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 First Semester School Year 2021-2022 Grade Level XI Section ST. SEBASTIAN

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 22 9 31

Incomplete 0 0 0

MALE TOTAL 22 9 31

1 #FMT ABELONG, JAYPEE B. COMPLETE REGULAR

Summary Table 2nd Sem
2 #FMT ABRANTES, ALBRECHT A. COMPLETE REGULAR
STATUS Male Female Total
3 #FMT AMPARO, JADE LAURENCE A COMPLETE REGULAR
Complete
4 #FMT AMPARO, JAKE CLARENCE A. COMPLETE REGULAR
Incomplete
5 #FMT ANDRES, FRANZ VINCENT Y. COMPLETE REGULAR
TOTAL
6 #FMT BAUTISTA, MANOLITO JR. A. COMPLETE REGULAR

7 #FMT BOLAÑO, KENNETH R. COMPLETE REGULAR

Summary Table(End of School Year Only)

8 #FMT CABALITAN, CHAD L. COMPLETE REGULAR

STATUS Male Female Total

9 #FMT CARTAGENA, RYAN CARL M. COMPLETE REGULAR

Regular
10 #FMT DANAO, DEXTER B. COMPLETE REGULAR
Irregular
11 #FMT HINLO, SHAWN HERNZ C. COMPLETE REGULAR

12 #FMT LAURIO, LANCE D. COMPLETE REGULAR

TOTAL
13 #FMT MALTO, RAIN E. COMPLETE REGULAR

14 #FMT MANLAPAZ, LOUIS ANTONIO D. COMPLETE REGULAR 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 #FMT MORA, EDWAD JULIE R. COMPLETE REGULAR Semester. These data elements shall be filled up only after the 2nd
semester or at the end of the School Year.
16 #FMT RUIZ, LOUIE JOHN V. COMPLETE REGULAR
 INDICATORS: End of Semester Status: Complete - number of learners
17 #FMT SEGURA, KURT RUSSEL B. COMPLETE REGULAR who completed/satisfied the requirements in all subject areas (with grade
of at least 75%) Incomplete - number of learners who did not meet
18 #FMT SETENTA, RITCHIE M. COMPLETE REGULAR 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 #FMT TORRECAMPO, ACE R. COMPLETE REGULAR 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 #FMT TRANGIA, CARLO MEGUEL P. COMPLETE REGULAR

21 #FMT VALDEMORO, CHARLES RUSSEL M. COMPLETE REGULAR Note: Do not include learners who are No Longer in School

22 #FMT VERANO, JOHN MARK T. COMPLETE REGULAR Instructions:

22 <=== 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 #FMT ABAPO, CHERICE MERYDEL A. COMPLETE R REGULAR 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 #FMT BADILLO, GLORY ANN V. COMPLETE REGULAR 5. This form shall be submitted to the DCC together with the
accomplished SFCR1 - SCC- (Deped Order 11, 2018, page 11)
3 #FMT BOLANTE, ROSE JEAN S. COMPLETE REGULAR

4 #FMT CALAMPIANO, JAYNE LOISE A, COMPLETE REGULAR PREPARED BY:

5 #FMT ESCARIO, BABY SHANE A. COMPLETE REGULAR

6 #FMT ESPINAS, KRISTINE C. COMPLETE REGULAR Class Adviser

(Name and Signature)
7 #FMT GENIBLA, JORLYN MAY M. COMPLETE REGULAR

8 #FMT OÑAS, JULIE ANN T. COMPLETE REGULAR

9 #FMT SALVADOR, MARY ROSE E. COMPLETE REGULAR CERTIFIED CORRECT & SUBMITTED BY:

9 <=== TOTAL FEMALE

31 <=== COMBINED

TERESITA RAMIREZ LOZANO

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

SAMANTHA COLEEN I. ALMERO

Signature over Printed Name

JHON MAR D. AGANAN

Signature over Printed Name

REYKARDO Y. LAURIO
Signature over Printed Name

LUISA MARIE G. OBTIAL

Generated thru LIS (SCC CO-Chair)