School Form 5A End of Semester and School Year Status of Learners for

Senior High School (SF5-SHS)

School Name Liceo de Masbate School ID 403768 District Masbaste Division Masbate City Region Region V

Semester Second Semester School Year 2021-2022 Grade Level XI Section ST. JOHN BOSCO

Track and Strand Course (only for TVL)

Summary Table 1st Sem

STATUS Male Female Total

BACK SUBJECTS (List Down END OF SEMESTER END OF SCHOOL YEAR
LEARNER'S NAME
NO LRN Subjects where learner obtain a STATUS STATUS(Regular/Irregula
(Last Name, First Name, Middle Name)
rating below 75%) (Complete/Incomplete) r) Complete 9 26 35

Incomplete 0 0 0

MALE TOTAL 9 26 35

1
Summary Table 2nd Sem
2
STATUS Male Female Total
3
Complete 10 26 36
4
Incomplete 0 0 0
5
TOTAL 10 26 36
6

7
Summary Table(End of School Year Only)

8
STATUS Male Female Total

9
Regular 10 26 36
10
Irregular 0 0 0
11

12
TOTAL 10 26 36
13

14 GUIDELINES: This form shall be accomplished after each semester in a

school year, leaving the End of School Year Status Column and Summary
Table for End of School Year Status blank/unfilled at the end of the 1st
15 Semester. These data elements shall be filled up only after the 2nd
semester or at the end of the School Year.
16
 INDICATORS: End of Semester Status: Complete - number of learners
17 who completed/satisfied the requirements in all subject areas (with grade
of at least 75%) Incomplete - number of learners who did not meet
18 expectations in one or more subject areas, regardless of number of subjects
failed (with grade less than 75%) End of Program Status: Regular -
number of learners who completed/satisfied requirements in all subject
19 areas both in the 1st and 2nd semester Irregular - number of learners who
were not able to satisfy/complete requirements in one or both semesters
20

21 Note: Do not include learners who are No Longer in School

22 Instructions:

10 <=== TOTAL MALE 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
FEMALE top (additional space may be added)
3. The school head is accountable and liable for any wrongful entry on the
1 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)
2 5. This form shall be submitted to the DCC together with the
accomplished SFCR1 - SCC- (Deped Order 11, 2018, page 11)
3

4 PREPARED BY:
5

6 Class Adviser
(Name and Signature)
7

9 CERTIFIED CORRECT & SUBMITTED BY:

26 <=== TOTAL FEMALE

36 <=== COMBINED

TERESITA RAMIREZ LOZANO

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

Signature over Printed Name

Signature over Printed Name

Signature over Printed Name

LUISA MARIE G. OBTIAL

Generated thru LIS (SCC CO-Chair)