You are on page 1of 2

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

School Name Bogo Calabat Integrated School School ID 501159 District Josefina Division Zamboanga del Region Region IX

Semester Second Semester School Year 2021 - 2022 Grade Level Grade 12 Section Magsaysay

Track and Strand Technical-Vocational-Livelihood Track Course (only for TVL) Animal Production (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

FEMALE

1 125436090001 ALBARICO, CHARITY BAIROY Learners who completed SHS


Program more than 2 SYs or 4 0 0 0
Sems
2 125200050002 AYBO, JUNALYN ADAPON

3 125077090010 EBONDAS, JHONAFE HUGO


TOTAL 0 0 0
4 125318090016 GANLASON, JULIE MAE MONSALUD

5 127384090005 LIWANAG, CHARLIES LAURENTE Summary Table B

6 125077130002 MANTIA, MAYLYN ALON STATUS Male Female Total

7 125077070019 MIGABON, JOCELYN GANLASON NC III 0 0 0

8 125436090005 MOCOY, RENIE JANE PELAYO NC II 0 0 0

9 127384090018 ROJAS FRANCISCO, ROMELY GULANE NC I 0 0 0

10 125077090025 SUMILE, PHYL ARVIE JAY ALBARICO TOTAL 0 0 0

11 125077120005 TABONIAG, JEANY LOU ANDOS

GUIDELINES:
12 125264100026 TUBOT, HANNA MAE PELAYO
1. This form should be accomplished by the Class Adviser at End
13 127384130036 TUBOT, JEAN SENO of School Year.
2. It should be compiled and checked by the School Head and
passed to the Division Office before graduation.
13 <=== TOTAL FEMALE

13 <=== COMBINED
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:

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

JESSIEBEL MAGSAYO CAÑA


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)

You might also like