School Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID 126791 Region X Division BUKIDNON District SUMILAO

School Name SAN VICENTE ELEMENTARY SCHOOL School Year 2020-2021 Grade Level III Section WATERMELON

ADDRESS PARENTS GUARDIAN REMARKS

(If not Parent)
NAME Sex BIRTH DATE AGEFriday
as of MOTHER IP Contact Number
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) 1stJune TONGUE (Ethnic RELIGION House #/ Father's Name (Last Name, Mother's Maiden Name (Last of Parent or
Group) Street/ Sitio/ Barangay Municipality/ Province First Name, Middle Name) Name, First Name, Middle Name Relation-ship Guardian (Please refer to the
Purok City Name) legend on last page)

126791170068 ANCHETA KIM NETHAN GUINAYON M 2/18/2012 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON ANCHETA HEROLITO GUINAYON MELLIZA
Y SEBUA DANTE
126791140080 ANLICAO JAY-M ENDEREZ M 11/16/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON ANLICAO REMEE ENDEREZ VIRGINIA DIAO
Y BAGANAO
126791150022 AREVALO JOHN JOSEPH BUNA M 10/18/10 10 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON AREVALO JOUIE BUNA ROSEMARIE
Y SOHENTO LABRADO
126791160058 BANTOG JOVHANNIE JAMES LIGMON M 7/22/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON BANTOG JOEL PITAO LIGMON ANNIE FE
Y TUMINHAY
126791120067 BINAYAO JOHN CLAIRE DAGSA-ON M 4/6/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON BINAYAO ESULABE DAGSA-ON DONIZA
Y
126791170045 DAGSA-ON GERALD VILLARA M 8/9/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON DAGSA-ON JENAR VILLARA JENEFER
###
Y PAQUERA BAGANAO
126791170018 DATU KENT JAY ANLICAO M 3/6/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON DATU REGIE ARIANO ANLICAO DULCE AMOR
Y LINDOGAN
126791140091 GALARRITA KINNETH ECLAY M 7/9/09 11 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON GALARRITA RUSSEL ECLAY MERLITA ASTON
Y LIGAYAO
126791170024 GENOSAS JOHN PAUL BUCLASAN M 4/5/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON GENOSAS RENE BOY BUCLASAH CERAME
Y ANTIDO DATU
126791170019 ILAO ABRSHUN KYLE LEGASPE M 4/25/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON ILAO BENJAMIN LEGASPE ROWELA
Y DAGSA-ON PAMISARAN
126791170020 LAUSA JAYMART M 7/6/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON LAUSA ARGENTINA
Y CABANA
126791170021 LAUSA RYAN RIVERA M 7/2/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON LAUSA RODRIGO MAG- RIVERA EDENA
Y ASO OBEDENCIO
126791150029 LIGMON DAVID ANLICAO M 6/10/09 11 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON LIGMON EDISON ANLICAO NOEME
Y DIATAO KILEMAN
126791170051 MALAZARTE CYRIEL JAMES ANLICAO M 5/31/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON MALAZARTE REGIE ANLICAO PERLITA
Y PADRONES DALAHIGON
126791170022 OPSIONAR ANTHONY JAMES ESCONAR M 8/26/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON OPSIONAR ELIVER ECONAS ROSELYN
Y AGANG LAUSA
126791170023 ORQUILLAS ROGENIEL DWAYNE MERIDA M 8/25/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON ORQUILLAS ROGER MERIDA ELGINE PAHINA
Y
126791170049 SALAGIA ALEXANDER SANDAG M 3/20/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON SALAGIA BENJIE SANDAG SENIETHRA
Y ANLICAO PEDOHAN
126500160110 TUMINHAY GIAN KENN M 7/24/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON TUMINHAY RODERICK ENCARNACION IRENE
Y MANYAG MABAGA
18 <=== TOTAL MALE

126791170025 ANLICAO EC ABUNDA F 12/24/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON ANLICAO CESARIO ABUNDA AILYN HONLAY
Y MACABINLAR
126791170043 BALUTIC MARIA PRECIOUS ANLICAO F 3/20/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON BALUTIC MARVIN ANLICAO MARY ANN
Y SUMAT LORENZA
126791170043 DAGSA-ON GELYN DANTE F 1/22/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON DAGSA-ON DENNIS DANTE MARGIELYN
Y PAGUIRA BAYABAYA
126791170026 DAGSA-ON JOCELYN PECHORA F CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON
Y
126791170027 DAGSA-ON KATHRYN MAE ROSALES F 11/13/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON DAGSA-ON KENIE ROSALES REGINA
Y LAWSA MELISTON
 ADDRESS PARENTS GUARDIAN REMARKS
(If not Parent)
NAME Sex BIRTH DATE AGEFriday
as of MOTHER IP Contact Number
LRN (Last Name, First Name, Middle Name) (M/F) (mm/dd/ yyyy) 1stJune TONGUE (Ethnic RELIGION House #/ Father's Name (Last Name, Mother's Maiden Name (Last of Parent or
Group) Street/ Sitio/ Barangay Municipality/ Province First Name, Middle Name) Name, First Name, Middle Name Relation-ship Guardian (Please refer to the
Purok City Name) legend on last page)

126791160049 DAGSA-ON REY JANE PAGUIRA F 11/16/10 10 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON DAGSA-ON DOMINGO PAGUIRA ELEITA
Y ANLICAO BALUNSAY
GALARRITA CHARMALEE LOVE F CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON
Y
126791170028 GALARRITA RHEANN MIEL CULTURA F 4/22/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON GALARRITA REDFORD CULTURA MONA
Y BRYAN FELISILDA GANAHON
126791170056 GAYONAN MAE SHANE TUTO F 6/3/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON GAYONAN JEACHEM TUTO MARY JANE
Y REY SOHENTO BAYANBAN
126791170033 SERONA JEA ANLICAO F 1/29/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON SERONA JANSAN ANLICAO ELVIRA
Y SUCLI MACABINLAR
126791170069 SERONA JEZZA MAE BAGANAO F 8/13/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON SERONA GENALYN
Y
126791170026 SOHENTO ALIYAH CMACHO F 1/9/11 9 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON SOHENTO ALDIN REY CAMACHO NANETH
Y TIGUMAN DIEGO
126791170034 VILLAROZA MERY JANE ILAO F 5/31/12 8 CEBUANO CHRISTIANIT SAN VICENTE SUMILAO BUKIDNON VILLAROSA FELIX ILAO ILYOLA DAGSA-ON
Y
<=== TOTAL FEMALE
13
31 <=== COMBINED

List and Code of Indicators under REMARKS column

Prepared by: Certified Correct:
Indicator Code Required Information Code Required Information REGISTERED BoSY EoSY

Transferred Out T/O Name of Public (P) Private (PR) School & Effectivity Date CCT CCT Control/reference number & Effectivity Date MALE
SHELLA AMOUR B. CENTINO CHRISTOPHER G. FLORES
(Signature of Adviser over Printed Name) (Signature of School Head over Printed Name)
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date LWD Specify

TOTAL
Late Enrollment LE Reason (Enrollment beyond 1st Friday of June) ACL Specify Level & Effectivity Data BoSY Date: EoSYDate: BoSY Date: EoSYDate:
 School Form 2 (SF2) Daily Attendance Report of Learners
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID 126791 School Year 2020-2021 Report for the Month of JULY

Name of School SAN VICENTE ELEMENTARY SCHOOL Grade Level III Section WATERMELON

(1st row for date) Total for the

LEARNER'S NAME Month REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First Name, Middle to legend number 2.
Name) If TRANSFERRED IN/OUT, write the name of School.)
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 ABSENT TARDY
1 ANCHETA KIM NETHAN GUINAYON

2 ANLICAO JAY-M ENDEREZ

3 AREVALO, JHON JOSEPH BUNA

4 BANTOG, JOVHANNIE JAMES LIGMON

5 BINAYAO, JHON CLAIRE DAGSA-ON

6 DAGSA-ON GERALD VILLARA

7 DATU, KENT JAY ANLICAO

8 GALARRITA,KINNETH ECLAY
9 GENOSAS, JHON PAUL BUCLASAN

10 ILAO, ABRISHUN KYLE LEGASPE

11 LAUSA, JAYMART

12 LAUSA RYAN RIVERA

13 LIGMON, DAVID ANLICAO

14 MALAZARTE, CYRIEL JAMES ANLICAO

15 OPSIONAR ANTHONY JAMES ESCONAR

16 ORQUILLAS ROGENIEL DWAYNE MERIDA

17 SALAGIA, ALEXANDER

18 TUMINHAY GIANN KENN

MALE | TOTAL Per Day

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18

18
1 ANLICAO, EC BUNA

2 BALUTIC, MARIA PRECIOUS ANLICAO

3 DAGSA-ON GELYN DANTE

4 DAGSA-ON JOCELYN PECHORA

5 DAGSA-ON KATHRYN MAE ROSALES

6 DAGSA-ON REY JANE PAGUIRA

7 GALARRITA, CHARMALEE LOVE

8 GALARRITA, RHEANN MIEL CULTURA

9 GAYONAN, MAE SHANE TUTO

10 SERONA,JEA ANLICAO

11 SERONA,JEZZA MAE BAGANAO

12 SOHENTO, ALIYAH CMACHO

13 VILLAROZA MERY JANE ILAO

 (1st row for date) Total for the
LEARNER'S NAME Month REMARKS (If DROPPED OUT, state reason, please refer
(Last Name, First Name, Middle to legend number 2.
Name) If TRANSFERRED IN/OUT, write the name of School.)
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 ABSENT TARDY

FEMALE | TOTAL Per Day 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13

Combined TOTAL PER DAY 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: No. of Days of Summary

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. Classes: M F TOTAL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June) 18 13 31
3. To compute the following: 2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100 (beyond cut-off)
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings
Total Daily Attendance a.2. Early marriage/pregnancy
b. Average Daily Attendance = Registered Learners as of end of the month 18 13 31
Number of School Days in reporting month a.3. Parents' attitude toward schooling
Average daily attendance a.4. Family problems
c. Percentage of Attendance for the month = x 100 Percentage of Enrolment as of end of the month
Registered Learners as of end of the month b. Individual-Related Factors
b.1. Illness
Average Daily Attendance
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 b.2. Overage
Form 4. Once signed by the principal, this form should be returned to the adviser. b.3. Death
Percentage of Attendance for the month 100% 100% 100%
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive b.4. Drug Abuse
days and/or those at risk of dropping out. b.5. Poor academic performance
Number of students absent for 5 consecutive days:
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. b.6. Lack of interest/Distractions
* Beginning of School Year cut-off report is every 1st Friday of the School Year b.7. Hunger/Malnutrition
Drop out 0 0 0
c. School-Related Factors
c.1. Teacher Factor
Transferred out 0 0 0
c.2. Physical condition of classroom
c.3. Peer influence
Transferred in 0 0 0
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 and correct report.
d.3. Calamities/Disasters
e. Financial-Related SHELLA AMOUR B. CENTINO
e.1. Child labor, work (Signature of Teacher over Printed Name)
f. Others (Specify)
Attested by:
School Form 2 : Page ___ of ________ ROWENA V. OLEMBERIO
(Signature of School Head over Printed Name)
 School Form 3 (SF3) Books Issued and Returned
(This replaces Form 1 & Inventory of Textbooks)

School ID 126791 School Year 2020-2021

School Name SAN VICENTE ELEMENTARY SCHOOL Grade Level III Section WATERMELON
Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First Name, Middle (Please refer to the
Name) Date Date Date Date Date Date Date Date legend on last page)

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned
 Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title Subject Area & Title

LEARNER'S NAME REMARKS/ACTION TAKEN

NO. (Last Name, First Name, Middle (Please refer to the
Name) Date Date Date Date Date Date Date Date legend on last page)

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

TOTAL FOR MALE | TOTAL COPIES

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

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.
2. The Date of Issuance and the Date of Return shall be reflected in the form. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
3. The Total Number of Copies issued at BoSY 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 (Signature over printed name)
code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, s.2001, DO#25, s.2003, Date BoSY:____________ Date EoSY: ___________
5. All textbooks being used must be included. Additional copies of this form may be used if needed. DO#14, 2.2012.
 School Form 4 (SF4) Monthly Learner's Movement and Attendance
(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School ID Region Division District

School Name School Year Report for the Month of

ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

REGISTERED
GRADE/ LEARNERS
YEAR SECTION NAME OF ADVISER (As of End of
Daily Average Percentage for (A) Cumulative as (B) For the Month (A+B) Cumulative (A) Cumulative as
as of End of the of
(A+B) Cumulative (A) Cumulative as (A+B)
LEVEL the Month) the Month of Previous Month Month Previous Month (B) For the Month as ofMonth
End of the of Previous Month (B) For the Month Cumulative as of
End of the 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

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: Prepared and Submitted by:
1. This form shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
2. Furnish the Division Office with a copy a week after June 30, October 30 & March 31
 (Signature of School Head over Printed Name)
Page _____ of _____ pages
 School Form 5 (SF 5) Report on Promotion & Level of Proficiency
(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Division District

School ID School Year Curriculum

School Name Grade Level Section

INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE in High School. Elementary grades level that are still implementing
LEARNER'S NAME (Numerical Value in ACTION TAKEN:
PROMOTED, RBEC need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) 2 decimal places and IRREGULAR
3 decimal places for RETAINED or
honor learners, and From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year

SUMMARY TABLE

STATUS MALE FEMALE TOTAL

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY

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)
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE in High School. Elementary grades level that are still implementing
LEARNER'S NAME (Numerical Value in ACTION TAKEN:
PROMOTED, RBEC need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) 2 decimal places and IRREGULAR
3 decimal places for RETAINED or
honor learners, and From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year ADVANCED
(A: 90% and
TOTAL MALE 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 rating per

subject area should be taken from the record of subject
teachers. The class adviser should compute for the
General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and *irregular (*for grade 7
onwards only) and the level of proficiency according to
the individual General Average.

4. Must tally with the total enrollment report as of End

of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the

discretion of the Schools Division Superintendent
 INCOMPLETE SUBJECT/S
GENERAL (This column is for K to 12 Curriculum and remaining RBEC
AVERAGE in High School. Elementary grades level that are still implementing
LEARNER'S NAME (Numerical Value in ACTION TAKEN:
PROMOTED, RBEC need not to fill up these columns)
LRN
(Last Name, First Name, Middle Name) 2 decimal places and IRREGULAR
3 decimal places for RETAINED or
honor learners, and From previous school years
Descriptive Letter) completed as of end of current As of end of current School Year
School Year
5. Protocols of validation & submission is under the
discretion of the Schools Division Superintendent
TOTAL FEMALE

COMBINED School Form 5: Page ____ of ________

 School Form 6 (SF6)
Summarized Report on Promotion and Level of Proficiency
(This replaces Form 20)

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 TOTAL
SUMMARY TABLE

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

PROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL 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: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT
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. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per grade level is reflected in the End of School Year Report of GESP/GSSP.
4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
 School Form 7 (SF7) School Personnel Assignment List and Basic Profile
(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID Region Division

School Name District School Year

(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non Teaching Items (C ) Other Appointments and Funding Sources

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

EDUCATIONAL QUALIFICATION Daily Program (time duration)

Subject Taught Remarks (For
Employee Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Detailed Items,
Identification (Arrange by Sex DAY Total Actual Indicate name of
Number - Position, Descending) Source Designation Employment Degree / Post Major/ Class & Other From To Teaching school/office, For
T.I.N.) Status Graduate Specialization Minor Ancillary (M/T/W/ (00:00) (00:00) Minutes per
Assignments TH/F) IP's -Ethnicity)
Week

Ave. Minutes per Day

Ave. Minutes per Day

 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
Employee Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Detailed Items,
Identification (Arrange by Sex DAY Total Actual Indicate name of
Number - Position, Descending) Source Designation Employment Degree / Post Major/ Class & Other From To Teaching school/office, For
T.I.N.) Status Graduate Specialization Minor Ancillary (M/T/W/ (00:00) (00:00) Minutes per
Assignments 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

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 the school year, an
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 rank down to the lowest. (Signature of School Head over Printed Name)
3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.
 EDUCATIONAL QUALIFICATION Daily Program (time duration)
Subject Taught Remarks (For
Employee Nature of (include Grade &
No. (or Tax Name of School Personnel Fund Position/ Appointment/ Section), Advisory Detailed Items,
Identification (Arrange by Sex DAY Total Actual Indicate name of
Number - Position, Descending) Source Designation Employment Degree / Post Major/ Class & Other From To Teaching school/office, For
T.I.N.) Status Graduate Specialization Minor Ancillary (M/T/W/ (00:00) (00:00) Minutes per
Assignments TH/F) IP's -Ethnicity)
Week

4. Daily Program Column is for teaching personnel only. Updated as of: ___________________________
School Form 7, Page ___ of ________
Compatibility Report for FORM [Link]
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The following features in this workbook are not supported by earlier versions
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Minor loss of fidelity # of occurrences

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by the selected file format. These formats will be converted to the closest
format available.
 Version

Excel 97-2003
Compatibility Report for FORM [Link]
Run on 10/01/2021 10:49

The following features in this workbook are not supported by earlier versions
of Excel. These features may be lost or degraded when opening this workbook
in an earlier version of Excel or if you save this workbook in an earlier file
format.

Minor loss of fidelity # of occurrences

Some cells or styles in this workbook contain formatting that is not supported 5
by the selected file format. These formats will be converted to the closest
format available.
 Version

Excel 97-2003
Compatibility Report for FORM [Link]
Run on 10/01/2021 10:57

The following features in this workbook are not supported by earlier versions
of Excel. These features may be lost or degraded when opening this workbook
in an earlier version of Excel or if you save this workbook in an earlier file
format.

Minor loss of fidelity # of occurrences

Some cells or styles in this workbook contain formatting that is not supported 5
by the selected file format. These formats will be converted to the closest
format available.
 Version

Excel 97-2003