NEW Senior High School Forms (DT)

School Form 1 School Register for Senio
School Name School ID District

Semester School Year Grade Level
Section Course (For TVL Only)
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDAT Religious
LRN (Last Name, First Name, Name E AGE
Extension, Middle Name) Affiliation House No./ Municipality/
(mm/dd/yyyy) Street/ Sitio/ Barangay Province
Purok City
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
SFRT 2017
for Senior High School (SF1-SHS)
Division Region
Track and Strand
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact REMARKS
Mother's Maiden Number of
Name (Please refer to the legend)
Father's Name Name (Last Name, First Name, Parent/
(Last Name, First Name, Name (Last Name, First Name, Relationship
Extension, Middle Name) Name Extension, Middle
Name Extension, Middle Guardian
Name)
Name)
SFRT 2017
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDAT Religious
LRN (Last Name, First Name, Name E AGE
Extension, Middle Name) Affiliation House No./ Municipality/
(mm/dd/yyyy) Street/ Sitio/ Barangay Province
Purok City
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 FEMALE

<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Beginning of the
Indicator Code Required Information Indicator Code Required Information REGISTERED
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date MALE
Balik Aral B/A Name of school last
Transferred attended & Year
In T/I
Name of School, Date of 1st Learner With LWE
Specify Exceptionality of the
Attendance and Date of Last Exceptionality Learner FEMALE
Specify Level & Effectivity
Attendance if Transferred Out Accelerated ACL Date
SFRT 2017
PARENTS GUARDIAN
Name)
Name)
Prepared By:
End of the Semester
Signature of Adviser over Printed Name
SFRT 2017
SFRT 2017
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity COMPLETE
Date ADDRESS
Sex (M/F)
Balik Aral B/A Name of school last
Transferred NAME BIRTHDAT Religious attended & Year
In LRN T/I (Last Name, First Name, Name E AGE
Name of School, Date of 1st
Extension, Middle Name) Learner With Affiliation
LWE
Specify
House Exceptionality
No./ of the Municipality/
(mm/dd/yyyy)
Attendance and Date of Last Exceptionality
Street/ Sitio/
Learner Barangay Province
Purok
Specify Level & Effectivity City
Attendance if Transferred Out Accelerated ACL Date
TOTAL
SFRT 2017
PARENTS GUARDIAN
Name)
Name)
Beginning of the Semester Date: End of the Semester Date:
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senio
Semester School Year Grade Level
Section Course/s (only for TVL)

DATE
NAME
No. (Last Name, First Name, Name Extension, Middle
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
1 ABE
10
11
12
13
14
15
16
17
<=== MALE | TOTAL Per Day ===>
10
11
12
13
Senior High School (SF2-SHS)
Division Region
Track and Strand

Month of
Total for the Month REMARKS

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
Track/Strand/Program).
W TH F S ABSENT TARDY
DATE
NAME
14
15
16
17
18
19
20
21
22
23
24
25
26
27
<=== FEMALE | TOTAL Per Day ===>
Combined TOTAL Per Day
GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = U
2. To compute the following: for Late Comer, Lower for Cutting Classes)
2. REASONS/CAUSES FOR NO LONGER I

a. Percentage of Enrolment = x 100 SCHOOL (NLS)
Registered Learners as of end of the month
Enrolment as of 1st Friday of the school year
a. Domestic-Related Factors
a.1. Had to take care of siblings
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
a.4. Family problems
Average daily attendance

c. Percentage of Attendance for the month = x 100
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
signed by the School Head, this form should be returned to the Class Adviser. b.2. Overage
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
b.5. Poor Academic Performance
days 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
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
depedtambayan
No. of Days of Classes:

ENDANCE Month: Summary
f shaded = Upper
M F TOTAL
g Classes)
* Enrolment (as of 1st Friday of the semester)
LONGER IN Late Enrolment during the month (beyond cut-off)
Percentage of Enrolment as of end of the month
Average Daily Attendance
Percentage of Attendance for the month
Number of students absent for 5 consecutive days
No Longer in School (NLS)
Transferred Out
Transferred In
Shifting Out
Shifting In
depedtambayan
I certify that this report is true and correct:
feuds)
Signature of Class Adviser over Printed Name
Attested By:
DATE
NAME
f. Others (Specify)
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
Signature of School Head over Printed Name
/dt
School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division
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
NAME
No. (Last Name, First Name, Name Extension,
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)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
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
SF3-SHS)
Division Region
d Strand
Book / ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle
NAME
No. (Last Name, First Name, Name Extension,
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)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
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. FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for
4. The Total Number of Copies of Books Returned shall be reflected in the form. code TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14,
5. All textbooks being used must be included. Additional copies of this form may be used if needed.
s.2012.
Signature of C
Book / ModuleTitle Book / ModuleTitle
REMARKS/ACTION TAKEN
(Please refer to the codes below)
Date (mm/dd/yy) Date (mm/dd/yy)
Returned Issued Returned
ignature of Class Adviser over Printed Name

School Form 4 Monthly Learners' Movement and Attendanc
School Name District Division
School ID Semester School Ye
ATTENDANCE DROPPED OUT TRANSFERRED OUT
REGISTERED
LEARNERS (A) (A+B) (A) (A+B)
(As of End Cumulative Cumulative Cumulative Cumulative
TRACK STRAND Daily % for the
Number as
(B) Total for
Number as of Number as
(B) Total for
Number as
of the Month) Average Month the Month the Month
of Previous End of the of Previous of End of
Month Month Month 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
TOTAL FOR GRADE 11
TOTAL FOR GRADE 12

GRAND TOTAL
Prepared and Submitted By:
Signature of Sc
ance for Senior High School (SF4-SHS)
Region
hool Year
TRANSFERRED IN SHIFTED OUT SHIFTED IN
(A) (A+B) (A) (A+B) (A) (A+B)

Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(B) Total for (B) Total for (B) Total for
Number as Number as of Number as Number as of Number as Number as
the Month the Month the Month
of Previous End of the of Previous End of the of Previous of End of the
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
re of School Head over Printed Name
School Form 5A End of Semester and School Year Status of Learn
School Name Dumalag Central NHS School ID 310806
Semester SECOND
School Year 2017-2017
Track and Strand TVL/ Automotive Servicing
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)
MALE
1 ### ABENDAN ,RALPH HUMPREY FLORO NONE
2 ### ADVINCULA , GLENN FARMAZO NONE
3 ### ANDRADA ,PATRICK IAN FRIAL NONE
4 ### BANTILLO,JOHN CHRISTOPHER FAMARANCO NONE
5 ### BORREROS,JEFFREY HANDA NONE
6 ### BULACAN , FRITZ FEOLOG NONE
7 ### CAÑOLAS, MAGDALENO, JR. BOBILLO NONE
8 ### FACINABAO, JERIC SALARDA NONE
9 ### FACINABAO, JESSIE SALARDA NONE
10 ### FAELDIN ,JOSEPH BILLOS NONE
11 ### FAELDONEA , EMMANUEL BANICO NONE
12 ### FAELDONEA, NIÑO PHOY FELASOL NONE
13 ### FAELDONEA, JAN JAN VERDIDA NONE
14 ### FAJUTAR ,CHRISTIAN PAUL CANO NONE
15 ### FALLE , MARVIN FEGARIDO NONE
16 ### FAMUCOL , RYN MARK DERACO NONE
17 ### FANCUBILA , EDEGARDO, JR. FRUSA NONE
18 ### FANTILANAN, RYAN ARRIOLA NONE
19 ### FANTINALGO, JOHNDY BUENVENIDA NONE
20 ### FELASOL, VILMART PAMPLIEGA NONE
21 ### FELONGCO, PAUL JAMIN NONE
22 ### FENEQUITO, SANMART JIMENEZ NONE
23 ### FEOLOG, MERVIN FACERONDA NONE
24 ### FOCBIT, NIKKO CABRALES NONE
25 ### FRESNIDO ,KENNETH HABERLE NONE
26 ### FRIAL, ADRIAN LOYD FRIAS NONE
27 ### FUFUNAN, JOHN CASPE NONE
28 ### FUNA , JEYMARK FARINAS NONE
29 ### FUYONAN, HOMER FORTEZA NONE
30 ### GANIT,JOHNEL CORTEZ NONE
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rating
(Last Name, First Name, Name Extension, Middle Name)
below 75%)
31 ### IGLESIA , MARK LLOYD PACAYRA NONE

32 ### ORTIZ , NOVY JOHN LIBONA NONE
33 ### SANTIAGO,JOHN ELBERT BORNALES NONE
34 ### SEDILLO,JIMWIL GICO NONE
35 ### SEMINO,VINCENT FECA NONE
36 ### SONIO,ANTHONY CUARTOJANO NONE
37 ### TUAZON,KENT ANTHONY FUFUNAN NONE
38 ### VALLESTER ,GLEN LOUIE SAN GABRIEL NONE
39 ### VILLABETO, JAMES JOEL FLORES NONE
GUIDE
LINES:
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
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
earners for Senior High School (SF5A-SHS)
06 Division CAPIZ Region VI
Grade Level 12 Section A

Course/s (only for TVL) AUTOMOTIVE
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
COMPLETE REGULAR SUMMARY TABLE 1ST SEM
COMPLETE REGULAR STATUS MALE FEMALE TOTAL

COMPLETE REGULAR COMPLETE 39 0 39
COMPLETE REGULAR INCOMPLETE 0 0 0
COMPLETE REGULAR TOTAL 39 0 39
COMPLETE REGULAR
COMPLETE REGULAR SUMMARY TABLE 2ND SEM

COMPLETE REGULAR COMPLETE 39 0 39
COMPLETE REGULAR INCOMPLETE 0 0 0
COMPLETE REGULAR
COMPLETE REGULAR SUMMARY TABLE (End of the School Year Only)

COMPLETE REGULAR REGULAR 39 0 39
COMPLETE REGULAR IRREGULAR 0 0 0
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
END OF
END OF SCHOOL
SEMESTER
YEAR STATUS
STATUS (Regular/ Irregular)
(Complete/ Incomplete)
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR
Prepared By:
COMPLETE REGULAR
COMPLETE REGULAR
COMPLETE REGULAR EUNICE GALE F. FRIO
Signature of Class Adviser over Printed Name
Certified Correct By:
GELYN B. FACTO
Reviewed By:
Signature of Division Representative over Printed Name
ed (with grade less than 75%)

School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name DUMALAG CENTRAL NHS School ID 310806 District DUMALAG Division CAPIZ Region VI
Semester SECOND School Year 2017-2018 Section A
Track and Strand TVL/ AUTOMOTIVE SERVICING NC II Course/s (only for TVL) AUTOMOTIVE
Completed SHS
in 2 SYs? (Y/N)
National
LEARNER'S FULL NAME Certification
No. LRN
(Last Name, First Name, Name Extension, Middle Name) Level Attained
(only if applicable)
MALE
1 ### ABENDAN ,RALPH HUMPREY FLORO Y NC II SUMMARY TABLE A

2 ### ADVINCULA , GLENN FARMAZO Y NC II STATUS MALE FEMALE TOTAL
3 ### ANDRADA ,PATRICK IAN FRIAL Y Learners who
4 ### BANTILLO,JOHN CHRISTOPHER FAMARANCO Y NC II completed SHS
Program within 2 39 0 39
5 ### BORREROS,JEFFREY HANDA Y SYs or 4
6 ### BULACAN , FRITZ FEOLOG Y NC II semesters
7 ### CAÑOLAS, MAGDALENO, JR. BOBILLO Y NC II Learners who

8 ### FACINABAO, JERIC SALARDA Y completed SHS
Program in more 0 0 0
9 ### FACINABAO, JESSIE SALARDA Y NC II than 2 SYs or 4
10 ### FAELDIN ,JOSEPH BILLOS Y NC II semesters
11 ### FAELDONEA , EMMANUEL BANICO Y NC II TOTAL 39 0 39

12 ### FAELDONEA, NIÑO PHOY FELASOL Y NC II
13 ### FAELDONEA, JAN JAN VERDIDA Y NC II
14 ### FAJUTAR ,CHRISTIAN PAUL CANO Y NC II
15 ### FALLE , MARVIN FEGARIDO Y NC II SUMMARY TABLE B
16 ### FAMUCOL , RYN MARK DERACO Y NC II STATUS MALE FEMALE TOTAL
17 ### FANCUBILA , EDEGARDO, JR. FRUSA Y NC II NC III
18 ### FANTILANAN, RYAN ARRIOLA Y NC II NC II 35 0 35
19 ### FANTINALGO, JOHNDY BUENVENIDA Y NC II NC I 0 0 0
20 ### FELASOL, VILMART PAMPLIEGA Y NC II TOTAL 0 0 35
21 ### FELONGCO, PAUL JAMIN Y
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
Completed SHS
in 2 SYs? (Y/N)
National
No. LRN
Note: NCs are recorded here for documentation but is not a requirement for
graduation.
22 ### FENEQUITO, SANMART JIMENEZ Y NC II
23 ### FEOLOG, MERVIN FACERONDA Y NC II
24 ### FOCBIT, NIKKO CABRALES Y NC II
25 ### FRESNIDO ,KENNETH HABERLE Y NC II
26 ### FRIAL, ADRIAN LOYD FRIAS Y NC II GUIDELINES:
27 ### FUFUNAN, JOHN CASPE Y NC II
1. This form should be accomplished by the Class Adviser at End of School
Year.
28 ### FUNA , JEYMARK FARINAS Y NC II
2. It should be compiled and checked by the School Head and
Y NC II passed to the Division Office before graduation.
29 ### FUYONAN, HOMER FORTEZA
30 ### GANIT,JOHNEL CORTEZ Y NC II Reviewed By:
31 ### IGLESIA , MARK LLOYD PACAYRA Y NC II
32 ### ORTIZ , NOVY JOHN LIBONA Y NC II EUNICE GALE F. FRIO
33 SANTIAGO,JOHN ELBERT BORNALES Y NC II Signature of Class Adviser over Printed Name
###
34 ### SEDILLO,JIMWIL GICO Y NC II
35 ### SEMINO,VINCENT FECA Y NC II
36 ### SONIO,ANTHONY CUARTOJANO Y NC II
37 ### TUAZON,KENT ANTHONY FUFUNAN Y NC II Certified Correct & Submitted By:
38 ### VALLESTER ,GLEN LOUIE SAN GABRIEL Y NC II
39 ### VILLABETO, JAMES JOEL FLORES Y NC II GELYN B. FACTO
Reviewed By:
Signature of Division Representative over Printed Name

Completed SHS
in 2 SYs? (Y/N)
National
No. LRN
School Form 6 Summarized Report of Learner Status as of End of Semester and Scho
Semester School Year
END OF SEMESTER STATUS
GRADE LEVEL
COMPLETE INCOMPLETE 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:

Signature of School Head over Printed Name Signature of Division Representative o
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall comput
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.
and School Year for Senior High School (SF6-SHS)
Division Region
END OF SCHOOL YEAR

(Fill up only at the end of the second semester.)
REGULAR IRREGULAR TOTAL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL
Noted By:
presentative over Printed Name Signature of Division Superintendent over Printed Name
shall compute the grade level total per track/strand/course and school total.
School Form 7 School Personnel Basic Profile and Assign
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items
Title of Design
Title of Plantilla Position Title of Plantilla Position
Number of Number of (as
(as it appears in the appointment (as it appears in the appointment
Incumbent Incumbent Teacher, Clerk
document/PSIPOP) document/PSIPOP)
EDUCATIONAL QUALIFICATION
Nature of
Employee Appointment/
No. (or Tax Name of School Personnel Fund Position/
Employment
Major/
Identification (Arrange by Sex Status
Source Designation Degree/ Specialization/
Number Position, Descending) (Regular/ Minor
-T.I.N.) Probationary/ Postgraduate Specialized
Part Time) Training Attended
Nature of
Employment
Major/
Nature of
Employment
Major/
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 movemen
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 lo
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.
ssignment for Senior High School (SF7-SHS)
Division Region
(C ) Other Appointments and Funding Sources
Appointment: Number of Incumbent

of Designation
(Contractual, Fund Source
(as it appears in the contract/document:
Substitute, (SEF, PTA,
her, Clerk, Security Guard, Driver etc.)
Volunteer, Others NGO's etc.) Teaching Non-Teaching
specify)
Remarks:
N Daily Program (time duration)
*For Detailed Items, Indicate
name of school/office,
Grade and *For IP - Ethnicity)
Subjects Taught, Advisory Sections
Class & Other Ancillary Total Actual *For additional loads from
(Enumerate DAY
Assignments sections From To Teaching JHS- please indicate the number
Minor (M/T/W/
taught) (00:00) (00:00) Minutes per of teaching minutes per week)
TH/F)
Week
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
First Semester:
Remarks:
(Enumerate DAY
Minor (M/T/W/
TH/F)
Week
Second Semester:
Advisory:
First Semester:
Second Semester:
Advisory:
First Semester:
Second Semester:
Advisory:
First Semester:
Second Semester:
Advisory:
Remarks:
(Enumerate DAY
Minor (M/T/W/
TH/F)
Week
movement of teachers and other
k to the lowest. Signature of School Head over Printed Name

rted.
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 Sch
(For All Grade Levels)
School Name District Division
School ID Grade Section Track/Strand (SHS)
Learner's Name Nutritional Sta

Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
MALE
SFRT 2017
FEMALE
SFRT 2017
SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
SFRT 2017
gh School (SF8-SHS)
Region
School Year
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
SFRT 2017
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Height for Age (HFA)

Summary Table
Tall Total
Reviewed By:
SFRT 2017
SFRT 2017

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NEW Senior High School Forms (DT)

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School Form 1 School Register for Senio

School Name School ID District

<=== TOTAL MALE

<=== TOTAL FEMALE

Signature of Adviser over Printed Name

Semester School Year Grade Level

Section Course/s (only for TVL)

<=== MALE | TOTAL Per Day ===>

Track and Strand

Total for the Month REMARKS

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE

2. REASONS/CAUSES FOR NO LONGER I

Average daily attendance

No. of Days of Classes:

LONGER IN Late Enrolment during the month (beyond cut-off)

Registered Learners as of end of the month

Percentage of Enrolment as of end of the month

Average Daily Attendance

Percentage of Attendance for the month

Number of students absent for 5 consecutive days

No Longer in School (NLS)

I certify that this report is true and correct:

Semester School Year Grade Level Track and Strand

Section Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle

ignature of Class Adviser over Printed Name

School Name District Division

School ID Semester School Ye

ATTENDANCE DROPPED OUT TRANSFERRED OUT

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12

TRANSFERRED IN SHIFTED OUT SHIFTED IN

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

School Name Dumalag Central NHS School ID 310806

Track and Strand TVL/ Automotive Servicing

31 ### IGLESIA , MARK LLOYD PACAYRA NONE

End of School Year Status

06 Division CAPIZ Region VI

Grade Level 12 Section A

COMPLETE REGULAR SUMMARY TABLE 1ST SEM

COMPLETE REGULAR STATUS MALE FEMALE TOTAL

COMPLETE REGULAR STATUS MALE FEMALE TOTAL

COMPLETE REGULAR STATUS MALE FEMALE TOTAL

Certified Correct By:

Signature of Division Representative over Printed Name

ed (with grade less than 75%)

1 ### ABENDAN ,RALPH HUMPREY FLORO Y NC II SUMMARY TABLE A

7 ### CAÑOLAS, MAGDALENO, JR. BOBILLO Y NC II Learners who

11 ### FAELDONEA , EMMANUEL BANICO Y NC II TOTAL 39 0 39

Signature of Division Representative over Printed Name

School Name School ID District

Semester School Year

END OF SEMESTER STATUS

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

Prepared and Submitted By: Reviewed & Validated By:

END OF SCHOOL YEAR

REGULAR IRREGULAR TOTAL

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

(C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

movement of teachers and other

School Form 7, Page _ of ______