deped School Forms Spread Sheet

8/10/2019 deped School Forms Spread Sheet

1/20

112245V-Bicol

AGE as of

1st Friday

of June

(nos. of

years as

per last

birthday)

House # /

Street/Sitio/

Purok

Barangay Municipality/ City Province

112234090001 M 11/21/02 10Camarines

NorteTagalog Catholic

Pinagbirayan

MuntiParacale

Camarines

Norte

112245090002 M 11/21/03 9Camarines

NorteTagalog Catholic Dagang Paracale

Camarines

Norte

112245090004 M 9/6/03 9Camarines

NorteTagalog Catholic Purok 1 Talusan Paracale

Camarines

Norte

112245090008 M 12/16/03 9 Metro Manila Tagalog CatholicPinagbirayan

Munti ParacaleCamarines

Norte

112245090011 M 2/16/01 12Camarines

NorteTagalog Catholic Talusan Paracale

Camarines

Norte

112245090017 M 10/10/02 10Camarines

NorteTagalog Catholic Talusan Paracale

Camarines

Norte

112245090018 M 7/10/02 10Camarines

NorteTagalog Catholic Purok 3 Dagang Paracale

Camarines

Norte

112245090019 M 2/14/02 11Camarines


Camarines

Norte

112242090015 M 9/12/02 10Camarines

NorteTagalog Catholic Purok 1

Pinagbirayan

Munti Paracale

Camarines

Norte

112245090022 M 10/25/02 10Camarines


Camarines

Norte

Dela Torre, Mark Lester Mangubat

Ariada, Sherwin Bryan Asug

Ariada, Wilmar Villan

Danas, Julius Yasis

Fat

fam

RELIGION

ADDRESS

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

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)

School Name

School ID

Dagang Elementary School

Region Division Camarines Norte D

School Year 2013-2014 Grade

Postrado, Joshua Ibita

Ramirez, Renato Jr. Cortuna

Salen, Martin De Lemios

Tresvalles, Angelo Yasis

Elnar, Rico Obal

Pardo, Sher Jayson Ramirez


2/20

AGE as of

1st Friday

of June

(nos. of

years asper last

birthday)

House # /

Street/Sitio/

Purok

Barangay Municipality/ City Province

Father

family n

RELIGION

ADDRESS

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME


112245090005 F 8/1/04 8Camarines


Camarines

Norte

112245090006 F 8/31/02 10Camarines


Camarines

Norte

F 8/30/01 12Camarines


CamarinesNorte

112245090013 F 10/9/02 10Camarines

NorteTagalog Catholic Purok 1 Dagang Paracale

Camarines

Norte

112245090015 F 3/20/00 13Camarines


Camarines

Norte

112245090016 F 8/5/03 9Camarines


Camarines

Norte

112245090021 F 8/5/03 9Camarines

NorteTagalog Catholic Purok 1

Pinagbirayan

Munti Paracale

Camarines

Norte

112245090024 F 10/5/02 10Camarines

NorteTagalog Catholic

Pinagbirayan

Munti ParacaleCamarines

Norte

F 8/9/01 12Camarines

NorteTagalog Iglesia ni Crist0 Dagang Paracale

Camarines

Norte

112245090027 F 1/23/03 10Camarines

Norte Tagalog Catholic

Pinagbirayan

Munti Paracale

Camarines

Norte

Indicator Code Required Information Indicator Code Required Information BoSY

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

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

Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD Specify

Villan, Jessica Era

Yasis, Renielyn Adecer

List and code of Indicators under REMARK column

CCT Control/reference number & Effectivity Date

Danas, Nelly Jane Hidalgo

De Mata, Maricar Adano

Gabrillo, Mary Joy Ramirez

Isidoro, Josie Daza

Lamadrid, Janice Acua

Lamadrid, Juvelyn Llobrera

Salen, Joan Ramo

Umerez, Emy De Vera


3/20

REMARK/S

(Please refer to the

legend on last page)


4/20

REMARK/S

(Please refer to thelegend on last page)

T/I Libmanan

Elem.School

T/I Batobalani

Elem.School

ct:

l Head over Printed Name)

L A. OATE


5/20

School ID School Year

Name of School SectionGrade Level

Report for the Month of

ABSENT TARDY

REMARK/S(IfDROPPE

please refer to leg

If TRANSFERRED IN/O

Schoo

School Form 2 SF2 Dail Attendance Re ort of Learners

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

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

LEARNER'S NAME


Total for the

Month

MALE | TOTAL Per Day


6/20


LEARNER'S NAME


GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

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 problems

b. Individual-Related Factors

b.1. Illness

b.2. Overage

FEMALE | TOTAL Per Day

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out

a.

b.

c.

Total Daily A ttendance

Number of School Days in reporting month

Registered Learner as of End of the month

Registered Learner as of End of the Month

x 100

x 100

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

for Late Commer, Lower for Cutting Classes)

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 the School Form 4. Once signed by the principal, this form should be returned to the adviser.

Combined TOTAL PER DAY

Enrolment as of 1st Friday of June

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:

Average daily attendancePercentage of Attendance for the month =

b.3. Death5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out b.4. Drug Abuse6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period 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

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out

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


7/20

ABSENT TARDY


LEARNER'S NAME


Total for the

Month

e. Financial-Related Attested by:

e.1. Child labor, work

f. Others (SignSchool Form 2: Page 2 of ________


8/20

School ID School Year

School Name

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

Grade Level

(This replaced Form 1 & Inventory of Text Book)

School Form 3 (SF3) Books Issued and Returned

Date

Section

NO.Date Date

Subject Area & Title Subject Area & Title

LEARNER'S NAME

(Last Name, First Name, Middle Name)Date Date Date Date Date

Subject Area & Title Subject Area & TitleSubject Area & TitleSubject Area & Tit le Subject Area & Tit le Subject Area & Title


9/20

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

NO.Date Date


LEARNER'S NAME


Subject Area & Title SSubject Area & TitleSubject Area & Tit le Subject Area & Tit le Subject Area & Title

TOTAL FOR MALE | TOTAL COPIES


10/20

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

NO.Date Date


LEARNER'S NAME


Subject Area & Title SSubject Area & TitleSubject Area & Tit le Subject Area & Tit le Subject Area & Title

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with the following code: Pr

5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.

2. The Date of Issuance and the Date of Return shall be reflected in the form.

3. The Total Number of Copies issued at BoSY shall be reflected in the form.

4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.

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, 2.2012.

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


11/20

School ID

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:

GUIDELINES: Prepared and Submitted by:

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

3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head o

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

School Name

Region Division District

School Year Report for the Mo

4 Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser Grade/Year Level & Section" Instead they will only accomplish the

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

DROPPED OUT TRANSFERRED OUT

Daily AveragePercentage for

the Month

(A) Cumulative as

of Previous Month(B) For the Month

(A+B) Cumulative

as of End of the

Month

(A) Cumulative as

of Previous Month

(A+B) Cumulative

as of End of the

Month

(A) Cumulative a

of Previous Mont

NAME OF ADVISER

GRADE/

YEAR

LEVEL

SECTION

REGISTERED

LEARNER

(As of End of the

Month)

ATTENDANCE

(B) For the Month

GRADE 1/GRADE 7

KINDER

TOTAL

1. This forms 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.

GRADE 2/GRADE 8

GRADE 3/GRADE 9

GRADE 4/GRADE 10

GRADE 5/GRADE 11

GRADE 6/GRADE 12

TOTAL FOR NON-GRADED


12/20

T

)

as of

Month


13/20

Region V-Bicol Division District

Curriculum

Grade Level IV Section

112234090001 80.00 Promoted

112245090002 84.00 Promoted STATUS MALE FEMALE TOTAL

112245090004 82.40 Promoted

112245090008 79.40 Promoted

112245090011 83.40 Promoted

112245090017 82.20 Promoted

112245090018 81.80 Promoted

112245090019 83.40 Promoted

112242090015 82.40 Promoted

112245090022 81.20 Promoted

MALE FEMALE TOTAL

10 TOTAL MALE

Postrado, Joshua IbitaRamirez, Renato Jr. Cortuna

Salen, Martin De Lemios

Tresvalles, Angelo Yasis

Ariada, Wilmar Villan

Danas, Julius Yasis

Dela Torre, Mark Lester Mangubat

Elnar, Rico Obal

Pardo, Sher Jayson Ramirez

SUMMARY TABLE

A

2013-2014

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

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

LRN

GENERAL

AVERAGE

(Numerical Value in 3

decimal places for

honor learner, 2 for

non-honor &Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

School Name

School ID

LEARNER'S NAME


School Year

Camarines Norte

Dagang Elementary School

Ariada, Sherwin Bryan Asug

RBEC

Paracale

112245

LEVEL OF PROFICIENCY

PROMOTED 10 10 20

*IRREGULAR 0 0 0

0RETAINED 0 0

PROFICIENT

APPROACHING

PROFICIENCY

(AP: 80%-84%)

DEVELOPING (D:

75%-79%)

BEGINNNING

(B: 74% and below)


14/20






Completed as of end

of current SY

as of End of the

current SY

LRN

GENERAL

AVERAGE


decimal places for

honor learner, 2 fornon-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


112245090005 85.80 Promoted

112245090006 78.40 Promoted

112698090027 82.20 Promoted112245090013 81.40 Promoted

112245090015 82.00 Promoted

112245090016 81.40 Promoted

112245090021 82.40 Promoted CERTIFIED CORRECT & SUBMITTED:

112245090024 81.40 Promoted

82.60 Promoted

112245090027 82.40 Promoted

10 TOTAL FEMALE

20 COMBINED REVIEWED BY:

GUIDELINES:

Yasis, Renielyn Adecer

Villan, Jessica Era

Umerez, Emy De Vera

Salen, Joan Ramo

Lamadrid, Juvelyn Llobrera

Lamadrid, Janice AcuaIsidoro, Josie DazaGabrillo, Mary Joy Ramirez

De Mata, Maricar Adano

Danas, Nelly Jane Hidalgo

1. For All Grade/Year Levels

(Name and Signature)Division Representative

(P: 85% -89%)

ADVANCED (A:

90% and above)

(Name and Signature)

Class Adviser

School Head

. o e prepare y e v ser. na ra ng per

subject area should be taken from the record of subjecteacher. The class adviser should make the3. On the summary table, reflect the total number of

learners promoted, retained and irregular ( *for grade 7

(Name and Signature)

PREPARED BY:

JOAN V. ASAS

MANUEL A. OATE

JIJI MARICEL A. LACSON


15/20






Completed as of end

of current SY

as of End of the

current SY

LRN

GENERAL

AVERAGE


decimal places for

honor learner, 2 for

non-honor &Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


.

of School Year GESP /GSSP (BEIS)

School Form 5: Page 2 of ________

. ro o co s o va a on su m s s on w rema n

under the discretion of the Schools Division


16/20

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

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

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

SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT

GUIDELINES:

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 will remain under the discretion of the Schools Division Superintendent

PROMOTED

RETAINED

School YearSchool Name

School ID Region Division

District

GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTALSUMMARY TABLE

School Form 6 (SF6) Summarized Report on Promotion

(This replaced Form 20)

IRREGULAR

TOTAL

Nos. of BEGINNNING

(B: 74% and below)

and Level of Proficiency

GRADE 1 /GRADE 7

Nos. of APPROACHINGPROFICIENCY

(AP: 80%-84%)

Nos. of DEVELOPING

(D: 75%-79%)

Nos. of PROFICIENT

(P: 85% -89%)

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.

Nos. of ADVANCED

(A: 90% and above)

School Form 7 (SF7) School Personnel Assignment List and Basic Profile


17/20

Region

Teaching

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

District

(B) Nationally-Funded Non Teaching Items

Title of Designation

(Designation as appeared in the

contract/document: Teacher, Clerk,

Security Guard, Driver etc.)

(A) Nationally-Funded Teaching & Teaching Related Items

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

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

School Year

School ID

School Name

Division

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

(C ) Other Appointments and Funding Sources

Subject Taught

(include Grade &

Section), Advisory Class

&Other Ancillary

Assignment

Ave. Minutes per Day


* Daily Program (time duration)

Fund Source

(SEF, PTA, NGO's

etc.)

Remark

Detailed

Indicate

school/of

IP's -Et

Numb

Incu

Minor

Appointment:

(Contractual,

Substitute,

Volunteer, others

specify)

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

Employee

No. (or TaxIdentification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source


* D il P (ti d ti )EDUCATIONAL QUALIFICATION


18/20

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

Subject Taught

(include Grade &

Section), Advisory Class

&Other Ancillary

Assignment

* Daily Program (time duration)Remark

Detailed

Indicate

school/of

IP's -Et

Minor

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

Employee

No. (or TaxIdentification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source

GUIDELINES: Submitted by:

(Signature of School Head over Printe

3. Please ref lect subjects being taught and if teacher handl ing advisory class or Ancil lary Assignment. Other administ rat ive dut ies must also reported. Updated as of : ________________________

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 shallalso serve as inventory list of school personnel.

4. * 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 .



School Form 7, Page 2 of




19/20

Non-

Teaching

/s (For

Items,

name of

fice, For

hnicity)

er ofbent


20/20

/s (For

Items,

name of

fice, For

hnicity)

Name)

__

________

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deped School Forms Spread Sheet