7
0 0 8 1 0 6 6 6 9 Distr ict I D School I D  Republic of the Philippines DEPARTMENT OF EDUCATION OFFICE OF PLANNING SERVICE Res earch and Statisti cs Di vision GOVERNMENT ELEM ENTARY SCHOOL PROFI LE (BEGINN I NG OF TH E SY DATA, AS OF JUNE 7, 2013) SCHOOL INF ORMATI ON SY 2013-2014 Name of School : Region :  (Official name) Di vi si on :  School Di str i ct :  (I f r enamed, please indicate old name.) Legi sl ati ve Di str i ct :  Address : Tel . No. :  # Str eet/Si ti o/Purok Bar angay  Mobile No. : Fax No. :  Muni ci pal i ty Pr ovi nce/Ci ty  E-Mail Address : Date of Oper ati on :  I ntegr ated School Annex/Extensi on School  (Please check appropriate box if the school is offering both elementary and secondary levels.) (Please check appropriate box if the s chool 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 Corr ect by : Checked by Distr ict Of f ice : Veri fi ed by the Divisi on Of fice :  School Head : Head of the Of f ice : Head of the Of f ice :  (Si gnatur e Over Pr i nted Name) (Si gnatur e Over Pr i nted Name) (Si gnatur e Over Pri nted 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 [email protected] INSTRUCTIONS CADULDULAOAN ELEMENTARY SCHOOL CADULDULAOAN PRIMARY SCHOOL CADULDULAOAN  III I mportant: 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_officeSchInfo Page 1 of 7

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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

[email protected]

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

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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