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Adoption of School Forms For Kindergarten To Grade 6

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0% found this document useful (0 votes)
344 views72 pages

Adoption of School Forms For Kindergarten To Grade 6

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Adoption of School Forms

for Kindergarten to Grade 6


DepEd Order 4 s. 2014
Adoption of Modified School
Forms for Public Elementary and
Secondary Schools
DepEd Order 58 s. 2017
Adoption of New Forms in
Kindergarten, SENIOR High School,
ALS, Health and Nutrition, and
Permanent Records
SF 1
School Register
S c ho o l Fo rm 1 (S F 1) S c ho o l Re g is te r
(T his re plac e s Fo rm 1, M as te r Lis t & S T S Fo rm 2-Fam ily B ac k gro und and P ro file )

School ID 104795 Re gion III Divis ion Bulac an Dis trict Bus tos
Gra de
Sc hool Name Tibagan Ele me nta ry School School Yea r 2019 - 2020 Kinder Se c tion ALITAPTAP
Leve l
A G E M O THE G U A R D IA N C o nt a c t
as A D D R ES S P A R EN TS R EM A R KS
R ( if N o t P a re nt ) N umb e r

Sex (M/F)
NAME B IR TH D A TE of TO N G U IP of
R ELIG I M o t he r' s
LR N ( La s t N a me , F irs t N a me , ( mm/ d d / y y y y 1s t E ( Et hni c Ho us e # / F a t he r' s N a me P a re nt
ON M a id e n N a me ( P le a s e re f e r
M id d le N a me ) ) F rid ( G ra d e G ro up ) S t re e t /
B a ra ng a y
M unic i p a l it
P ro v inc e
( La s t N a me ,
N a me
R e la t io ns or
( La s t N a me , t o t he le g e nd
ay 1 to 3 S it io / y/ C it y F irs t N a me , hip G ua rd ia
F irs t N a me , o n la s t p a g e )
J une O nl y ) P uro k M id d l e N a me ) n
M id d l e N a me )
AB LEN, R EM ALLA,J O
AB LEN,R ENZ J OVEN, C hris tia
104795190001 M 05-31-2014 5 Ta ga lo g TIB AGAN B US TOS B ULAC AN R AVEN LEE C ELYN,B OLIM
R EM ALLA nity
C R UZ A,
ANGELES ,J HO
C hris tia
104795190002 ANGELES ,TR IS TAN J OHN, - M 01-16-2014 5 Ta ga lo g
nity
TIB AGAN B US TOS B ULAC AN NA
09157011107
M AE,S ANTOS ,

DE LEON, S TA
C hris tia B ONGA
104795190003 DE LEON,INO, S TA. M AR IA M 08-06-2014 4 Ta ga lo g B US TOS B ULAC AN R ES TYS ONIO M AR IA,M YLIN
nity M AYOR
EVANGELIS TA E,M ALLAR I,

DE LEON,
C hris tia LIWAG,EF RES I
104795190004 DE LEON,M AR K DAVID, LIWAG M 04-06-2014 5 Ta ga lo g TIB AGAN B US TOS B ULAC AN M ILLION
nity LA,B UC O,
F ER NANDEZ

DEL R OS AR IO,
DEL R OS AR IO,J HON ALB ER T, C hris tia VILLEGAS ,VIN
104795190005 M 05-21-2014 5 Ta ga lo g TIB AGAN B US TOS B ULAC AN ALB ER TO
VILLEGAS nity A,C ALIHAN,
ZOLETA

B OQUER O,C R I
C hris tia DOR OJ A, T/I DATE:2019-
104716180001 DOR OJ A,ANDR E, B OQUER O M 10-07-2012 6 Ta ga lo g TIB AGAN B US TOS B ULAC AN S TELYN,ANOL
nity AR IEL OLI 06-03
,

ES LLER A, NAC IONALES ,


ES LLER A,J ADEN AR KIE, C hris tia
104795190006 M 06-12-2013 5 Ta ga lo g TIB AGAN B US TOS B ULAC AN R AYM AR K R OS EM AR IE,
NAC IONALES nity
DES UYO P AULINO,

GOM EZ, C UEVAS ,LAUR


C hris tia
104795190007 GOMEZ,J HIANZ, C UEVAS M 04-29-2014 5 Ta ga lo g TIB AGAN B US TOS B ULAC AN J ULITO ENC IA,M ANG
nity
C AB ATINGAN YAO,

C hris tia LOZANO, LADR A,J OAN,


104795190008 LOZANO,C LAR ENC E, LADR A M 11-19-2013 5 Ta ga lo g TIB AGAN B US TOS B ULAC AN
nity M ELVIN NODO GUEVAR R A,
Lis t and Co de o f Indic ato rs unde r REMARKS c o lum n
Co Co
Ind i c a t o r R e q ui re d Inf o rma t io n Ind i c a t o r R e q ui re d Inf o rma t i o n BoS
de de
Tra ns f e re d T/ O N a me o f P ub li c ( P ) P ri v a t e ( P R ) S c ho o l CCT CC C C T C o nt ro l / re f e re nc e numb e r &
Out & Ef f e c t iv i t y D a t e R e c e i p i e nt T Ef f e c t i v it y D a t e

T/ I N a me o f P ub li c ( P ) P ri v a t e ( P R ) S c ho o l B a l ik A ra l B / A N a me o f s c ho o l l a s t a t t e nd e d & Y e a r
Tra ns f e re d In & Ef f e c t iv i t y D a t e
Le a rne r W i t h LW S p e c if y
DR R e a s o n a nd Ef f e c t i v it y D a t e D i s a b il i t y D
D ro p p e d P R e a s o n ( Enro l lme nt b e y o nd 1s t F ri d a y A c c e l e ra t e d S p e c if y Le v e l & Ef f e c t i v i t y D a t a
La t e LE o f J une ) AC

Ge ne ra te d on: Tue s da y, Ja nua ry 28, 2020

R EG IS TER P re p a re d b y ; C e rt i f i e d C o rre c t :
Bo SY Eo S Y
ED
J OCELYN PRINCIPIO BELTRAN
M A LE 12 12 DOLORES O. GATUZ
CITADEL BITANGCOL BAUTISTA ( S ig na t ure o f S c ho o l He a d o v e r
( S ig na t ure o f A d v is e r o v e r P ri nt e d P ri nt e d N a me )
F EM A LE 10 10 N a me )
06/03/2019 04/03/2020
B o S Y Dat e : Eo S Y D a t e :
TO TA L 22 22 06/03/2019 04/03/2020
B o S Y D at e : Eo S Y D a t e :
RESTYSONIO E. DE LEON
G e ne ra t e d t hru LIS
SF 2
Daily Attendance Report of Learners
Data in blue circles are School Form 2 (SF2) Daily Attendance Report of Learners
generated from LIS (This re plac e s Form 1, Form 2 & S TS Form 4 - Abse nt e e ism and Dropout P rof ile )

Scho o l ID 104795 Scho o l Year 2019 - 2020 Rep o rt fo r the Mo nt h o f February


Name o f Scho o l Tibaga n Ele me ntary School Grad e Level Kinder Sectio n ALITAPTAP
(1s t ro w fo r d ate) To tal fo r the R EMA R KS ( If D R OP P ED OU T, s t a t e
NAME
No
.
( La s t N a me , F irs t N a me , M id d le 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 23 24 25 26 27 30 31 Mo nth re a s o n, ple a s e re f e r t o le g e nd numbe r
2 . If TR A N S FER R ED IN / OU T, w r i t e t h e
N a me )
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 A B S EN T TA R D Y na me o f S c ho o l.)

1. AB LEN,R ENZ J OVEN, R EM ALLA


5 0
2. ANGELES ,TR IS TAN J OHN, -
0 0
3. DE LEON,INO, S TA. MAR IA 0 1
4. DE LEON,M AR K DAVID, LIWAG 0 0
DEL R OS AR IO,J HON ALB ER T,
5.
VILLEGAS 0 0
6. DOR OJ A,ANDR E, B OQUER O 0 0
ES LLER A,J ADEN AR KIE,
7.
NAC IONALES 0 0
8. GOM EZ,J HIANZ, C UEVAS 0 0
9. LOZANO,C LAR ENC E, LADR A 0 0
10. M ALTO,NATHAN J AC OB , C OR TES
0 0
11. S ANTOS ,J AZ EAR L, S AN P EDR O
0 0
S ANTOS ,J OS EP H DAYNE,
12.
B ER NAR DINO 0 0
12. <=== MALE | TOTAL P e r Da y ===> 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 11 11 11 11 11 12 12 5 1
1. AR C EGA,KIM J ANINE, LOR ITO
0 0
2. B AGS IC ,MIC KA LEI, MAR QUEZ
0 0
B UC O,LEENETH ALIS ON,
3.
GATC HALIAN 0 0
4. ILAGAN,J HAM ILLE J ADE, DAQUIZ 0 0
R OYOL,S OP HIA C LOEYY,
5.
ANGELES 0 0
S ANTOS ,ALES S IA R HIANNA, DELA
6.
C R UZ 0 0
7. S ER ENIO,ALYANNA, NIC A VER A
1 0
S UMALINOG,J OALLAINE J ANE,
8.
LAC S AM ANA 0 0
9. TIU,J EAN M AR GAR ETTE, C R UZ
0 0
10. VILLAR AM A,R HIAN LEI, S ANTOS
0 0
10. <=== F EM ALE | TOTAL P e r Da y ===>
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 9 10 10 10 10 10 10 1 0
22. C o m bine d TOTAL P e r Da y 22 22 22 22 22 22 22 22 22 22 22 22 22 22 22 20 21 21 21 21 22 22 6 1
M o nt h : No . o f Days o f S um m a ry
February C la s s e s : 19 M F TOTA L

* Enro lment as o f (1s t Frid ay o f J une) 12. 10 22


Lat e e nrolm e nt d uring t he m o nt h
0 0 0
(be y ond c ut -of f )

R e gist e re d Le arne rs as of
e nd o f m o nt h
12 10 22
P e rc e nt age of Enrolm e nt as of Registered learners as of end of month
100% 100% 100% x100
e nd o f m o nt h Enrolment as of 1st Friday of June
A v e rage Daily A t t e ndanc e Registered Learners as of end of the month x No. of days - total absences
11.74 9.95 21.68
No. of Days

P e rc e nt age of A t t e ndanc e f or t he m ont h Average Daily Attendance


97.83 99.5 98.55 x100
Registered Learners as of end of the month

Num be r of st ude nt s abse nt f or 5 c onse c ut iv e day s 1 0 1

Dro pp e d o ut 0 0 0
Tr a n s f e r r e d o u t 0 0 0
Tr a n s f e r r e d i n 0 0 0
SF 3
Books Issued and
School Form 3 (SF3) Books Is s ued and Returned
(This re plac e s Form 1 & Inv e nt ory of Te x t book s)

Scho o l ID 104795 Scho o l Year 2019 - 2020

Scho o l Name Tibaga n Eleme ntary School Grad e Level Kinde r Sectio n ALITAPTAP
Mga Kas anayan Para s a S ubje c t Are a & Tit le S ubje c t Are a & S ubje c t Are a & Tit le S ubje c t Are a & S ubje c t Are a & S ubje c t Are a & S ubje c t A re a & Tit le S ubje c t Are a & Tit le S ubje c t Are a &
Tit le Tit le Tit le Tit le Tit le
Kahandaan s a Pagk atuto,
NAME R E MA R KS/ A C T ION
N Mga Pags as anay s a
Araling
T A KE N (P l e a s e r e f e r
( La s t N a m e , F irs t N a m e ,
o.
M id d le N a m e ) Tagalog Filipino English Math Science Panlipunan
EPP MAPEH to the l e ge nd on l a s t
page )

Dat e Dat e Date Date Date Dat e Dat e Dat e Date Dat e
Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d Issue d Re t urne d
AB LEN,R ENZ J OVEN,
1.
R EM ALLA 6/3/2019 4/3/2020
2. ANGELES,TR IS TAN J OHN, -

3. DE LEON,INO, S TA. MAR IA

DE LEON,M ARK DAVID,


4.
LIWAG
DEL R OSAR IO,J HON
5.
ALB ER T, VILLEGAS

6. DOR OJ A,ANDR E, B OQUER O

ES LLER A,J ADEN AR KIE,


7.
NAC IONALES

8. GOM EZ,J HIANZ, C UEVAS

9. LOZANO,C LAR ENC E, LADR A

M ALTO,NATHAN J AC OB ,
10.
C OR TES
S ANTOS ,J AZ EAR L, S AN
11.
P EDR O
S ANTOS ,J OS EP H DAYNE,
12.
B ER NAR DINO
<=== TOTAL F OR M ALE |
12.
TOTAL C OP IES ===> 12 12
AR C EGA,KIM J ANINE,
1.
LOR ITO FM LLTR
B AGS IC ,M IC KA LEI,
2.
M AR QUEZ
B UC O,LEENETH ALIS ON,
3.
GATC HALIAN TDO TLTR
ILAGAN,J HAM ILLE J ADE,
4.
DAQUIZ
R OYOL,S OP HIA C LOEYY,
5.
ANGELES
S ANTOS ,ALES S IA R HIANNA,
6.
DELA C R UZ NEG PTL
S ER ENIO,ALYANNA, NIC A
7.
VER A
S UM ALINOG,J OALLAINE
8.
J ANE, LAC S AM ANA
TIU,J EAN M AR GAR ETTE,
9.
C R UZ
VILLAR AM A,R HIAN LEI,
10.
S ANTOS
<=== TOTAL F OR F EM ALE |
10.
TOTAL C OP IES ===> 10 7
22.
<=== TOTAL LEAR NER S |
TOTAL C OP IES ===> 22 19
In c a s e o f lo s t / u n re t u rn e d b o o k s , p le a s e p ro v id e in f o rm a t io n wit h P re p a re d B y:
G UID E LIN E S :
t h e f o llo win g c o d e :
1. Title o f Bo o ks Is s ued to each learner mus t b e reco rd ed b y the clas s ad vis er. A. In Co lumn Date Returned , co d es are: FM =Fo rce M ajeure, TDO: Trans ferred /Dro p o ut ,
2 . The Date o f Is s uance and t he Dat e o f Ret urn s hall b e reflected in t he fo rm. NEG=Neg lig ence CITADEL BITANGCOL BAUTIS TA
3 . The To tal Numb er o f Co p ies is s ued at Bo SY s hall b e reflected in the fo rm. B. In Co lumn Remark/ Actio n Taken, co d es are: LLTR=Secured Lett er fro m Learner d uly s ig ned b y (Sig nature o f Ad vis er o ver Print ed Name)
4 . The To tal Numb er o f Co p ies o f Bo o ks Ret urned at the Eo SYs hall b e reflected in the fo rm. p arent /g uard ian (fo r co d e FM ), TLTR=Teacher p rep ared letter/rep o rt d uly no ted b y Scho o l
5. All t extb o o ks b eing us ed mus t b e includ ed . Ad d it io nal co p ies o f this fo rm may b e us ed if need ed . Head fo r s ub mis s io n to Scho o l Pro p erty Cus t o d ian (fo r co d e TDO), PTL=Paid b y the Learner
(fo r co d e NEG). References : DO# 2 3 , s .2 0 0 1, DO# 2 5, s .2 0 0 3 , DO# 14 , 2 .2 0 12 . RESTYSONIO E. DE LEON
G e ne ra t e d t hru LIS

Da te o f B o S Y:___/___/_____ Da te o f Eo S Y: ___/___/_____

06/03/2019

04/03/2020
SF 4
Monthly Learners
Movement & Attendance
School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID 104795 Region II Division BULACAN District Bustos

School Name Tibagan Elementary School School Year 2019-2020 Report for the Month of January

REGISTERED ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN


GRAD
LEARNERS (A) Cumulative as (A+B) (A) Cumulative as (A+B) (A) Cumulative as (A+B)
E/
NO. NAME OF ADVISER (As of End of the Daily Average Percentage for the Month of Previous (B) For the Month Cumulative as of of Previous (B) For the Month Cumulative as of of Previous (B) For the Month Cumulative as of
YEAR
Month) Month End of the Month Month End of the Month Month End of the Month
LEVEL 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
1 Kinder Citadel B. Bautista Alitaptap 12 10 22 10.90 9.40 20.30 90.83 94.00 92.27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kinder Citadel B. Bautista Bubuyog (1M/LE) 8 4 12 7.35 3.25 10.60 91.88 81.25 88.33 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
2 Kinder Joan B. Santos Tutubi 7 6 13 5.85 5.50 11.35 83.57 91.67 87.62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1
Kinder Joan B. Santos Paru-Paro 10 10 20 9.25 9.45 18.70 92.50 94.50 93.50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Kinder Melanie R. Melencio Langgam 9 11 20 8.80 10.65 19.45 97.78 96.82 97.30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kinder Melanie R. Melencio Tipaklong 7 5 12 6.75 4.85 11.60 96.43 97.00 96.72 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 One Nida G. Gutierrez 21 16 37 20.80 15.80 36.60 99.08 98.75 98.92 1 0 1 0 0 0 1 0 1 2 2 0 0 0 0 2 2 0 1 1 2 0 0 0 1 1 2
5 One Analyn C. Jimenez 22 14 36 21.65 13.70 35.35 98.00 98.00 98.00 0 1 1 0 0 0 0 1 1 1 1 2 0 0 0 1 1 2 0 1 1 0 0 0 0 1 1
6 One Erlinda C. Ronato 24 12 36 23.60 11.85 35.45 98.33 98.75 98.47 0 1 1 0 0 0 0 1 1 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 1 0 1
7 One Rochelle R. Santos 22 14 36 21.65 13.70 35.35 98.41 97.86 98.19 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
8 Two Rosario V. Raya 15 15 30 14.75 14.80 29.55 98.33 98.67 98.50 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Two Gloria M. Marquez 17 14 31 16.70 13.80 30.50 98.24 98.57 98.41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1
10 Two Monica DR. Hernandez 17 14 31 16.70 13.70 30.40 98.24 97.86 98.05 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 1 1 0 0 0 0 1 1
11 Two Evelyn R. Obaob 17 12 29 16.10 11.85 27.95 94.70 98.75 96.37 1 0 1 0 0 0 1 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0
ELEMENTARY/SECONDARY:
KINDER 53 46 99 48.90 43.10 92.00 92.26 93.70 94.16 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 1 1 2
GRADE 1 89 56 145 87.70 55.05 142.75 98.54 99.59 99.12 2 3 5 0 0 0 2 3 5 1 3 4 0 0 0 1 3 4 2 3 5 0 0 0 2 3 5
GRADE 2 66 55 121 64.25 54.15 118.40 97.35 98.84 97.85 2 0 2 0 0 0 2 0 2 0 2 2 0 0 0 0 2 2 1 1 2 0 0 0 1 1 2
GRADE 3 50 58 108 48.60 57.35 105.95 97.20 98.88 99.34 1 0 1 0 0 0 1 0 1 2 0 2 0 0 0 2 0 2 0 1 1 0 0 0 0 1 1
GRADE 4 57 57 114 56.35 56.31 98.31 98.86 99.35 99.19 4 0 4 0 0 0 4 0 4 5 1 6 0 0 0 5 1 6 0 0 0 0 1 1 0 1 1
GRADE 5 74 61 135 72.56 57.12 114.86 98.05 93.64 98.05 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 1 0 1 0 1 1 0 0 0 0 1 1
GRADE 6 73 54 127 72.25 34.75 125.85 98.97 64.35 99.03 3 0 3 0 0 0 3 0 3 1 1 2 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0
TOTAL FOR NON-GRADED
TOTAL 462 387 849 450.61 357.83 798.12 97.79 98.66 98.23 13 4 17 0 0 0 13 4 17 11 8 19 0 0 0 11 8 19 4 6 11 0 1 1 4 7 12
GUIDELINES:
1. This form shall be accomplished every end of the month using the summary box of SF2 submit ed by the teachers/advisers to update figures for the month.
copy a week after June 30, October 30 & March 31
Prepared and Submit ed by: Noted by:
_____ of _____ pages
Remarks: DOLORES O. GATUZ RACQUEL D. SALAZAR
No. of Late Enrollees = 2Male/1Female Principal I Public Schools District Supervisor
Deceased= 3 Female
SF 5/5K
Report on Promotion and
Level of Proficiency
S cho o l Fo rm 5 Re po rt o n Pro mo tio n and Le ve l o f Pro fic ie nc y Fo r Kinde r (S F5-K)
End o f S cho o l Ye ar Kinde rg arte n Apprais al Re po rt
S choo l Na m e Tiba ga n Ele m e nta ry S c hoo l Dis trict Bus tos Divis ion Bula c an R e gion Re g ion III

S choo l ID 1 0 479 5 S e ction ALITAPTAP S choo l Ye a r 20 19-20 20

S u m m a t iv e Apprais e d (Grade SUMMARY TABLE


LEARNER'S NAME A s s e s m e nt One Re ady o r
NO LRN Inte rpre tatio n
(Las t Na m e , Firs t Na m e , Middle Nam e ) S t a n d a rd ne e ds Furthe r
S T A T US MALE FEMALE TOTAL
S c o re
Inte rve n tio n

MALE G R A D E O N E R EA D Y 14 12 26

1 104795180001 CABILDO,LUIZ EñIGO GALVEZ 111 AD GR ADE ONE R EADY


Need s Furt her Int ervent io n 0 0 0
2 104795180002 CARPIO,JOHN CASEY DIZON 107 AD GR ADE ONE R EADY

3 104795180003 DE LEON,NIO STA MARIA 111 AD GR ADE ONE R EADY LEVEL OF PROFICIENCY

4 104795180004 ESTEBAN,CYRUS PAUL ALEJANDRINO 114 AD GR ADE ONE R EADY D e s c rip t o r &
G ra d in g MALE FEMALE TOTAL
5 104795180005 GARCIA,JAMES GENES IS GRIPON 105 AD GR ADE ONE R EADY S c a le
Sug g es t Hig hly Ad vanced
6 104795180006 MAGNO,JAY VIVEN GRIMALDO 105 AD GR ADE ONE R EADY Develo p ment - SHAD (13 0 0 0 0
and ab o ve)
7 104795180007 MARQUEZ,WAYNE STEPHEN DELA CRUZ 117 AD GR ADE ONE R EADY Sug g es t Slig ht Ad vanced
Develo p ment - SSAD (12 0 - 0 0 0
8 104795180008 PANIGBATAN,JAYLORD FORBES 117 AD GR ADE ONE R EADY 12 9 )

Averag e Develo p ment -


9 104795180009 PLAMENCO,LUIS VERGEL MARQUEZ 108 AD GR ADE ONE R EADY
AD (8 0 -119 )
14 12 26

10 104795180010 QUIMSON,JOHN MATTHEW CARPIO 111 AD GR ADE ONE R EADY Sug g es t Slig ht Delay in
Overall Develo p ment - 0 0 0
11 104795180011 RAMOS ,NOAH GAVRIE GUANSING 117 AD GR ADE ONE R EADY SSIDOD (70 -79 )

Sug g es t Sig nificant Delay


12 104795180012 REYES,ALJOHN ANGELO CRISTOBAL 111 AD GR ADE ONE R EADY in Overall Develo p ment - 0 0 0
SSDOD (6 9 and b elo w)
13 104795180013 SANTOS ,JEREMY DELA CRUZ 108 AD GR ADE ONE R EADY
PREPARED BY:
14 104795180014 TEODORO,KURT MATTHEW PAULINO 91 AD GR ADE ONE R EADY

CITADEL BITANGCOL BAUTISTA


1 4 <=== TOTAL MALE
C las s A dv is e r
14 <=== TOTAL MALE
C las s A dv is e r
(N am e and S ignature )
S u m m a t iv e Apprais e d (Grade
C ER TIF IED C OR R EC T & S UB M ITTED B Y:
LEARNER'S NAME A s s e s m e nt One Re ady o r
NO LRN Inte rpre tatio n
(Las t Name , Firs t Name , Middle Name ) S t a n d a rd ne e ds Furthe r
S c o re
Inte rve ntio n
DOLORES O. GATUZ
S c ho o l He ad
FEMALE
(N am e and S ignature )

15 104795180015 AUGUIS,ALLIYA SHANE PADUA 117 AD GR ADE ONE R EADY REVIEWED BY:

16 104795180016 AUSTRIA,PAULA MAY ANZANO 105 AD GR ADE ONE R EADY JAY ARR V. SANGOYO Ph. D.
(Name and S ignature )
17 104795180017 ESTEBAN,TRIXIE CELINE SANTOS 108 AD GR ADE ONE R EADY Divis ion R e pre s e ntative

18 104795180018 HERNANDEZ,JATHINA LYNELLE SAN ANTONIO 114 AD GR ADE ONE R EADY RESTYSONIO E. DE LEON
G e n e ra t e d t h ru LIS
19 104795180026 LOPEZ,JAMAICA LOPEZ 117 AD GR ADE ONE R EADY
GUIDELINES :
20 104795180019 MANGAHAS,CHARISSA MAEY LIWAG 117 AD GR ADE ONE R EADY
1. 1. Do no t inc lude Dro po uts and T rans fe rre d Out (D.O.4,
2014)
21 104795180020 MAPOY,AYANA LOURIZ GUEVARRA 117 AD GR ADE ONE R EADY
2. 2. T his s ho ud be pre pare d by A dv is e r. P o s t T e s t
S tandard S c o re s ho ud be tak e n fro m the re c o rd s ubm itte d
22 104795180021 PLAMENCO,ROSELYN MAE MARQUEZ 94 AD GR ADE ONE R EADY
to the Div is io n Offic e .
3. 3. T he s um m ary table s ho ud re fle c t the to tal num be r o f
23 104795180022 REYES,GINELLE RAYMUNDO 105 AD GR ADE ONE R EADY le arne rs . Fo r GR A DE ON E R EA DY , S um m ativ e A s s e s m e nt
S tandard S c o re m us t be 80 and abo v e , while N EEDS
24 104795180023 SALAYSAY,JADE NICOLE FAUSTINO 116 AD GR ADE ONE R EADY FUR T HER IN T ER VEN T ION m us t be 79 and be lo w.
4. P ro to c o ls o f v alidatio n & s ubm is s io n is unde r the
25 104795180024 SANTOS,KIARA LEI SERPA JUAN 108 AD GR ADE ONE R EADY dis c re tio n o f the S c ho o ls Div is io n S upe rinte nde nt.
5. T E - T e m po rary Enro lle d
26 104795180025 VALERIO,RALAINE ANNE ESPIRITU 117 AD GR ADE ONE R EADY

12 <=== TOTAL FEMALE

26 <=== COMBINED
S c h o o l Fo rm 5 (S F 5) Re po rt o n Pro mo tio n an d Le ve l o f Pro fic ie n c y & Ac h ie ve me n t
(T his re plac e s Fo rm s 18-E1, 18-E2, 18A and Lis t o f G raduate s )

R e g io n R e g io n III Divis io n Bula ca n Dis trict Bu s to s

S cho o l ID 10 47 9 5 S cho o l Ye a r 2018 - 2019 C u rricu lu m K to 1 2

S ch o o l Na m e Tib a g a n Ele m e n ta ry S ch o o l Gra d e Le ve l Gra d e 6 S e ctio n INTEGR ITY

S UMMARY TABLE
Did Not Me e t
ACTION TAKEN: Expe c ta tions of the ff.
LEARNER'S NAME GENERAL
LRN PROMOTED, CONDITIONAL Le a rning Are a /s a s of S TATUS MALE FEMALE TOTAL
(Las t Na m e , Firs t Na m e , Middle Na m e ) AVERAGE
o r RETAINED e nd of c urre nt
S c hool Ye a r
PROMOTED 19 20 39

MALE
C O N D IT IO N A LLY
P R O M O T ED
0 0 0
1 0 47 9 51 2 0 1 9 9 AR IZAP A,AC E J OMEL C R IS TOBAL 8 6 P R OMOTED

1 0 47 9 51 2 0 2 0 1 BER MUDEZ,MIC C O YUS ON 8 8 P R OMOTED RETAINED 0 0 0

1 0 47 9 51 2 0 1 7 1 DALOG,J ER OME LIONEL P ER EZ 8 6 P R OMOTED

1 0 47 9 51 3 0 1 1 0 DE LEON,KAR L KER VIN LOP EZ 8 5 P R OMOTED LEVEL OF PROGRES S AND ACHIEVEMENT

1 0 47 9 51 4 0 0 1 7 DE LEON,KR IS S ANTOS 8 9 P R OMOTED De s c rip to r &


Grad in g MALE FEMALE TOTAL
1 0 47 9 51 3 0 1 0 9 DE LEON,R EC C A GONZALES 8 7 P R OMOTED
Did No t M e e t
1 0 47 8 51 2 0 0 6 5 DE LEON,R HEDR IC GAR C IA 9 1 P R OMOTED With Ho no rs Expe c ta tio ns (74 a nd 0 0 0
be lo w)
1 0 47 9 51 2 0 1 7 3 GUANS ING,KEN LOR ENC E MENDOZA 8 6 P R OMOTED
Fairly
1 0 47 9 51 3 0 0 9 8 J IMENEZ,OR LANDO III BUENVIAJ E 9 1 P R OMOTED With Ho no rs
S atis fac to ry (75- 0 0 0
1 0 47 9 51 3 0 1 1 3 MALTO,MAR K TR IXTAN R EGONDON 8 9 P R OMOTED 79)

1 0 47 9 51 2 0 1 7 4 MAR C OS ,ZETH ALEXANDER C ABAR LOC 8 7 P R OMOTED


S atis fac to ry (80-
1 0 1
1 0 47 9 51 2 0 1 7 5 MAXIMO,S AM XEDR IC C R UZ 9 0 P R OMOTED With Ho no rs 84)

1 0 47 9 51 2 0 1 7 6 P ANIGBATAN,KUR T R US S EL ALAR C ON 8 8 P R OMOTED


Ve ry
1 0 47 9 51 2 0 1 2 6 P ER EZ,MIKE J OS HUA DEL VALLE 8 5 P R OMOTED S atis fac to ry (85- 14 16 30
89)
1 0 47 9 51 2 0 1 2 9 R AYA,AYAR S OLOMON 9 3 P R OMOTED With Ho no rs

1 0 47 9 51 4 0 0 1 8 S AN ANTONIO,ANGELO ES P INO 8 6 P R OMOTED Ou ts tan d in g (90-


4 4 8
100)
S AN P EDR O,P R INC E C EE-J AY
4 1 86 6 91 5 0 0 5 7 8 4 P R OMOTED
C ABALLER O
LRN LEARNER'S NAME GEN. AVE. ACTION TAKEN
1 0 47 9 5 1 2 0 1 8 0 TEODOR O,C AR L KHILLUA P AULINO 8 6 P R OMOTED
PREPARED BY:
1 0 47 9 5 1 2 0 1 8 1 VIÑAS ,MAVERIC K AC E S ANTOS 8 5 P R OMOTED
MA LUIS A SEVILLA RIVERA
1 9 <=== TOTAL MALE
Clas s Advis e r
FEMALE (Nam e and S ignature )
CERTIFIED CORRECT & S UBMITTED BY:
1 0 47 9 5 1 3 0 2 0 1 C RUZ,S AMANTHA S ANTOS 8 6 P R OMOTED

1 0 47 9 5 1 2 0 1 4 6 EBOR A,HANNAH LOR IN R IVER A 8 8 P R OMOTED DOLORES OCAMPO GATUZ


S c hool He ad
1 0 47 9 5 1 3 0 1 2 0 FER NANDEZ,IAN LOUIS E R EYES 9 0 P R OMOTED With Ho n o rs (Nam e and S ignature )
REVIEWED BY:
1 0 47 9 5 1 4 0 0 2 1 GUTIER R EZ,MITC H FER NANDEZ 8 7 P R OMOTED

1 0 47 8 5 1 2 0 0 9 6 ILAGAN,EIFFEL MIS H P ABUS TAN 8 6 P R OMOTED J AY AR R VER DADER O S ANGOYO, P h .d


In C harge o f S c ho o l Fo rm s
1 0 47 9 5 1 2 0 1 8 6 LAP IG,MITZ FLOR ENC E TAP AO 8 8 P R OMOTED

4 8 81 0 9 1 5 0 0 8 0 MAXIMO,ALTHEA BAC ALTOS 9 1 P R OMOTED With Ho n o rs R ES TYS ONIO E. DE LEON


Ge ne ra te d thru LIS
1 0 47 9 5 1 3 0 1 2 1 MAXIMO,DAR LYN J OY CAS TR O 8 7 P R OMOTED GUIDELINES :
1 0 47 9 5 1 2 0 1 5 0 MENDOZA,ABIGAIL DE GUZMAN 8 6 P R OMOTED
1. Do no t inc lude Dro po uts and T rans fe rre d Out (D.O.4, 2014)
2. T o be pre pare d by the A dv is e r. Final rating pe r le arning are a s ho uld
1 0 47 9 5 1 2 0 1 8 8 MENDOZA,MIC A J ULIANNA MUTUC 8 7 P R OMOTED be tak e n fro m the re c o rd o f s ubje c t te ac he rs . T he c las s adv is e r s ho uld
c o m pute fo r the Ge ne ral A v e rage . (le av e it blank fo r *c o nditio nally
1 0 47 9 5 1 3 0 1 2 4 MIRANDA,J AMIE LYNNE ATIENZA 8 6 P R OMOTED pro m o te d).
3. On the s um m ary table , re fle c t the to tal num be r o f le arne rs
1 0 47 9 5 1 3 0 0 3 4 NAR VATO,LYKA TAGOB 8 9 P R OMOTED P R OM OT ED (Final Grade o f at le as t 75% in A LL le arning are as ),
R ET A IN ED (Did no t m e e t e xpe c tatio ns in thre e (3) o r m o re le arning
1 0 47 9 5 1 2 0 1 8 9 NAVAR R O,R AQUEL R EGONDON 8 6 P R OMOTED are as ) and *C ON DIT ION A LLY P R OM OT ED (*did no t m e e t
e xpe c tatio ns in no t m o re than two (2) le arning are as ) and the Le v e l o f
1 0 47 9 5 1 2 0 2 1 6 P EÑARANDA,XYR A LEIH NIC OLE R AMOS P ro gre s s and A c hie v e m e nt ac c o rding to the indiv idual Ge ne ral
8 7 P R OMOTED
A v e rage . A ll pro v is io ns o n c las s ro o m as s e s s m e nt and the grading
s ys te m in the s aid Orde r s hall be in e ffe c t fo r all grade le v e ls - De pe d
1 0 47 9 5 1 2 0 1 9 1 QUINTO,J OS AINE MERC ADO 9 1 P R OMOTED With Ho n o rs Orde r 29, s . 2015.
4. Inc o m ple te Le arning A re as . T he 1s t s ub-c o lum n re fe rs to le arning
1 0 47 9 5 1 3 0 1 0 7 S ANTOS ,HANNA J EAN BER NAR DINO 8 7 P R OMOTED are a/s that faile d fro m pre v io us S Y but had be e n c o m ple te d in the
c urre nt S Y . T he 2nd s ub-c o lum n pre s e nte d the lis t o f le arning are a/s
1 0 47 9 5 1 2 0 1 6 0 S ANTOS ,TIFFANY RAME R AYA 8 6 P R OMOTED that did no t m e e t e xpe c tatio n during the c urre nt S Y .
5. P ro to c o ls o f v alidatio n & s ubm is s io n is unde r the dis c re tio n o f the
1 0 47 9 5 1 2 0 1 9 5 S EBAS TIAN,RHIAN KIM ALAR C ON 8 8 P R OMOTED S c ho o ls Div is io n S upe rinte nde nt.
6. T E - T e m po rary Enro lle d
1 0 47 9 5 1 2 0 1 9 6 TUAZON,J US TINE REIN S ANTOS 8 6 P R OMOTED

1 0 47 9 5 1 2 0 2 2 0 VILLAGR AC IA,J AR MIS ANN C R UZ 9 1 P R OMOTED With Ho n o rs

2 0 <=== TOTAL FEMALE

3 9 <=== COMBINED
PREPARED BY:

MA LUISA SEVILLA RIVERA


Clas s Advis e r
(Name and S ignature )
CERTIFIED CORRECT & SUBMITTED BY:

DOLORES OCAMPO GATUZ


S c hool He ad
(Name and S ignature )
REVIEWED BY:

J AY ARR VERDADERO S ANGOYO, P h.d


In C harge o f S c ho o l Fo rm s

RES TYS ONIO E. DE LEON


Ge ne ra te d thru LIS
SF 6
Summarized Report on
Promotion and Level of
Proficiency
School Form 6 (SF6)
Summarized Report on Promotion and Learning Progress & Achievement
Revised to conform with the instructions of Deped Order 8, s. 2015

School ID Region Division

School Name District School Year

GRADE 1 /GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTA L
SUMMARY TABLE

MALE FEMALE T OTAL MALE FEMALE T OT AL MALE FEMALE T OT AL MALE FEMALE T OTAL MALE FEMALE T OTAL MALE FEMALE T OT AL MALE FEMALE T OTAL

PROMOTED

CONDITIONAL

RETA INED
L EARNING PROGRESS &
ACHIEVEMENT (based o n MALE FEMALE T OTAL MALE FEMALE T OT AL MALE FEMALE T OT AL MALE FEMALE T OTAL MALE FEMALE T OTAL MALE FEMALE T OT AL MALE FEMALE T OTAL
L earn ers' Gen eral Average)

Did Not Meet Expectations


( 74 and below)

Fairly Satisfacto ry
( 75-79)

Satisfactory
( 80-84)

Very Satisfactory
( 85-89)
Ou tstand ing
(90-100)

TOTA L

Revised as of 3/10/2016 SFRT

Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTAT IVE SCHOOLS DIVISION SUPERINT ENDENT
GUIDELINES:
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the grade level total and school total.
2. T his 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. T he 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.
Sc ho o l Fo rm 6 (SF6)
Summarize d Re port o n Pro mo tion and Le arning Pro g re s s & Ac hie ve me nt
S chool ID 104795 Re gion III Divis ion Bula ca n

S chool Na m e Tiba ga n Ele m e nta ry S chool Dis trict Bus tos S chool Ye a r 2019-2020
2018-2019

KINDER GRADE 1 GRADE 2 GRADE 3 Gra de 4 Gra de 5 Gra de 6 TOTAL


S UMMARY TABLE
M a le F e m a le To ta l M a le F e m a le To ta l M a le F e m a le To ta l M a le F e m a le To ta l M a le F e m a le To ta l M a le F e ma le To ta l M a le F e m a le To ta l M a le F e m a le To ta l

P ROMOTED 60 58 118 63 54 117 76 58 134 82 59 137 72 59 141 72 73 145 78 60 138 503 421 924

CONDITIONAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RETAINED 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1

LEARNING P ROGRES S AND


M a le F e m a le To ta l M a le F e m a le To ta l M a le F e m a le To ta l M a le F e m a le To ta l M a le F e m a le To ta l M a le F e ma le To ta l M a le F e m a le To ta l M a le F e m a le To ta l
ACHIEVEMENT

Did Not Me e t Expe c t a t ions (74%


0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a nd be low)

Fa irly S a t isfa c t ory (75%-79%) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169

S a t isfa c t ory
60 58 118 53 43 96 70 44 114 74 47 121 39 42 81 52 43 58 35 406 312 443
(80%-84%)

Ve ry S a t isfa c t ory (85%-89%) 0 0 0 6 8 14 3 14 17 4 8 12 18 28 46 15 28 16 8 62 94 169

Out st a nding
0 0 0 4 3 7 3 0 3 4 4 8 2 1 3 5 2 4 7 22 17 40
(90%-100%)

TOTAL 60 58 118 63 54 117 76 58 134 82 59 137 72 59 141.00 72 73 427 395 822

P re pa re d a nd S ubm itte d by: R e vie we d a nd Va lida te d by: No te d by:

DOLORES
DOORES O.
O. GATUZ
GATUZ JAY ARR V. SANGOYO Ph. D. GERMILINA H. PASCUAL,
ZENIA G. MOSTOLES CESO
Ed. D., CESO V V RESTYSONIO
RES TYS ONIO E.E.DE
DELEON
LEON
(S igna ture o f S c ho o l He a d o ve r P rinte d Na m e ) DIVIS ION R EP R ES ENTATIVE S C HOOL DIVIS ION S UP ER INTENDENT Ge ne ra te d thru LIS
SF 7
School Personnel
Assignment List and
Basic Profile
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 ID 104795 Region III Division Bulacan

School Name Tibagan Elementary School District Bustos School Year 2019-2020

(A) Nationally-Funded Teaching &


(B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources
Teaching Related Items
Appointment: Number of
Title of Plantilla Position Number Title of Designation Incumbent
Title of Plantilla Position (Contractual, Fund Source
(as appeared in the Number of of (Designation as appeared in the
(as appeared in the appointment Substitute, (SEF, PTA, NGO's
appointment Incumbent Incumb contract/document: Teacher, Clerk,
document/PSIPOP) Volunteer, others etc.) Teaching Non-
document/PSIPOP) ent Security Guard, Driver etc.)
specify) Teaching
Principal II 1 Utility Worker 1 Utility Worker Contractual MOOE 1
Master Teacher I 3
Teacher III 11
Teacher II 3
Teacher I 14
EDUCATIONAL
* Daily Program (time duration)
Employe QUALIFICATION
Remark/s (For
e No. (or Name of School Nature of Total
Subject Taught (include Detailed Items,
Tax Personnel Position/ Appointme Actual
Fund Grade & Section), Advisory DAY Indicate name of
Identifica (Arrange by Sex Designatio nt/ Degree / Major/ Teaching
Source Class & Other Ancillary (M/T/ From school/office,
tion Position, n Employme Post Speciali Minor To (00:00) Minutes
Assignment W/TH/ (00:00) For IP's -
Number - Descending) nt Status Graduate zation Assignm
F) Ethnicity)
T.I.N.) ent per
Week

4336699 Gatuz, Dolores O. F National Principal II Perm anent BEED/M AED

Edukasyon sa Pagpapakatao M -F 7:45 8:15 150


English M -F 8:15 9:05 250
Filipino VI-Hope M -F 9:05 9:55 250
Instructional Supervision M -F 10:15 10:45 30
Teaching Load Filipino VIHonesty M -F 10:45 11:35 250
Filipino VI-Integrity M -F 1:00 1:50 250
Araling Panlipunan VI-Integrity M -F 1:50 2:30 200
Filipino VI-Generosity M -F 2:40 3:30 250
Rivera, M a. L uisa M aster BEED/M AED School English Coor
4335927 F National Perm anent English
S. Teacher I in English School Paper Adviser
SBM 2 Chair
Ancillary Load BAC Chair
Action Research Coor
Classroom Observation

Ave. M inu tes per Day 320


A and E Classes M -F 7:45 5:00 1,800

Bitang col, M aster


869462 F National Perm anent
Yo lan da S. Teacher I

Ave. M inu tes per Day 360


Edukasyon sa Pagpapakatao M-F 7:55 8:25 150
Araling Panlipunan M-F 8:25 8:55 150
Filipino M-F 8:55 9:45 250
English M-F 10:05 10:35 150
MTB-MLE M-F 10:35 11:25 250
4266733 Santos, Rochelle R. F National Teacher I Permanent Matematika M-F 1:00 1:50 250
MAPEH M-F 2:05 2:45 200
ESP Coor
SBM1 Member
Guidance Coor
Ave. Minutes per Day 280
Edukasyon sa Pagpapakatao M-F 7:45 8:15 150
English M-F 8:15 9:05 250
Science IV- Charity M-F 10:15 11:05 250
Science IV- Respect M-F 11:05 11:55 250
Buan, Katherine Science IV- Obedience M-F 1:00 1:50 250
F National Teacher I Permanent
Mae L. Science IV- Courage M-F 2:50 3:40 250
Feeding Coor
LR Coor
SBM4 Member
Ave. Minutes per Day 280

GUIDELINES: Submitted by:


1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other
personnel during SY, updated Form 19 must submit to the Division Office . DOLORES O. GATUZ
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest (Signature of School Head over Printed Name)
rank down to the lowest. This form shall also serve as inventory list of school personnel.
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
Updated as of: ___________________________
4. * Daily Program Column is for teaching personnel only.
School Form 7, Page 9 of 9
SF 8
Learner’s Basic Health
and Nutrition Report
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name District Division Region

School ID Grade Section Track/Strand (SHS) School Year

Learner's Name Nutritional Status


Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Extension, Middle Name) (kg/m²) Category
MALE
2018-2019
2019-2020

See BMI/HFA Chart

15.13

Compute manually Use formula

data in red circles are to be data in orange circles must be


filled out by the teacher copied from SF 1
2/14/2020 DOLORES O. GATUZ

Date of Weighing Name of Class Adviser Name of School Head District Nutrition Coordinator
Reminders for SF 8:
1. Data to be filled out should be written properly EXCEPT for SECTION
2. LRN, Learner’s Name, and Birthdate must be copied from SF 1
3. You may adjust the size of columns or rows if needed
How to download
forms from LIS
Select form to be
downloaded
for other forms
Select form to be
downloaded
LEARNER’S PROGRESS
REPORT CARD
( SF-9 ES )
SF9 Guidelines
The Progress Report Card was renamed to
Learner’s Progress Report Card or SF9
(DO 58 s. 2017)
The format and content as prescribed in
DO 8 s. 2015 will still be adopted
Beginning SY 2018-2019 , the arrangement of
learner’s name must follow the format in SF5
( DO 11 s. 2018 )
PROPER
FORMAT

SANCHEZ, BENJAMIN JR. CRUZ

MALE
ALL
CAPS
NAME OF
TEACHER
NAME OF ( ALL CAPS )
SCHOOL
HEAD
PASSED 1. grades in the
PASSED different subject
PASSED areas should be
PASSED placed at the center
PASSED

2. grades under the


PASSED
MAPEH subject
PASSED should be aligned left

3. Boxes for REMARKS


should be filled in
with the word
PASSED
PASSED

PASSED

(all caps)
In case of
PA
SSE
P
A
SS
P
A
S
S
PASSE
D
dropped
D E
PA E
PAS
PA
D
SSE D
SE PASSED
SS
D ED D
PA
SSE
D
Dropped
PASSED PASSED PASSED

PA
SSE
(Reason)
PASSED PASSED PASSED
D
(Date)
PA
PASSED PASSED
SSE PASSED
D

PA PAS
PA
SS PAS SED
SSE
E SED
D
D
PA PA PASSE PASSE
SSE SS D D
D ED
PA PA PASSE
SSE SS D
D ED
PA PA
SSE PASSE
SS D
D ED
PA PA PASSE
SSE SS
P D
D ED
PA A
PASS
SSE S PASSED
P ED
D S
A
PA E PA
S PASSED
SSE D SSE
S
D D
E PA
D SSE PASSED
D
Other Reminders for SF9

For SF9 of honor pupils in Grade 6 indicate


the honors received by the pupils at the top
of the DepEd logo.
Write “WITH HONORS “ in all caps
WITH HONORS
LEARNER’S PERMANENT
ACADEMIC RECORD
( SF10 )
SF 10-ES Guidelines
 The permanent record commonly known as
Form 137 was renamed to Learner’s
Permanent Academic Record or SF-10
( DO 58 s.2017)
 Shall bear only the DepEd official seal and
logo
 Will be adopted effective school year
2017-2018
PROCEDURES IN THE
PREPARATION OF SF10-ES
The Grade 1 teacher will
prepare one ( 1 ) copy only
of SF10-ES and attach the
relevant supporting documents
If the learner continues to study
in the same Elementary School ,
SF10 will be forwarded to the
adviser of the next grade level.
 For learners who transferred out
to continue the elementary
level to another school, the
following steps must be taken;
Receiving Originating
School School

Request for the original Create one certified true


copy of SF10 (thru LIS) copy of SF10

Update the LIS upon


Send the original SF10
receipt

Continue fill up the


original SF10

*The ES where the learner completed elementary level shall keep the original
copy of SF10-ES

*If the learner proceeded to JHS,


the ES will create one certified
true copy of SF10-ES and send it
along with other pertinent
documents to the requesting JHS.

*Any erasures or alterations on the document should be validated and bear the signature
of the School Head in ink.

*The SF10-ES shall be prepared at


the end of the school year or in the
event of learner transfers within the
school year.

*The SF10-ES shall be printed using ordinary legal size bond paper (8.5x13)
HOW TO FILL OUT
SF10- ES
SF10-ES Republic of the Philippines
Department of Education
Learner's Permanent Academic Record for Elementary School
(SF10-ES)
LEARNER'S PERSONAL INFORMATION

LAST NAME: FERNANDEZ FIRST NAME: JAMIE ELISHA NAME EXTN. (Jr,I,II) MIDDLE NAME: LOPEZ

Learner Reference Number (LRN): ______________


104795201274 Birthdate (mm/dd/yyyy): 09/20/2012 Sex: FEMALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: TIBAGAN ELEMENTARY SCHOOL School ID: 104795 Address of School: PUROK 2 TIBAGAN BUSTOS BULACAN
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others (Pls. Specify): _________________________
Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
School: Tibagan Elementary School School ID: 104795
District: Bustos Division: Bulacan Region: III
Classified as Grade: 1 Section: __________
Hope School Year: 2017-2018
Name of Adviser/Teacher: Nida L. Dizon Signature: nldizon
Quarterly Rating Final
LEARNING AREAS Remarks
Sample 1 2 3 4 Rating
86 PASSED
Mother Tongue 84 85 86 87
Scholastic Filipino 82 83 84 85 84 PASSED

Record English 80 81 81 PASSED

Mathematics 81 80 82 83 82 PASSED

Science
Araling Panlipunan 82 84 86 88 85 PASSED

EPP / TLE
MAPEH 80 81 82 84 82 PASSED

Music 80 81 82 83 82 PASSED

Arts 80 81 83 85 82 PASSED

Physical Education 80 81 84 84 82 PASSED

Health 80 81 84 85 83 PASSED

Eduk. sa Pagpapakatao 88 87 89 90 89 PASSED

*Arabic Language
*Islamic Values Education
General Average 83 83 84 85 84 PASSED
School: Tibagan Elementary School School ID: 104795 School: San Pedro Elementary School School ID: 104793
In District: Bustos Division: Bulacan Region: III District: Bustos Division: Bulacan Region: III
cases Classified as Grade: 2 Section: Charity School Year: 2018-2019 Classified as Grade: 2 Section: Matapat School Year: 2018-2019

of Name of Adviser/Teacher: Gloria V. Raya Signature: Name of Adviser/Teacher: Sheila F. Mendoza Signature:
Quarterly Rating Final Quarterly Rating
transfer Learning Areas
1 2 3 4 Rating
Remarks Learning Areas
1 2 3 4
Final
Rating
Remarks

Mother Tongue 83
Mother Tongue 83 85 86 87 85 PASSED
Filipino 85
Filipino 85 86 87 88 87 PASSED
English 82
PASSED
English 82 84 85 86 84
Mathematics 85
PASSED
Transferred Out Mathematics 85 87 88 88 87
Science TRANSFERRED OUT
Masagana ES Science
85 August 30, 2018
Araling Panlipunan 104785 Araling Panlipunan 85 85 86 87 86 PASSED

EPP / TLE August 12, 2018 EPP / TLE


MAPEH 83
MAPEH 83 84 85 87 85 PASSED

Music 81 PASSED
Music 81 83 84 85
Arts 82 PASSED
Arts 82 82 84 86
Physical Education 84 PASSED
Physical Education 84 84 86 87
Health 85 PASSED
Health 85 86 87 88
Eduk. sa Pagpapakatao 88 90 PASSED
Eduk. sa Pagpapakatao 88 89 90 92
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average 84 General Average 84 86 87 88 86 PASSED
For Transfer Out /Elementary School Completer Only
CERTIFICATION
I CERTIFY that this is a true record of Jamie Elisha L. Fernandez with LRN 104795201274 and that he/she is eligible for admission to Grade ____2____.
School Name: Tibagan Elementary School School ID 104795 Division: _Bulacan__________ Last School Year Attended: __2018-2019_______________

___08/30/2018______________ JOCELYN P.V.BELTRAN


CHARINA REYES

Date Name of Principal/School Head over Printed Name (Affix School Seal here)

important
For form 137 indicate the honors received
at the top part of the DepEd seal
WITH HONORS
(MAY KARANGALAN)
Thank you!
09334917272 Dr. Jay-Arr
09754311464 ™ Dr. JAY ARR
09550892410 Joan
How to Compute Age
Age = date of weighing – child’s date of birth
(YYYY/MM/DD) (YYYY/MM/DD)
Example: Example: 12
12 + 30
2017 2017 +
+ 1
2018 02 23 2018 02 23
2012 05 08 2011 10 27
5 9 15 6 3 26

DONE
DONE
DONE

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