School Form 1 (SF1)School Form 1 (SF 1) School Register(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID136685Region NCRDivisionMARIKINA CITYDistrictMARIKINA II

School NameSSS Village Elementary SchoolSchool Year2014-2015Grade LevelSIXSectionHYDROGEN

LRNNAME(Last Name, First Name, Middle Name) Sex (M/F)BIRTH DATE (mm/dd/ yyyy)AGE as of 1st Friday June BIRTH PLACE (Province)BIRTH PLACE (Province)MOTHER TONGUEIP (Ethnic Group)RELIGIONADDRESSPARENTSGUARDIAN (If not Parent)Contact Number of Parent or GuardianREMARKSHouse #/ Street/ Sitio/PurokBarangayMunicipality/ City ProvinceFather's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name)NameRelation-ship(Please refer to the legend on last page)1136685080331Adorna, Jose Angelo CarajayM12/05/200211AntipoloTagalogNoneRoman CatholicPurok 5 Zone 8CupangAntipoloRizalAdorna, Jose AngeloCarajay, Yolanda Godinez093547152942136685080025Angeles, Kyle Gabriel de GuzmanM10/22/200211MarikinaTagalogNoneRoman Catholic59 Gold St.Concepcion DosMarikinaNCRAngeles, Joselito Idionde Guzman, Leah Agustin093547152442136685080040Atacador, Jho Nicko AlapadM07/01/200211AntipoloTagalogNoneRoman CatholicPurok 1 Zone 8CupangAntipoloNCRAtacador, Aquino VergaraAlapag, Lani Cantoria091237673574136685130445Bongon, Emmanuel John PaghubasanM03/08/200311AntipoloTagalogNoneBaptist7 St. Ignatius St. Ma. CorazonCupangAntipoloNCRBongon, John ClavePaghubasan, Nanette Samson5136685080136Corocoto, Jobert AdorayanM06/19/200311MarikinaTagalogNoneRoman Catholic40 Panganiban St.Concepcion DosMarikinaNCRCorocoto, Ronnie DulayAdayan, Lina Rendon6136676130103de Guzman, Sean DukaM10/10/200212MarikinaTagalogNoneRoman Catholic4-A Apo St. Hacienda Hts.Concepcion DosMarikinaNCRde Guzman, ChrysterDuka, Maureen Porras091874554007136685080158dela Cruz, John Clarence GonzagaM06/17/200311MarikinaTagalogNoneRoman Catholic14 Bronze St.Concepcion DosMarikinaNCRdela Cruz, Joselito ApoGonzaga, Elna Gaquit090681477248136685080182dela Paz, Prince Just-Once JarderM03/31/200311AntipoloTagalogNoneRoman CatholicPurok 2CupangAntipoloRizaldela Paz, Manuel MagatJarder, Catherine Caullo099827606349136685080184Dolencio, Christian dela CruzM10/18/200112 1/2AntipoloTagalogNoneRoman CatholicMa. Corazon Subd.CupangAntipoloRizalDolencio, Christopher Abukaydela Cruz, Airene delos Santos0906833553210136685080197Escape, Jaime StephenM12/19/200310 1/2AntipoloTagalogNoneRoman CatholicUnit 3 PagraiCupangAntipoloRizalArizala, AllanEscape, Emy Biete0949733725511136685080208Estor, Andrei Emmanuel OliverioM03/17/200311AntipoloTagalogNoneRoman CatholicMa. Corazon Subd.CupangAntipoloRizalEstor, Eduardo ParadaOliverio, Mairene Yu0930932866712136685080210Evangelista, Aivan CantorM01/02/200311 1/2MarikinaTagalogNoneRoman CatholicLot 9 B4 Midland RanchoConcepcion DosMarikinaNCREvangelista, Iamedio BalicilloCantor, Juliet Manzano0999770585613136685080228Gentugao, Robert Dell San LorenzoM08/12/200312AntipoloTagalogNoneRoman Catholic85 Purok 5CupangAntipoloRizalGentugao, Roberto CaadanSan Lorenzo, Candel Cabarles0930931100214136685080257Jardeleza, Adrian Josel EspinidaM02/12/200311AntipoloTagalogNoneRoman CatholicTumanaCupangAntipoloRizalJardeleza, Mario DacilloEspinida, Susana Abay646203715136685080266Labiran, Sebastian PanganibanM11/20/200312 1/2AntipoloTagalogNoneRoman CatholicPurok 2CupangAntipoloRizalLabiran,Jr. Francisco CaponesPanganiban, Leonora Llavares0921604436816136685080286Lito, Angel BienM02/04/200311MarikinaTagalogNoneRoman CatholicPurok 4CupangAntipoloRizalBernal, Bienvenido TevesLito, Annaliza Cortel0920239868017136685080293Lopez, Vinzcent Kyle RosalM04/24/200311MarikinaTagalogNoneBAC28 Crimson St.Concepcion DosMarikinaNCRLopez, William DizaRosal, Mary Grace Eustaguio099940157818136685080308Magat, Ken Aldrich TaboralM08/13/200311AntipoloTagalogNoneIglesia ni CristoTamenggoCupangAntipoloRizalMagat, Enrico RodriguezTarbornal, Rose Roschelle Inso0946877529519136685080342Mendoza, John ChristianM12/25/200112 1/2AntipoloTagalogNoneRoman CatholicTumanaCupangAntipoloRizaln/aMendoza, Annaliza Gallego0928499370920136685080411Pepito, Aljohn Lloyd CorreM10/02/200211 1/2MarikinaTagalogNoneRoman CatholicMa. Corazon Subd.CupangAntipoloRizalPepito, Antonio Jr. ColincoCorre, Amelia Maricaban0930486426321136685080426Porio, Joey Povie ArizalaM02/12/200211AntipoloTagalogNoneRoman Catholic31 Carmine St.Concepcion DosMarikinaNCRPorio, Jovy CuntapayArizala, Editha Bordaje470526922136685120784Rellosa, Brian Clark AmarM12/22/200211 1/2AntipoloTagalogNoneRoman Catholic2 Cadena de Amor GHghts.MayamotAntipoloRizalCornelio, ClaritoRelloso, Ma. Venereza Amar0926140352023136685080441Rey, Danmark BalcuevaM08/07/200212MarikinaTagalogNoneRoman Catholic10 Bonanza St. Rancho Estate IIConcepcion DosMarikinaNCRRoy, Dante PutiBalcueva, Merly Cerizo0928957143824136685080508Urbano, David Louis SolimusM08/07/200212AntipoloTagalogNoneRoman Catholic55 Zone 8 CupangAntipoloRizalUrbano, Ronaldo CorporalSolimus, Alma Acuzar09331996180

1136685080001Aban, Mhel Ann DinagitF02/22/200311TagalogNoneAdventistUnit 3 Baybay SapaMayamotAntipoloRizalArcenal, Rommel DadulaAban, Analyn Arcenal09486629392136685080004Abellar, Cyren Ann ReyesF10/27/200211 1/2TagalogNoneRoman CatholicMa. Corazon Subd.CupangAntipoloRizalAbellar, Rodney AlegreReyes, Connie Montezor099955215473113720800012Almencion, Jellian Mae CamposanF01/01/200212 1/2TagalogNoneRoman Catholic42 Lime St.Concepcion DosMarikinaNCRAlmencion, Recto MeteoreCamposano, Flory Espiloy093918875714136685080021Andal, Denyse CuasayF01/27/200311TagalogNoneRoman Catholic6 Alley B Sable St.Concepcion DosMarikinaNCRAndal, Danilo CabreraCuasay, Marites Dumlao67959335136685080070Bermudez, Mickaella LaonillaF07/09/200212TagalogNoneIglesia ni CristoTamenggoCupangAntipoloRizalBermudez, Enrico CuyaLagonilla, Leah Prieto09109257046136685080086Borrinaga, Mayra Kaori MartinezF04/10/200212TagalogNoneRoman CatholicAlley 3 8 Magat Salamat St.Concepcion DosMarikinaNCRBriones, Jorge Luis CerrionBorrinaga, Marina Martinez091736297257136685070069Botor, Maricar IbaretaF07/21/200113TagalogNoneRoman Catholic353 Rosal St.CupangAntipoloRizalBotor, JakeIbareta, Marivic Meran092166426908136685080105Cadag, April Fiona BernardinoF08/06/200212TagalogNoneMethodist18 Sienna St.Concepcion DosMarikinaNCRCadag, Jonjon BorrinagaBernardino, Cherryl Despi092312930909136685080117Carullo, Izza Thea AlintonF08/13/200311TagalogNoneRoman Catholic83 Purok 3 Zone 8CupangAntipoloRizalCarullo, Joan SabanalAlinton, Ma. Ana Hilario0939784085110136685080180Dimyao, Leslie Joy PestilosF09/16/200212TagalogNoneRoman Catholic17 Velvet St.Concepcion DosMarikinaNCRDimyao, Melvin SuperioPestilos, Liza Lopez0919664818111136685080194Embana, Gemma Rose AlasF04/20/200312TagalogNoneRoman CatholicFriendly VillageConcepcion UnoMarikinaNCREmbana, Eugene dela CruzAlas, Roselyn Orosco12136685080200Esperon, Maria Glaiza PortuguezF08/11/200212TagalogNoneRoman CatholicPurok 5CupangAntipoloRizalEsperon, Norberto HermoginoPortuguez, Salvacion Famaril0929771149913136685080265Labios, Chyna Eriana CristobalF04/30/200311TagalogNoneRoman CatholicMa. Corazon Subd.CupangAntipoloRizalLabios, Arlan EdriaCristobal, Rowena Cortejos0929408249814136685080304Mabag, Regine CabigayanF11/05/200112 1/2TagalogNoneRoman CatholicBaybay SapaMayamotAntipoloRizalMabag, Reynaldo NardoCabigayan, Gina Dacot090934427915136685080329Manuel, Jewell Kirsten LorenzoF12/31/200211 1/2TagalogNoneRoman Catholic80 Saarland St.CupangAntipoloRizalManuel, Jonathan CabreraLorenzo, Zenaida Patricio250225016136685080037Mejia, Arianne Raiven ArevaloF09/19/200211 1/2TagalogNoneRoman Catholic56 Santol St.Concepcion DosMarikinaNCRMejia, Marwin PantaleonArevalo, Venus Gasperillo0932201726517136685080362Nangyo, Marjorie Michaella SaligaoF09/21/200211 1/2TagalogNoneRoman CatholicMa. Corazon Subd.Concepcion DosMarikinaNCRNangyo, Marvin GancesSaligao, Margie Mendoza094814301518136685080368Nayve, Norjini MelorinF11/28/200212TagalogNoneRoman Catholic28 Aquamarine St.MayamotAntipoloRizalNayve, Archie NuydaMelorin, Emma Mae Rivera0935116268819136685080471Silva, Joy GuellaF11/26/200211 1/2TagalogNoneRoman Catholic57 Bronze St.Concepcion DosMarikinaNCRSilva, Lourdes Guijian20136685080473Sison, Princess Ann AgunodF02/04/200111TagalogNoneRoman Catholic98 Olive St.Concepcion DosMarikinaNCRRaganit, Rolando de LunaSison, Sherry Ann Agunod0923735361121136685080477Solas, Veronica Mae MarzanF06/01/200311TagalogNoneBACPurok 5 Zone 8CupangAntipoloRizalSolas, Bernaldo OlympiaMarzan, Olivia Mosquillos091099634922136685080482Taboso, Aira Andrea BoninaF09/28/200211 1/2TagalogNoneRoman CatholicTamenggoCupangAntipoloRizalTaboso, Renato ArponBonina, Glory Jane Bornasal0908450615023136685080488Tagle, Judy Ann NuezF10/29/200112 1/2TagalogNoneRoman Catholic22 PanganibanConcepcion DosMarikinaNCRTagle, Joel TrambuloNuez, Lenie Cajayon0928763987924136685080500Tolentino, Mykha Jazmine LancetaF09/18/200312TagalogNoneIglesia ni Cristo207 Bugallon St.Marikina Hghts.MarikinaNCRTolentino Jeffrey EnaoLanceta, Michelle Yabut0919584039425136685080506Tuberon, Dianne CleofeF01/23/200311 1/2TagalogNoneRoman CatholicSulucan St.CupangAntipoloRizalTuberon, Dante NugutoCleofe, Ma Lourdes Panesa09219572955

Prepared by:Certified Correct:IndicatorCodeRequired InformationIndicatorCodeRequired InformationREGISTEREDBoSYEoSYTransferred OutT/OName of Public (P) Private (PR) School & Effectivity DateCCT RecipientCCTCCT Control/reference number & Effectivity DateMALE24EULALIA P. OCAMPOCAROLINA O. GUEVARATransferred INT/IName of Public (P) Private (PR) School & Effectivity DateBalik-AralB/AName of school last attended & YearFEMALE25(Signature of Adviser over Printed Name)(Signature of School Head over Printed Name)DroppedDRPReason and Effectivity DateLearner With DissabilityLWDSpecifyTOTAL49Late EnrollmentLEReason (Enrollment beyond 1st Friday of June)AccelaratedACLSpecify Level & Effectivity DataBoSY Date: June 2, 2014 EoSYDate:BoSY Date: June 2, 2014 EoSYDate:School Form 1 (SF 1) School Register(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)

School ID136685Region NCRDivisionMARIKINA CITYDistrictMARIKINA II

School NameSSS Village Elementary SchoolSchool Year2014-2015Grade LevelThreeSectionEINSTEIN

LRNNAME(Last Name, First Name, Middle Name) Sex (M/F)BIRTH DATE (mm/dd/ yyyy)AGE as of 1st Friday June BIRTH PLACE (Province)MOTHER TONGUEIP (Ethnic Group)RELIGIONADDRESSPARENTSGUARDIAN (If not Parent)Contact Number of Parent or GuardianREMARKSHouse #/ Street/ Sitio/PurokBarangayMunicipality/ City ProvinceFather's Name (Last Name, First Name, Middle Name) Mother's Maiden Name (Last Name, First Name, Middle Name)NameRelation-ship(Please refer to the legend on last page)1136685120050Angawa, Christian LabiranM12/26/20058 1/2TagalogNoneRoman CatholicPurok 2CupangAntipoloRizalAngawa, Arnold CompetenteLabiran, Annacel Capones092058416722136685120051Atacador, Leonid King RubioM11/20/20059TagalogNoneRoman Catholic219 Purok 1CupangAntipoloRizalAtacador, Melvin BanaagRubio, Ailyn Encabo093056787003136685110032Bacer, Alfred Mitchel FelipeM01/20/20068 1/2TagalogNoneRoman CatholicPurok 1 Zone 8CupangAntipoloRizalBacer, Karlo Angelo ManaliliFelipe, Irene Darlene Trofeo092839827844136685120039Bendiola, Gian Emmanuel ClaresM06/30/20068TagalogNoneRoman Catholic54 Panorama St.Concepcion DosMarikinaNCRBendiola, Elmer GonzalesClares, Myla Yanga091652979515136685110054Buraga, Pierre Benedict NavarroM09/01/20059TagalogNoneRoman CatholicB3 L21 Tanguile St.Marikina Hghts.MarikinaNCRBuraga, Pedro GepigaNavarro, April Joy Fernando090898301726136685120240Calanoga, III Virgilio CayetanoM10/02/20059TagalogNoneRoman Catholic106 Gen. Ordoez St.Marikina Hghts.MarikinaNCRCalanoga, Virgilio SalabunCayetano, Ma. Teresa Minola47700357136685120117Corrachea, Marc Niel Howell MirandaM11/25/20059TagalogNoneRoman Catholic187 Purok 1CupangAntipoloRizalCorrachea, Mario MayoMiranda, Jane Paula Sunggayan094883054568136685110115Fortes, Mark Lorenz MercadoM10/07/20059TagalogNoneRoman Catholic72 Azure St.Concepcion DosMarikinaNCRFortes, Rodel EquipadoMercado, Belinda Ceniza50170849136685110120Garcia, Arron ErolesM10/16/20059TagalogNoneRoman Catholic33 Panorama St.Concepcion DosMarikinaNCRGarcia, Arisaldo DamasenEroles, Ronalie del Rosario0933485590210136685120584Guinto, Melbien HilarioM01/07/20068 1/2TagalogNoneINC2 Liamzon St. Ma. CorazonCupangAntipoloRizalGuinto, Bien de LeonHilario, Melanie Caro0912433845211136685120244Herrera, Lee Rain Jyzen OndivillaM04/12/20068 1/2TagalogNoneRoman Catholic27 Sta. Bernardita St. La MilagrosaCupangAntipoloRizalHerrera, Evine Jhon RaccaOndivilla, Lyra Gay Santos0946442942012136685120245Itubay, Carl Ivan GarduqueM06/12/20068TagalogNoneRoman CatholicPurok 3 Zone 8CupangAntipoloRizalItubay, Michael LontesGarduque, Ligaya Valdez0918632750913136685120248Marcelo, Jian Benedict AnubM10/28/20059TagalogNoneRoman Catholic26 Purok 5 Zone 8CupangAntipoloRizalMarcelo, Rommel AstronominaAnub, Ana Flor Budiongan092341844814136685120066Nicerio, Vincent SazonM04/04/20059 1/2TagalogNoneRoman Catholic20 Gen. Ordoez St.Marikina Hghts.MarikinaNCRNicerio, Raymond ChavezSazon, Gina Ecalnir0923721575115136685110216Ramos, Ar Jan AbundanciaM01/08/20068 1/2TagalogNoneRoman Catholic77 Eastdrive St.Marikina Hghts.MarikinaNCRRamos, Orlando RuizAbundancia, Catalina Herrera0925878083116136685120249Real, Luis Paolo LugnasinM03/01/20068 1/2TagalogNoneRoman Catholic7 Palomino St. Rancho IConcepcion DosMarikinaNCRRel, Robinson LledoLugnasin, Demebeth Palongpong0917530558417136685110232Samson, Keanne Martin OmadtoM10/06/20059TagalogNoneRoman Catholic27 Sienna St.Concepcion DosMarikinaNCRSamson, Enrique Roy SaltaOmadto, Katherine Genato0921696254418136685120252Sorongan, Jophen Emmanuel NamocatcatM03/11/20068 1/2TagalogNoneRoman CatholicPurok 5 Zone 8CupangAntipoloRizalSorongon, Stephen TobillaNamocatcat, Mary Joy Tagud0927915919619136685120048Telan, Kyle QuiocM01/21/20068 1/2TagalogNoneRoman Catholic47 Tangerine St.Concepcion DosMarikinaNCRTelan, Raul MangusibQuioc, Majercia Angala0917753369720136685120259Vias, Sean Timothy TorrecampoM12/22/20058 1/2TagalogNoneRoman CatholicPurok 5 Zone 8CupangAntipoloRizalVias, Albert BilaroTorrecampo, Lalaine Valenzuela0920434812521136685110264Vital, Karl David TalucodM03/07/20068 1/2TagalogNoneRoman Catholic99 Narra St.Marikina Hghts.MarikinaNCRVital, Jr. Austria AntonioTalucod, Alma Dulce Mabazza09227781432

1136685120261Aragon, Marichelle InocentesF10/27/20058 1/2TagalogNoneRoman CatholicUnit 3 Purok 12 Baybay SapaMayamotAntipoloRizalAndeza, Jet D.Magno, Jovelyn C.091052422162136685120285Bercida, Thresa Mae MillareF05/13/20059TagalogNoneRoman Catholic52 Sapphire St.Concepcion DosMarikinaNCRBercida, Parlo C.Millare, Jo-Ann O.3136685120262Bernardino, Stephanie Claire LadrenoF09/25/20059TagalogNoneRoman Catholic75 Yellowbell St.MayamotAntipoloRizalBernardino, Celso V.Ladreno, Charito T.091020834614136685140315Briones, Nathalie Kaye VeracF11/23/20067 1/2TagalogNoneRoman Catholic44 P. Oliveros St.CupangAntipoloRizalBriones, Arnold O.Verac, Jill R.457-41705136685120147Catingkoy, Shaeina de GuzmanF05/06/20068TagalogNoneRoman Catholic1 Katipunan St.Concepcion DosMarikinaNCRCatingkoy, Dave H.De Guzman, Rose Ann O.091637706526136685110063Cordero, Ysabel Clarisse LopezF05/04/20059TagalogNoneRoman Catholic44 Peach St.Concepcion DosMarikinaNCRCordero, Ronald V.Lopez, Ma. Cristine R.09072620550713668510086De Castro, Nicka Joyce SantosF10/17/20058 1/2TagalogNoneRoman Catholic84 Sulucan st.CupangAntipoloRizalde Castro, Dexter Ian L.Santos, Ruby F.8136685110091Del Mundo, Earl Liana Leatrice RubasF03/30/20068 1/2TagalogNoneRoman CatholicCupangAntipoloRizaldel Mundo, Estelito V.9136685120266Dizon, LeeAn Aleja DueasF06/11/20059TagalogNoneRoman Catholic103 Anonas St.CupangAntipoloRizalDizon, Dennis M.10136685120267Feliciano, Francesca Ysabel EugenioF10/14/20058 1/2TagalogNoneRoman Catholic90 Narra St.Marikina Hghts.MarikinaNCRFeliciano, Antonio F.11136685120269Gabriel, Jyzel Mae TorresF09/19/20059TagalogNoneRoman Catholic7 Saint Ignatius St.CupangAntipoloRizalGabriel, Sonny Boy E.12136685120476Garong, Jellian Ayesa EspeletaF04/09/20068TagalogNoneRoman CatholicPurok 3 Zone 8CupangAntipoloRizalGarong, Gabriel S. Jr.13136685120100Gutierrez, Catherine Nicole DelcoF05/07/20068TagalogNoneRoman Catholic36 Saint Ignatius St.CupangAntipoloRizalGutierrez, Amerito D. Jr.14136685120272Jabines, Patricia Nicole PayodF12/16/20058 1/2TagalogNoneLatter Day SaintBlk 3 L4 TumanaCupangAntipoloRizalJabines, Renato I.15136685120276Mallari, Csyreign Keith DuloF03/03/20068 1/2TagalogNoneRoman CatholicB25 L2 Baybay SapaMayamotAntipoloRizalMallari, Lou Jen G.16136685120279Motay, Cassie Jaycen EulogioF08/03/20068TagalogNoneRoman Catholic24 Carmel St.Concepcion DosMarikinaNCRMotay, Ramon D.17136685130588Ordoa, Princess Angel EsmundoF11/13/20058 1/2TagalogNoneINC94 Makiling St.Concepcion DosMarikinaNCROrdoa,Frederick 18136685120102Pacheco, Maidy Jane MacasilligF12/15/20068TagalogNoneRoman CatholicUnit 3 Baybay SapaMayamotAntipoloRizalPacheco, Monatano A.19136685140316Parasdas, Lhovy Ahnn VictorianoF10/28/20067 1/2TagalogNoneMormonB5 L20 TumanaCupangAntipoloRizalParasdas, Lovy S.20136685110260Pascual, Eliz Hyacinth GuevaraF08/17/20068TagalogNoneRoman Catholic39 Tangerine St.Concepcion DosMarikinaNCRPascual, Jenazar E.21136685110263Santosidad, Nea MendinaF12/28/20058 1/2TagalogNoneRoman Catholic14 Panorama St.Concepcion DosMarikinaNCRSantosidad, Argie G.22136685100473Salinas, Jhennylyn Collet GuevarraF07/28/20068TagalogNoneRoman Catholic335 Apitong St.Marikina Hghts.MarikinaNCRSalinas, Joey Albert C.23136685120281Teves, Asleigh SalvadorF09/04/20068TagalogNoneRoman Catholic19 Sto. Nio St.CupangAntipoloRizalTeves, Neilsan Aleistar V.

Prepared by:Certified Correct:IndicatorCodeRequired InformationIndicatorCodeRequired InformationREGISTEREDBoSYEoSYTransferred OutT/OName of Public (P) Private (PR) School & Effectivity DateCCT RecipientCCTCCT Control/reference number & Effectivity DateMALE27ROMINA C. VELASCOCAROLINA O. GUEVARATransferred INT/IName of Public (P) Private (PR) School & Effectivity DateBalik-AralB/AName of school last attended & YearFEMALE27(Signature of Adviser over Printed Name)(Signature of School Head over Printed Name)DroppedDRPReason and Effectivity DateLearner With DissabilityLWDSpecifyTOTAL54Late EnrollmentLEReason (Enrollment beyond 1st Friday of June)AccelaratedACLSpecify Level & Effectivity DataBoSY Date: June 2, 2014 EoSYDate:BoSY Date: June 2, 2014 EoSYDate:

School Form 2 (SF2)

School Form 2 (SF2) Daily Attendance Report of Learners(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

School ID136685School Year2014-2015Report for the Month ofJUNE

Name of SchoolSSS VILLAGE ELEMENTARY SCHOOLGrade LevelTHREESectionNEWTON

LEARNER'S NAME (Last Name, First Name, Middle Name) (1st row for date)Total for the Month REMARKS (If DROPPED OUT, state reason, please refer to legend number 2.If TRANSFERRED IN/OUT, write the name of School.)234569101112131617181920232425262730MTWTHFMTWTHFMTWTHFMTWTHFMTWTHFABSENTTARDY1Addatu, Cedrick T.xx2Balano, Charlez Angelo C.3Barrera, Steve Craig B.4Bartolome, Louie A.5Briones, Evander G.6Canete, Carlo S.7de Guzman, Nikko M.xx8delos Santos Jr, Jimmy James Y.9Desoloc, Rizel Ashley10Dionisio, Alfredo III B.x11Eborde, Daniel x12Eniceo, Reyben A.13Gamboa, Virgilio III R.xx14Gaona, Edwin Carl A.15Lerbes, John Marcus R.16Marticio, Mark John V.17Miranda, Janmhel Shane 18Pabelle, Gian Carlo L.19Padlan, Dan Carlo L.20Pangilinan, Thomas Gabriel E.21Pogenio, Ryn Q.22Restar, Mark Angelo A.xxxx23Taylan, Albert Dominicx24252627MALE | TOTAL Per Day1Abellon, Danica G.2Aguire, Mae Angiellex3Ayuson, Samantha Kelly C.4Beato, Angelica G.5Berlon, Lea F.6Bermundo, Merry Joy S.7Borja, Angel Rose D.8Deluvio, Rhona Jane C.9Gebrallo, Jocelyn S.x10Juayno, Kelly Charies S.11Llavor, Jaerah B.12Magayones, Dainna Rose R.13Marabat, Sienne B.14Mislang, Ericka Claire L.15Najera, Melissa L.16Olivar, Charina Marie L17Raygon, Allyssa Joy D.18Reluya, Irrah Lei C.19Sison, Rien Gabrielle B.20Sumaylo, Venice B.21Templo, Justin Claire S.22Trofeo, Mary Angeli De Mesa.23242526

FEMALE | TOTAL Per Day Combined TOTAL PER DAY

GUIDELINES:1. CODES FOR CHECKING ATTENDANCEMonth:No. of Days of Classes:Summary1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)MFTOTAL2. Dates shall be written in the columns after Learner's Name.* Enrolment as of (1st Friday of June)2424483. To compute the following:2. REASONS/CAUSES FOR DROPPING OUTa.Percentage of Enrolment =Registered Learners as of end of the monthx 100a. Domestic-Related FactorsLate Enrollment during the month (beyond cut-off)000Enrolment as of 1st Friday of the school yeara.1. Had to take care of siblingsb.Average Daily Attendance = Total Daily Attendancea.2. Early marriage/pregnancyRegistered Learners as of end of the month242448Number of School Days in reporting montha.3. Parents' attitude toward schoolingc.Percentage of Attendance for the month =Average daily attendancex 100a.4. Family problemsPercentage of Enrolment as of end of the month242448Registered Learners as of end of the monthb. Individual-Related Factorsb.1. IllnessAverage Daily Attendance2424484. 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.b.2. Overageb.3. DeathPercentage of Attendance for the month 100%100%100%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.b.4. Drug Abuseb.5. Poor academic performanceNumber of students absent for 5 consecutive days:2.0%2%%6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.b.6. Lack of interest/Distractions*Beginning of School Year cut-off report is every 1st Friday of the School Yearb.7. Hunger/MalnutritionDrop out000c. School-Related Factorsc.1. Teacher FactorTransferred out000c.2. Physical condition of classroomc.3. Peer influenceTransferred in000d. Geographic/Environmentald.1. Distance between home and schoold.2. Armed conflict (incl. Tribal wars & clanfeuds)I certify that this is a true and correct report.d.3. Calamities/Disasterse. Financial-RelatedEvangelina A. Sabuade.1. Child labor, work (Signature of Teacher over Printed Name)f. Others (Specify)School Form 2 : Page 2 of 2Attested by:CAROLINA O. GUEVARA (Signature of School Head over Printed Name)

School Form 3 (SF3)School Form 3 (SF3) Books Issued and Returned(This replaces Form 1 & Inventory of Textbooks)

School ID136685School Year2014-2015

School NameSSS Village Elementary SchoolGrade LevelThreeSectionNewton

NO.LEARNER'S NAME (Last Name, First Name, Middle Name) Subject Area & Title: (ESP) Edukasyon sa PagpapakataoSubject Area & Title: Subject Area & Title:Subject Area & Title: Subject Area & Title:Subject Area & Title: Subject Area & Title: Subject Area & TitleREMARKS/ACTION TAKEN (Please refer to the legend on last page)DateDateDateDateDateDateDateDateIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturnedIssuedReturned1Avila, Friezle John Ornido6/23/142Bayker, Johnwhen Pacris6/23/143Belarmino, Angel Von Ryan Flores6/23/144Bongala, Christopher Blones6/23/145Calleja, Angelo Bongcawel6/23/146Calut, Gian Jandusay6/23/147Coral, Dexter Ocampo6/23/148Cuevas, Benedict Andre Quijano6/23/149Dalisay, Mark Lester Salinas6/23/1410De Leon, Vlaire Benedic Luis Cabucoa6/23/1411Delen, Clent Joshua Susa6/23/1412Fernando, Jan Lordwin Celada6/23/1413Flores, Jion Carmelo Taki Viloria6/23/1414Jaingue Jr. Sonny Pegon6/23/1415Lagsac, Ren Zedrick Nagor6/23/1416Majarreis, Adrian Carl Salvador6/23/1417Manalo, Migz Aldrich Ramos6/23/1418Marqueta, Francis Lopez6/23/1419Miranda, Angello Custodio6/23/1420Mojar, Alexis Rheiy Malibiran6/23/1421Namoro, Kyle Archie De Vera6/23/1422Pattung, Francis Leigh Madriaga6/23/1423Pepito, James Richie Poimo6/23/1424Ramos, Adrian Paul Ajeno6/23/1425Sentoy, Alexis Daniel Tenito6/23/1426Tabares, Aishia Andrei Ocampo6/23/1427Vicente, Michel Andre Bon6/23/14 TOTAL FOR MALE | TOTAL COPIES27/271Andeza, Blessed Jezzalyn Magno6/23/142Bercida, Thresa Mae6/23/143Bernardino, Stephanie Claire Ladreno6/23/144Briones, Nathalie Kaye Verac6/23/145Catingkoy, Shaeina de Guzman6/23/146Cordero, Ysabel Clarisse Lopez6/23/147de Castro, Nicka Joyce Santos6/23/148del Mundo, Earl Liana Letrice Rubas6/23/149Dizon, LeeAn Aleja Dueas6/23/1410Feliciano, Francesca Ysabel Eugenio6/23/1411Gabriel, Jyzel Mae Torres6/23/1412Garong, Jellian Ayesa Espeleta6/23/1413Gutierrez, Catherine Nicole Delco6/23/1414Jabines, Patricia Nicole Payod6/23/1415Mallari, Csyreign Keith Dulo6/23/1416Motay, Cassie Jaycen Eulogio6/23/1417Ordoa, Princess Angel Esmundo6/23/1418Pacheco, Maidy Jane Macasillig6/23/1419Parasdas, Lhovy Ahnn Victoriano6/23/1420Pascual, Eliz Hyacinth Guevarra6/23/1421Santosidad, Nea Mendina6/23/1422Salinas, Jhennylyn Collet Guevarra6/23/1423Teves, Asleigh Salvador6/23/1424Tiron, Pearl Angel Benitez6/23/1425Velez, Hope Chloe Riztdane Prell Jamandre6/23/1426Vicencio, Ma. Marion Perez6/23/1427Villaflor, Amarise Pasiliao6/23/14 TOTAL FOR FEMALE | TOTAL COPIES27/27 TOTAL LEARNERS | TOTAL COPIES54/54GUIDELINES: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=Negligence2. The Date of Issuance and the Date of Return shall be reflected in the form.INES T. CATACUTAN3. The Total Number of Copies issued at BoSY 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 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.(Signature over printed name)4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form. Date BoSY:June 2, 2014 Date EoSY: ___________5. All textbooks being used must be included. Additional copies of this form may be used if needed.School Form 3: Page 2 of2

K TO 12 LEARNER'S MATERIAL

School Form 4 (SF 4)

School Form 4 (SF4) Monthly Learner's Movement and Attendance(This replaces Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School IDRegionDivisionDistrict

School NameSchool YearReport for the Month of

GRADE/ YEAR LEVELSECTIONNAME OF ADVISERREGISTERED LEARNERS (As of End of the Month)ATTENDANCEDROPPED OUTTRANSFERRED OUTTRANSFERRED INDaily Average Percentage for the Month(A) Cumulative as of Previous Month(B) For the Month (A+B) Cumulative as of End of the Month(A) Cumulative as of Previous Month(B) For the Month (A+B) Cumulative as of End of the Month(A) Cumulative as of Previous Month(B) For the Month (A+B) Cumulative as of End of the MonthMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTMFTMFT

ELEMENTARY/SECONDARY:KINDERGRADE 1/GRADE 7GRADE 2/GRADE 8GRADE 3/GRADE 9GRADE 4/GRADE 10GRADE 5/GRADE 11GRADE 6/GRADE 12TOTAL FOR NON-GRADEDTOTALGUIDELINES:Prepared and Submitted by: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 of School Head over Printed Name)Page _____ of _____ pages

School Form 5 (SF5)School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)RegionDivisionDistrict

School IDSchool YearCurriculum

School NameGrade LevelSection

LRN LEARNER'S NAME (Last Name, First Name, Middle Name) GENERAL AVERAGE (Numerical Value in 2 decimal places and 3 decimal places for honor learners, and Descriptive Letter)ACTION TAKEN: PROMOTED, IRREGULAR or RETAINED INCOMPLETE SUBJECT/S (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC need not to fill up these columns)From previous school years completed as of end of current School YearAs of end of current School Year

SUMMARY TABLESTATUS MALEFEMALETOTALPROMOTED

IRREGULAR

RETAINED

LEVEL OF PROFICIENCYMALEFEMALETOTALBEGINNNING (B: 74% and below)

DEVELOPING (D: 75%-79%)

APPROACHING PROFICIENCY (AP: 80%-84%)

PROFICIENT (P: 85% -89%)

ADVANCED (A: 90% and above) TOTAL MALE

PREPARED BY:

Class Adviser(Name and Signature)

CERTIFIED CORRECT & SUBMITTED:

School Head(Name and Signature)

REVIEWED BY:

(Name and Signature)Division RepresentativeGUIDELINES:1. For All Grade/Year Levels2. To be prepared by the Adviser. Final rating per subject area should be taken from the record of subject teachers. The class adviser should compute for the General Average.

3. On the summary table, reflect the total number of learners promoted, retained and *irregular (*for grade 7 onwards only) and the level of proficiency according to the individual General Average.

4. Must tally with the total enrollment report as of End of School Year GESP /GSSP (EBEIS)

5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent TOTAL FEMALE COMBINEDSchool Form 5: Page ____ of ________

School Form 6 (SF6)School Form 6 (SF6)Summarized Report on Promotion and Level of Proficiency(This replaces Form 20)

School IDRegionDivision

School NameDistrictSchool Year

SUMMARY TABLEGRADE 1 /GRADE 7GRADE 2 / GRADE 8GRADE 3 / GRADE 9GRADE 4 / GRADE 10GRADE 5 / GRADE 11GRADE 6 / GRADE 12TOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALPROMOTEDIRREGULARRETAINEDLEVEL OF PROFICIENCY MALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALMALEFEMALETOTALBEGINNNING (B: 74% and below)

DEVELOPING (D: 75%-79%)

APPROACHING PROFICIENCY (AP: 80%-84%)

PROFICIENT (P: 85% -89%)

ADVANCED (A: 90% and above)

TOTALPrepared and Submitted by: Reviewed & Validated by:Noted by:SCHOOL HEADDIVISION REPRESENTATIVESCHOOLS DIVISION SUPERINTENDENTGUIDELINES: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.4. Protocols of validation & submission is under the discretion of the Schools Division Superintendent.

School Form 7 (SF7)School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaces Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School IDRegionDivision

School NameDistrictSchool Year

(A) Nationally-Funded Teaching & Teaching Related Items(B) Nationally-Funded Non Teaching Items(C ) Other Appointments and Funding SourcesTitle of Plantilla Position (as it appears in the appointment document/PSIPOP)Number of IncumbentTitle of Plantilla Position (as it appears in the appointment document/PSIPOP)Number of IncumbentTitle of Designation (as it appears in the contract/document: Teacher, Clerk, Security Guard, Driver etc.) Appointment: (Contractual, Substitute, Volunteer, others specify)Fund Source (SEF, PTA, NGO's etc.)Number of IncumbentTeachingNon-Teaching

Employee No. (or Tax Identification Number -T.I.N.)Name of School Personnel (Arrange by Position, Descending) SexFund SourcePosition/ DesignationNature of Appointment/ Employment StatusEDUCATIONAL QUALIFICATIONSubject Taught (include Grade & Section), Advisory Class & Other Ancillary AssignmentsDaily Program (time duration)Remarks (For Detailed Items, Indicate name of school/office, For IP's -Ethnicity)Degree / Post GraduateMajor/ SpecializationMinorDAY (M/T/W/TH/F)From (00:00)To (00:00)Total Actual Teaching Minutes per Week

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per Day

Ave. Minutes per DayGUIDELINES:Submitted by:1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during the school year, an updated Form 19 must be submitted to the Division Office .

2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. (Signature of School Head over Printed Name)3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported.4. Daily Program Column is for teaching personnel only.Updated as of: ___________________________School Form 7, Page ___ of ________