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  • 8/13/2019 Form1,2,3 (Blank)

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    136438 NCR

    AGE as of

    (nos. of

    years as

    per last

    birthday)

    1

    2

    3

    4

    5

    6

    7

    8

    9

    RELIG

    School Form 1(This replace Form 1, Master L

    LRNSex

    (M/F)

    BIRTH

    DATE (mm/

    dd/yy)

    BIRTH

    PLACE

    (Province)

    MOTHER

    TONGUE

    IP

    (Specify

    Ethnic Group)

    NAME

    (Last Name, First Name, Middle Name)

    School Name

    School ID

    Magat Salamat Elementary School

    Region Division

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    AGE as of

    (nos. of

    years as

    per lastbirthday)

    RELLRNSex

    (M/F)

    BIRTH

    DATE (mm/

    dd/yy)

    BIRTH

    PLACE

    (Province)

    MOTHER

    TONGUE

    IP

    (Specify

    Ethnic Group)

    NAME

    (Last Name, First Name, Middle Name)

    24

    25

    26

    27

    28

    29

    30

    31

    32

    33

    34

    35

    36

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    AGE as of

    (nos. of

    years asper last

    birthday)

    LRNSex

    (M/F)

    BIRTH

    DATE (mm/

    dd/yy)

    BIRTH

    PLACE

    (Province)

    MOTHER

    TONGUE

    NAME

    (Last Name, First Name, Middle Name)

    Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Date Balik-Aral

    Dro ed DRP Reason and Effectivit Date Learner With DissabilitAccelarated

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    REMARK/S

    (Please refer to

    the legend on

    last page)

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    REMARK/S

    (Please refer to

    the legend onlast page)

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    REMARK/S

    (Please refer to

    the legend on

    last page)

    over Printed Name)

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    School ID School Year

    Name of School Magat Salamat Elementary School

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    13

    14

    15

    16

    17

    *LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

    School Form 2 (SF2) Daily Attendance Report for learner(This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

    136438 2013-2014 Month Reporting

    Grade Level FIVE

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    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    *LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    MALE | TOTAL Per Day

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    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    *LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    DATE (1st row for date, 2nd row for Day: M,T,W

    GUIDELINES: 1. CODES FOR C

    2. REASONS/CA

    a. Domestic-Re

    a.1. Had to take c

    a.2. Early marria

    a.3. Parents' atti

    a.4. Family prob

    b. Individual-R

    * Automatic Generation thru LIS

    1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. blank- Present;shaded= Upper f

    Cutting Classes)

    2. Dates shall be written in the preceding columns beside Learner's Name.

    3. To compute the following:

    Number of School Days

    c. ercentage of Attendance for the monthAverage daily attendance

    x 100Registered Learner as of End of the month

    Enrolment as of July

    b. Average Daily Attendance =Total Daily Attendance

    a. Percentage of Enrolment =Registered Learner as of End of the Month

    x 100

    4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

    summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.

    b.1. Illness4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

    summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. b.2. Overage

    5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death

    * b.4. Drug Abuse

    b.5. Poor academ

    b 6 Lack of inter

    4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

    summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.

    Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

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    ate reason,

    r 2.

    e name of

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    ate reason,

    r 2.

    e name of

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    ate reason,

    r 2.

    e name of

    F T

    mary for

    Month

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    School ID School Year

    Name of School Magat Salamat Elementary School

    1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 22 23 26

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    13

    14

    15

    16

    17

    (This cancel Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

    136438

    FIVE

    School Form 2 (SF2) Daily Attendance Report for learner

    DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

    *LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    2013-2014

    Grade Level

    Month Reporting

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    1 2 5 6 7 8 9 12 13 14 15 16 19 20 21 2

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    T h u r

    DATE (1st row for date, 2nd row for Day: M,T,W,TH,F)

    *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

    MALE | TOTAL Per Day

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    1 2 5 6 7 8 9 12 13 14 15 16 19

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    Tue

    Wed

    Thur

    Fri

    Mon

    DATE (1st row for date, 2nd row for Day: M,T,W

    *LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    GUIDELINES: 1. CODES FOR C

    2. REASONS/CA

    a. Domestic-Re

    a.1. Had to take

    a.2. Early marria

    a.3. Parents' atti

    a.4. Family prob

    b. Individual-R

    4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

    summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.

    Average Daily Attendance =

    Percentage of Enrolment =

    1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.

    2. Dates shall be written in the preceding columns beside Learner's Name.

    * Automatic Generation thru LIS

    blank- Present;shaded= Upper f

    Cutting Classes)3. To compute the following:

    a.Enrolment as of July

    ercentage of Attendance for the month

    Registered Learner as of End of the Month

    x 100

    x 100

    b.

    c.

    Total Daily Attendance

    Number of School Days

    Registered Learner as of End of the month

    Average daily attendance

    b.1. Illness4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

    summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser. b.2. Overage

    5. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.3. Death

    * b.4. Drug Abuse

    b.5. Poor academ

    b 6 Lack of inter

    4. Every End of the month, the teacher/adviser submit this form to the office of the principal for recording of

    summary table into the Form 3. Once signed by the principal, this form should be returned to the adviser.

    Beginning of School Year cut-off report is every 1st Friday of School Calendar Days

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    ate reason,

    r 2.

    e name of

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    ate reason,

    r 2.

    e name of

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    ate reason,

    r 2.

    e name of

    F T

    mary for

    Month

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    School ID 136438 School Year

    School Name

    Issued Returned Issued Returned Issued Returned Issued

    1

    2

    3

    4

    5

    6

    7

    8

    9

    Date

    Subject Area & Title Subject Area & Title Subject Area & Title

    School Form 3 (SF3) Books Issued a

    NO.

    Subject Are

    Dat

    *LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    Grade Level

    Date

    (This replace Form 1 & Inventory of Text

    Date

    MAGAT SALAMAT ELEMENTARY SCHOOL

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    Issued Returned Issued Returned Issued Return

    Date

    Subject Area & Title Subject Area & Title Subject Area & Tit

    NO.*LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    Date Date

    TOTAL FOR MALE | TOTAL COPIES

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    Issued Returned Issued Returned Issued Return

    Date

    Subject Area & Title Subject Area & Title Subject Area & Tit

    NO.*LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    Date Date

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    13

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    Issued Returned Issued Returned Issued Return

    Date

    Subject Area & Title Subject Area & Title Subject Area & Tit

    NO.*LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    Date Date

    4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.

    3. The Total Number of Copies issued at BoSY shall be reflected in the form.

    2. The Date of Issuance and the Date of Return shall be reflected in the form.

    1. Title of Books Issued to each learner must be recorded by the class adviser.

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    Returned

    ea & Title

    te

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    Returned

    ea & Title

    te

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    Returned

    ea & Title

    te

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    Returned

    ea & Title

    te

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    Region Division

    School ID

    School Name

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

    NAME OF ADVISER

    GRADE/

    YEAR

    LEVEL

    SECTION

    REGISTERED

    LEARNER

    (As of End of the

    Month)

    ATTENDANCE

    School Form 4 (SF4) Monthly Learn

    DRO

    Average Percentage(A) Cumulative as

    of Previous Month(B) Fo

    Region: Division:

    (This replace Form 3 & STS Form 4-Abs

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    Region Division D

    Curric

    Grade Lev

    School Form 5 (SF 5) Report on Promotion & Level o(This replace Forms 18-E1, 18-E2, 18A)

    LRN

    GENERAL

    AVERAGE

    (Numerical Value

    in 3 decimal

    places)

    ACTION TAKEN:

    PROMOTED or

    RETAINED

    (RBEC only)

    School Name

    School YearSchool ID

    LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    INCO

    (This column is for K to

    High School. Element

    RBEC nee

    Completed as of end o

    SY

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    LRN

    GENERAL

    AVERAGE

    (Numerical Value

    in 3 decimal

    places)

    ACTION TAKEN:

    PROMOTED or

    RETAINED

    (RBEC only)

    LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    (This colum

    High Scho

    Completed

    TOTAL MALE

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    LRN

    GENERAL

    AVERAGE

    (Numerical Value

    in 3 decimal

    places)

    ACTION TAKEN:

    PROMOTED or

    RETAINED

    (RBEC only)

    LEARNER'S NAME

    (Last Name, First Name, Middle Name)

    INCOMPLE

    (This column is for K to 12 C

    High School. Elementary gr

    RBEC need not

    Completed as of end of curre

    SY

    * May generate thru Learner's Information System or may lift from Master List of Learn

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    MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MAL

    PROMOTED

    LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MAL

    SUMMARY TABLE

    Nos. of PROFICIENT

    (P: 85% -89%)

    Nos. of APPROACHING

    PROFICIENCY

    (AP: 80%-84%)

    GRADE 1 / GRADE 7 GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10

    RETAINED (RBEC)

    Nos. of BEGINNNING

    (B: 74% and below)

    Nos. of DEVELOPING

    (D: 75%-79%)

    Nos. of ADVANCED

    School Form 6 (SF6) Summarized Report on Pr

    (This cancel Form 20)

    School Name

    School ID Region

    and Level of Proficiency

    Division

    District

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