School ID

School Name

304634120140 Abolencia, Marlon Arsolon

304634120503 Abutazil,Aladin Panguilamen
304634120904 Amistoso, Melchor Denatolio
304634120746 Ballreich, Franz Chester Decipulo M
304634120943 Cheng, Richie Smith Fule
304634120946 Dela Torre, Emil Carl Abragan
 304630110493 Delis, Arnulfo Bernan
318309110105 Dianalan, Datu Almiradz Adam
i
304634140048 Dimaukom, Asraph Joshua Esumadia
304634121175 Esmael, Adzahar Asim
304634110054 Espana, Junie Siano
304634130206 Jakosalem, Jose Marie Hernandez
304634120775 Kamensa, Arnel Lucas
304634110077 Ladion,Jr. Nelson Gahuman
304634120405 Misuari, Al-Shariff Guiapal
304634120716 Mohammad, Israel Sinalimbo
304634110105 Pepito, John Ray Pon-an
304634120521 Rangga, Kiezzer Dave Parella
304634140050 Saban,Jr. Joeney Sampiano
304634120529 Saldivia, Mark Anthony Vicente
304634120792 Tamayo,Jr. Ernesto Bibera
304634130209 Todavia, Justin Sean Bisnon
304634120537 Usop, Muhammidin Braganza

304634120634 Abag, Almera Compania

304634120634 Abdullah, Sittie Zahira Montaner
304634120505 Abelarde, Princess Kate Pacatang
304634120507 Aleguen, Mery Jane Centro
304634120142 Am-is, Mary Joy Manginsay
304634120741 Balade, Normiya Sipon
304634110020 Benales, Roa Alyne Cabaluna
304634120861 Cenas, Cherry Jane Ulama
304634140051 Dayatan, Yla Gana
304634110040 Decipulo, Joannah Marie Sarmiento
304634110045 Dimaukom, Johaina Sulaiman
304634110060 Ferolino, Roanne Sulague
304630110872 Kiram, Jackie Aira Kamid
304671111197 Macadla, Faidza Ayao
304634120779 Martinez, Kaila Conlu
304634120404 Minoza, Jo Hynna Decipulo
304634120717 Mustapha, Bai Joraine Urbano
304634120976 Najera, Imee Labiano
304634110101 Olomodin, Monera Rampak
303772110062 Palte, Sarah Jane Am-is
304634110119 Tan, Janelle Marie Uy
304634120626 Tan, Mary Roxanne Balansag
304634120544 Tuga, Salama Salilama
304634120802 Unged, Norsada Candao
 304634120901 Valdez, Jecel Jane Fantilanan
304634120901 Valles, Mary Joy Sumagang

List and Code o

Indicator Code Required Information

Transferred Out T/O Name of Public (P) Private (PR) Schoo

Transferred IN T/I Name of Public (P) Private (PR) Schoo

Dropped DRP Reason and Effectivity Date
Late Enrollment LE Reason (Enrollment beyond 1st Friday
 304634 Region

NOTRE DAME VILLAGE NAT'L HIGH SC

BIRTH DATE AGE as of

Sex BIRTH PLACE
(mm/dd/ 1st Friday
(M/F) (Province)
yyyy) June

cia, Marlon Arsolon M 2/23/98 17 Cotabato City

,Aladin Panguilamen M 11/1/97 17 Kible, Upi, Mag.

o, Melchor Denatolio M 1/6/99 16 Cotabato City

anz Chester Decipulo M M 4/6/98 16 Cotabato City

, Richie Smith Fule M 11/26/98 16 Cotabato City

re, Emil Carl Abragan M 11/30/98 16 Cotabato City

s, Arnulfo Bernan M 11/13/97 1 Datu Piang, Mag.

, Datu Almiradz Adam M 12/14/98 16 Taviran, DOS Mag.

Asraph Joshua Esumadia M 3/31/98 17 Pob.Ampatuan,Mag

ael, Adzahar Asim M 11/25/99 15 Datu Piang, Mag.

ana, Junie Siano M 6/23/98 16 Cotabato City

Jose Marie Hernandez M 6/23/99 15 Balubad, Bulacan

ensa, Arnel Lucas M 2/23/98 17 Cotabato City

Jr. Nelson Gahuman M 6/27/99 15 Cotabato City

i, Al-Shariff Guiapal M 9/16/97 17 Cotabato City

mad, Israel Sinalimbo M 10-28-98 16 Cotabato City

, John Ray Pon-an M 5/9/99 15 Pob.3 Pigcawayan

Kiezzer Dave Parella M 3/10/99 16 Cotabato City

Jr. Joeney Sampiano M 6/13/97 17 Sultan Kud. Mag

Mark Anthony Vicente M 3/9/98 17 Parang, Mag.

o,Jr. Ernesto Bibera M 10/18/94 20 Cotabato City

, Justin Sean Bisnon M 5/7/98 16 Davao City

uhammidin Braganza M 8/5/98 16 Cotabato City

Almera Compania F 4/20/97 17 Cotatabato City

Sittie Zahira Montaner F 2/17/99 16 Cotatabato City

Princess Kate Pacatang F 7/5/98 16 S.K Maguindanao

n, Mery Jane Centro F 6/10/99 15 Cotatabato City

Mary Joy Manginsay F 7/4/97 17 Cotatabato City

de, Normiya Sipon F 10/1/98 16 S.K Maguindanao

Roa Alyne Cabaluna F 5/12/97 17 Cotatabato City

Cherry Jane Ulama F 9/9/98 16 Dumaguete City

yatan, Yla Gana F 4/6/99 15 S.K Maguindanao

oannah Marie Sarmiento F 12/1/98 16 Cotatabato City

m, Johaina Sulaiman F 1/26/99 16 Datu Piang,Mag.

o, Roanne Sulague F 9/12/98 16 Cotatabato City

Jackie Aira Kamid F 4/24/99 15 Cotatabato City

adla, Faidza Ayao F 9/5/98 16 South Cotabato

inez, Kaila Conlu F 9/19/99 15 Cotabato City

, Jo Hynna Decipulo F 9/12/96 18 DOS, Maguindanao

a, Bai Joraine Urbano F 10/17/98 16 Cotabato City

ra, Imee Labiano F 12/17/98 16 Cotabato City

din, Monera Rampak F 8/16/97 17 Matanog, Mag.

Sarah Jane Am-is F 5/8/98 16 Kalamansig, S.K

Janelle Marie Uy F 4/9/99 15 Sultan Kudarat, Mag

y Roxanne Balansag F 1/28/98 17 Cotabato City

Salama Salilama F 4/21/98 16 Cotabato City

, Norsada Candao F 12/19/98 16 Parang, Mag.

Jecel Jane Fantilanan F 2/15/99 16 Cotabato City

Mary Joy Sumagang F 12/11/98 16 Cotabato City

List and Code of Indicators under REMARKS column

red Information

Public (P) Private (PR) School & Effectivity Date

Public (P) Private (PR) School & Effectivity Date

and Effectivity Date
Enrollment beyond 1st Friday of June)
 School Form 1 (SF 1) School Regis
(This replaces Form 1, Master List & STS Form 2-Family Background an

XII Division COTABATO

E NAT'L HIGH SCHOOL School Year

IP
BIRTH PLACE
MOTHER TONGUE (Ethnic RELIGION
(Province)
Group)

Cotabato City Tagalog RC

Kible, Upi, Mag. Maguindanaoan Islam

Cotabato City Tagalog RC

Cotabato City Tagalog RC

Cotabato City Tagalog RC

Cotabato City Tagalog RC

 Datu Piang, Mag. Maguindanaoan Islam

Taviran, DOS Mag. Maguindanaoan Islam

Pob.Ampatuan,Mag Tagalog Islam

Datu Piang, Mag. Maguindanaoan Islam

Cotabato City Bisaya RC

Balubad, Bulacan Ilonggo RC

Cotabato City Maguindanaoan Islam

Cotabato City Tagalog Born

Again
Cotabato City Tagalog Islam

Cotabato City Tagalog Islam

Pob.3 Pigcawayan Tagalog RC

Cotabato City Tagalog RC

Sultan Kud. Mag Maguindanaoan Islam

Parang, Mag. Tagalog Iglesia Ni

Cristo
 Cotabato City Bisaya RC

Davao City Tagalog RC

Cotabato City Tagalog Islam

Cotatabato City Maguindanaoan Islam Islam

Cotatabato City Maguindanaoan Islam

S.K Maguindanao Bisaya RC

Cotatabato City Tagalog RC

Cotatabato City Bisaya RC

S.K Maguindanao Maguindaoan Islam

Cotatabato City Bisaya RC

Dumaguete City Bisaya Born

Again
S.K Maguindanao Tagalog Islam

Cotatabato City Tagalog RC

 Datu Piang,Mag. Maguindanaoan Islam

Cotatabato City Bisaya RC

Cotatabato City Tagalog Islam

South Cotabato Maguindanaoan Islam

Cotabato City Tagalog RC

DOS, Maguindanao Bisaya RC

Cotabato City Tagalog Islam

Cotabato City Tagalog RC

Matanog, Mag. Maguindanaoan Islam

Kalamansig, S.K Bisaya RC

Sultan Kudarat, MagTagalog Born

Again
Cotabato City Bisaya RC

Cotabato City Tagalog Islam

Parang, Mag. Maguindanaoan Islam

 Cotabato City Tagalog RC

Cotabato City Tagalog RC

EMARKS column
Indicator Code Required Information

CCT Recipient CCT CCT Control/reference numb

Balik-Aral B/A Name of school last attende

Learner With Dissability LWD Specify
Accelarated ACL Specify Level & Effectivity D
m 1 (SF 1) School Register
aster List & STS Form 2-Family Background and Profile)

COTABATO CITY District

School Year 2014-2015 Grade Level

ADDRESS

House #/
Municipality/ Father's Name (Last Nam
Street/ Sitio/ Barangay Province
City First Name, Middle Name
Purok

BLK.11 RH-8 Cot.City Abolencia, Romulo

Traspe
Purok 7 RH-9 Cot.City Abutazil, Abdulrahma

RH-8 Cot.City Amistoso, Calixto Ma

Pob.2 Cot.City Ballreich, Leo Henry

Omiple
RH-2 Cot.City Cheng, Felix Virata

#56 Q.A RH-2 Cot.City Dela Torre, Eddie La

 RH-7 Cot.City Delis, Pendatun Pah

RH-3 Cot.City Diamnalan, Datu

Racman Amirol
RH-7 Cot.City Dimaukom, Nasrudin
Utto
#19 Zenaida RH-8 Cot.City Esmael, Ali

Pob.1 Cot.City Espana, Feloteo Oba

BLK.21 RH-8 Cot.City Jakosalem, Joel Pad

Purok 7 RH-9 Cot.City Kamensa, Zaldy Kalo

RH-3 Cot.City Ladion,Sr. Nelson

Tamparong
Pob.1 Cot.City Misuari, Andamen
Angeles
RH-3 Cot.City Mohammad, Akmad

BLK.16 RH-8 Cot.City Pepito, Edgar

Mangubat
Purok 3 RH-9 Cot.City Rangga, Jerry Bajen

Tamontaka I Cot.City Saban, Abdulwahid

Samad
RH-8 Cot.City Saldivia, Eduardo
Cimellia
Purok 7 RH-9 Cot.City Tamayo,Ernesto Sr.
Sitchon
MBRH Cot.City Todavia, Joel Lucob

RH-7 Cot.City Usop,Macapagal

Tending

RH-2 Abag, Degusman

Diocolano
Dalumangco Sultan Maguind Abdullah, Zulfikhar A
b Kudarat anao
Bulalo Sultan Maguind Abelarde, Weve Fred
Kudarat anao Cabanas
RH-7 Cot.City Aleguen, Samson De
Santos
Blk.1 RH-3 Cot.City Am-is, Freddie Ansin

Purok 6 RH-9 Cot.City Balade, Uttoh Magal

Pob.2 Cot.City Benales, Rodolfo

Reoyan
Blk.11 RH-8 Cot.City Cenas, Elvis Ates

Simuay Sultan Maguind Dayatan, Marlon

Kudarat anao Jayawan
SPDA DOS Maguind Decipulo, Nelson
anao Saulong
RH-7 Cot.City Dimaukom, Zailon U

Blk.1 RH-8 Cot.City Ferolino, Rodrigo Ed

RH-3 Cot.City Kiram, Jack Akmad

Purok9 RH-9 Cot.City Macadla, Sedic

Dalumabao
Zone 28 MBRH Cot.City Martinez, Ramon Ch

Pob.4 Cot.City Minoza, Nestor

RH-6 Cot.City Mustapha, Alvin

Companano
MBRH Cot.City Najera, Albert Reyn

RH-3 Cot.City Ibay, Samsuden Pin

RH-2 Cot.City Palte, Jonard Omar

MBRH Cot.City Tan, Iskak Karim

Pob.2 Cot.City Tan, Enrique Mendoz

RH-7 Cot.City Tuga, Ali Saulama

RH-8 Cot.City Unged, Aya Bagunda

 RH-7 Cot.City Valdez, Celner Buca

RH-8 Cot.City Valles, Eddie Guerra

quired Information REGISTERED BoSY

T Control/reference number & Effectivity Date MALE 23

me of school last attended & Year FEMALE 27

TOTAL
ecify Level & Effectivity Data
 IV Section TURQUOISE
GUARDIAN
PARENTS (If not
Parent)

her's Name (Last Name, Mother's Maiden Name (Last Name,

Name
Name, Middle Name) First Name, Middle Name)

lencia, Romulo Arsolon, Sherly Alvarez

spe
tazil, Abdulrahman Panguilamen, Normina
Silongan
stoso, Calixto Manla Denatolio, Estrella Sandader

reich, Leo Henry Decipulo, Mana Socorro

iple Uluan
eng, Felix Virata Fule, Forcefin Alma Dela
Cruz
a Torre, Eddie Layos Abragan, Ma.Corazon
Chapoco
 s, Pendatun Pahm Bernan, Camesa Maliga

mnalan, Datu Adam, Amelia Mangelen

man Amirol
aukom, Nasrudin Esumadia, Ma.Cherre Salindao,
o Estares Mila
mael, Ali

ana, Feloteo Obana Siano, Florita Bantilan

osalem, Joel Padios Hernandez, Marilyn Garcia

mensa, Zaldy Kalog Lucas, Baidido Casim

ion,Sr. Nelson Gahuman,Vilma Catamora

mparong
uari, Andamen Guiapal, Parida Yusop
eles
hammad, Akmad Sinalimbo, Evelyn

ito, Edgar Pon-an, Reah Pacilis

ngubat
ngga, Jerry Bajenting

an, Abdulwahid Sampiano, Princess Mastura Saban,

mad Billy
divia, Eduardo
ellia
mayo,Ernesto Sr. Bibera, Ana Yap
hon
avia, Joel Lucob Bisnon, Shyla Amor Flores

p,Macapagal Braganza, Susan Sobreza

ding

g, Degusman Compania, Norhaima Ayao

colano
ullah, Zulfikhar Alim Montaner, Fatima
Macapendeg
larde, Weve Fredo Pacatang, Analisa Luntayao
banas
guen, Samson Delos Centro, Elena Atay
tos
-is, Freddie Ansing Manginsay, Lolita Vios

ade, Uttoh Magalib Sipon, Racman Siawan

ales, Rodolfo Cabaluna, Irene Poong

oyan
nas, Elvis Ates Ulama, Emma Laman

atan, Marlon Gana, Anita Biosada

awan
ipulo, Nelson Sarmiento, Mitos Hetio
long
aukom, Zailon Utto Sulaima n, Bailon Kam

olino, Rodrigo Edio Sulague, Anita Macalinao

m, Jack Akmad Kamid, Juhaira Guiapar

cadla, Sedic Mama, Aida Ayao

umabao
rtinez, Ramon Chan Conlu,Eulalia Infante

Minoza, Nestor Minoza, Nilda

Mustapha, Alvin Urbano, Josephine Gella

Companano
ajera, Albert Reyno Labiano, Angelina
Lacsandih
y, Samsuden Pindat Mustapha, Tarhata Alliodin

e, Jonard Omar Am-is, Mercilyn Lemari

, Iskak Karim Uy, Maryjane Agravante

, Enrique Mendoza Balansag, Elena Doring

a, Ali Saulama Salilama, Guiaria Datic

ged, Aya Bagundang Candao, Welma

dez, Celner Buca Fantilanan, Merjel Frias

es, Eddie Guerra Sumagang, Marilou Ontolan

Prepared by:
EoSY

GLENDA C. TAJOLOSA
(Signature of Adviser over Printed Name)

BoSY Date: EoSYDate:

URQUOISE
ARDIAN
(If not REMARKS
Parent)
Contact Number
of Parent or
Relationshi Guardian (Please refer to the
p legend on last page)

9169907873

9269880797

9156767626

9066462945

9056343274
 9352550316

9066225003

Aunt T/I-PR-SPA
College/3-27-14
9275040323

9053002460

9169911081

9058016631

9068132371

9067036711

Uncle T/I-P-Barorao
Nat'l.High-3-27-
9263885146 14
9056421761

9263127747

9066807874

9264630491

9067696351

9156303066

9309494006

9268302142

9265449934

9353006843 T/I-Gani L.Abpi

College/3-27-14
9058095324
9164649972

9263637853

9169907744

9355711419

9071159670

9362280904

9356735563

9268645511

9168780138

9166700703

9262492911 T/I-P-Kabuntalan
Nat'l High-3-27-14
9169309292

9362364611

9176232731
9269101307

Certified Correct:

BAIKAN M. USOP
(Signature of School Head over Printed Name)

BoSY Date: EoSYDate:

 School Form 2 (SF2) Da
(This replaces Form 1, Form 2

School ID 304634 School Year 2014-2015

Name of School NOTRE DAME VILLAGE NATIONAL HIGH SCHOO

LEARNER'S NAME
(1s
(Last Name,
First Name, Middle Name) M T W TH F M T W TH

ABEL, REYMONNEL VOLUNTAD

ABDULGANI, NORHAMSA MENDO

ACOSTA, JOSHUA ANGELO PEREA

ANAYATIN, ALI CHEDRIC DAGENDENGAN

AYUNAN, ZAMSAMIN UTTO

AUTOR, VINCENT LUIGI QUINO

BLAH, NASSER ABDULRADZAK

BOLANO, CHRISTIAN REY PREGONERO

BRITAL, ART RUSSEL BERBANO

DATUCALI, ALJAMER MENANG

DATUKALI, ABDUL GUIAFAR SALI

DIOCOLANO, MOHAMAR KARIM

DOMATO, JAMEL BELTRAN

HARON, PRINCE SAAD DIMANANAL

JUMAWAN, ACE TAMAYO

KAPUSAN, ZUHER KALIM

KUSAIN, MOHMIN LIWAN
LAHAY LAHAY, RICKY RICH PERALTA

LASAM, NORMAN GRATELA

 MACATANONG, SAMINODEN DAING
MAMALINTAW, HADZNER ESMAEL
TASIL, NURHASSIM SAIDALI
O TOMA, SHARIFF AHMED ARRIFIAN PANDA

MALE | TOTAL Per Day

M T W TH F M T W TH
ADIM, JOERIA SALEM

AMANCIO, GISSELLE LORENZO

ALUMISIN, JESSICA ANGEL DELA CRUZ

BALERO, MARIA ALICE

CALING, SHERIELENE PESQUERA

DALAYGON, ANGELL TOMOGSOC

DATUKAKA, NORONBAY DUMASIL

EVARIENTOS, RICHIE LOU MONERA

GAMPONG, VYA RACMAN

GUELOS, TRISHA PIEDROS

GUIAMLOD, JOHARA ORTEGA

MACAPENDEG, JEHADA USOP

MAULANA, PRINCESS MAJADIA ALI

MOHAMMAD, HANNAN ABDULA

OMALZA, MARY JOY DIOCARES

PALADAR, JOANNE AGNO

PANDAY, RAYHANA EMBAN

SABAN, ZAHRA ALI

SOLERA, PRECIOUS MAE CEDENO

TUBAL, KYLA VELEZ

WAHAB, NAJLA EMBAN

ZACARIA, ROHANA AMIL

 FEMALE | TOTAL Per Day
Combined TOTAL PER DAY
GUIDELINES:
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.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month

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.
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.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year

School Form 2 : Page 2 of 2

orm 2 (SF2) Daily Attendance Report of Learners
This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

2014-2015 Report for the Month of

AGE NATIONAL HIGH SCHOOL Grade Level Section

(1st row for date)

F M T W TH F M T W TH F M T W TH F
F M T W TH F M T W TH F M T W TH F
 1. CODES FOR CHECKING ATTENDANCE Month:
ce. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer,
Lower for Cutting Classes)
* Enrolment as of (1
2. REASONS/CAUSES FOR DROPPING OUT
month a. Domestic-Related Factors Late Enrollment during
x 100
ol year a.1. Had to take care of siblings
a.2. Early marriage/pregnancy Registered Learners
month a.3. Parents' attitude toward schooling mon
a.4. Family problems Percentage of Enrolm
x 100
month b. Individual-Related Factors mon
b.1. Illness
Average Daily
cording of summary table b.2. Overage
b.3. Death
Percentage of Attenda
earner/s who were absent for 5 b.4. Drug Abuse
b.5. Poor academic performance Number of studen
b.6. Lack of interest/Distractions consecutiv
b.7. Hunger/Malnutrition
Drop
c. School-Related Factors
c.1. Teacher Factor
Transferr
c.2. Physical condition of classroom
c.3. Peer influence
Transfer
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
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
Attested by:
 Total for the REMARKS (If DROPPED
Month OUT, state reason, please
refer to legend number 2.
ABSENT TARDY
If TRANSFERRED IN/OUT,
write the name of School.)
Month: No. of Days Summary
of Classes: M F TOTAL

* Enrolment as of (1st Friday of June)

Late Enrollment during the month
(beyond cut-off)
Registered Learners as of end of the
month
Percentage of Enrolment as of end of the
month

Average Daily Attendance

Percentage of Attendance for the month

Number of students absent for 5
consecutive days:
Drop out

Transferred out

Transferred in

I certify that this is a true and correct report.

(Signature of Teacher over Printed Name)

Attested by:
 BAIKAN M. USOP
(Signature of School Head over Printed Name)
 School Form 3 (SF3) B
(This replaces For

School ID

School Name
Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date
Issued Returned Issued Returned Issued
TOTAL FOR MALE | TOTAL COPIES
 TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of lost/unreturne
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 Returne
3. The Total Number of Copies issued at BoSY shall be reflected in the form. B. In Column Remark/Actio
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. (for code FM), TLTR=Teach
5. All textbooks being used must be included. Additional copies of this form may be used if needed. Custodian (for code TDO),
DO#14, 2.2012.
orm 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School Year

Grade Level Section

Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

Date Date Date Date Date Date

Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
In case of lost/unreturned books, please provide information with the following code: Prepared By:

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 (Signature over pr
(for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Date BoSY:____________ D
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.
Subject Area & Title

REMARKS/ACTION TAKEN
(Please refer to the
Date legend on last page)
Returned
Prepared By:

(Signature over printed name)

Date BoSY:____________ Date EoSY: ___________

School Form 3: Page ___ of ________

 School Form 4 (SF4) Monthly
(This replaces Form 3 & ST

School ID 304634 Region XII Division

School Name NOTRE DAME VILLAGE NATIONAL HIGH SCHOOL

ATTENDANCE
REGISTERED
GRADE/ LEARNERS
YEAR SECTION NAME OF ADVISER (As of End of Percentage for
Daily Average
LEVEL the Month) the Month

M F T M F T M F
7 SPED A Mary Grace Toledo Felipe 12 16 28
7 SPED B 10 19 29
Farida Yusop Sarmiento
7 SPA 15 31 46
Annabelle Fortunato Mejia
7 GALILEO 26 25 51
Rosalina Aragones Macaraig
7 FRANKLIN 26 27 53
Rohani Sungan Abdullah
7 EINSTEIN 26 24 50
Marilou Perol Lavalle
7 CURIE 28 25 53
Helen Maghari Espartero
7 DALTON 27 23 50
Prisco III Rivera Lozano
7 PASCAL 24 27 51
Susan Diaz Cantomayor
7 FARADAY 27 24 51
Effie Marie Labrador Ferolino
7 MENDEL 25 23 48
Joji Joy Seniel Masecampo
7 DARWIN 28 22 50
Cheryl Galve Ansibod
7 OHSP 20 18 38
Salama Lucas Samama

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:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figur
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

School Form 4 (SF4) Monthly

(This replaces Form 3 & ST

School ID 304634 Region XII Division

School Name NOTRE DAME VILLAGE NATIONAL HIGH SCHOOL

REGISTERED
GRADE/ LEARNERS ATTENDANCE
(As of End of
Percentage for
YEAR SECTION NAME OF ADVISER Daily Average
the Month
LEVEL Mthe Month)
F T M F T M F
8 SPED A Meriam Benedicto Caresosa 4 17 21
8 SPED B Dionesia Billones Hilogo 4 17 21
8 SPA Aurelia Aranas Apara 8 19 27
8 TULIP Sarah Panalunsong Mangansakan 23 26 49
8 LILY Marcia Feria Bodegas 26 25 51
8 CAMIA Merline Maido Sarzadilla 25 26 51
8 GUMAMELA Annabelle Cue Zape 26 24 50
8 SAMPAGUITA Haydee Elorico Cañete 26 24 50
8 DAISY Marjorie Jabonite Pabilona 27 23 50
8 DAFFODIL Aga Jane Kasim Sinsuat 25 24 49
8 JASMINE Sarah Araral Ocsio 24 26 50
 8 OHSP Edna Diaz Castillo 13 14 27

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:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figur
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

School Form 4 (SF4) Monthly

(This replaces Form 3 & ST

School ID Region Division

School Name
REGISTERED
GRADE/ LEARNERS ATTENDANCE
(As of End of
Percentage for
YEAR SECTION NAME OF ADVISER Daily Average
the Month
LEVEL Mthe Month)
F T M F T M F
9 SPED A Always Aparece Germo 4 17 21
9 SPED B Mahalia Sacandal Dalpin 1 22 23
9 SPA Charmie Marie E. Carin 9 14 23
9 ST. THERESE Mufida Abdulaziz Malang 21 28 49
9 ST. PETER Silva Nuñez Wong 27 25 52
9 ST. PAUL Jerwin Acob Mantato 30 21 51
 9 ST. RUIZ Elinita Abistano Caminse 27 23 50
9 ST. JOSEPH Vicente Tanagos Tagong 27 25 52
9 ST. FRANCIS Ofelia Gumban Pagco 28 22 50
9 ST. MARK Maria Cyril Namindang Habelito 26 24 50
9 ST. JOHN Johnny Palomero Labayno 28 21 49
9 OHSP Eduardo Dago Consumo 12 7 19

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:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figur
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

School Form 4 (SF4) Monthly

(This replaces Form 3 & ST

School ID Region Division

School Name
REGISTERED
GRADE/ LEARNERS ATTENDANCE
(As of End of
Percentage for
YEAR SECTION NAME OF ADVISER Daily Average
the Month
LEVEL Mthe Month)
F T M F T M F
IV SPED Juvy Maliga Montañer 12 19 31
IV SPA Abba Kristine Banico Caban 4 10 14
IV JADE Zenaida Arobo Estabillo 15 32 47
 IV PEARL Helen Estrera Banuag 21 28 49
IV AMETHYST Catalina Iyog Evasco 27 22 49
IV GARNET Maria Cervales Ang-ug 24 26 50
IV ONYX Pacita Manipol Setias 25 24 49
IV TURQUOISE Glenda Cabaña Tajolosa 22 26 48
IV OPAL Rahema Mohammad Antungan 24 26 50
IV TOPAZ Jenalyn Ciasico Gusimat 23 24 47
IV OHSP Teresita Togonon dela Cruz 14 14 28

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:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figur
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

School Form 4 (SF4) Monthly

(This replaces Form 3 & ST

School ID 304634 Region XII Division

School Name NOTRE DAME VILLAGE NATIONAL HIGH SCHOOL

REGISTERED
GRADE/ LEARNERS ATTENDANCE
(As of End of
Percentage for
YEAR SECTION NAME OF ADVISER Daily Average
LEVEL the Month) the Month
 GRADE/
YEAR SECTION NAME OF ADVISER
LEVEL M F T M F T M F
11 A Jenevieve Deimos Lumbu-an 27 25 52 27 25 52
12 A Annabelle Amina Patao Sudario 9 1 10 9 1 10

SECONDARY:

GRADE 7 0 0 0
GRADE 8 0 0 0
GRADE 9 0 0 0
GRADE 10 0 0 0
GRADE 11 27 25 52
GRADE 12 9 1 10
TOTAL FOR NON-GRADED
TOTAL 36 26 62
GUIDELINES:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figur
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31

Page _____ of _____ pages

 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

Division COTABATO CITY District

GH SCHOOL School Year 2014 - 2015 Report for the Mon

NDANCE DROPPED OUT TRANSFERRED OUT

(A+B) Cumulative (A+B) Cumulative

Percentage for (A) Cumulative as (A) Cumulative as
(B) For the Month as of End of the (B) For the Month as of End of the
the Month of Previous Month
Month
of Previous Month
Month

T M F T M F T M F T M F T M F T M F T
 Prepared and Submitted by:
teachers/advisers to update figures for the month.
BAIKAN M. US
(Signature of School Head ov

(SF4) Monthly Learner's Movement and Attendance

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

Division COTABATO CITY District

GH SCHOOL School Year 2014-2015 Report for the Mon

NDANCE DROPPED OUT (A+B) Cumulative TRANSFERRED OUT(A+B) Cumulative

Percentage for (A) Cumulative as (A) Cumulative as
(B) For the Month as of End of the (B) For the Month as of End of the
the Month of Previous Month of Previous Month
T M F T M F T M MonthF T M F T M F T M MonthF T
 Prepared and Submitted by:
teachers/advisers to update figures for the month.
BAIKAN M. US
(Signature of School Head ov

(SF4) Monthly Learner's Movement and Attendance

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

Division District

School Year Report for the Mon

NDANCE DROPPED OUT (A+B) Cumulative TRANSFERRED OUT(A+B) Cumulative

Percentage for (A) Cumulative as (A) Cumulative as
(B) For the Month as of End of the (B) For the Month as of End of the
the Month of Previous Month of Previous Month
T M F T M F T M MonthF T M F T M F T M MonthF T
 Prepared and Submitted by:
teachers/advisers to update figures for the month.
BAIKAN M. US
(Signature of School Head ov

(SF4) Monthly Learner's Movement and Attendance

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

Division District

School Year Report for the Mon

NDANCE DROPPED OUT (A+B) Cumulative TRANSFERRED OUT(A+B) Cumulative

Percentage for (A) Cumulative as (A) Cumulative as
(B) For the Month as of End of the (B) For the Month as of End of the
the Month of Previous Month
Month
of Previous Month
T M F T M F T M F T M F T M F T M MonthF T
 Prepared and Submitted by:
teachers/advisers to update figures for the month.
BAIKAN M. US
(Signature of School Head ov

(SF4) Monthly Learner's Movement and Attendance

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

Division COTABATO CITY District

GH SCHOOL School Year 2014-2015 Report for the Mon

NDANCE DROPPED OUT (A+B) Cumulative TRANSFERRED OUT(A+B) Cumulative

Percentage for (A) Cumulative as (A) Cumulative as
(B) For the Month as of End of the (B) For the Month as of End of the
the Month of Previous Month
Month
of Previous Month
Month
 T M F T M F T M F T M F T M F T M F T

Prepared and Submitted by:

teachers/advisers to update figures for the month.
BAIKAN M. US
(Signature of School Head ov
Report for the Month of JUNE

TRANSFERRED IN

(A+B)
(A) Cumulative as
(B) For the Month Cumulative as of
of Previous Month
End of the Month

M F T M F T M F T
 BAIKAN M. USOP
(Signature of School Head over Printed Name)

Report for the Month of JUNE

TRANSFERRED IN (A+B)
(A) Cumulative as
(B) For the Month Cumulative as of
of Previous Month
M F T M F T EndM of the
F Month
T
 BAIKAN M. USOP
(Signature of School Head over Printed Name)

Report for the Month of

TRANSFERRED IN (A+B)
(A) Cumulative as
(B) For the Month Cumulative as of
of Previous Month
M F T M F T EndM of the
F Month
T
 BAIKAN M. USOP
(Signature of School Head over Printed Name)

Report for the Month of

TRANSFERRED IN (A+B)
(A) Cumulative as
(B) For the Month Cumulative as of
of Previous Month
M F T M F T EndM of the
F Month
T
 BAIKAN M. USOP
(Signature of School Head over Printed Name)

Report for the Month of JUNE

TRANSFERRED IN (A+B)
(A) Cumulative as
(B) For the Month Cumulative as of
of Previous Month
End of the Month
 M F T M F T M F T

BAIKAN M. USOP
(Signature of School Head over Printed Name)
 School Form 5 (SF 5) Report on Pr
(This replaces Forms 18-E1, 18-E2

Region Division

School ID School Year

School Name

GENERAL AVERAGE
(Numerical Value in 2
LEARNER'S NAME decimal places and 3
LRN
(Last Name, First Name, Middle Name) decimal places for
honor learners, and
Descriptive Letter)
TOTAL MALE
TOTAL FEMALE

COMBINED
F 5) Report on Promotion & Level of Proficiency
This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

District

Curriculum

Grade Level Section

INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC
ACTION TAKEN: in High School. Elementary grades level that are still implementing
PROMOTED, RBEC need not to fill up these columns)
IRREGULAR or
RETAINED From previous school years
completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIEN

BEGINNNING
(B: 74% and
below)
DEVELOPING (D:
75%-79%)

APPROACHING
PROFICIENCY
(AP:
80%-84%)

PROFICIENT
(P: 85% -89%)

ADVANCED (A:
90% and above)

PREPARED BY:

Class Adviser

(Name and Signature)

CERTIFIED CORRECT & SUBMITTED

School Head

(Name and Signature)

REVIEWED BY:

(Name and Signature)

Division Representative

GUIDELINES:

1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final

subject area should be taken from the
subject teachers. The class adviser sho
for the General Average.
2. To be prepared by the Adviser. Final
subject area should be taken from the
subject teachers. The class adviser sho
for the General Average.

3. On the summary table, reflect the to

learners promoted, retained and *irregu
7 onwards only) and the level of profici
to the individual General Average.

4. Must tally with the total enrollment re

of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission

discretion of the Schools Division Supe

School Form 5: Page __

 SUMMARY TABLE
MALE FEMALE TOTAL

LEVEL OF PROFICIENCY
MALE FEMALE TOTAL
PARED BY:

Class Adviser

(Name and Signature)

TIFIED CORRECT & SUBMITTED:

School Head

(Name and Signature)

(Name and Signature)

Division Representative

or All Grade/Year Levels

o be prepared by the Adviser. Final rating per

ect area should be taken from the record of
ect teachers. The class adviser should compute
he General Average.
o be prepared by the Adviser. Final rating per
ect area should be taken from the record of
ect teachers. The class adviser should compute
he General Average.

n the summary table, reflect the total number of

ners promoted, retained and *irregular (*for grade
wards only) and the level of proficiency according
e individual General Average.

ust tally with the total enrollment report as of End

chool Year GESP /GSSP (EBEIS)

otocols of validation & submission is under the

etion of the Schools Division Superintendent

School Form 5: Page ____ of ________

 School Form 6 (
Summarized Report on Promotion a
(This replaces Form 20

School ID Region

School Name

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9

SUMMARY TABLE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY 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:

 SCHOOL HEAD DIVISION REPRESENTATIVE
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade leve
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by
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.
hool Form 6 (SF6)
n Promotion and Level of Proficiency
(This replaces Form 20)

Division

District School Year

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

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE

Noted by:
N REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT

shall compute the grade level total and school total.

ded to the Division Office by the end of the school year.
TOTAL

TOTAL

TOTAL
 School Form 7 (SF7) School Personnel Assign
(This replaces Form 12-Monthly Status Report for Teachers, F
Form 29-Teacher Program and Form 31-Summary Inform

School ID Region
School Name

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items

Title of Plantilla Position Title of Plantilla Position

Number of
(as it appears in the appointment (as it appears in the appointment
Incumbent
document/PSIPOP) document/PSIPOP)

EDUCATIONAL QUALIFICATIO
Employee
Nature of
No. (or Tax Name of School Personnel
Fund Position/ Appointment/
Identificatio (Arrange by Sex
Source Designation Employment Degree / Post
n Number Position, Descending)
Status Graduate
-T.I.N.)
GUIDELINES:
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 pers
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 ran
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also
4. Daily Program Column is for teaching personnel only.
Personnel Assignment List and Basic Profile
thly Status Report for Teachers, Form 19-Assignment List,
ram and Form 31-Summary Information of Teachers)

Division
District School Year

Non Teaching Items (C ) Other Appointments and Funding Sources

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

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Remarks (For
Subject Taught (include
Detailed Items,
Grade & Section), Total Actual Indicate name of
Major/ Advisory Class & Other DAY From To Teaching
Minor school/office, For
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

 Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Submitted by:
movement of teachers and other personnel during the school year, an

should be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)
Other administrative duties must also reported.
Updated as of: ___________________________
School Form 7, Page ___ of ________