School Form 5 Report on Promotion and Level of Proficiency For Kinder (SF5-K)

End of School Year Kindergarten Appraisal Report

School Name Rillas ES District Plaridel South Division Misamis Occidental Region Region X

School ID 127504 Section MANGO School Year 2021-2022

SUMMARY TABLE
Summative Appraised (Grade One
LEARNER'S NAME
NO LRN Assesment Interpretation Ready or needs
(Last Name, First Name, Middle Name) Standard Score Further Intervention STATUS MALE FEMALE TOTAL

MALE GRADE ONE READY 1 4 5

1 127504210001 TERO,KENTH DANIEL DAGUMO 109 AD GRADE ONE READY

Needs Further Intervention 0 0 0
1 <=== TOTAL MALE

LEVEL OF PROFICIENCY
Summative Appraised (Grade One
LEARNER'S NAME
NO LRN Assesment Interpretation Ready or needs
(Last Name, First Name, Middle Name) Standard Score Further Intervention Descriptor & Grading
Scale MALE FEMALE TOTAL

Suggest Highly Advanced

FEMALE Development - SHAD (130 0 0 0
and above)

2 127504210005 BALUNGAG,CHRISTINE SAMSON 109 AD GRADE ONE READY Suggest Slight Advanced
Development - SSAD (120- 0 0 0
129)
3 127504210004 JIPOS,JOVELYN COLASIAN 109 AD GRADE ONE READY

Average Development - AD
4 127504210003 MAGLINAO,EZHEIL JANE TIMBONG 109 AD GRADE ONE READY (80-119) 1 4 5

5 127504210002 PERMALE,JUNA PASTILLO 109 AD GRADE ONE READY Suggest Slight Delay in
Overall Development - 0 0 0
SSIDOD (70-79)
4 <=== TOTAL FEMALE
Suggest Significant Delay in
5 <=== COMBINED Overall Development - 0 0 0
SSDOD (69 and below)

INSTRUCTIONS:

1. The SCC shall conduct checking in their own school, no

swapping 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. The school head is accountable and liable for any wrongful entry
on the forms (Deped Order 4, 2014 par.5) therefore, the DCC is not
required to put their names and signatures in SF 5
4. Only LIS generated SF5 shall be recognized (DO 11, 2018, page
7)
5. This form shall be submitted to the DCC together with the
accomplished SFCR1 - SCC- (Deped Order 11, 2018, page 11)

PREPARED BY:
 ROSCEL JOY MAQUILING JARANTILLA
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

RUTH P. TESTA
School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

JAY L.TAGAB
Signature over Printed Name

MERADEL T. TUTAS
Signature over Printed Name

NORELYN P. TEJERO
Signature over Printed Name

RUTH P. TESTA
Generated thru LIS (SCC CO-Chair)