School Form 1 School Register for Senior High School (SF1-SHS)

School ID 343612 District VI Division CADIZ CITY Region VI

Semester FIRST School Year DVFGMNHS Grade Level 11 Track and Strand ACADEMIC / STEM
Section CHADWICK Course (For TVL Only)

COMPLETE ADDRESS PARENTS GUARDIAN

Contact REMARKS

Sex (M/F)
(if learner is not Living with Parent)
NAME BIRTHDATE AGE Religious Mother's Maiden Number of
LRN Name (Please refer to the legend)
(Last Name, First Name, Name Extension, Middle Name) (mm/dd/yyyy) Affiliation House No./ Street/ Father's Name Name (Last Name, First Name, Parent/
Sitio/ Purok Barangay Province (Last Name, First Name, Name (Last Name, First Name, Name Extension, Middle Relationship
Guardian
Extension, Middle Name) Name Extension, Middle
Name)
Name)
117531080017 Arcayos, Remie Tayo MALE 07/27/2002 16 Roman Catholic Punta Cabahug Zone VI Cadiz City Neros Occidental Renato C. Arcayos Nemie M. Tayo Renato C. Arcayos Parent

117531080006 Alolod, Lemuel Villareran MALE 07/21/2002 16 Roman Catholic Punta Cabahug Zone VI Cadiz City Negros Occidental Gerardo B. Alolod Leoncia C. Villaceran Gerardo B. Alolod Parent

117546080016 Arquio, Reven Savao MALE 02/23/2003 16 Roman Catholic Tinampaan Cadiz City Negros Occidental Eufronio L. Arquio Malchiel B. Sayao Eufronio L. Arquio Parent

117540080009 Barbas, Arthun Paulo Aparel MALE 04/19/2002 17 Roman Catholic Villa Barbas I Zone 2 Cadiz City Negros Occidental Arthur G. Barbas Pamela Aparel Arthur G. Barbas Parent

08/13/2002 16 Verna T. Macaron Parent

117546080051 Carpin, Juniel Macaron MALE Roman Catholic Prk. Tinago Zone IV Cadiz City Negros Occidental Rodolfo C. Carpin Rodolfo C. Carpin

117561080062 Cubacub, Clarence Delina MALE 05/30/2002 17 Roman Catholic Herrerrias Zone III Cadiz City Negros Occidental Donald V. Cubacub Analyn B. Delina Donald V. Cubacub Parent

117572080080 Daguisnol, Joshua Despi MALE 08/08/2003 15 Roman Catholic Villa Miramar II Daga Cadiz City Negros Occidental Joselito P. Daguismol Joselito P. Daguismol Parent
Anecita Despi
404159150452 Francisco, Benjoemar Morales MALE 09/03/2003 15 Roman Catholic V.F. Gustillo Cadiz City Negros Occidental Joamar L. Francisco Rubilya F. Morales Joamar L. Francisco Parent

18 Ma. Gerlie F. Alava Parent

117562080119 Malunhao, Niňo Alava MALE 01/26/2002 Roman Catholic San Eusebio Subd. Cadiz City Negros Occidental Eugenio N. Malunhao Eugenio N. Malunhao

16 Annie C. Ocon Parent

600174150208 Ocon, Rodney Julian Chin MALE 07/07/2002 Roman Catholic Badlon Zone I Cadiz City Negros Occidental Rodolfo M. Ocon Jr. Rodolfo M. Ocon Jr.

17 Ma. Lani S. Santillan Parent

117540080047 Patenio, John Alphs Santillan MALE 04/11/2002 Roman Catholic Prk. Makawiwili Zone I Cadiz City Negros Occidental Anthony I. Patenio Anthony I. Patenio

16 Helen E. Garganera Parent

117562080148 Saagundo, John Lloyd Garganera MALE 08/25/2002 Roman Catholic Prk. Kawayanan Daga Cadiz City Negros Occidental Julito E. Saagundo Julito E. Saagundo

16 Jinky M. Sabedoria Parent

117572080220 Sabedoria, Kyant Meňoso MALE 05/03/2003 Roman Catholic Talabaan Zone I Cadiz City Negros Occidental Antonio B. Sabedoria Antonio B. Sabedoria
Roman Catholic Himoga-an Lita C. Ladesma Parent
117718080093 Tayo, Juliemar Ladesma MALE 7/31/2003 15 Baybay
Cadiz City Negros Occidental Jupiter V. Tayo Jupiter V. Tayo
Himoga-an Joemarie M. Vargas Parent
117718080098 Vargas, Eljhon Monares MALE 02/25/2003 17 Roman Catholic
Baybay
Csdiz City Negros Occidental Joebert M. Mahilum Joebert M. Mahilum

GIRLS
117575080006 Arcenal, Rogelyn Domopoy FEMALE 12/23/2002 16 Roman Catholic Prk. Pakinhason Sicaba Cadiz City Negros Occidental Rogelio O. Arcenal Helen G. Domopoy Rogelio O. Arcenal Parent

117546080043 Caiňela, Kharesma Taala FEMALE 04/18/2003 16 Roman Catholic Prk. Hitalon Zone IV Cadiz City Negros Occidental Ludimen A. Caiňela Lane Taala Ludimen A. Caiňela Parent

04/17/2002 17 Lorrenia C. Alpay Parent

117572080069 Capilayan, Remelyn Jane A. FEMALE Roman Catholic Eusebio Subd. Zone II Cadiz City Negros Occidental Reymundo C. Capilayan Reymundo C. Capilayan

117546130007 Deferia, Katrina Leah Rollon FEMALE 06/28/2002 16 Roman Catholic Gustilo Zone III Cadiz City Negros Occidental John Lou Y. Deferia Mary Jean A. Rollon John Lou Y. Deferia Parent

117563080035 Dotimas, Christelle Jade Pedrosa FEMALE 02/22/2003 16 Roman Catholic Hda. Canibungan Luna Cadiz City Negros Occidental Judy E. Dotimas Bernadette Pedrosa Judy E. Dotimas Parent

117561080083 Erenea, Eralyn Guitguit FEMALE 12/09/2002 16 Roman Catholic Had. Nabinay Daga Cadiz City Negros Occidental Arnie D. Erenea Marissa M. Guitguit Arnie D. Erenea Parent

117540080028 Escudero, Kiana Griňo FEMALE 11/08/2002 16 Roman Catholic Badlon Zone 1 Cadiz City Negros Occidental Ryan Dave Z. Escudero Anne Jacqueline Griňo Ryan Dave Z. Escudero Parent

117554080060 Fernandez, Sheene Mae Custodio FEMALE 08/05/2002 16 Roman Catholic Prk. Narra Tinampaan Cadiz City Negros Occidental Anecito B. Fernandez Amy A. Custodio Anecito B. Fernandez Parent

Lambayong, Shezeil Mae Casama 05/15/2002 17 Leizl A. Casama Parent

117540080039 FEMALE Baptist Diamond Daga Cadiz City Negros Occidental Shem E. Lambayong Shem E. Lambayong

117563080064 Navarro, Kyla Daguinot FEMALE 09/24/2002 16 Roman Catholic Hda. Canibungan Luna Cadiz City Negros Occidental Sojie B. Navarro Jeneve B. Daguinot Sojie B. Navarro Parent

302730150011 Ong, Jeinz Francin Achurra FEMALE 06/16/2002 16 Roman Catholic Andrea Village 2 Zone II Cadiz City Negros Occidental Eric S. Ong Rosalie D. Achura Eric S. Ong Parent

117546080171 Pasilan, May Rose Ampalla FEMALE 05/15/2003 15 Baptist Andrea Village 3 Zone II Cadiz City Negros Occidental Dioneso O. Pasilam Delicia M. Ampalla Dioneso O. Pasilam Parent

117540080053 Rotante, Richlyn Viel Sellote FEMALE 03/17/2002 17 Roman Catholic Cadiz Heights Subd. Tinampaan Cadiz City Negros Occidental Richard R. Rotante Rosanna E. Sellote Richard R. Rotante Parent

117568080027 Saligan, Thania Mae Sntiana FEMALE 04/07/2003 16 Roman Catholic Hda. Dale Mabini Cadiz City Negros Occidental Nathaniel R. Saligan Mary Ann Santiana Nathaniel R. Saligan Parent

117540080055 Sarabia, Divine Joyce Miravalles FEMALE 10/26/2002 16 Roman Catholic Prk. Slaughter Tinampaan Cadiz City Negros Occidental Adriano D. Sarabia Fatima A. Miravalles Adriano D. Sarabia Parent

117531080149 Soronio, Princess Marie Buenafe FEMALE 04/24/2002 17 Roman Catholic Prk. Tinago Zone IV Cadiz City Negros Occidental Raul R. Soronio Merlinda O. Buenafe Raul R. Soronio Parent

Teguihanon, Kimberly Longaquit 05/15/2002 16 Nora Longaquit Parent

404159150480 FEMALE Roman Catholic Prk. Malipayon Paraiso Sagay City Negros Occidental Rey O. Teguihanon Rey O. Teguihanon

Tingson, Naj Nadeene Despi 02/18/2002 17 Juvy C. Despi Parent

117572080237 FEMALE Roman Catholic Villa Barbas Zone II Sagay City Negros Occidental Winston A. Tingson Winston A. Tingson

Trocio, Juneleen Kate Pecaoco 12/27/2002 16 Kathleen Mae G. Pecaoco Parent

302669150140 FEMALE Roman Catholic Prk. Sea Breeze Zone III Cadiz City Negros Occidental Junel B. Trocio Junel B. Trocio

11752080240 Ughayon, Hillary Hannah Clavel FEMALE 01/12/2003 16 Roman Catholic Prk. Azucena Banquerohan Cadiz City Negros Occidental Genaro S. Ughayon Jennifer B. Clavel Genaro S. Ughayon Parent

<=== TOTAL MALE 15

<=== TOTAL FEMALE 20
<=== COMBINED 35

Legend: List and Code of Indicators under REMARKS column

Beginning of the
Indicator Indicator Code Required Information End of the Semester
Semester
Transferred Out CCT Recipient CCT CCT Control/reference number & MALE 15 MISHEL P. COROS
Effectivity Date Name of school
Transferred In last attended & Year
Balik Aral B/A
Specify Exceptionality of the
Learner FEMALE 20
Learner With LWE Specify Level & Effectivity Date
Exceptionality
Accelerated ACL
End of the Seme+A1:T57ster Date:
TOTAL 35
 School Form 2 Daily Attendance Report of Learners for Sen
School Name DVFGMNHS School ID 343612 District IV

Semester SECOND School Year 2017-2018 Grade Level 11

Section 2 Course/s (only for TVL)
DATE
No. NAME 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24
(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
1 ARNAIZ, JOSE CONSING

2 BABAC, FREDDIE JR. AQUINO

3 DELA CRUZ, ALDRIN BARCEBALA

4 DERIADA, HUEMIL JETHRO OFIANGA

5 FLORES, FREDERICK JADE CUSTODIO

6 LAURENTE, ROGER SANDRE BRILLIANTES

7 MELEN, GENESIS INSUMA

8 OLIVEROS, JAY-R PALPITA

9 PERGAMINO, BERNARD JR. NOGAS

10 SALCEDO, CLIFF ALLEN BASAS

11 TIBOR, NEL MAYER MANINGO

12 BANAS, IVAN C.

GIRLS

1 ACURIZA, LORAINE GRACE SALGON

2 APATANA, CLARISSA ROMIAS

3 CATAYTAY, APRIL JOY, SABACAN

4 CELIS, RAZEL BARROA

5 CONSING, MARJHOL GRAPA

6 DESCALSO, REGINA ABUAN

7 DIAMA, ANGEL KHAE CHIE

8 DOLLOSO, RICHEL BEJIMINO

9 DULIN, EDEN ROSE ABUAN

10 EKEDA, RHEA MAE TORRES

11 ESTROBO, KAYCE ZEASAR

12 FACAL, KRISTINE JOY PEDROSA

13 FLORES, MARIA FLORENCE MAY C.

14 GALLENERO RENA DELOS VERGES

15 GALLO, LHENEL ANN JAIRA LICAROS

16 JIMENEZ, DITCHELA HERRA

17 JORQUIN, LEUNICE FRANZ GONZALES

18 PANAGA, DANNA LIZA

19 PINEDA, ABEGEAL CASPE

20 PRINO RENIEL MICAH ARINO

21 SINUGBUHAN FLORENCE MAE ZAMORA

22 TOGLE JENNY CLAIRE ESTRADA

23 ULTADO, FREGGIE LYN ESCANUELA

24 VELOSO, DIANA ROSE BISMANOS

26 VILLACAMPA, JAY VEE PICAYCO

26 VILLACERAN, ARRIANA SINGSIN

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

1 BALANDRA, JENMEL
r Senior High School (SF2-SHS)
V Division CADIZ CITY Region WESTERN VISAYAS

11 Track and Strand HUMSS5

Month of MARCH

Total for the Month REMARKS

26 27 28 29 30 31 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).
M T W TH F S ABSENT TARDY
 DATE
No. NAME 1 2 3 5 6 7 8 9 10 12 13 14 15 16 17 19 20 21 22 23 24
(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
2 CABUGUASON, ROCELYN

3 CALIXTON, MIKEE

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

Combined TOTAL Per Day

GUIDELINES: 1. CODES FOR CHECKING ATTEND

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half sh
2. To compute the following: for Late Comer, Lower for Cutting Cl

2. REASONS/CAUSES FOR NO LON

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
Registered Learners as of end of the month
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 signed b.1. Illness
by the School Head, this form should be returned to the Class Adviser. b.2. Overage
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days b.4. Drug Abuse
b.5. Poor Academic Performance
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 feu
d.3. Calamities/Disasters

e. Financial-Related
e.1. Child labor, work

f. Others (Specify)
a. Death
b. Transferred to School Abroad
c. Transferred to International School
d. Transferred to ALS
 Total for the Month REMARKS
26 27 28 29 30 31 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).
M T W TH F S ABSENT TARDY

depedtambayan

No. of Days of Classes:

ING ATTENDANCE Month: Summary
t; Tardy (half shaded = Upper
M F TOTAL
er for Cutting Classes)
* Enrolment (as of 1st Friday of the semester) 18 22 40

0 0 0
FOR NO LONGER IN Late Enrolment during the month (beyond cut-off)

18 22 40
Registered Learners as of end of the month

ctors Percentage of Enrolment as of end of the month

gs Average Daily Attendance
y
chooling Percentage of Attendance for the month

Number of students absent for 5 consecutive days 0 0 0

ctors
No Longer in School (NLS) 0 0 0

nce
Transferred Out 0 0 0

ns
Transferred In 0 0 0

Shifting Out 0 0 0

rs Shifting In 0 0 0

depedtambayan
ssroom

I certify that this report is true and correct:

ental
and school ROXANE L. PANGANIBAN
wars & clan feuds)
Signature of Class Adviser over Printed Name

Attested By:
DINDO M. AMPALLA
Signature of School Head over Printed Name

School

/dt
 School Form 3 Books Issued and Returned for Senior High School (SF3-S
School Name DVFGMNHS School ID 343612 District IV Division

Semester 2ND School Year 2017-2018 Grade Level 12 Track and Strand

Section 3 Course/s (only for TVL) COMPUTER SERVICING SYSTEM

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 CADIZ CITY Region VI

d Strand INFORMATION COMMUNICATION TECHNOLOGY

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 DVFGMNHS District IV Division

School ID 343612 Semester 2ND 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)

CADIZ CITY Region VI

hool Year 2017-2018

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 Learners for Senior High School (SF5A-SHS)

School Name DVFGMNHS School ID 343612 District IV Division CADIZ CITY Region VI

Semester FIRST School Year 2018 - 2019 Grade Level 12

Section HEMINGWAY

Track and Strand ACADEMICS / HUMNITIES AND SOCIAL SCIENCES Course/s (only for TVL)

BACK SUBJECT/S END OF

LEARNER'S NAME END OF SCHOOL
No. LRN List down subjects where learner obtained a rating SEMESTER
(Last Name, First Name, Name Extension, Middle Name) YEAR STATUS
below 75%) STATUS (Regular/ Irregular)
(Complete/ Incomplete)

MALE
1 117563060009 Arnaiz, Jose Ulyses Consing NONE COMPLETE REGULAR SUMMARY TABLE 1ST SEM

2 117572060017 Babac, Freddie Jr. Aquino NONE COMPLETE REGULAR STATUS MALE FEMALE TOTAL
3 117572060023 Bañas, Ivan Jenel Cubid NONE COMPLETE IRREGULAR COMPLETE 13 27 40
4 302730120017 Dela Cruz, Aldrin Barcebal NONE COMPLETE REGULAR INCOMPLETE 0 0 0
5 117561050063 Deriada, Huemil Jethro Ofiaga NONE COMPLETE REGULAR TOTAL 13 27 40
6 117562060085 Flores, Frederick Jade Custodio NONE COMPLETE REGULAR
7 117546060152 Laurente, Roger Sandre Brilliantes NONE COMPLETE REGULAR SUMMARY TABLE 2ND SEM

8 117572060123 Melen, Genesis Insuma NONE COMPLETE REGULAR STATUS MALE FEMALE TOTAL
9 302730120133 Oliveros, Jay - R Palpita NONE COMPLETE REGULAR COMPLETE 0 0 0
10 117572060139 Pergamino, Bernardo Jr. Nogas NONE COMPLETE REGULAR INCOMPLETE 0 0 0
11 117531060142 Salcedo, Cliff Allen Basas NONE COMPLETE REGULAR TOTAL 0 0 0
12 302730130245 Tibor, Nel Mayer Maningo NONE COMPLETE REGULAR
13 404161150262 Ticar, Kenny Dinson NONE COMPLETE REGULAR SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL

This
REGULAR
form
shall be IRREGULAR
accompl TOTAL
ished
after
FEMALE
each
semest1 117567060004 Acuriza, Loraine Grace Salgon NONE COMPLETE REGULAR
er in2 a 106061060001 Apatan, Clarissa Romias NONE COMPLETE REGULAR
school Arabaca,Mailyn Yangwas COMPLETE REGULAR
3 117536060014 NONE
year,
4 302730090188 Cataytay, April Joy Sabacan NONE COMPLETE REGULAR
leaving
the 5End 117544060012 Celis, Razel Barroa NONE COMPLETE REGULAR
of 6 120092060016 Consing, Marjhol Grapa NONE COMPLETE REGULAR Prepared By:
School
Descalso, Regina Abuan COMPLETE REGULAR
Year7 117562060066 NONE
Status8 117348060023 Diama, Angel khie Chie NONE COMPLETE REGULAR MISHEL P. COROS
Column9 117546060097 Dolloso, Richel Bejimino NONE COMPLETE REGULAR Signature of Class Adviser over Printed Name
and Dulin, Eden Rose Abuan
10 117554060035 NONE COMPLETE REGULAR
Summa
11
ry Table 117565060030 Ekeda, Rhea Mae Torres NONE COMPLETE REGULAR
for 12
End 117535060013 Estrobo, Kayce Zeasar NONE COMPLETE REGULAR
of Facal, Kristine Joy Pedrosa Certified Correct By:
13 117572060079 NONE COMPLETE REGULAR
School
Year14 117562060086 Flores, Maria Florence May Cababat NONE COMPLETE REGULAR
Status
15 311407130005 Gallenero, Rena Delos Verges NONE COMPLETE REGULAR DINDO M. AMPALLA
blank/u Gallo, Lhenel Ann Jaira Licaros COMPLETE REGULAR Signature of School Head over Printed Name
16 117531060088 NONE
nfilled at
Jimenez, Ditchela Herrera COMPLETE REGULAR
the17 end 117532060008 NONE
of the
18 117536060059 Jorquin, Leunice Franz Gonzales NONE COMPLETE REGULAR Reviewed By:
1st19 117717060023 Panaga, Danna Liza NONE COMPLETE REGULAR
Semest
Pineda, Abegail Caspe COMPLETE REGULAR
er. 20 117561060134 NONE
These
21 117563060068 Pirino, Reniel Micah Arino NONE COMPLETE REGULAR Signature of Division Representative over Printed Name

data22 117554060080 Sinugbuhan, Florence Mae Zamora NONE COMPLETE REGULAR

element Togle, Jenny Claire Estrada
23
s shall 117546060243 NONE COMPLETE REGULAR
be 24filled 117531060152 Ultado, Freggie Lyn Escanuela NONE COMPLETE REGULAR
up 25only 117546060254 Veloso, Diana Rose Bismanos NONE COMPLETE REGULAR
after the Villacampa, Jay Vee Picayco
26 117561060160 NONE COMPLETE REGULAR
2nd
27
semest 117562060161 Villaceran, Arriana Singson NONE COMPLETE REGULAR
er or at
the end
of the
GUIDE
School
LINES:
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 failed (with grade less than 75%)
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
 School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School Name DVFGMNHS School ID 343612 District IV Division CADIZ CITY Region VI
Semester SECOND School Year 2017-2018 Section HUMSS5
Track and Strand ACADEMIC TRACK Course/s (only for TVL) HUMSS5

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

SUMMARY TABLE A
STATUS MALE FEMALE TOTAL

Learners who
completed SHS
Program within 2
SYs or 4
semesters

Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters

TOTAL

SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
 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)

Note: NCs are recorded here for documentation but is not a requirement for graduation.

GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.

Reviewed By:

DEXTER M. MAGLLANES
Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

DINDO M. AMPALLA
Signature of School Head over Printed Name

Reviewed By:
 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)

Signature of Division Representative over Printed Name

 School Form 6 Summarized Report of Learner Status as of End of Semester and Scho

School Name School ID District

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
School Name DVFGMNHS School ID 343612 District
Semester SECOND School Year 2017-2018
(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)
IV Division CADIZ CITY Region WESTERN VISAYAS

(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:

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

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 Scho
(For All Grade Levels)
DVFGMNHS District IV Division CADIZ CITY
School Name

School ID 343612 Grade 11 Section Chadwick Track/Strand (SHS) STEM

Learner's Name Nutritional Statu

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
1 117531080017 Arcayos, Remie Tayo 07/27/2002 16 50.7 163
2 117531080006 Alolod, Lemuel Villareran 07/21/2002 16 62 170
3 117546080016 Arquio, Reven Savao 02/23/2003 16 43 157.5
4 117540080009 Barbas, Arthun Paulo Aparel 04/19/2002 17 68 158
5 117546080051 Carpin, Juniel Macaron 08/13/2002 16 68.6 169
6 117561080062 Cubacub, Clarence Delina 05/30/2002 17 65 173
7 117572080080 Daguisnol, Joshua Despi 08/08/2003 15 43 165
8 404159150452 Francisco, Benjoemar Morales 09/03/2003 15 45 170
9 117562080119 Malunhao, Niňo Alava 01/26/2002 18 58.5 166.7
10 600174150208 Ocon, Rodney Julian Chin 07/07/2002 16 75.9 167.6
11 117540080047 Patenio, John Alphs Santillan 04/11/2002 17 46.9 150
12 117562080148 Saagundo, John Lloyd Garganera 08/25/2002 16 67 169
13 117572080220 Sabedoria, Kyant Meňoso 05/03/2003 16 59 157
14 117718080093 Tayo, Juliemar Ladesma 7/31/2003 15 53.4 168.6
15 117718080098 Vargas, Eljhon Monares 02/25/2003 17 92.1 167.9

FEMALE
1 117575080006 Arcenal, Rogelyn Domopoy 12/23/2002 16 46.5 148
2 117546080043 Caiňela, Kharesma Taala 04/18/2003 16 44.8 149.4
3 117572080069 Capilayan, Remelyn Jane A. 04/17/2002 17 44.1 164
4 117546130007 Deferia, Katrina Leah Rollon 06/28/2002 16 55 160
5 117563080035 Dotimas, Christelle Jade Pedrosa 02/22/2003 16 35 143.8
6 117561080083 Erenea, Eralyn Guitguit 12/09/2002 16 40 148
7 117540080028 Escudero, Kiana Griňo 11/08/2002 16 42.4 150.1
8 117554080060 Fernandez, Sheene Mae Custodio 08/05/2002 16 50 146.9
9 117540080039 Lambayong, Shezeil Mae Casama 05/15/2002 17 48 155.9
10 117563080064 Navarro, Kyla Daguinot 09/24/2002 16 45 143
11 302730150011 Ong, Jeinz Francin Achurra 06/16/2002 16 40.9 149
12 117546080171 Pasilan, May Rose Ampalla 05/15/2003 15 46.4 159.4
13 117540080053 Rotante, Richlyn Viel Sellote 03/17/2002 17 41 145.3
14 117568080027 Saligan, Thania Mae Sntiana 04/07/2003 16 35 136.5
15 117540080055 Sarabia, Divine Joyce Miravalles 10/26/2002 16 44.9 148
16 117531080149 Soronio, Princess Marie Buenafe 04/24/2002 17 59 152
17 404159150480 Teguihanon, Kimberly Longaquit 05/15/2002 16 45 155.8
18 117572080237 Tingson, Naj Nadeene Despi 02/18/2002 17 34.4 140.5
19 302669150140 Trocio, Juneleen Kate Pecaoco 12/27/2002 16 54 158.3
20 11752080240 Ughayon, Hillary Hannah Clavel 01/12/2003 16 41.2 146.6

SFRT 2017
 Learner's Name Nutritional Statu
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 Heigh
Summary Table Su
SEX Severely Severely
Wasted Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL

Date of Assessment: Conducted/Assessed By: Certified Correct By:

SFRT 2017
 igh School (SF8-SHS)

ADIZ CITY Region WESTERN VISAYAS

STEM School Year 2019-2020

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