Professional Documents
Culture Documents
COMPLETE ADDRESS
Sex (M/F)
NAME BIRTHDATE Religious
LRN (Last Name, First Name, Name Extension, Middle AGE
Name)
(mm/dd/yyyy) Affiliation House No./ Street/ Sitio/ Municipalit
Purok Barangay
y/ City
128114060001 ALISBO, CHERWIN M HINDANG ILIGAN
127799060007 DAOHOG, JAYSON REY UGAY M 10/17/2000 17 PUROK 4-A TU-OD MANTICAO
SFRT 2017
ster for Senior High School (SF1-SHS)
Division
Grade Level 12 Track and Strand TVL/IA
RICAL INSTALLATION AND MAINTENANCE
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact
Name Number of
Father's Name Mother's Maiden Name Parent/
(Last Name, First Name,
Province (Last Name, First Name, Name Extension, Middle Name) (Last Name, First Name, Name Extension,
Name Extension, Middle
Relationship
Guardian
Middle Name)
Name)
LANAO DEL NORTE ALISBO, ELMER ALFON, HAIDEE
MIS. OR. BAGUIO, ROLANDO CHIO YURONG, REYNELDA APACO
MIS. OR. BAGUIO, JONAS EBONIA, GEMMA
MIS. OR. BAGUIO, ROBERTO BARREDA, GINA LUZ
LANAO DEL NORTE BANGUIS, CRISOSTOMO BRANGUIZ, SILVA
MIS. OR. BENTASAL, SILVANO QUILAB, NONETA
LANAO DEL NORTE BONGABONG, WILLIAM DELA PEÑA, MAGARIA
LANAO DEL NORTE CAÑADILLA, SANTIAGO TRUZ, ELMA
LANAO DEL NORTE COMINGUEZ, TOMAS MONTEJO AL-OS, GINA SABELLANO
LANAO DEL NORTE COMINGUEZ, ROWEN MEGRIÑO, ROSEMARIE
MIS. OR. CONSOLACION, RICHARD CATIPAY, MERLYN
LANAO DEL NORTE DACAYANAN, RICKY MANUEL SR. LARONGCO, MELIETA CONSOLACION
MIS. OR. DALIGDIG, CECILO A. QUILAB, EVANGELINE
MIS. OR. DAOHOG, RAMIL TUMAMPOC UGAY, EDUARDA MEJOS
LANAO DEL NORTE DUROG, NESTOR MENANO REQUISO, TERESITA SEBLOS
MIS. OR. DUROG, ROLLY COLITA, FLORENCIO
MIS. OR. JUEVESANO, MACIMENO TINGGAS, TERESA
MIS. OR. MAHINAY, ANGELITO IMPAS, ZENAIDA
LANAO DEL NORTE PEQUIT, ELIAZAR BAGUIO, ARLYN
LANAO DEL NORTE RATUNIL, ALEJANDRO DELA PEÑA DIO, CRESITA CATIIL
LANAO DEL NORTE TINGGAS, DOMINDOR MEGRIÑO, ROSALIE
MIS. OR. TUMAMPOC, ROLANDO MACAHILOS, FE
22
CLARK KENT F. BATUCAN
Signature of Adviser over Printed Name
9
SFRT 2017
Region X
L/IA
REMARKS
(Please refer to the legend)
SFRT 2017
Transferred T/O CCT Recipient CCT CCT Control/reference number &
Out Effectivity Date Name of school last
COMPLETE ADDRESS
Sex (M/F)
Balik Aral B/A attended & Year
Transferred NAME BIRTHDATE Religious Specify Exceptionality of the Learner
In LRN T/I (Last Name, First Name, Name Extension, Middle AGE
(mm/dd/yyyy) Affiliation Specify Level & Effectivity Date Municipalit
Name ofName)
School, Date of 1st Learner With LWE House No./ Street/ Sitio/
Barangay
Purok
Attendance and Date of Last Exceptionality y/ City
Attendance if Transferred Out Accelerated ACL
TOTAL
SFRT 2017
PARENTS GUARDIAN
(if learner is not Living with Parent) Contact
Name Number of
Father's Name Mother's Maiden Name Parent/
(Last Name, First Name,
Province (Last Name, First Name, Name Extension, Middle Name) (Last Name, First Name, Name Extension,
Name Extension, Middle
Relationship
Guardian
Middle Name)
Name)
31
Beginning of the Semester Date: End of the Semeste
6/4/2018
SFRT 2017
REMARKS
(Please refer to the legend)
SFRT 2017
School Form 2 Daily Attendance Report of Learners for Senio
School Name School ID District
10
11
12
13
14
15
16
14
15
16
###
10
11
12
13
Senior High School (SF2-SHS)
Division Region
15
16
17
18
19
20
21
22
23
24
25
26
27
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
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
Transferred Out
Transferred In
Shifting Out
Shifting In
feuds)
Signature of Class Adviser over Printed Name
Attested By:
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
f. Others (Specify)
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
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
Signature of School Head over Printed Name
School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name School ID District Division
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
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
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
Signature of Sc
ance for Senior High School (SF4-SHS)
Region
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 Lea
BACK SUBJECT/S
LEARNER'S NAME
No. LRN List down subjects where learner obtained a rat
(Last Name, First Name, Name Extension, Middle Name)
below 75%)
MALE
1 128114060001 ALISBO, CHERWIN
GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of S
elements shall be filled up only after the 2nd semester or at the end of the School Year.
INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects faile
Note: Do not include learners who are No Longer in School (NLS)
Complete Regular
Complete Regular
Complete Regular
Complete Regular TOTAL 25 13 38
Complete Regular
Complete Regular SUMMARY TABLE (End of the School Year Only)
Complete Regular
Complete Regular
Complete Regular
Complete Regular
Complete Regular
Complete Regular
Complete Regular
Certified Correct By:
RUTH S. TALINGTING
Signature of School Head over Printed Name
Reviewed By:
ABIGAIL O. PONDANG
Signature of Guidance Designate
BACK SUBJECT/S END OF
END OF SCHOOL
ects where learner obtained a rating SEMESTER
YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)
d Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These data
de of at least 75%)
ess of number of subjects failed (with grade less than 75%)
NCE 1,2,3
School Form 5B List of Learners with Complete SHS Requirement
School Name DNHS-HINDANG HIGH SCHOOL ANNEX School ID 304144 District
Semester 2ND School Year 2017-2018 Section
Track and Strand TVL/IA Course/s (only for TVL)
Completed SHS
in 2 SYs? (Y/N)
LEARNER'S FULL NAME
No. LRN
(Last Name, First Name, Name Extension, Middle Name)
MALE
FEMALE
1 127923050001 AGBALOG, SHARA TRASMONTE Y
2 128114050004 ALISBO, LENNIE REMOLLO Y
3 127923050004 BAGUIO, ESHEL AI YURONG Y
4 127799050003 BONIAO, JEAN ROSE BELICARIO Y
5 127923050007 CABATUAN, REZAMIE DAUG Y
6 304144160003 CABATUAN, SHEILA MAE YURONG Y
7 304144120020 CALUSTRE, DEBIE SACALON Y
8 COMINGUEZ, MARICAR DOQUILA Y
127921050008
9 128114050012 DELATADO, FHEMIE JEAN BUTANAS Y
10 127921050010 DINQUE, JEANCLARE BUTON Y
11 128114050014 DIO, RHEA JOY BUTANAS Y
12 128114050015 FUENTES, KIMBERLY BASLAO Y
Requirements (SF5B-SHS)
Division ILIGAN CITY Region X
DAHLIA
ELECTRICAL INSTALLATION AND MAINTENANCE
National
Certification
Level Attained
(only if applicable)
NC II SUMMARY TABLE A
NC II STATUS MALE FEMALE TOTAL
Learners who
NC II completed SHS
Program within 2 16 29 45
NC II SYs or 4
NC II semesters
NC II Learners who
NC II completed SHS
Program in more 0 0
NC II than 2 SYs or 4
NC II semesters
NC II TOTAL 16 29 45
NC II
NC II
NC II SUMMARY TABLE B
NC II STATUS MALE FEMALE TOTAL
NC II NC III 0 0 0
NC II NC II 16 28 44
NC I 0 0 0
TOTAL 16 28 44
NC II
Note: NCs are recorded here for documentation but is not a requirement for
NC II graduation.
NC II
NC II
NC II
NC II GUIDELINES:
NC II
1. This form should be accomplished by the Class Adviser at End of School
NC II Year.
2. It should be compiled and checked by the School Head and
NC II passed to the Division Office before graduation.
NC II
NC II Reviewed By:
NC II
Completed SHS
in 2 SYs? (Y/N)
LEARNER'S FULL NAME
No. LRN
(Last Name, First Name, Name Extension, Middle Name)
NC II RAQUEL A. FIGURACION
NC II Signature of Class Adviser over Printed Name
NC II
NC II
NC II
NC II Certified Correct & Submitted By:
NC II
NC II RUTH S. TALINGTING
NC II Signature of School Head over Printed Name
NC II
NC II
NC II Reviewed By:
NC II
NC II
NC II
School Form 6 Summarized Report of Learner Status as of End of Semester and Sch
GRADE LEVEL
COMPLETE INCOMPLETE TOTAL
GRADE 11
TRACK/STRAND/COURSE
TVL/IA-EIM 23 10 33 2 2 4 25 12 37
SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE
SUB TOTAL
TOTAL
23 10 33 2 2 4 25 12 37
Noted By:
presentative over Printed Name Signature of Division Superintendent over Printed Name
ll compute the grade level total per track/strand/course and school total.
School Form 7 School Personnel Basic Profile and Assign
School Name School ID District
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
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
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
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
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:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
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
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:
Second Semester:
Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
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
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High Sch
(For All Grade Levels)
SFRT 2017
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)
FEMALE
SFRT 2017
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)
SUMMARY TABLE
Nutritional Status Heig
Summary Table S
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
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
Reviewed By:
SFRT 2017
SFRT 2017