9-Assignment ist$
Form '9-Teacher Program and Form 3#-Summar 1nformation of Teachers)
IX Division ;A% S;ecili=tion Minor
B # # D > M A # D
MS#. ( AND (I
Ins;ection on "echers Atten-nce n- Bor-6or
%lericl or
S0;ervisor) '0nction *O:servtion o? %lsses>"echnicl Assistnce+
O:servtion o? %lssesMnge!ent>%lericl or
B # # D
' I $ I . I N O
#DU,ASYON SA .AG.A.A,A"AO 1MO"R "ONGU# 1
'I$I.INO 1ARA$ING .AN$I.UNAN 1
#NG$IS& 1MA"MA"I%S 1
MA.#& 1
BRIGADA #S,#$A %OORDINA"OR
MA.#& %OORDINA"OR
#DU,ASYON SA .AG.A.A,A"AO 2
*s it!ent>.SI.O.+
"itle o? Designtion *s it ;;ers in thcontrct>-oc0!ent "echerC %lerC Sec0rit) G0r-C Driver etc/+
SHect Ta+ht *incl0-e Gr-e Section+C A-visor) %lss OtherAncllary Ass+nmentsDegree > .ost
Gr-0te
A D M I N I S " R A " I O N
A N D
S U . # R ( I S I O N
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ED!CAT%ONAL G!AL%F%CAT%ON
MKor> S;ecili=tion Minor
SHect Ta+ht *incl0-e Gr-e Section+C A-visor) %lss OtherAncllary Ass+nmentsDegree > .ost
Gr-0te
B # # D
M A " &
MO"R "ONGU# 2
'I$I.INO 2ARA$ING .AN$I.UNAN 2
#NG$IS& 2
MA"MA"I%S 2
MA.#& 2
B # # D
G # N # R A $ # D U % A " I O N
#DU,ASYON SA .AG.A.A,A"AO 2
MO"R "ONGU# 2
'I$I.INO 2
ARA$ING .AN$I.UNAN 2
#NG$IS& 2
MA"MA"I%S 2
MA.#& 2
B # # D
G # N # R A $ # D U % A " I O N
#DU,ASYON SA .AG.A.A,A"AO 3
#NG$IS& 3ARA$ING .AN$I.UNAN 3MO"R "ONGU# 3
S%I#N%# 3MA"MA"I%S 3
'I$I.INO 3MA.#& 3
'I$I.INO %OOR/
B # # D
G # N # R A $ # D U % A " I O N
#DU,ASYON SA .AG.A.A,A"AO 3#NG$IS& 3
ARA$ING .AN$I.UNAN 3
MO"R "ONGU# 3S%I#N%# 3
MA"MA"I%S 3'I$I.INO 3MA.#& 3
MA"& %OORDINA"OR
% A " I O N
#DU,ASYON SA .AG.A.A,A"AO #NG$IS& MA.#&
S%I#N%#
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ED!CAT%ONAL G!AL%F%CAT%ON
MKor> S;ecili=tion Minor
SHect Ta+ht *incl0-e Gr-e Section+C A-visor) %lss OtherAncllary Ass+nmentsDegree > .ost
Gr-0te
B
# # D
G # N # R A $
# D U MA"MA"I%S
'I$I.INO ARA$ING .AN$I.UNAN
#..
GS. %OORDINA"OR
B # # D
M A " &
#DU,ASYON SA .AG.A.A,A"AO #NG$IS& MA.#&
S%I#N%# MA"MA"I%S
'I$I.INO ARA$ING .AN$I.UNAN
#..
,ASI %OORDINA"OR
B # # D
G # N # R A $
#NG$IS& 5
S%I#N%# 5
'I$I.INO 5
MA"& 5
%&ARA%"#R #DU%A"ION 5
,ASI 5
#.. 5
BS. %OOR/>#.. %OOR/
B # # D
#
N G $ I S &
#NG$IS& 5
S%I#N%# 5
'I$I.INO 5
MA"& 5
%&ARA%"#R #DU%A"ION 5
,ASI 5
#.. 5#NG$IS& %OORDINA"OR
A " I O N
#NG$IS&
S%I#N%#
'I$I.INO
MA"&
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ED!CAT%ONAL G!AL%F%CAT%ON
MKor> S;ecili=tion Minor
SHect Ta+ht *incl0-e Gr-e Section+C A-visor) %lss OtherAncllary Ass+nmentsDegree > .ost
Gr-0te
B #
# D
G # N # R A $
# D U %&ARA%"#R #DU%A"ION
,ASI #..
S%I#N%# %OORDINA"OR
B # # D
G # N # R A $ # D U
% A " I O N
#NG$IS&
S%I#N%#
'I$I.INO
MA"&
%&ARA%"#R #DU%A"ION ,ASI
#..
S%I#N%# %OORDINA"OR
B # # D
G # N # R A $
M##"ING "IM# 1
OR, .#RIOD 1
M##"ING "IM# 2
R#S">S"ORY "IM#
OR, .#RIOD 2
INDOOR>OU"DOOR
M##"ING "IM# 3
%OM.U"#R $I"#RA%Y 5
%OM.U"#R $I"#RA%Y
IS$AMI% (A$U#SARABI% $ANGUAG#
other ;ersonnel -0ring the school )erC n 0;-te- 'or! 1 !0st :e s0:!itte- to the Division O??ice /
highest rn -o6n to the lo6est/!0st lso re;orte-/
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ED!CAT%ONAL G!AL%F%CAT%ON
MKor> S;ecili=tion Minor
SHect Ta+ht *incl0-e Gr-e Section+C A-visor) %lss OtherAncllary Ass+nmentsDegree > .ost
Gr-0te
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School Yer 2415241
and Fndn+ Sorces
N0!:er o? Inc0!:ent
"eching
%ontrct0l De;#- S0:si-i=e- 1 4
Dil) .rogr! *ti!e -0rtion+
"o *4444+
M' 85 25 4 *244+
M' 25 1414 35 *225+
M' 1414 1125 75 *375+
M' 1125 1244 35 *175
M' 144 334 154 *754+M' 334 544 4 *54+
M' 845 835 *34+ 154M' 835 25 *54+ 254M' 4 1414 *34+ 154M' 1414 1454 *4+ 244M' 144 134 *34+ 154M' 134 224 *54+ 254M' 224 344 *4+ 244
Ave/ Min0tes ;er D) ;4#;
M' 844 84 *4+ 244
A;;oint!ent*%ontrct0lC S0:stit0teC
(ol0nteerC otherss;eci?)+
'0n- So0rce*S#'C ."AC NGOFs etc/+
Non"eching
R&'()*+ -.)D&/(0& I/&'+,
I0(/& ('& .+...8&, -.)
IP9+ $E/00/:;
DAY*M>">>"&>
'+
'ro!*4444+
"otl Act0l"eching Min0tes
;er ee
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Dil) .rogr! *ti!e -0rtion+
"o *4444+
R&'()*+ -.)D&/(0& I/&'+,
I0(/& ('& .+...8&, -.)
IP9+ $E/00/:;
DAY*M>">>"&>
'+
'ro!*4444+
"otl Act0l"eching Min0tes
;er ee
M' 84 34 *54+254
M' 34 1424 54 *254+M' 144 154 *54+ 254
M' 154 234 *4+ 244
M' 234 324 *54+254
M' 324 44 *4+ 254
Ave/ Min0tes ;er D) 6*M' 844 84 *4+ 244
M' 84 34 *54+254
M' 34 1424 54 *254+
M' 144 154 *54+ 254
M' 154 234 *4+ 244
M' 234 324 *54+254
M' 324 44 *4+ 254
Ave/ Min0tes ;er D) 6*M' 75 815 *34+ 154
M' 815 45 *54+ 254M' 45 5 *4+ 244M' 1444 1454 *54 *254M' 144 154 *54 *254M' 154 24 *54 *254M' 24 334 *54 *254M' 334 14 *4+ 244
Ave/ Min0tes ;er D) 6M' 75 815 *34+ 154M' 815 45 *54+ 254M' 45 5 *4+ 244
M' 1444 1454 *54 *254M' 144 154 *54 *254M' 154 24 *54 *254M' 24 334 *54 *254M' 334 14 *4+ 244
Ave/ Min0tes ;er D) 6M' 75 815 34 *154+M' 815 45 54 *254+M' 45 H5 4 *244+M' 1444 14H54 54 *254+
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Dil) .rogr! *ti!e -0rtion+
"o *4444+
R&'()*+ -.)D&/(0& I/&'+,
I0(/& ('& .+...8&, -.)
IP9+ $E/00/:;
DAY*M>">>"&>
'+
'ro!*4444+
"otl Act0l"eching Min0tes
;er ee
M' 144 154 54 *254+M' 154 24 54 *244+M' 24 324 4 *244+M' 324 44 4 *244+
Ave/ Min0tes ;er D) 6M' 75 815 34 *154+M' 815 45 54 *254+M' 45 H5 4 *244+M' 1444 14H54 54 *254+M' 144 154 54 *254+M' 154 24 54 *244+M' 24 324 4 *244+M' 324 44 4 *244+
Ave/ Min0tes ;er D) 6
M' 75 85 4 *344+
M' 4 144 4 *344+
M' 144 114 4 *344+
M' 144 244 4 *344+
M' 244 234 34 *154+
M' 234 314 4 *244+
M' 314 354 4 *244+
Ave/ Min0tes ;er D) 6
M' 75 85 4 *344+
M' 4 144 4 *344+
M' 144 114 4 *344+
M' 144 244 4 *344+
M' 244 234 34 *154+
M' 234 314 4 *244+
M' 314 354 4 *244+
Ave/ Min0tes ;er D) 6
M' 75 85 4 *344+
M' 4 144 4 *344+
M' 144 114 4 *344+
M' 144 244 4 *344+
-
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Dil) .rogr! *ti!e -0rtion+
"o *4444+
R&'()*+ -.)D&/(0& I/&'+,
I0(/& ('& .+...8&, -.)
IP9+ $E/00/:;
DAY*M>">>"&>
'+
'ro!*4444+
"otl Act0l"eching Min0tes
;er ee
M' 244 234 34 *154+
M' 234 314 4 *244+M' 314 354 4 *244+
Ave/ Min0tes ;er D) 6
M' 75 85 4 *344+
M' 4 144 4 *344+
M' 144 114 4 *344+
M' 144 244 4 *344+
M' 244 234 34 *154+M' 234 314 4 *244+
M' 314 354 4 *244+
Ave/ Min0tes ;er D) 6
M' 755 815 *24+144
M' 815 854 *35+175
M' 854 45 *15+75
M' 24 35 *15+75
M' 35 1415 *4+244
M' 1415 1425 *24+144
M' 1435 145 *14+54
M' 354 14 24 *144+
M' 244 224 24 *144+
Ave/ Min0tes ;er D) ***
M' 1454 1134 *4+ 244M' 354 54 *4+ 344
Ave/ Min0tes ;er D) ;?
S0:!itte- :)
A$I%# %/ DA&ONOS (Signature of School ead o!er Printed "ame)
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Dil) .rogr! *ti!e -0rtion+
"o *4444+
R&'()*+ -.)D&/(0& I/&'+,
I0(/& ('& .+...8&, -.)
IP9+ $E/00/:;
DAY*M>">>"&>
'+
'ro!*4444+
"otl Act0l"eching Min0tes
;er ee
U;-te- s o? Mrch 31C 241
School 'or! 7C .ge EE o? EEEEEEEE