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SUN
0
4
11
18
25
0
MON
0
5
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26
0
TUE
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6
13
20
27
0
WED
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7
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11
18
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0
THU
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19
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0
0
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13
20
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0
0
SAT
7
14
21
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0
0
SUN
1
8
15
22
29
0
MON
2
9
16
23
30
0
TUE
3
10
17
24
31
0
WED
4
11
18
25
0
0
THU
5
12
19
26
0
0
FRI
6
13
20
27
0
0
SAT
7
14
21
28
0
0
SUN
0
5
12
19
26
0
MON
0
6
13
20
27
0
TUE
0
7
14
21
28
0
WED
1
8
15
22
29
0
THU
2
9
16
23
30
0
FRI
3
10
17
24
0
0
SAT
4
11
18
25
0
0
SUN
0
3
10
17
24
31
MON
0
4
11
18
25
0
TUE
0
5
12
19
26
0
WED
0
6
13
20
27
0
THU
0
7
14
21
28
0
FRI
1
8
15
22
29
0
SAT
2
9
16
23
30
0
SUN
0
7
14
21
28
0
MON
1
8
15
22
29
0
TUE
2
9
16
23
30
0
WED
3
10
17
24
0
0
THU
4
11
18
25
0
0
FRI
5
12
19
26
0
0
SAT
6
13
20
27
0
0
SUN
0
5
12
19
26
0
MON
0
6
13
20
27
0
TUE
0
7
14
21
28
0
WED
1
8
15
22
29
0
THU
2
9
16
23
30
0
FRI
3
10
17
24
31
0
SAT
4
11
18
25
0
0
SUN
0
2
9
16
23
30
MON
0
3
10
17
24
31
TUE
0
4
11
18
25
0
WED
0
5
12
19
26
0
THU
0
6
13
20
27
0
FRI
0
7
14
21
28
0
SAT
1
8
15
22
29
0
SUN
0
6
13
20
27
0
MON
0
7
14
21
28
0
TUE
1
8
15
22
29
0
WED
2
9
16
23
30
0
THU
3
10
17
24
0
0
FRI
4
11
18
25
0
0
SAT
5
12
19
26
0
0
SUN
0
4
11
18
25
0
MON
0
5
12
19
26
0
TUE
0
6
13
20
27
0
WED
0
7
14
21
28
0
THU
1
8
15
22
29
0
FRI
2
9
16
23
30
0
SAT
3
10
17
24
31
0
SUN
1
8
15
22
29
0
MON
2
9
16
23
30
0
TUE
3
10
17
24
0
0
WED
4
11
18
25
0
0
THU
5
12
19
26
0
0
FRI
6
13
20
27
0
0
SAT
7
14
21
28
0
0
SUN
0
6
13
20
27
0
MON
0
7
14
21
28
0
TUE
1
8
15
22
29
0
WED
2
9
16
23
30
0
THU
3
10
17
24
31
0
FRI
4
11
18
25
0
0
SAT
5
12
19
26
0
0
2016
SUN
0
3
10
17
24
31
MON
0
4
11
18
25
0
TUE
0
5
12
19
26
0
WED
0
6
13
20
27
0
THU
0
7
14
21
28
0
FRI
1
8
15
22
29
0
SAT
2
9
16
23
30
0
SUN
0
7
14
21
28
0
MON
1
8
15
22
29
0
TUE
2
9
16
23
0
0
WED
3
10
17
24
0
0
THU
4
11
18
25
0
0
FRI
5
12
19
26
0
0
SAT
6
13
20
27
0
0
SUN
0
6
13
20
27
0
MON
0
7
14
21
28
0
TUE
1
8
15
22
29
0
WED
2
9
16
23
30
0
THU
3
10
17
24
31
0
FRI
4
11
18
25
0
0
SAT
5
12
19
26
0
0
SUN
0
3
10
17
24
0
MON
0
4
11
18
25
0
TUE
0
5
12
19
26
0
WED
0
6
13
20
27
0
THU
0
7
14
21
28
0
FRI
1
8
15
22
29
0
SAT
2
9
16
23
30
0
SUN
1
8
15
22
29
0
MON
2
9
16
23
30
0
TUE
3
10
17
24
31
0
WED
4
11
18
25
0
0
THU
5
12
19
26
0
0
FRI
6
13
20
27
0
0
SAT
7
14
21
28
0
0
SUN
0
5
12
19
26
0
MON
0
6
13
20
27
0
TUE
0
7
14
21
28
0
WED
1
8
15
22
29
0
THU
2
9
16
23
30
0
FRI
3
10
17
24
0
0
SAT
4
11
18
25
0
0
SUN
0
3
10
17
24
31
MON
0
4
11
18
25
0
TUE
0
5
12
19
26
0
WED
0
6
13
20
27
0
THU
0
7
14
21
28
0
FRI
1
8
15
22
29
0
SAT
2
9
16
23
30
0
SUN
0
7
14
21
28
0
MON
1
8
15
22
29
0
TUE
2
9
16
23
30
0
WED
3
10
17
24
31
0
THU
4
11
18
25
0
0
FRI
5
12
19
26
0
0
SAT
6
13
20
27
0
0
SUN
0
4
11
18
25
0
MON
0
5
12
19
26
0
TUE
0
6
13
20
27
0
WED
0
7
14
21
28
0
THU
1
8
15
22
29
0
FRI
2
9
16
23
30
0
SAT
3
10
17
24
0
0
SUN
0
2
9
16
23
30
MON
0
3
10
17
24
31
TUE
0
4
11
18
25
0
WED
0
5
12
19
26
0
THU
0
6
13
20
27
0
FRI
0
7
14
21
28
0
SAT
1
8
15
22
29
0
SUN
0
6
13
20
27
0
MON
0
7
14
21
28
0
TUE
1
8
15
22
29
0
WED
2
9
16
23
30
0
THU
3
10
17
24
0
0
FRI
4
11
18
25
0
0
SAT
5
12
19
26
0
0
SUN
0
4
11
18
25
0
MON
0
5
12
19
26
0
TUE
0
6
13
20
27
0
WED
0
7
14
21
28
0
THU
1
8
15
22
29
0
FRI
2
9
16
23
30
0
SAT
3
10
17
24
31
0
PASSIONATE MENTORS
(Facebook Group)
NEEDED
SHAPES
K - 12
Grade
A
Section
IMELDA V. FERNANDEZ
Class Adviser
SONNY P. BACALZO
Principal II
FORM 3
2015
FORM
FORM4 4
FORM 5
FORM 6
JUNE
SCHOOL YEAR
FORM I
2016
FORM 2
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
JANUARY
FEBRUARY
MARCH
APRIL
2015-2016
CLICK THE MONTH YOU
WANT TO SEE.
MS
NATE MENTORS
book Group)
ORM 2
FILL OUT THE
NO. OF CLASSES
22
22
19
21
22
18
14
20
20
21
1
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
2015-2016
JUNE
Grade Level
Section
Total for the Month
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
TH
ABSENT
1
1
1
LEARNER'S NAME
(Last Name, First Name, Middle Name)
12
1
2
3
4
5
6
7
8
9
Asilum, Bleselda C.
Balingit, Aseah Neri G.
Batlanggao, Jusmayn C.
Cabote, Janell R.
Cornejo, Rio Ann R.
Gapuz, Ashley Mei L.
Geronimo, Bea N.
Geronimo, Lexie Anne V.
Geronimo, Mariane Rhea C.
Gudoy, Ronalen N.
Laureta, Sheila M.
Lopez, Kharyel Anne M.
Menosaba, Syra Lian R.
Millan, Susie Marie Y.
Ramos, Micaella O.
Reyes, Kyna Mae L.
Rodico,Joanalyn c.
Ruiz, April Mae F.
Sarmiento, Daniela L.
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
TH
12
11
12
ABSENT
LEARNER'S NAME
(Last Name, First Name, Middle Name)
19
31
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
TH
TH
TH
TH
12
11
12
16
ABSENT
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
0
4
0
Month:
JUNE
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
JUNE
22
Summary
M
TOTAL
21
30
19
31
100%
100%
6%
6%
12
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
JULY
Grade Level
Section
Total for the Month
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
12
11
12
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
TH
TH
TH
TH
TH
12
11
12
16
8
0
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
ABSENT
0
4
0
Month:
JULY
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
JULY
22
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
AUGUST
Grade Level
Section
Total for the Month
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
31
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
12
11
12
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
31
TH
TH
TH
TH
ABSENT
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
31
TH
TH
TH
TH
16
8
0
12
11
12
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
ABSENT
0
4
0
Month:
AUGUST
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
AUGUST
19
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Asilum, Bleselda C.
Balingit, Aseah Neri G.
Batlanggao, Jusmayn C.
Cabote, Janell R.
Cornejo, Rio Ann R.
Gapuz, Ashley Mei L.
Geronimo, Bea N.
Geronimo, Lexie Anne V.
Geronimo, Mariane Rhea C.
Gudoy, Ronalen N.
Laureta, Sheila M.
Lopez, Kharyel Anne M.
Menosaba, Syra Lian R.
Millan, Susie Marie Y.
Ramos, Micaella O.
Reyes, Kyna Mae L.
Rodico,Joanalyn c.
Ruiz, April Mae F.
SEPTEMBER
Grade Level
Section
Total for the Month
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
TH
TH
TH
TH
ABSENT
12
12
12
2015-2016
E
I
D
L
A
D
H
A
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
E
I
D
L
A
D
H
A
A
LEARNER'S NAME
(Last Name, First Name, Middle Name)
19
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
TH
TH
TH
TH
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
ABSENT
Sarmiento, Daniela L.
19
31
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
0
0
0
Month:
SEPTEMBER
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
0
0
EPTEMBER
21
Summary
M
TOTAL
12
19
31
12
19
31
100%
100%
100%
12
19
31
100%
100%
100%
Drop out
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
1
2
3
4
5
6
7
8
9
10
11
12
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Asilum, Bleselda C.
Balingit, Aseah Neri G.
Batlanggao, Jusmayn C.
Cabote, Janell R.
Cornejo, Rio Ann R.
Gapuz, Ashley Mei L.
Geronimo, Bea N.
Geronimo, Lexie Anne V.
Geronimo, Mariane Rhea C.
Gudoy, Ronalen N.
Laureta, Sheila M.
Lopez, Kharyel Anne M.
Menosaba, Syra Lian R.
Millan, Susie Marie Y.
Ramos, Micaella O.
Reyes, Kyna Mae L.
Rodico,Joanalyn c.
Ruiz, April Mae F.
OCTOBER
Grade Level
Section
Total for the Month
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
TH
TH
TH
TH
TH
2015-2016
ABSENT
SEMESTRAL
BREAK
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
SEMESTRAL
BREAK
LEARNER'S NAME
(Last Name, First Name, Middle Name)
19
12
13
14
15
16
19
20
21
22
23
26
27
28
29
30
TH
TH
TH
TH
TH
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
31
ABSENT
Sarmiento, Daniela L.
19
31
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
0
Month:
OCTOBER
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
0
0
OCTOBER
22
Summary
M
TOTAL
12
19
31
12
19
31
100%
100%
100%
12
19
31
100%
100%
100%
0%
0%
0%
Drop out
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
DECEMBER
Grade Level
Section
Total for the Month
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
12
11
12
ABSENT
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
12
11
12
16
8
0
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
ABSENT
13
0
4
0
Month:
DECEMBER
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
ECEMBER
14
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
NOVEMBER
Grade Level
Section
Total for the Month
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
TH
12
11
12
ABSENT
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
10
11
12
13
16
17
18
19
20
23
24
25
26
27
30
TH
TH
TH
TH
12
11
12
16
ABSENT
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
0
4
0
Month:
NOVEMBER
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
OVEMBER
18
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
JANUARY
Grade Level
Section
Total for the Month
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
12
11
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
ABSENT
12
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
12
16
8
0
12
11
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
ABSENT
0
4
0
Month:
JANUARY
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
JANUARY
20
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
FEBRUARY
Grade Level
Section
Total for the Month
10
11
12
15
16
17
18
19
22
23
24
25
26
29
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
10
11
12
15
16
17
18
19
22
23
24
25
26
29
TH
TH
TH
TH
12
11
12
ABSENT
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
10
11
12
15
16
17
18
19
22
23
24
25
26
29
TH
TH
TH
TH
12
11
12
16
ABSENT
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
0
4
0
Month:
FEBRUARY
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
EBRUARY
20
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
MARCH
Grade Level
Section
Total for the Month
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
12
11
12
ABSENT
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
10
11
14
15
16
17
18
21
22
23
24
25
28
29
30
31
TH
TH
TH
TH
TH
12
11
12
16
8
0
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
ABSENT
13
0
4
0
Month:
MARCH
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
MARCH
21
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Year
Name of School
LEARNER'S NAME
(Last Name, First Name, Middle Name)
2015-2016
APRIL
Grade Level
Section
Total for the Month
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
ABSENT
Fernando, Raymond G.
Fernando, Jioswa T.
Lopez, Dexter R.
10
Santos, Alexander T.
11
12
13
14
15
16
17
18
19
20
21
22
23
24
LEARNER'S NAME
(Last Name, First Name, Middle Name)
24
1
Batlanggao, Jusmayn C.
Cabote, Janell R.
Geronimo, Bea N.
12
11
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
ABSENT
12
LEARNER'S NAME
(Last Name, First Name, Middle Name)
33
11
12
13
14
15
18
19
20
21
22
25
26
27
28
29
TH
TH
TH
TH
12
16
8
0
12
11
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners as of end of the month
a. Percentage of Enrolment =
Enrolment as of 1st Friday of the school year
Total Daily Attendance
b. Average Daily Attendance =
Number of School Days in reporting month
Average daily attendance
c. Percentage of Attendance for the month =
Registered Learners as of end of the month
13
ABSENT
0
4
0
Month:
APRIL
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower
for Cutting Classes)
x 100
x 100
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by
the principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of
dropping out.
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
* Enrolment as of (1s
Registered Learners as o
Percentage of Enrolment as
Average Daily A
Percentage of Attendan
Number of students absent
Drop o
Transferre
Transferre
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
(Signature of Te
Attested by:
r the Month
TARDY
BACK
r the Month
TARDY
r the Month
TARDY
0
0
APRIL
Summary
M
TOTAL
21
30
12
24
33
100%
100%
6%
6%
Transferred out
Transferred in
IMELDA V. FERNANDEZ
(Signature of Teacher over Printed Name)
SONNY P. BACALZO
(Signature of School Head over Printed Name)
School ID
102061
School Name
Region I
Division
Pangasinan II
School Year
District
2015-2016
Grade Level
Tayug I
I
Section
June 5, 2015
ADDRESS
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
MOTHER TONGUE
Friday June
102061140001
Defensor, Meriam
11/17/2008
102061140001
Roxas, Mar
2/22/2009
9/25/2009
8/12/2009
6/19/2009
1/25/2009
2/20/2009
9/7/2008
1/7/2009
10
8/19/2009
11
5/7/2009
12
6/21/2009
13
5/14/2009
14
7/30/2008
15
8/6/2009
16
10/1/2009
17
3/26/2009
18
1/23/2009
19
4/15/2009
20
8/6/2009
21
3/1/2009
22
7/8/2008
23
2/15/2009
Iloko
IP
(Ethnic Group)
Ilokano
RELIGION
Roman Catholic
PARENTS
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
Province
Agno
Tayug
Pangasinan
ADDRESS
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
MOTHER TONGUE
Friday June
2/16/2009
2/17/2009
2/18/2009
2/19/2009
2/20/2009
2/21/2009
2/22/2009
2/23/2009
2/24/2009
2/25/2009
2/26/2009
2/27/2009
2/28/2009
3/1/2009
3/2/2009
3/3/2009
3/4/2009
3/5/2009
3/6/2009
3/7/2009
3/8/2009
3/9/2009
3/10/2009
3/11/2009
3/12/2009
3/13/2009
3/14/2009
3/15/2009
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
PARENTS
Province
ADDRESS
LRN
NAME
(Last Name, First Name, Middle Name)
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
AGE as of 1st
MOTHER TONGUE
Friday June
3/16/2009
3/17/2009
3/18/2009
3/19/2009
3/20/2009
3/21/2009
3/22/2009
3/23/2009
3/24/2009
3/25/2009
3/26/2009
3/27/2009
3/28/2009
3/29/2009
3/30/2009
3/31/2009
4/1/2009
4/2/2009
4/3/2009
4/4/2009
4/5/2009
4/6/2009
4/7/2009
4/8/2009
4/9/2009
4/10/2009
4/11/2009
4/12/2009
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
PARENTS
Province
ADDRESS
NAME
(Last Name, First Name, Middle Name)
LRN
Sex
(M/F)
BIRTH DATE
(mm/dd/ yyyy)
4/13/2009
AGE as of 1st
MOTHER TONGUE
Friday June
IP
(Ethnic Group)
RELIGION
House #/ Street/
Sitio/
Purok
Barangay
Municipality/ City
PARENTS
Province
Code
T/O
T/I
DRP
LE
Required Information
Name of Public (P) Private (PR) School & Effectivity Date
Code
Required Information
CCT
B/A
LWD
ACL
Specify
Specify Level & Effectivity Data
REGISTERED
BoSY
MALE
EoSY
Prepared by:
IMELDA V. FERNANDEZ
(Signature of Adviser over Printed Name)
FEMALE
TOTAL
BoSY Date:
EoSYDate:
gI
A
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Lito
Uncle
Contact Number of
Parent or Guardian
9398756117
CCT
BACK
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
BACK
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
BACK
GUARDIAN
(If
REMARKS
not Parent)
Name
Relation-ship
Contact Number of
Parent or Guardian
Certified Correct:
LDA V. FERNANDEZ
of Adviser over Printed Name)
EoSYDate:
SONNY P. BACALZO
(Signature of School Head over Printed Name)
BoSY Date:
EoSYDate:
BACK
School ID
102061
School Name
Region
Division
Pangasinan II
District
School Year
ATTENDANCE
REGISTERED
LEARNERS
(As of End of the
Month)
Tayug I
2015-2016
DROPPED OUT
TRANSFERRED OUT
GRADE/
YEAR LEVEL
SECTION
NAME OF ADVISER
KINDER
MERCIL A. YABUT
18
27
100%
100%
100%
100%
100%
100%
IMELDA V. FERNANDEZ
13
10
23
100%
100%
100%
100%
100%
100%
II
ANITA B. HIDALGO
28
15
43
100%
100%
100%
100%
100%
100%
III
ARCELI U. FONTANILLA
22
29
51
100%
IV
THADDEUS R. FERNANDEZ
12
19
31
100%
100%
100%
100%
100%
100%
MARYJEAN L. SERIOSA
14
14
28
100%
100%
100%
100%
100%
100%
VI
MARISSA L. GOMEZ
18
21
39
100%
100%
100%
100%
100%
100%
Daily Average
100%
100%
100%
100%
100%
(A) Cumulative as of
Previous Month
(A+B) Cumulative as
of End of the Month
(A) Cumulative as of
Previous Month
(A+B) Cumulative as
of End of the Month
ELEMENTARY/SECONDARY:
KINDER
18
27
100%
100%
100%
100%
100%
100%
GRADE I
13
10
23
100%
100%
100%
100%
100%
100%
GRADE II
28
15
43
100%
100%
100%
100%
100%
100%
GRADE III
22
29
51
100%
100%
100%
100%
100%
100%
GRADE IV
12
19
31
100%
100%
100%
100%
100%
100%
GRADE V
14
14
28
100%
100%
100%
100%
100%
100%
GRADE VI
18
21
39
100%
100%
100%
100%
100%
100%
TOTAL
125
117
242
100%
100%
100%
100%
100%
GUIDELINES:
100%
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
Page _____ of _____ pages
B) Cumulative as
nd of the Month
(A) Cumulative as of
Previous Month
(A+B) Cumulative as
of End of the Month
10
SONNY P. BACALZO
(Signature of School Head over Printed Name)
BACK
Region
School ID
Division
102061
School Name
LRN
LEARNER'S NAME
102061140011
102061140012
102061140013
102061140002
102061140003
102061140004
102061140006
102061140007
102061140033
102061140023
102061140010
102061140015
School Year
2015-2016
102061140001
Pangasinan II
GENERAL AVERAGE
(Whole numbers for nonhonor)
88
76
77
88
79
83
77
76
78
78
77
81
80
District
Tayug I
Curriculum
K - 12
Grade Level
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Incomplete Failed
Learning Area/s as of
end of current School
Year
LRN
102061140025
102061140016
102061140017
102061140018
102061140019
102061140024
102061140020
102061140029
102061140021
102061140022
LEARNER'S NAME
TOTAL MALE
13
Cajes, Juliana Joie Carino
Casilla, Vivian Cabobos
Cornejo, Realyn Cabreros
De Lena, Allaiza Jean Cabico
Geronimo, Angeline Santos
Millan, Princess April Ybanez
Morales, Jenny Anne Dela Cruz
Rodico, Aloha Bianca Samosa
Rodriguez, Lovely Ysabelle Agustin
Vino, Khriza Mae Pablico
10
23
Revised as of 3/10/2016 SFRT
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Whole numbers for nonhonor)
90.285
76
77
77
88
77
75
79
90.035
77
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
vement
Tayug I
BACK
K - 12
Section
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
13
10
23
*Conditional
RETAINED
FEMALE
TOTAL
Fairly Satisfactory
( 75-79)
15
Satisfactory
( 80-84)
Very Satisfactory
-89)
( 85
Outstanding
90 -100)
PREPARED BY:
IMELDA V. FERNANDEZ
Class Adviser
SONNY P. BACALZO
Principal II
REVIEWED BY:
Region
School ID
Division
102061
School Name
LRN
102061130010
102061130011
102061130012
102061130013
102061130014
102061130015
102061130016
102061130017
102061130018
102061130019
102061130021
102061130023
102061130024
102061130026
102061130027
102061130029
102061130030
102061140030
102061130031
102061130032
102061140028
102061130033
102061130034
102061130035
102061130037
102061130036
102061130038
Pangasinan II
School Year
2015-2016
LEARNER'S NAME
District
Tayug I
Curriculum
K - 12
Grade Level
GENERAL AVERAGE
(Whole numbers for nonhonor)
95
86
81
74
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
78
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
II
Incomplete Failed
Learning Area/s as of
end of current School
Year
LRN
102061130039
102061130040
102061130043
102061130044
102061130045
102061140031
102061130047
102061130057
102061130049
102061130050
102061130051
102061130053
102061130054
102061130055
102061130056
102061130058
LEARNER'S NAME
15
43
Revised as of 3/10/2016 SFRT
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Whole numbers for nonhonor)
78
Promoted
95
86
81
74
78
78
78
78
78
78
78
78
78
78
78
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
vement
Tayug I
BACK
K - 12
Section
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
28
15
43
*Conditional
RETAINED
Fairly Satisfactory
( 75-79)
24
11
35
Satisfactory
( 80-84)
Very Satisfactory
-89)
Outstanding
90 -100)
( 85
(
PREPARED BY:
ANITA B. HIDALGO
Class Adviser
CERTIFIED CORRECT & SUBMITTED:
SONNY P. BACALZO
Principal II
REVIEWED BY:
GUIDELINES:
1. Do not inlcude Dropouts and Transferred Out (D.O.4, 2014)
2. To be prepared by the Adviser. The Adviser should indicate the General Average
based on the learner's Form 138. Leave blank for Conditional.
3. On the summary table, reflect the total number of learners PROMOTED (Final
Grade of at least 75 in ALL learning areas), RETAINED (Did Not Meet
Expectations in three (3) or more learning areas) and *CONDITIONAL (*Did Not
Meet Expectations in not more than two (2) learning areas) and the Learning
Progress and Achievement according to the individual General Average. All
provisions on classroom assessment and the grading system in the said Order shall
be in effect for all grade levels - Deped Order 29, s. 2015.
4. Did Not Meet Expectations of the Learning Areas. This refers to learning area/s
that the learner had failed as of end of current SY. The learner may be for
remediation or retention.
5. Protocols of validation & submission is under the discretion of the Schools
Division Superintendent.
Region
School ID
Division
102061
School Name
LRN
102061100004
102061130001
102061120004
102061120005
102061120006
102061120007
102061120008
102061120010
102061120011
102061120012
102061130009
102061120013
102061120014
102061120015
102061120016
102061130003
102061120017
102061120019
110242120014
102061130004
102066120060
102061130005
102061120020
102061120058
102061120023
102061120024
102061120025
102061130008
102061120026
102061120028
102061120029
102061120030
102061120031
102061120032
102061120033
Pangasinan II
School Year
2015-2016
LEARNER'S NAME
District
Tayug I
Curriculum
K - 12
Grade Level
GENERAL AVERAGE
(Whole numbers for nonhonor)
81
76
90.062
79
77
79
79
80
83
90.5
80
78
80
80
80
84
81
79
78
77
76
77
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
79
91.625
82
81
88.000
82
90.750
89
89
88
80
77
83
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
III
Learning Area/s as of
end of current School
Year
vement
Tayug I
BACK
K - 12
Section
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
22
29
51
*Conditional
RETAINED
Fairly Satisfactory
( 75-79)
11
18
Satisfactory
( 80-84)
13
22
Very Satisfactory
-89)
Outstanding
90 -100)
( 85
(
PREPARED BY:
ARCELI U. FONTANILLA
Class Adviser
CERTIFIED CORRECT & SUBMITTED:
SONNY P. BACALZO
Principal II
REVIEWED BY:
Region
School ID
Division
102061
School Name
LRN
Pangasinan II
School Year
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
102061110025
83
78
83
83
80
79
79
86
84
81
102061120051
80
83
102061120049
102061120050
136638120227
102061110006
102061110008
102061110009
102061110016
102061110021
102061120053
102061120052
2015-2016
District
Tayug I
Curriculum
K - 12
Grade Level
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
IV
Incomplete Failed
Learning Area/s as of
end of current School
Year
LRN
102061120047
102061110001
102061130028
102061110002
102061110005
102061110011
102061110012
106329110067
102061110013
102061110014
102061130025
102061120046
102061130020
102061110019
102061110022
102061110023
102061110024
102061120055
102061110026
LEARNER'S NAME
TOTAL MALE
12
Asilum, Bleselda Cabarloc
Balingit, Aseah Neri Geronimo
Batlanggao, Jusmayn Cardinez
Cabote, Janell Ruiz
Cornejo, Rio Ann Rodico
Gapuiz, Ashley Mei Lopez
Geronimo, Bea Nitor
Geronimo, Lexie Anne V.
Geronimo, Mariane Rhea Cerenado
Gudoy, Ronalen Nagum
Laureta, Shiela Menosaba
Lopez, Kharyel Anne M.
Menosaba, Syra Lian Ramos
Millan, Susie Marie Ybanez
Ramos, Michaella Orina
Reyes, Kyna Mae Luga
Rodico, Joanalyn Cariaga
Ruiz, April Mae Fernando
Sarmiento, Daniela Lopez
19
31
Revised as of 3/10/2016 SFRT
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Whole numbers for nonhonor)
79
85
84
81
85
84
83
81
82
82
83
90.781
90.375
83
79
82
90.500
82
84
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
Promoted
vement
Tayug I
BACK
K - 12
Section
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
12
19
31
*Conditional
RETAINED
MALE
FEMALE
TOTAL
Fairly Satisfactory
( 75-79)
Satisfactory
( 80-84)
12
20
Very Satisfactory
-89)
( 85
Outstanding
90 -100)
PREPARED BY:
THADDEUS R. FERNANDEZ
Class Adviser
SONNY P. BACALZO
Principal II
REVIEWED BY:
Region
School ID
Division
102061
School Name
LRN
Pangasinan II
School Year
2015-2016
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
District
Tayug I
Curriculum
K - 12
Grade Level
10206134567
Duterte, Mar
95
Promoted
10206134567
Duterte, Mar
86
Promoted
10206134567
Duterte, Mar
81
Promoted
10206134567
Duterte, Mar
74
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
Incomplete Failed
Learning Area/s as of
end of current School
Year
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
78
Promoted
TOTAL MALE
10206134567
Duterte, Mar
95
Promoted
10206134567
Duterte, Mar
86
Promoted
10206134567
Duterte, Mar
81
Promoted
10206134567
Duterte, Mar
74
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
40
80
Revised as of 3/10/2016 SFRT
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Whole numbers for nonhonor)
vement
Tayug I
BACK
K - 12
Section
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
40
40
80
*Conditional
RETAINED
Fairly Satisfactory
( 75-79)
MALE
FEMALE
TOTAL
36
36
72
Fairly Satisfactory
( 75-79)
36
36
72
Satisfactory
( 80-84)
Very Satisfactory
-89)
Outstanding
90 -100)
( 85
PREPARED BY:
MARYJEAN L. SERIOSA
Class Adviser
SONNY P. BACALZO
Principal II
REVIEWED BY:
GUIDELINES:
1. Do not inlcude Dropouts and Transferred Out (D.O.4, 2014)
2. To be prepared by the Adviser. The Adviser should indicate the General Average
based on the learner's Form 138. Leave blank for Conditional.
3. On the summary table, reflect the total number of learners PROMOTED (Final
Grade of at least 75 in ALL learning areas), RETAINED (Did Not Meet
Expectations in three (3) or more learning areas) and *CONDITIONAL (*Did Not
Meet Expectations in not more than two (2) learning areas) and the Learning
Progress and Achievement according to the individual General Average. All
provisions on classroom assessment and the grading system in the said Order shall
be in effect for all grade levels - Deped Order 29, s. 2015.
4. Did Not Meet Expectations of the Learning Areas. This refers to learning area/s
that the learner had failed as of end of current SY. The learner may be for
remediation or retention.
Region
School ID
Division
102061
School Name
LRN
Pangasinan II
School Year
2015-2016
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
District
Tayug I
Curriculum
K - 12
Grade Level
10206134567
Duterte, Mar
95
Promoted
10206134567
Duterte, Mar
86
Promoted
10206134567
Duterte, Mar
81
Promoted
10206134567
Duterte, Mar
74
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
VI
Incomplete Failed
Learning Area/s as of
end of current School
Year
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
78
Promoted
TOTAL MALE
10206134567
Duterte, Mar
95
Promoted
10206134567
Duterte, Mar
86
Promoted
10206134567
Duterte, Mar
81
Promoted
10206134567
Duterte, Mar
74
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
GENERAL AVERAGE
(Whole numbers for nonhonor)
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
10206134567
Duterte, Mar
78
Promoted
LRN
LEARNER'S NAME
40
80
Revised as of 3/10/2016 SFRT
TOTAL FEMALE
COMBINED
GENERAL AVERAGE
(Whole numbers for nonhonor)
vement
Tayug I
BACK
K - 12
Section
SUMMARY TABLE
STATUS
MALE
FEMALE
TOTAL
PROMOTED
40
40
80
*Conditional
RETAINED
Fairly Satisfactory
( 75-79)
MALE
FEMALE
TOTAL
36
36
72
Fairly Satisfactory
( 75-79)
36
36
72
Satisfactory
( 80-84)
Very Satisfactory
-89)
Outstanding
90 -100)
( 85
PREPARED BY:
MARISSA L. GOMEZ
Class Adviser
SONNY P. BACALZO
Principal II
REVIEWED BY:
GUIDELINES:
1. Do not inlcude Dropouts and Transferred Out (D.O.4, 2014)
2. To be prepared by the Adviser. The Adviser should indicate the General Average
based on the learner's Form 138. Leave blank for Conditional.
3. On the summary table, reflect the total number of learners PROMOTED (Final
Grade of at least 75 in ALL learning areas), RETAINED (Did Not Meet
Expectations in three (3) or more learning areas) and *CONDITIONAL (*Did Not
Meet Expectations in not more than two (2) learning areas) and the Learning
Progress and Achievement according to the individual General Average. All
provisions on classroom assessment and the grading system in the said Order shall
be in effect for all grade levels - Deped Order 29, s. 2015.
4. Did Not Meet Expectations of the Learning Areas. This refers to learning area/s
that the learner had failed as of end of current SY. The learner may be for
remediation or retention.
School ID
102061
School Name
Region
GRADE 1 /GRADE 7
GRADE 2 / GRADE 8
GRADE 3 / GRADE 9
Division
Pangasinan II
District
Tayug I
GRADE 4 / GRADE 10
GRADE 5 / GRADE 11
GRADE 6 / GRADE 12
SUMMARY TABLE
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
PROMOTED
13
10
23
28
15
43
22
29
51
12
19
31
40
40
80
40
40
IRREGULAR
RETAINED
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
TOTAL
MALE
FEMALE
15
24
11
35
11
18
36
36
72
36
36
13
22
12
20
13
10
23
28
15
43
22
29
51
12
19
31
40
40
80
40
40
LEVEL OF PROFICIENCY
BEGINNNING
74% and below)
DEVELOPING
75%-79%)
(B:
(D:
APPROACHING PROFICIENCY
(AP: 80%-84%)
PROFICIENT
85% -89%)
(P:
ADVANCED
90% and above)
(A:
TOTAL
SONNY P. BACALZO
Principal II
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.
Noted by:
4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.
School Year
/ GRADE 12
2015-2016
TOTAL
BACK
TOTAL
MALE
FEMALE
TOTAL
80
155
153
308
TOTAL
MALE
FEMALE
TOTAL
72
118
99
217
23
28
51
12
18
11
16
80
155
153
308
DERAS, JR.
ERINTENDENT
School ID
School Name
102061
School Year
Martin, Coco
Grade Level
Section
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
NO.
2015-2016
Issued
Returned
7/17/2015
3/4/2016
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NO.
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
1
1
Salvador, Maja
Returned
1
6/20/2015
Issued
0
3/21/2016
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
NO.
Date
Date
Date
Date
Date
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
Returned
Issued
GUIDELINES:
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.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
Issued
Returned
In case of lost/unreturned books, please provide information with the following code:
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
prepared letter/report duly noted by School Head for submission to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
NO.
Date
Date
LEARNER'S NAME
(Last Name, First Name, Middle Name)
Issued
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
Returned
Issued
Returned
Date
Date
Date
Date
Date
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code FM), TLTR=Teacher
Issuedletter/report
Returned
Returned
Issued
Issued
prepared
duly noted byIssued
School HeadReturned
for submission toIssued
School Property
Custodian (for
code TDO),Returned
PTL=Paid by the
Learner (for Returned
code
NEG). References: DO#23, s.2001, DO#25, s.2003, DO#14, 2.2012.
Date
Issued
Returned
Date
Issued
Returned
Date
Issued
Returned
Prepared By:
IMELDA V. FERNANDEZ
(Signature over printed name)
Date BoSY:____________ Date EoSY: ___________
Date
Issued
Returned
H
O
L
I
D
A
Y
BACK