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BNHS School Forms Spread Sheet

Date post: 19-Aug-2015
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School Forms Spread Sheet format
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School Form 1 (SF 1) School Register (This replaced Form 1, Master List & STS Form 2-Family Background and Profile) School ID Region Division District School Name School Year Grade Level Section LRN RELIGION ADDRESS NAME OF PARENTS GUARDIAN (If not Barangay Province Name NAME (Last Name, First Name, Middle Name) Sex (M/F) BIRTH DATE (mm/ dd/yy) AGE as of 1st Friday of June BIRTH PLACE (Province) MOTHER TONGUE IP (Specify Ethnic Group) (nos. of years as per last birthday) House # / Street/Sitio/ Purok Municipality/ City Father (1st name only if family name identical to learner) Mother (Maiden: 1st Name, Middle & Last Name)
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School Form 1 (SF 1) School Register(This replacedForm 1, Master List & STS Form 2-Family Background and ro!ile"School IDRegionSchool NameLRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)LRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)LRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)LRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)LRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)LRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)LRN Sex (M/F)NAME(Last Name, First Name, Middle Name) BIRT !ATE(mm/ dd/"")A#E as o$ 1st Frida" o$ %&'e BIRT (LA)E (Province)(nos. of years as per last birthday)List a'd code o$ I'dicators &'der REMAR* col&m'I'dicator )ode Re+&ired I'$ormatio' I'dicatorTra's$erred ,&t T/, Name o$(&-lic (() (ri.ate ((R) School/ E$$ecti.it" !ate ))T Reci0ie'tTra's$erred IN T/I Name o$(&-lic (() (ri.ate ((R) School/ E$$ecti.it" !ate Bali12Aral!ro00ed !R( Reaso'a'd E$$ecti.it" !ate Lear'er 3ith !issa-ilit"Late E'rollme't LE Reaso' (E'rollme't -e"o'd 1st Frida" o$ %&'e) AccelaratedSchool Form 1 (SF 1) School Register(This replacedForm 1, Master List & STS Form 2-Family Background and ro!ile"Division DistrictSchool Year Grade LevelRELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1RELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1RELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1RELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1RELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1RELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1RELI#I,NA!!RESSBara'ga" M&'ici0alit"/ )it"(ro.i'ceM,TER T,N#4EI( (Specify Ethnic Group)o&se 5 / Street/Sitio/(&ro1List a'd code o$ I'dicators &'der REMAR* col&m')ode Re+&ired I'$ormatio'))T ))T )o'trol/re$ere'ce '&m-er / E$$ecti.it" !ateMALEB/A Name o$ school last atte'ded / 6earFEMALELear'er 3ith !issa-ilit" L3! S0eci$"T,TALA)L S0eci$" Le.el / E$$ecti.it" !ataSchool Form 1 (SF 1) School Register(This replacedForm 1, Master List & STS Form 2-Family Background and ro!ile"DistrictGrade Level SectionNAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name) NAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name)NAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name)NAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name)NAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name)NAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name)NAME ,F (ARENTS #4AR!IAN (I$ 'ot (are't)Name Relatio'shi0)o'tact N&m-er ((are't /#&ardia')Father (1st 'ame o'l" i$ $amil" 'ame ide'tical to lear'er) Mother (Maide'7 1st Name, Middle / Last Name)Prepared by: Certified Correct:oSY !oSY"Signat#re of $dviser over Printed Name% "Signat#re of School &ead over Printed Name%oSY Date:!oSYDate: oSY Date:!oSYDate:School Form 1 (SF 1) School Register(This replacedForm 1, Master List & STS Form 2-Family Background and ro!ile"REMAR*/S((lease re$er to the lege'd o' last 0age)REMAR*/S((lease re$er to the lege'd o' last 0age)REMAR*/S((lease re$er to the lege'd o' last 0age)REMAR*/S((lease re$er to the lege'd o' last 0age)REMAR*/S((lease re$er to the lege'd o' last 0age)REMAR*/S((lease re$er to the lege'd o' last 0age)REMAR*/S((lease re$er to the lege'd o' last 0age)Certified Correct:"Signat#re of School &ead over Printed Name%oSY Date:!oSYDate:School Form 8 (SF8) !ail" Atte'da'ce Re0ort o$ Lear'ers(This replaced Form 1, Form 2 & STS Form # - $%senteeism and &ropout ro!ile"School ID School Year Report for the'onth ofName of School(1st ro9 $or date, 8'd ro9 $or !a"7 M,T,3,T,F)LEARNER:S NAME (Last Name, First Name, Middle Name)

(1st ro9 $or date, 8'd ro9 $or !a"7 M,T,3,T,F)LEARNER:S NAME (Last Name, First Name, Middle Name)

MALE; T,TAL (er !a"(1st ro9 $or date, 8'd ro9 $or !a"7 M,T,3,T,F)LEARNER:S NAME (Last Name, First Name, Middle Name)

FEMALE; T,TAL (er !a")om-i'ed T,TAL (ER !A6#4I!ELINES7 1< ),!ES F,R )E)*IN# ATTEN!AN)E() *he attendance shall be accomplished daily) Refer to the codes for chec+ing learners, attendance)-) Dates shall be .ritten in the preceding col#mns beside Learner,s Name)/) *o comp#te the follo.ing:a) ercentage o! 'nrolment (Registered Learner as of !nd of the 'onth0 (118< REAS,NS/)A4SES ,F !R,(2,4TS!nrolment as of (st 2riday of 3#ne a< !omestic2Related Factorsb) $)erage &aily $ttendance ( *otal Daily $ttendance a)() &ad to ta+e care of siblingsN#mber of School Days in reporting month a)-) !arly marriage4pregnancyc) ercentage o! $ttendance !or the month ($verage daily attendance0 (11a)/) Parents, attit#de to.ard schoolingRegistered Learner as of !nd of the month a)5) 2amily problems-< I'di.id&al2Related Factorsb)() Illness-la'12 Present6 "0%7 $bsent6 *ardy "half shaded8 9pper for Late Commer: Lo.er for C#tting Classes%5) !very !nd of the month: the class adviser .ill s#bmit this form to the office of the principal for recording of s#mmary table into the School 2orm 5) ;nce signed by the principal: this form sho#ld be ret#rned to the adviser)(1st ro9 $or date, 8'd ro9 $or !a"7 M,T,3,T,F)LEARNER:S NAME (Last Name, First Name, Middle Name)

b)-) ;verageb)/) Deathb)5) Dr#g $b#se every grading period b)?) Poor academic performance@ eginning of School Year c#t7off report is every (st 2riday of School Calendar Days b) (SF>) Mo'thl" Lear'er:s Mo.eme't a'd Atte'da'ce(This replaced Form 6 & STS Form #-$%senteeism and &ropout ro!ile"Region DivisionSchool IDSchool NameN$'! ;2 $DGIS!R S!C*I;NATTEN!AN)E !R,((E! ,4TDaily $verage"% 2or the 'onth' 2 * ' 2 * ' 2 * ' 2 * ' 2GR$D!4 Y!$R L!G!LR!GIS*!R!D L!$RN!R"$s of !nd of the 'onth%Percentage for the 'onth"$% C#m#lative as of Previo#s 'onthELEMENTAR6/SE),N!AR67FIND!RGR$D! (4GR$D! =GR$D! -4GR$D! >GR$D! /4GR$D! HGR$D! 54GR$D! (1GR$D! ?4GR$D! ((GR$D! (SF>) Mo'thl" Lear'er:s Mo.eme't a'd Atte'da'ce(This replaced Form 6 & STS Form #-$%senteeism and &ropout ro!ile"DistrictSchool Year Report for the 'onth of!R,((E! ,4T TRANSFERRE! ,4T TRANSFERRE! IN"% 2or the 'onth "% 2or the 'onth "% 2or the 'onth* ' 2 * ' 2 * ' 2 * ' 2 * ' 2 * ' 2 * ' 2 * "$K% C#m#lative as of !nd of the 'onth"$% C#m#lative as of Previo#s 'onth "$K% C#m#lative as of !nd of the 'onth"$% C#m#lative as of Previo#s 'onth "$K% C#m#lative as of !nd of the 'onth (re0ared a'd S&-mitted -"7() *his forms shall be accomplished every end of the month #sing the s#mmary bo0 of S2- s#bmitted by the teachers4advisers to #pdate fig#res for the month) (Signature o! School 3ead o)er rinted -ame"5) Small school that has one section per grade4year level is not reI#ired to fill the col#mns JName of $dviser: Grade4Year Level A SectionJ)Instead: they .ill only accomplish the s#mmary col#mn per grade4year level)School Form ? (SF ?) Re0ort o' (romotio' / Le.el o$ (ro$icie'c"(This replaced Forms 17-'1, 17-'2, 17$ and List o! 8raduates"Region DivisionSchool ID School YearSchool NameLRNCompleted as ofend of c#rrent SYLEARNER:S NAME (Last Name, First Name, Middle Name) G!N!R$L $G!R$G! "N#merical Gal#e in / decimal places for honor learner: - for non7honor A Descriptive Letter%$C*I;N *$F!N: PR;';*!D: @IRR!G9L$R or R!*$IN!DINC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%LRNCompleted as ofend of c#rrent SYLEARNER:S NAME (Last Name, First Name, Middle Name) G!N!R$L $G!R$G! "N#merical Gal#e in / decimal places for honor learner: - for non7honor A Descriptive Letter%$C*I;N *$F!N: PR;';*!D: @IRR!G9L$R or R!*$IN!DINC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%*;*$L '$L!LRNCompleted as ofend of c#rrent SYLEARNER:S NAME (Last Name, First Name, Middle Name) G!N!R$L $G!R$G! "N#merical Gal#e in / decimal places for honor learner: - for non7honor A Descriptive Letter%$C*I;N *$F!N: PR;';*!D: @IRR!G9L$R or R!*$IN!DINC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%LRNCompleted as ofend of c#rrent SYLEARNER:S NAME (Last Name, First Name, Middle Name) G!N!R$L $G!R$G! "N#merical Gal#e in / decimal places for honor learner: - for non7honor A Descriptive Letter%$C*I;N *$F!N: PR;';*!D: @IRR!G9L$R or R!*$IN!DINC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%*;*$L 2!'$L!C;'IN!DSchool Form ? (SF ?) Re0ort o' (romotio' / Le.el o$ (ro$icie'c"(This replaced Forms 17-'1, 17-'2, 17$ and List o! 8raduates"DistrictC#rric#l#mGrade Level SectionCompleted as ofend of c#rrent SY as of!nd of the c#rrent SY S4MMAR6 TABLESTAT4SMALE FEMALE T,TALPR;';*!D@IRR!G9L$R R!*$IN!DLE@EL ,F (R,FI)IEN)6INC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn% Completed as ofend of c#rrent SY as of!nd of the c#rrent SY INC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%MALE FEMALE T,TALPR!P$R!D Y:Class $dviser"Name and Signat#re%!GINNNING": =5L and belo.%D!G!L;PING "D: =?L7=HL%$PPR;$C&ING PR;2ICI!NCY "$P: >1L7>5L%PR;2ICI!N* "P: >?L 7>HL%$DG$NC!D "$: H1Land above%Completed as ofend of c#rrent SY as of!nd of the c#rrent SY INC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%C!R*I2I!D C;RR!C* A S9'I**!D:School &ead"Name and Signat#re%R!GI!M!D Y:"Name and Signat#re%Division Representative#4I!ELINES7() 2or $ll Grade4Year Levels-) *o be prepared by the $dviser)2inal rating per s#bDect area sho#ld be ta+en from the record of s#bDect teacher)*he class adviser sho#ld ma+e the comp#tation of General $verage) /) ;n the s#mmary table: reflect thetotal n#mber of learners promoted: retained and irreg#lar " @for grade = on.ards only% and the level of proficiency according to the individ#al general averageCompleted as ofend of c#rrent SY as of!nd of the c#rrent SY INC;'PL!*! S93!C*4S "*his col#mn is for F to (- C#rric#l#m and remaining R!C in &igh School) !lementary grades level that still implementing R!C need not to fill #p this col#mn%School 2orm ?: Page - of BBBBBBBB5) '#st tallied .ith the total enrollment report as of !nd of School Year G!SP 4GSSP "!IS%?) Protocols of validation A s#bmission .ill remain #nder the discretion of the Schools Division S#perintendentSchool Form A (SFA) S&mmariBed Re0ort o' (romotio'a'd Le.el o$ (ro$icie'c"(This replaced Form 29"School ID Region DivisionSchool Name DistrictS4MMAR6 TABLE#RA!E 1 /#RA!E C #RA!E 8 / #RA!E D #RA!E = / #RA!E E #RA!E > / #RA!E 1F'$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L(R,M,TE!IRRE#4LARRETAINE!LE@EL ,F (R,FI)IEN)6'$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$LNos) of !GINNNING": =5L and belo.%Nos) of D!G!L;PING"D: =?L7=HL%Nos) of $PPR;$C&ING PR;2ICI!NCY "$P: >1L7>5L%Nos) of PR;2ICI!N* "P: >?L 7>HL%Nos) of $DG$NC!D"$: H1Land above%T,TALPrepared and S#bmitted by:Revie.ed A Galidated by: Noted by:SC&;;L &!$D DIGISI;N R!PR!S!N*$*IG!#4I!ELINES7() $fter receiving and validating the Report for Promotion s#bmitted by the class adviser: the School &ead shall comp#te the *otal for Grade Level in order to reflect the res#lt in each data field)-) *his report together .ith the copy of Report for Promotion s#bmitted by the class adviser shall be for.arded to the Division ;ffice by the end of the school year)/) *he Report on Promotion perGrade Level is reflected in the !nd of School Year Report of G!SP4GSSP5) Protocols of validation A s#bmission .ill remain #nder the discretion of the Schools Division S#perintendentSchool Form A (SFA) S&mmariBed Re0ort o' (romotio'a'd Le.el o$ (ro$icie'c"(This replaced Form 29"School Year#RA!E ? / #RA!E 11 #RA!E A / #RA!E 18 T,TAL'$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L'$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L '$L! 2!'$L! *;*$L SC&;;LS DIGISI;N S9P!RIN*!ND!N*() $fter receiving and validating the Report for Promotion s#bmitted by the class adviser: the School &ead shall comp#te the *otal for Grade Level in order to reflect the res#lt in each data field)School Form C (SFC) School (erso''el Assig'me't List a'd Basic (ro$ile(This replaced Form 12-Monthly Status ,eport !or Teachers, Form 1:-$ssignment List,Form 2:-Teacher rogram and Form 61-Summary 1n!ormation o! Teachers"School ID 692/:/ Region GI DivisionSchool Name B&e'a.ista Natio'al igh School District(A) Natio'all"2F&'ded Teachi'g / Teachi'g Related Items (B) Natio'all"2F&'ded No' Teachi'g Items () ) ,ther A00oi'tme'ts a'd F&'di'g So&rcesN#mber of Inc#mbentSe0 2#nd So#rceE!4)ATI,NAL G4ALIFI)ATI,N'aDor4 SpecialiNation 'inorH(>7(>(7?-> $G9IL$R: 39N!LI! P) 2National* 7 IPermanent S!ScienceNoneH1(71 $L!G$D;: ;2!LI$ S) 2National* 7 IPermanentS!!nglishNone*itle of Plantilla Position"as appearedin the appointment doc#ment4PSIP;P%*itle of Plantilla Position "as appearedin the appointment doc#ment4PSIP;P%N#mber of Inc#mbent*itle of Designation "Designation as appeared in the contract4doc#ment: *eacher: Cler+: Sec#rity G#ard: Driver etc)%!mployee No) "or *a0 Identification N#mber 7*)I)N)%Name of School Personnel "$rrange by Position: Descending%

Position4 DesignationNat#re of $ppointment4 !mployment Stat#sDegree 4 Post Grad#ateSe0 2#nd So#rceE!4)ATI,NAL G4ALIFI)ATI,N'aDor4 SpecialiNation 'inor!mployee No) "or *a0 Identification N#mber 7*)I)N)%Name of School Personnel "$rrange by Position: Descending%

Position4 DesignationNat#re of $ppointment4 !mployment Stat#sDegree 4 Post Grad#ateH1(71 $L!G$D;: ;2!LI$ S) 2National* 7 IPermanentS!!nglishNone-H-7>-(7=>5 $LG$R'!: !DIS;N ') ' National * 7 I Permanent Science NoneH-H7>--7>7?5?7?>- $NG$Y: &!L!N I) 2National '* 7 IPermanent $4S!!nglishNoneH1(7H?H7((= &;N;RID!O: NID$ D) 2 National* 7 III Permanent iology NoneH-/71>(7?5- *$;*$;: 2!LYG) 2 National* 7 III Permanent Science(5>7?5?7


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