School Form 5 (SF 5) Report on Promotion and Level of Proficiency & Achievement

(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Region IV- Division Palawan District Narra District I

School ID 170571 School Year 2020 - 2021 Curriculum

School Name Bethlehem Elementary School Grade Level Grade 4 Section Ocampo

SUMMARY TABLE
Did Not Meet Expectations
ACTION TAKEN:
of the ff.
LEARNER'S NAME GENERAL PROMOTED,
LRN CONDITIONAL or
Learning Area/s as of end of STATUS MALE FEMALE TOTAL
(Last Name, First Name, Middle Name) AVERAGE current
RETAINED
School Year
PROMOTED 6 2 9

MALE
CONDITIONALLY
PROMOTED 0 0 0
170571160001 DELA CRUZ,EL THUNDER ASIAO 87 PROMOTED

170525160012 MASBANG,JUN JUN ENRIQUIZ 83 PROMOTED RETAINED 0 0 0

170571160003 PESQUERRA,REYLAN BASIO 83 PROMOTED

111487160005 PONTERAS,ACE JOHN LLERA 90 PROMOTED LEVEL OF PROGRESS AND ACHIEVEMENT

111498160012 RABANG,ANDREW OMOLON 82 PROMOTED Descriptor &

Grading MALE FEMALE TOTAL
170571150007 VILLASIS,JHON KRISTOBAL PAMAT 83 PROMOTED

6 <=== TOTAL MALE Did Not Meet

Expectations (74 and 0 0 0
below)
FEMALE

170571160004 FLOREZ,ZYREL - 84 PROMOTED Fairly

Satisfactory (75- 0 0 0
79)
170571160006 QUIAMCO,AIRELLE ASIAO 91 PROMOTED

Satisfactory (80-
4 1 5
2 <=== TOTAL FEMALE 84)

8 <=== COMBINED
Very Satisfactory
1 0 1
(85-89)

Outstanding (90-
1 1 2
100)
Instructions:

1. As per Deped Memorandum 14, 2021, this form (SF5) shall be checked
by the School Checking Committee alone. The SCC shall conduct checking in
their own school only, no swaping of SCC from one school to another is
permitted.
2. The name of SCC members shall be printed and put their signature on top
(additional space may be added)
3. This form shall be submitted to the DCC together with the accomplished
School Form Checking Report (SFCR)

PREPARED BY:

ERLINDA TOBIAS OCAMPO

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

DIANA LLERA MARCELO

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

ISAGANI CALSO DELA PENA

(Signature Over Printed Name )

KAREN JOY SOTTO CASTILLO

(Signature Over Printed Name )

ELENA GABELIO SIATREZ

(Signature Over Printed Name )

ISAGANI CALSO DELA PENA

Generated thru LIS (SCC CO-Chair)

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