School Form 1 School Register for Senior High School (SF1-SHS)

School Name SPRINGFIELD SCHOOL OF NOVALICHES School ID 406457 District v

Semester FIRST SEMESTER School Year 2022-2023 Grade Level 12
Section Course (For TVL Only) N/A

COMPLETE ADDRESS PARENTS

Sex (M/F)
LRN NAME BIRTHDATE AGE Religious Affiliation
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Mother's M
House No./ Street/ Sitio/ Purok Barangay Municipality/ City Province Father's Name (Last Name, First Name
(Last Name, First Name, Name Extension, Middle Name)
N
United Pentecostal
1 401070150355 JOHNRICSON, RAYO F 37686.00 19 San bartolome Del Nacia Quezon City Nueva Ecija Gallaron, Rico Rayo, Sonia
Church
2 406324160850 ALMIRAÑEZ, SEAN CRAIG M 21 Roman Catholic Blk. 3. Lot 13, Eagle St. Brgy. San Bartolome Novaliches, Quezon City NCR Dagdag, Patrick Anthony Dagdag, Geurie

<=== TOTAL MALE

1 136529100973 RAMOS, EIA SAMANTHA, BALILA F 38631.00 17 Roman Catholic 8 maligaya st. Brgy. Gulod Novaliches, Quezon City Emery O. Ramos Cristine Ivy B. Balila
32 e Pipit st. Villilia Village
2 136524100661 MANALOTO, ELAIZA JHANE, NAVOA F JULY38127.00 18 Roman Catholic Talipapa
Talipapa Quezon City Laguna Manaloto, Fernando Belches Jr. Manaloto, Erlinda Navo
Brgy Manil Paculan,
136529100010 ABOBO, RHEINA ROSE F 28,200 17 Roman Catholic 54 Atherton Residence
RAINBOW 1 HOMES, BLK Sauyo
Quezon City
a
Abobo, Ringo Jim
Gladys
3 406447150210 ANG, CHARLENE GRACE, BICERA F March504, 2004 18 Roman catholic 7 LOT 9 GOLDEN PEACOCK SAN BARTOLOME QUEZON CITY
BAAO, CAMARINES
SUR
ANG, EDGARDO LUCQUIAO BICERA, JULIET BUS
ST.
<=== TOTAL FEMALE
<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Indic Beginning of the
Code Required Information Indicator Code Required Information REGISTERED End of the Semester
ator Semester
Transf T/O CCT Recipient CCT CCT Control/reference number & Effectivity
erred Date Name of school last attended & Year
Out MALE 2
Balik Aral B/A Specify Exceptionality of the Learner
Specify Level & Effectivity Date
Transf T/I
erred Learner With LWE
In Name of School, Date of 1st Attendance and Date of Last Attendance if FEMALE 4
Transferred Out Exceptionality
Accelerated ACL

TOTAL 6

SFRT 2017
Division QUEZON CITY Region NCR
Track and Strand ACADEMIC STRAND-HUMSS

TS GUARDIAN
(if learner is not Living with Parent) Contact Number REMARKS
Mother's Maiden Name Name of Parent/ (Please refer to the legend)
ast Name, First Name, Name Extension, Middle (Last Name, First Name, Name Relationship Guardian
Name) Extension, Middle Name)

ayo, Sonia 9219142757

gdag, Geurie 9260327495

istine Ivy B. Balila Micaela O. Ramos Grand mother 9150773270

analoto, Erlinda Navoa Makipao Mae N. Manaloto Sister 9219142757
9565392166
CERA, JULIET BUSADRE 9475000238

Prepared By:

Marvin Pame
Signature of Adviser over Printed Name

Beginning of the Semester Date: End of the Semester Date:

SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name SPRINGFIELD SCHOOL OF NOVALICHES School ID 406457 District V Division QUEZON CITY Region NCR

Semester FIRST SEMESTER School Year 2022-2023 Grade Level 11 Track and Strand ACADEMIC STRAND - STEM

Section 11STEM SILFUR B Course/s (only for TVL) N/A Month of AUGUST
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).

1 ABELLARA, ERNEST JANZEN, SARANZA 0

N
2 AUGUSTO, RENZ ALDRIE, PARREÑO 0
A
3 BIGLANG-AWA, JADE PATRICK, BAUTISTA T 0
I
4 CARILO, CEDRICK, GABALES O 0
N
5 DELA CRUZ, CLART JEROME A 0

L
6 ESPULGAR, JHON SYDYRX, DAMPOR 0

H
7 LERY, JULIUS JOSEPH, GABALES E 0

R
8 MALANA, ROMIL, PABLE O 0

E
9 MARGES, JOHN DWAYNE, MONEDA S 0

10 SALES, JIRO MIGUEL, CHIN D

0

A
11 SEGUNTO, JASPER JAMES, TALLEDO 0
Y
12 0

11 <=== MALE | TOTAL Per Day ===> 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 11 11 11 11 0 0 11 11 0 0 0 0

1 AGLIPAY, AMACY GRACE GARCIA 0

2 BARTONICO, JUVY MAE, RODRIGUEZ 0

N
A
3 CARONAN, ROMARIE JOYCE, SECOLLES 0
T
4 CELESTIAL, ANGEL FAITH, GALICINAO I 0
O
5 DELA CRUZ, LORIENEL, SANTOS N 0
A
6 GARCIA, KRISTINE MARIE, TAYAMIN L 0

7 LONTOK, CRISTINE ANGELA H 0

E
8 MOSCOSO, SOPHIA, GONZALES R 0

O
9 QUINALAYO, JAN ALTHEA CHANEL, HAYLAR E 0

S
10 REDOÑA, PATRICIA MAE, RAMOS 0

D
11 SUGAPATAN, ANGEL DIANNE, SARMIENTO A
0

Y
12 VENCIO, LORY ANN 0

13 0

12 <=== FEMALE | TOTAL Per Day ===> 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 12 12 12 0 0 12 12 0 0 0 0

23 Combined TOTAL Per Day 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 23 23 23 0 0 0 23 0 0 0 0

No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for AUGUST 7 M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 11 12 23
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off) 0 0 0
(NLS)
a. Percentage of Enrolment = Registered Learners as of end of the month x 100 Registered Learners as of end of the month 11 12 23
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year 100 100 100
a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
Average Daily Attendance 11 12 23
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
a.4. Family problems
Percentage of Attendance for the month 100 100 100
Average daily attendance Number of students absent for 5 consecutive days 0 0 0
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. 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 b.1. Illness
b.2. Overage
No Longer in School (NLS) 0 0 0
signed by the School Head, this form should be returned to the Class Adviser.
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days
b.5. Poor Academic Performance
Transferred Out 0 0 0
and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In 0 0 0
Shifting Out 0 0 0
c. School-Related Factors Shifting In 0 0 0
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:
Dr. Mario C. Lucero
f. Others (Specify) Signature of School Head over Printed Name
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name SPRINGFIELD SCHOOL OF NOVALICHES School ID 406457 District V Division QUEZON CITY Region NCR

Semester FIRST SEMESTER School Year 2022-2023 Grade Level 11 Track and Strand ACADEMIC STRAND - STEM

Section 11STEM SILFUR B Course/s (only for TVL) N/A Month of SEPTEMBER
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24 26 27 28 29 30 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).

1 ABELLARA, ERNEST JANZEN, SARANZA 0

2 AUGUSTO, RENZ ALDRIE, PARREÑO N

0

O
3 BIGLANG-AWA, JADE PATRICK, BAUTISTA 1
C
L
4 CARILO, CEDRICK, GABALES A 0
S
S
5 DELA CRUZ, CLART JEROME E 0
S
6 ESPULGAR, JHON SYDYRX, DAMPOR D
0

U
E
7 LERY, JULIUS JOSEPH, GABALES 0

T
8 MALANA, ROMIL, PABLE O 0

T
9 MARGES, JOHN DWAYNE, MONEDA Y 0
P
H
10 SALES, JIRO MIGUEL, CHIN O 0
O
N
11 SEGUNTO, JASPER JAMES, TALLEDO 0

12 0

11 <=== MALE | TOTAL Per Day ===> 231 0 0 0 11 11 0 11 11 11 11 11 0 11 11 11 11 11 0 11 11 11 11 11 0 0 11 11 11 11 0 1

1 AGLIPAY, AMACY GRACE GARCIA 0

2 BARTONICO, JUVY MAE, RODRIGUEZ 0

N
3 CARONAN, ROMARIE JOYCE, SECOLLES O 0

C
4 CELESTIAL, ANGEL FAITH, GALICINAO L
0

A
S
5 DELA CRUZ, LORIENEL, SANTOS S
0

E
6 GARCIA, KRISTINE MARIE, TAYAMIN S 0

D
7 LONTOK, CRISTINE ANGELA U 0
E

8 MOSCOSO, SOPHIA, GONZALES T 0

O
9 QUINALAYO, JAN ALTHEA CHANEL, HAYLAR T 0
Y
P
10 REDOÑA, PATRICIA MAE, RAMOS H
0

O
11 SUGAPATAN, ANGEL DIANNE, SARMIENTO O 0
N

12 VENCIO, LORY ANN 0

13 0

12 <=== FEMALE | TOTAL Per Day ===> 252 0 0 0 12 12 0 12 12 12 12 12 0 12 12 12 12 12 0 12 12 12 12 12 0 0 12 12 12 12 0 0

23 Combined TOTAL Per Day 483 0 0 0 23 23 0 23 23 23 23 23 0 23 23 23 23 23 0 23 23 23 23 23 0 0 23 23 23 23 0 1

No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for SEPTEMBER 22 M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 11 12 23
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off) 0 0 0
(NLS)
a. Percentage of Enrolment = Registered Learners as of end of the month x 100 Registered Learners as of end of the month 11 12 23
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year 100 100 100
a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
Average Daily Attendance 11 12 100
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
a.4. Family problems
Percentage of Attendance for the month 100 100 100
Average daily attendance Number of students absent for 5 consecutive days 0 0 0
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. 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 b.1. Illness
b.2. Overage
No Longer in School (NLS) 0 0 0
signed by the School Head, this form should be returned to the Class Adviser.
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days
b.5. Poor Academic Performance
Transferred Out 0 0 0
and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In 0 0 0
Shifting Out 0 0 0
c. School-Related Factors Shifting In 0 0 0
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:
Dr. Mario C. Lucero
f. Others (Specify) Signature of School Head over Printed Name
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name SPRINGFIELD SCHOOL OF NOVALICHES School ID 406457 District V Division QUEZON CITY Region NCR

Semester FIRST SEMESTER School Year 2022-2023 Grade Level 11 Track and Strand ACADEMIC STRAND - STEM

Section 11STEM SILFUR B Course/s (only for TVL) N/A Month of OCTOBER
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).

1 ABELLARA, ERNEST JANZEN, SARANZA 0

2 AUGUSTO, RENZ ALDRIE, PARREÑO 0
3 BIGLANG-AWA, JADE PATRICK, BAUTISTA 0
4 CARILO, CEDRICK, GABALES 0
5 DELA CRUZ, CLART JEROME 0
6 ESPULGAR, JHON SYDYRX, DAMPOR 0
7 LERY, JULIUS JOSEPH, GABALES 0
8 MALANA, ROMIL, PABLE 0
9 MARGES, JOHN DWAYNE, MONEDA 0
10 SALES, JIRO MIGUEL, CHIN 0
11 SEGUNTO, JASPER JAMES, TALLEDO 0
12 0
11 <=== MALE | TOTAL Per Day ===> 30 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
1 AGLIPAY, AMACY GRACE GARCIA 0
2 BARTONICO, JUVY MAE, RODRIGUEZ 0
3 CARONAN, ROMARIE JOYCE, SECOLLES 0
4 CELESTIAL, ANGEL FAITH, GALICINAO 0
5 DELA CRUZ, LORIENEL, SANTOS 0
6 GARCIA, KRISTINE MARIE, TAYAMIN 0
7 LONTOK, CRISTINE ANGELA 0
8 MOSCOSO, SOPHIA, GONZALES 0
9 QUINALAYO, JAN ALTHEA CHANEL, HAYLAR 0
10 REDOÑA, PATRICIA MAE, RAMOS 0
11 SUGAPATAN, ANGEL DIANNE, SARMIENTO 0
12 VENCIO, LORY ANN 0
13 0
12 <=== FEMALE | TOTAL Per Day ===> 30 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
23 Combined TOTAL Per Day 60 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0
No. of Days of Classes:
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for OCTOBER M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 11 12 23
2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off) 0 0 0
(NLS)
a. Percentage of Enrolment = Registered Learners as of end of the month x 100 Registered Learners as of end of the month 11 12 23
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year 100 100 100
a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
Average Daily Attendance 11 12 23
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling
a.4. Family problems
Percentage of Attendance for the month 100 100 100
Average daily attendance Number of students absent for 5 consecutive days 0 0 0
c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. 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 b.1. Illness
b.2. Overage
No Longer in School (NLS) 0 0 0
signed by the School Head, this form should be returned to the Class Adviser.
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days
b.5. Poor Academic Performance
Transferred Out 0 0 0
and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In 0 0 0
Shifting Out 0 0 0
c. School-Related Factors Shifting In 0 0 0
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:
Dr. Mario C. Lucero
f. Others (Specify) Signature of School Head over Printed Name
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name SPRINGFIELD SCHOOL OF NOVALICHES School ID 406457 District V Division QUEZON CITY Region NCR

Semester FIRST SEMESTER School Year 2022-2023 Grade Level 11 Track and Strand ACADEMIC STRAND - STEM

Section 11STEM SILFUR B Course/s (only for TVL) N/A Month of NOVEMBER
DATE
NAME Total for the Month REMARKS
No. (Last Name, First Name, Name Extension, Middle 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 30 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY
Track/Strand/Program).

1 ABELLARA, ERNEST JANZEN, SARANZA 0

2 AUGUSTO, RENZ ALDRIE, PARREÑO 0
3 BIGLANG-AWA, JADE PATRICK, BAUTISTA 0
4 CARILO, CEDRICK, GABALES 0
5 DELA CRUZ, CLART JEROME 0
6 ESPULGAR, JHON SYDYRX, DAMPOR 0
7 LERY, JULIUS JOSEPH, GABALES 0
8 MALANA, ROMIL, PABLE 0
9 MARGES, JOHN DWAYNE, MONEDA 0
10 SALES, JIRO MIGUEL, CHIN 0
11 SEGUNTO, JASPER JAMES, TALLEDO 0
12 0
11 <=== MALE | TOTAL Per Day ===> 30 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
1 AGLIPAY, AMACY GRACE GARCIA 0
2 BARTONICO, JUVY MAE, RODRIGUEZ 0
3 CARONAN, ROMARIE JOYCE, SECOLLES 0
4 CELESTIAL, ANGEL FAITH, GALICINAO 0
5 DELA CRUZ, LORIENEL, SANTOS 0
6 GARCIA, KRISTINE MARIE, TAYAMIN 0
7 LONTOK, CRISTINE ANGELA 0
8 MOSCOSO, SOPHIA, GONZALES 0
9 QUINALAYO, JAN ALTHEA CHANEL, HAYLAR 0
10 REDOÑA, PATRICIA MAE, RAMOS 0
11 SUGAPATAN, ANGEL DIANNE, SARMIENTO 0
12 VENCIO, LORY ANN 0
13 0
12 <=== FEMALE | TOTAL Per Day ===> 30 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0
23 Combined TOTAL Per Day 60 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0
No. of Days of Classes:
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for OCTOBER M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)
* Enrolment (as of 1st Friday of the semester)

2. REASONS/CAUSES FOR NO LONGER IN SCHOOL Late Enrolment during the month (beyond cut-off)

a. Percentage of Enrolment = x 100 (NLS)

Registered Learners as of end of the month Registered Learners as of end of the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year
a. Domestic-Related Factors Percentage of Enrolment as of end of the month
a.1. Had to take care of siblings Average Daily Attendance
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance =
Number of School Days in reporting month a.3. Parents' attitude toward schooling Percentage of Attendance for the month
a.4. Family problems

Average daily attendance Number of students absent for 5 consecutive days 0 0 0

c. Percentage of Attendance for the month = x 100
Registered Learners as of end of the month
b. Individual-Related Factors
3. 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 b.1. Illness
b.2. Overage
No Longer in School (NLS) 0 0 0
signed by the School Head, this form should be returned to the Class Adviser.
b.4. Drug Abuse
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days
b.5. Poor Academic Performance
Transferred Out 0 0 0
and/or those at risk of dropping out. b.6. Lack of Interest/Distractions
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.7. Hunger/Malnutrition Transferred In 0 0 0
Shifting Out 0 0 0
c. School-Related Factors Shifting In 0 0 0
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
I certify that this report is true and correct:
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters Signature of Class Adviser over Printed Name

e. Financial-Related
e.1. Child labor, work Attested By:
Dr. Mario C. Lucero
f. Others (Specify) Signature of School Head over Printed Name
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
School Name School ID District Division Region
Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME REMARKS/ACTION TAKEN

No. (Last Name, First Name, Name Extension, (Please refer to the codes below)
Middle Name) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
TOTAL MALE ===>
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
TOTAL FEMALE ===>
COMBINED ===>

GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
Prepared By:
1. Title of Books Issued to each learner must be recorded by the Class Adviser. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form. B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form.
4. The Total Number of Copies of Books Returned shall be reflected in the form.
FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code
5. All textbooks being used must be included. Additional copies of this form may be used if needed. TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
Signature of Class Adviser over Printed Name
School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SHS)

School Name District Division Region

School ID Semester School Year For the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT SHIFTED IN

REGISTERED
LEARNERS (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as Number as
(B) Total for
Number as of Number as
(B) Total for
Number as of Number as
(B) Total for
Number as of
of the Month) Average Month the Month the Month the Month the Month the Month
of Previous End of the of Previous of End of the of Previous End of the of Previous End of the of Previous End of the
Month Month Month Month Month Month Month Month Month Month

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 M F T M F T M F T M F T M F T M F T

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12

GRAND TOTAL

Prepared and Submitted By:

Signature of School Head over Printed Name

School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)
School Name School ID District Division Region

Semester School Year Grade Level Section

Track and Strand Course/s (only for TVL)

BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)

MALE
SUMMARY TABLE 1ST SEM
STATUS MALE FEMALE TOTAL
COMPLETE
INCOMPLETE
TOTAL

SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL
COMPLETE
INCOMPLETE
TOTAL

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL
REGULAR
IRREGULAR
TOTAL

FEMALE

Prepared By:

Signature of Class Adviser over Printed Name

Certified Correct By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These
data elements shall be filled up only after the 2nd semester or at the end of the School Year.

INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School (NLS)

End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name School ID District Division Region
Semester School Year Section
Track and Strand Course/s (only for TVL)

Completed SHS in
2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification Level
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)

MALE

SUMMARY TABLE A
STATUS MALE FEMALE TOTAL

Learners who
completed SHS
Program within 2
SYs or 4
semesters

Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters

TOTAL

SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL

Note: NCs are recorded here for documentation but is not a requirement for
graduation.
Note: NCs are recorded here for documentation but is not a requirement for
graduation.

GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.

FEMALE
Reviewed By:

Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)

School Name School ID District Division Region

Semester School Year

END OF SCHOOL YEAR

END OF SEMESTER STATUS
(Fill up only at the end of the second semester.)

GRADE LEVEL
COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR TOTAL

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

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL

Prepared and Submitted By: Reviewed & Validated By: Noted By:
Signature of School Head over Printed Name Signature of Division Representative over Printed Name Signature of Division Superintendent over Printed Name
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school total.
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for End of School Year shall be accomplished at the end of SY or every after the 2nd semester
4. Protocols of validation & submission are under the discretion of the Schools Division Superintendent.
School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
School Name School ID District Division Region
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

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

Remarks:
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Nature of *For Detailed Items, Indicate
Appointment/ name of school/office,
Employee Grade and *For IP - Ethnicity)
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Subjects Taught, Advisory Sections
Total Actual *For additional loads from
Identification (Arrange by Sex Status Class & Other Ancillary (Enumerate DAY
Source Designation Degree/ Specialization/ sections (M/T/W/T From To Teaching JHS- please indicate the number
Number - Position, Descending) (Regular/ Minor Assignments
T.I.N.) Probationary/ Postgraduate Specialized taught) (00:00) (00:00) Minutes per of teaching minutes per week)
H/F)
Part Time) Training Attended Week

First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day

GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movement of teachers and other
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lowest. Signature of School Head over Printed Name
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only. Updated as of:

School Form 7, Page ___ of ________

SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)

School Name District Division Region

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

Learner's Name
Birthdate Weight Height Height² Nutritional Status Height for
No. LRN (Last Name, First Name, Name Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category Age (HFA)
Extension, Middle Name) (kg/m²)
MALE

FEMALE

SFRT 2017
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE
FEMALE
TOTAL

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

SFRT 2017

SFRT 2017