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0 0 8 1 0 6 6 6 9
Distr ict ID School ID
Republic of the Philippines
DEPARTMENT OF EDUCATIONOFFICE OF PLANNING SERVICE
Research and Statisti cs Di vision
GOVERNMENT ELEMENTARY SCHOOL PROFI LE
(BEGINN ING OF TH E SY DATA, AS OF JUNE 7, 2013)
SCHOOL INFORMATI ON
SY 2013-2014
Name of School : Region : (Official name)
Division :
School Distr ict : (I f r enamed, please indicate old n ame.)
Legislative Distr ict :
Address : Tel. No. : # Street/Si tio/Purok Barangay
Mobile No. :
Fax No. : Municipality Province/Ci ty
E-M ail Address :
Date of Operation :
I ntegrated School Annex/Extension School
(Please check appropriate box if the school is offering both elementary and secondary levels.) (Please check appropriate box if the school is an annex/extension school.)
Yes (Please indicate School ID of Secondary level) Yes (Please indicate School ID of the Mother School)Secondary SchoolID: Mother SchoolID:
No No
Certi f ied True and Correct by : Checked by Distr ict Off ice : Veri fied by the Division Off ice :
School Head : Head of the Off ice : Head of the Off ice :
(Signature Over Pr inted Name) (Signature Over Pr inted Name) (Signature Over Printed Name)
Position Title : Date : Position Title : Date : Position Title : Date :
1937
SERLITA B. AGUSTIN
SANTA IGNACIA
ARNOLD D. DELA CRUZ
TARLAC
HT - III PSDS
N/A
TARLAC PROVINCE
SANTA IGNACIA
FIRST
N/A
9174447071
INSTRUCTIONS
CADULDULAOAN ELEMENTARY SCHOOL
CADULDULAOAN PRIMARY SCHOOL
CADULDULAOAN
III
Important: Read the defi niti ons/instructions found at the bottom of each table before fill ing up the form. No i tem should be left blank. I nstead, " zero ( 0 )" or " not appli cable (n/a) " shall
be wri tten. Shaded boxes shall not be fi ll ed.
The head of the school shall sign the forms certifying to the correctness of the data, and shall be responsible and accountable for any inaccuracy or false data/information reported. He/She
shall submit the accomplished forms to the respective Division Office on or before July 26, 2013 .
This form shall be accomplished by the head of all government elementary schools. In the case of schools with annexes, extensions, etc., a separate school profile shall be accomplished by every
annex, extension, etc.
DR. ANTONIETA B. TIOTUICO, CESO V
SDS
174674658.xls.ms_office SchInfoPage 1 of 7
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Table A. PUPIL DATA, SY 2013-2014 (As of June 7, 2013)
Male Female Male Female Male Female Male Female Male Female Male Fem
TOTAL ENROLMENT (Regular & SPED)
Monograde
Multigrade
Included in the TOTAL ENROLMENT, number of:
Pupils Previously Enrolled in Other Public Schools
Pupils Previously Enrolled in Private Schools
Repeaters
Balik-Aral
Muslim Pupils
Pupils enrolled in ALIVE classes
Indigenous People
CCT/4Ps Recipients
Pupils enrolled in Alternative Delivery Mode
Total Number of Monograde Classes
Total Number of Multigrade Classes
Included in these classes:
ALIVE Monograde Classes
ALIVE Multigrade Classes
PUPIL DATA (Table A) - The data to be entered cover the current school year and shall be distributed by grade level and by sex.
Total Enrolment - refers to the number of u ils enrolled in the school as of June 7.
Kindergarten Enrolment - refers to enrolment in Kinder arten Level as of June 7.
SPED - refers to S
ecial Education ro ram for u ils with s ecial needs i.e., ifted and talented u ils and children with disabilities (CWDs).
SPED CWDs (self -contained class) Enr olment - refers to similarl rou ed u ils that are not et read for inclusion in the re ular class as of June 7. This includes those who are classified b level as Kinder arten, Primar
Monograde Enrolment - refers to pupils being taught in classes consisting of a single grade only, as of June 7.
Multi grade Enrolment - refers to pupils being taught in classes consisting of two or more grades under one teacher, as of June 7.
Pupil s Previously Enrol led in Other Publi c Schools - refers to u ils who were enrolled in another ublic school the revious school ear, as of June 7.
Pupil s Previously Enrolled in Pr ivate School - refers to pupils who were enrolled in a private school the previous school year, as of June 7.
Number of Repeaters - refers to pupils who failed or left a particular grade level in any previous school year and are enrolled in the same grade level where they left or failed, as of June 7.
Number of Balik-Ar al - refers to pupils who finished a grade level, stopped schooling and enrolled in the next grade level after a year or more, as of June 7.
ALIVE means Arabic Language and Islamic Values Education.
I ndigenous People - a rou of eo le or homo enous societies identified b self-ascri tion and ascri tion b others who have continuousl lived as an or anized communit on communall bounded and defined territor shar
common bonds of language, customs, traditions and other distinctive cultural traits. (Source: RA 8371 Indigenous Peoples Act of 1997)
CCT/4PsRecipients refers to pupils whose families are included in the Conditional Cash Transfer (CCT) under the Pantawid Pamilyang Pilipino Program (4Ps) of the Department of Social Welfare and Development (DSW
0
0
00 0 00 0
0 0
0
00000
0 0 0 0
00000
0
0
0
0 0 0 0 0 00 0 0
000
0
0 0
0 0
0 0
0 0
0
12 4
0 0
0 0
Particulars
0 0 0 0
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
0
0 0 0 0 0 0
0 0 0 0 0
0 0 0
0
0
0
0
0 0
00
0
00
0
0 0 0 0 0
00 0 0
0
0 0 0
0 0
0
0
0 0
0
0
0 0
0
8
0 0
6
1
0
0
98
00
3
0
0
0 0 0 0
8 9
0 0
6 10
0
0 0 0 0
0
0
0
0 0
5
0 0
0
000
0
0
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Table B. ELEMENTARY AGE PROFILE, SY 2013-2014 (As of June 7, 2013)
Grade 1
With ECD Experience Without ECD Experience
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
4 1/2
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19 & above
TOTAL
AGE PROFILE (Table B) - Regular and SPED
The total enrolment of the school as of June 7, 2013 shall be distributed across grade levels, by single age/age group and by sex. Included by grade are pupils with disabilities who are mainstreamed in regular
classes and the gifted & talented pupils enrolled in SPED classes and SPED centers.
ECD (Ear ly Chil dhood Development) Experience includes all ECD programs for young children aged 4 to 5 years in registered pre-schools/kindergarten and those in similar organized educational institutions
and day care centers.
Computation of the age of pupi ls shall be based on the child's age as of last birthday. Thus, if the pupil is 6 years 11 months as of June 7, the age of the pupil is counted as 6 years.
Note: Totals in thi s table shall tally with th e totals in Tables A, C & H.
C ti f i d T d C t b Ch k d b Di t i t Offi V if i d b th Di i i Off i
0 0
3 5 7 68 9
0 0 0 0
1
0
8 9 6 8
00 0
12 4 6 9 0
0
00 0 0 0 0
0 0 0 0 0 0 0 0 00 0 0 0 0 0
0 00 0 0 0 0 00 0 0 0 0 0 0 0
0 0 0 00 0 0 0 0 00 0 0 0 0 0
1 00 0 0 0 0 00 0 0 0 0 0 0 0
0 0 0 00 0 0 0 1 00 0 0 0 0 0
0 10 0 1 0 0 00 0 0 0 0 0 0 0
0 0 1 00 0 0 0 0 00 0 0 0 0 0
5 40 0 0 1 0 10 0 0 0 0 0 0 0
2 3 0 10 0 1 2 2 10 0 0 0 0 0
0 01 2 3 4 1 10 0 0 0 0 0 1 0
0 0 0 00 0 5 2 1 30 0 0 0 0 0
0 02 0 0 0 0 00 0 0 3 0 0 6 6
0 0 0 01 2 0 0 0 00 0 6 6 0 0
0 00 0 0 0 0 012 4 0 0 0 1 0 0
0 0
Grade 6Age
Kindergarten Grade 2 Grade 3 Grade 4 Grade 5
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Table C. CURRENT SY ENROLMENT AND NUMBER OF CLASSES BY SHIFT, SY 2013-2014 (As of June 7, 2013)
Kindergarten - Regular & SPED
Enrolment 0 0 0 0 0 0 0 0
Number of Classes
Elementary (Grades 1-6) - Regular & SPED
Enrolment 41 44 0 0 0 0 0 0 0 0
Number of Classes
SPED CWDs (self -contain ed class)
Enrolment 0 0 0 0 0 0 0 0
Number of Classes
CURRENT SY ENROLMENT AND NUMBER OF CLASSES BY SHIFT (Table C)
Cur rent SY Enrolment and Number of Cl asses - Enrolment shall tally with the data on enrolment and number of classes by grade level (Table A).
Shif t (or session) - refers to time schedules corresponding to different sets of classes (e.g. morning and afternoon shifts). Table C shall be filled even if only one shift is offered by the school.
Note: Af ter completing Tables A, B, C and H, check that the enrolment totals in these tables tall y with one another.
Total number of classes in thi s table shal l tal ly with the total number of classes in Table A.
I f a mul tigr ade class consists of a combinati on of k indergar ten and any grade level, the number of class shall be reported under kindergarten regardless of th e size of enrolment.
Table D. ENROLMENT IN KINDERGARTEN SUMMER PROGRAM
(DEACTIVATED)
Table E. ENROLMENT OF ALS LEARNERS IN THE SCHOOL, Table F. LANGUAGES USED IN MOTHER TONGUE-BASED-MULTILINGUAL
SY 2013-2014 (As of June 7, 2013) EDUCATION (MTB-MLE)
Per DepED Order No. 16, s. 2012, check as appropriate the language used as medium of
instructions from Kindergarten to Grade 3.
11 & below Tagalog Maranao
12 Kapampangan Chabacano
13 Pangasinense Ibanag
14 Iloko Ivatan
15 Bikol Sambal
16-20 Cebuano Akianon
21-25 Hiligaynon Kinaray-a
26-30 Waray Surigaonon
31 & above Tausug Yakan
TOTAL Maguindanaoan Others, pls.specify ___________________
ENROLMENT OF ALS LEARNERS IN THE SCHOOL (Table E)
This refers to ALS learners who are attending their learning sessions in the public school.
0
0
0
0
0 0
0
0
0
0
0
0
0
0
0
0
0 0 0 0
0
0
0 0 0
0 0 0 0
12 4
1
2
0
AgeALS Learners
Male Female
0
0
Male Female Male Female Male FemaleParticulars
1st Shift 2nd Shift 3rd Shift 4th Shift Total
Male Female Male Female
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Tables G and H shall be accomplished ONLY by elementary schools with SPED cl asses and SPED centers.
Table I shall be accomplished by elementary schools which admit enr oll ees from SPED cl asses / SPED centers.
Table J shall be accomplished by elementary schools which admi t enrol lees with disabili ties who do not attend any SPED classes.
Table G. GIFTED & TALENTED PUPILS DATA, SY 2013-2014 (As of June 7, 2013)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GIFTED AND TALENTED PUPILS DATA (Table G)
Included in this table are those gifted & talented pupils enrolled in SPED classes and SPED centers.
Table H. SPED CHILDREN WITH DISABILITIES (CWDs self-contained class) DATA, SY 2013-2014 (As of June 7, 2013)
Intellectual Disability 0 0 0 0 0 0 0 0
Visually Impaired 0 0 0 0 0 0 0 0
Hearing Impaired 0 0 0 0 0 0 0 0
Emotionally and Behavior Disorder 0 0 0 0 0 0 0 0
Orthopedically Handicapped 0 0 0 0 0 0 0 0
Multiple Handicapped 0 0 0 0 0 0 0 0
Multiple Disability with Visual Impairment 0 0 0 0 0 0 0 0
Speech Defective 0 0 0 0 0 0 0 0
Learning Disability 0 0 0 0 0 0 0 0
Autism 0 0 0 0 0 0 0 0
With Special Health Problem 0 0 0 0 0 0 0 0
Cerebral Palsy 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
SPED CHILDREN WITH DISABILITIES (CWDs self-contained class) DATA (Table H)
Primary Level - refers to level after kindergarten where children with disabilities are still being prepared for inclusion in the regular class.
Transition - refers to level/program for children with disabilities who have completed the primary level and are over-aged for the elementary level.
Note: Totals in thi s table shall tally i n columns for SPED CWDs (self -contained class) i n Tables A, B & C.
Certi f ied True and Correct by : Checked by Distr ict Off ice : Veri f ied by the Division Off ice :
School Head : Head of the Off ice: Head of the Off ice: (Signature Over Pri nted Name)
Position Title : Date : Position Title : Date : Position Title : Date : PSDS
DR. ANTONIETA B. TIOTUICO, CESO V
SDSHT - III
Male Female
(Signature Over Pri nted Name)
TOTAL
ARNOLD D. DELA CRUZ
Male Female
SERLITA B. AGUSTIN
Grade 1Kindergarten
Female
DisabilitiesKindergarten Primary Level
Grade 3
Female
(Signature Over Pri nted Name)
(Kindergarten to Grade 6)Grade 6Grade 5Grade 4
MaleMale
Transition
FemaleFemale Male
Male
Female Male Female
TOTAL(Kindergarten to Transition)
FemaleMale
PUPILS WITH SPECIAL NEEDS
Female Male
TOTALGrade 2
Male Female Male Female Male
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Table I. PUPILS WITH DISABILITIES FROM SPED CLASSES OR SPED CENTERS MAINSTREAMED IN REGULAR CLASSES, SY 2013-2014 (As of June 7, 2013)
Male Female Male Female Male Female Male Female Male Female Male Female Male
Intellectual Disability
Visually Impaired
Hearing Impaired
Emotionally and Behavior Disorder
Orthopedically Handicapped
Multiple Handicapped
Multiple Disability with Visual Impairment
Speech Defective
Learning Disability
Autism
With Special Health Problem
Cerebral Palsy
PUPILS WITH DISABILITIES FROM SPED CLASSES OR SPED CENTERS MAINSTREAMED IN REGULAR CLASSES (Table I)
These are pupils with disabilities based on medical certification who were previously enrolled in SPED classes/SPED centers but currently mainstreamed in regular classes.
Table J. PUPILS WITH DISABILITIES WHO DO NOT ATTEND ANY SPED CLASSES, SY 2013-2014 (As of June 7, 2013)
Male Female Male Female Male Female Male Female Male Female Male Female Male
Intellectual Disability
Visually Impaired
Hearing Impaired
Emotionally and Behavior Disorder
Orthopedically Handicapped
Multiple Handicapped
Multiple Disability with Visual Impairment
Speech Defective
Learning Disability
Autism
With Special Health Problem
Cerebral Palsy
PUPILS WITH DISABILITIES WHO DO NOT ATTEND ANY SPED CLASSES (Table J)
These are pupils with disabilities whether based on medical certification or by teacher's observation who are mainstreamed in regular classes and do not attend any SPED classes
Grade 3
0
GradGrade 5Grade 4
Grade 4 Grade 5 Grad
0 01 0 1 0 0 0
00 0 0 0
TOTAL 0 0 0 0 1
0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 1
0 0 0 0 0 0
0
0 0 0 0 0 0
0 1 0 0 0 0
0
0 0 0 0 1 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 00 0 0 0 0 0
Disabilities
0 0 0 0 0
Grade 3Kindergarten Grade 1 Grade 2
0 0 0
0 0
0
TOTAL 0 0 0 0 0
0 0 0
00 0 0
0 0 0 0 0 0
0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
0
0 0 0 0 0 0
0 0 0 0 0 0
Disabilities
0 0 0 0 0
Grade 1Kindergarten Grade 2
0
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Table K. SCHOOL SITE DATA, SY 2013-2014 (As of June 7, 2013)
Acquisition of School Site: Proof of Ownership and Occupancy: (check as appropriate) Topography: (check as appropriate)
Transfer Certificate of Title Flat
Tax Declaration Rolling
Purchase n/a Deed of Donation Others, pls.specify ___________________
Usufruct Agreement n/a Presidential Proclamation/Special Patent
Expropriation n/a Contract of Usufruct
Exchange (Land Swapping) n/a MOA
Presidential Proclamation/Special Patent n/a Others, pls.specify ___________________ Land Area: (in square meters)
Adverse Claim
Encroachment/Presence of Illegal Occupants
Others, pls.specify ___________________
SCHOOL SITE DATA (Table K)
Mode of Acqui sition of School Site - refers to the methods used in the acquisition of school sites.
Donation - a simple donation is one whereby person disposes gratuitously of a piece of land in favor of the government.Purchase - a school site maybe acquired by direct purchase f rom the legal owner who voluntarily sells it on agreed price.
Expropriation - the taking of private property for public use.
Presidential Proclamation - public lands declared as reservation areas including ancestral lands through Presidential Proclamation.
Proof of Ownership and Occupancy - legal and official documents to show proof of ownership and occupancy (include others like GA, PTCA or NGOs).
Contract of Usufr uct - DepED/school is allowed of full use or perpetual right of use of property through gratuitous act (without consideration) as long as the property is used solely for educational purposes.
Adverse Claim - a claim to property by one in possession, thereof asserted against a trustee or receiver in bankruptcy.
Encroachment - entry to school sites without right or permission.
Note: I n case, the school head does not have adequate inf ormation on the items li sted above, the assistance of the I ndustri al Arts teacher/D ivi sion Physical Facil iti es Coordinator/D ivision Pr oject Engineer can be asked.
Cer tif ied True and Correct by : Checked by Distr ict Off ice : Veri f ied by the Division Off ice :
School Head : Head of the Off ice : Head of the Off ice :
Position Ti tle : Date : Position Ti tle : Date : Position Title : Date :
10,000
(Signature Over Print ed Name)
ARNOLD D. DELA CRUZ
(Signature Over Print ed Name)
Hilly
PSDS
(Signature Over Print ed Name)
Legal Ownership Issues: (check as appropriate)
Others, please specify ____________
DR. ANTONIETA B. TIOTUICO, CESO V
SDSHT - III
SERLITA B. AGUSTIN
Mode
Deed of Absolute SaleDonation
Year
Acquired
1937
174674658.xls.ms_office TableK Page 7 of 7