School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)

School Name San Isidro National High School School ID 302238 District Bulan South Division Sorsogon Region Region V

Semester Second Semester School Year 2020 - 2021 Grade Level Grade 12 Section GRADE 12 TVL - B (TAILORING)

Track and Strand Technical-Vocational-Livelihood Track Course (only for TVL) Dressmaking (NC II), Tailoring (NC II)

Summary Table

STATUS Male Female Total

LEARNER'S NAME Completed SHS in 2 SY's National Certification Level Attained
NO LRN
(Last Name, First Name, Middle Name) (Yes/No) (only if applicable)
Learners who completed SHS
0 0 0
Program within 2 SYs or 4 Sems

MALE

1 114051080001 ASURTO, ARVY GOZARIN Learners who completed SHS

Program more than 2 SYs or 4 0 0 0
Sems
1 <=== TOTAL MALE

FEMALE
TOTAL 0 0 0
2 114321080002 ALIG, MARRY GRACE null GRIPAL

3 114055080005 CRUEL, ANGEL - BAYOCA Summary Table B

4 114051080010 DELLOMAS, MICHELLE GOZARIN STATUS Male Female Total

5 114049080027 ESTREMERA, MARICAR FRUTO NC III 0 0 0

6 114055080012 GIPIT, JERLYN BAYOCA NC II 0 0 0

7 114019080014 GOLPO, DANICA GURAY NC I 0 0 0

8 114049080063 GUAN, JANELYN PURO TOTAL 0 0 0

9 114049080065 GUBAN, NECHOLE FERMENTO

GUIDELINES:
10 114036080078 MAGANO, CLARISSE LAGAJINO
1. This form should be accomplished by the Class Adviser at End
11 114051080040 PERTES, ANDREA MIRANDA of School Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
12 114049080090 PURO, SAMANTHA BONEO

11 <=== TOTAL FEMALE

Instructions:
12 <=== COMBINED
12 <=== COMBINED 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:

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

RODOLFO MARAVILLA EVASCO

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

Signature over Printed Name

Signature over Printed Name

Signature over Printed Name

Generated thru LIS (SCC CO-Chair)