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School Form 5 (SF 5) Report on Promotion and Level of Proficiency & Achievement

(This replaces Forms 18-E1, 18-E2, 18A and List of Graduates)

Region Region IV- Division Laguna District Bay

School ID 108206 School Year 2021 - 2022 Curriculum

School Name Puypuy ES Grade Level Grade 4 Section AGILA

SUMMARY TABLE
Did Not Meet Expectations
ACTION TAKEN:
of the ff.
LEARNER'S NAME GENERAL PROMOTED,
LRN Learning Area/s as of end of STATUS MALE FEMALE TOTAL
(Last Name, First Name, Middle Name) AVERAGE CONDITIONAL or
current
RETAINED
School Year
PROMOTED 7 12 19
MALE
CONDITIONALLY
PROMOTED 0 0 0
109816170046 ASUMBRA,JEMHEL OCINA 84 PROMOTED
108206160006 CAJEGAS,JHUN NIKKO MAHINAY 78 PROMOTED RETAINED 0 0 0
402509170002 CASTILLO,JUSTINE DIAZ 86 PROMOTED
108206170034 MALACA,JARED EZEKIEL PIONILLA 82 PROMOTED LEVEL OF PROGRESS AND ACHIEVEMENT

108206170025 MALVEDA,DAVE ZYLER DIMAILIG 80 PROMOTED Descriptor &


Grading MALE FEMALE TOTAL
108206170026 SONGCAYA,CHAD RHOBIELL CASILAG 85 PROMOTED
Did Not Meet
108206170022 TEOXON,HANZ GABRIEL VILLANUEVA 86 PROMOTED Expectations (74 and 0 0 0
below)
7 <=== TOTAL MALE

FEMALE Fairly
Satisfactory (75- 1 2 3
79)
108206170024 AÑONUEVO,ALYSSA ANNETH BIGUERAS 83 PROMOTED
108206170009 BAFLOR,LADY CLAIRE LAO 84 PROMOTED
Satisfactory (80-
84)
3 7 10
108206170020 BAGSIK,JAMILLE ERIKA MENOR 84 PROMOTED
108447170202 BON,CRISTINE - 79 PROMOTED
Very Satisfactory
108206170012 EVANGELISTA,KAIZEN DIMAILIG 83 PROMOTED (85-89)
3 2 5

108206170035 FELIPE,ANGELA MAE - 82 PROMOTED


108206160040 HADRAQUE,JANET ANYAG 79 PROMOTED Outstanding (90-
100)
0 1 1

108206170033 ISABEDRA,MITCH CAMPOS 85 PROMOTED


108204170120 PABALAN,MARIA ANGELIIKA - 82 PROMOTED Instructions:

108206170015 PEREZ,SAMANTHA CARAMELO 86 PROMOTED 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
108206170032 REGONDON,ANGEL NICOLE JAMCO 80 PROMOTED (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
108206160031 REYES,PRINCESS KYLA DELA CRUZ 90 PROMOTED their names and signatures in SF 5
4. Only LIS generated SF5 shall be recognized (DO 11, 2018, page 7)
12 <=== TOTAL FEMALE 5. This form shall be submitted to the DCC together with the accomplished
SFCR1 - SCC- (Deped Order 11, 2018, page 11)

19 <=== COMBINED

PREPARED BY:

MELCHOR LABASTIDA CRUZ JR


Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

MA. TERESA REYES VECINO


School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

JUDY TABUQUILDE SACRISTAN

(Signature Over Printed Name )

JOEL PANISALES ORTILLA

(Signature Over Printed Name )

MELCHOR LABASTIDA CRUZ, JR.

(Signature Over Printed Name )

MARIA JESSICA DAPILAGA REYES

Generated thru LIS (SCC CO-Chair)

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