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District IDDistrict IDSchool ID
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Republic of the Philippines
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DEPARTMENT OF EDUCATION
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 PLANNING SERVICE
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Education Management Information System Division
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GOVERNMENT INTEGRATED SCHOOL PROFILE
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INSTRUCTIONS
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 This form shall be accomplished by the head of all government integrated schools.
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 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 September 26, 2016.
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 Important: Read the definitions/instructions found at the bottom of each table before filling up the form. No item should be left blank. Instead, "zero ( 0 )" or "not applicable (n/a) " shall be written. Shaded boxes shall not be filled.
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SCHOOL INFORMATION
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SY 2016-2017
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Name of School
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Region
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(Official name)
Division
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School District
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(If renamed, please indicate old name.)
Legislative District
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Address
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Tel. No.
:
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#Street/Sitio/PurokBarangay
Mobile No.
:
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Fax No.
:
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MunicipalityProvince/City
E-Mail Address
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Date of Establishment
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For Secondary (JHS/SHS) Level:
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Implementing Unit
Night Classes
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(Please check appropriate box if the school has book of accounts or has fiscal autonomy.)
(Please check appropriate box if the school is offering night classes.)
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YesNoYesNo
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Certified True and Correct by :
Checked by District Office :
Verified by the Division Office :
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School Head
:
Head of the Office :
Head of the Office :
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(Signature Over Printed Name)(Signature Over Printed Name)(Signature Over Printed Name)
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Position Title : ____________________
Date : ___________
Position Title
:
Date :
Position Title
:
Date :
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