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 Division Samar (Western Samar) District San Jorge

School ID 123700 School Year 2022 - 2023 Curriculum

School Name Mabuhay Elementary School Grade Level Grade 4 Section D

SUMMARY TABLE
Did Not Meet Expectations
ACTION TAKEN:
of the ff.
LEARNER'S NAME GENERAL PROMOTED,
LRN CONDITIONAL or
Learning Area/s as of end of STATUS MALE FEMALE TOTAL
(Last Name, First Name, Middle Name) AVERAGE current
RETAINED
School Year
PROMOTED 6 5 11

MALE
CONDITIONALLY
PROMOTED 0 0 0
123700180012 ALINAN,KHIE JAY, SABIO 80 PROMOTED

123700180007 BARCOMA,STIPHENE JOHN, BERNALES 87 PROMOTED RETAINED 0 0 0

123464180017 MOLITO,LEO JAY, MANLANGIT 86 PROMOTED

123700170006 RIVAMONTE,KHEN MARTIN, SANICO 85 PROMOTED LEVEL OF PROGRESS AND ACHIEVEMENT

PROMOTED WITH Descriptor &

123700180004 SANICO,NATHAN, DELADIA 90
HONORS Grading MALE FEMALE TOTAL

123700180003 VELARDO,JHON ERON, - 81 PROMOTED

Did Not Meet
6 <=== TOTAL MALE Expectations (74 and 0 0 0
below)
FEMALE
Fairly
123700180006 ALPIZ,LEANN JOY, AMONGO 84 PROMOTED Satisfactory (75- 0 0 0
79)
PROMOTED WITH
123700180001 AMONGGO,QUENNIE, BLASQUENO 91
HONORS
PROMOTED WITH Satisfactory (80-
123700180002 BELDAD,AUDREY ELAINE, BERNALES 91 2 3 5
HONORS 84)

123700180005 DONATO,MERVILYN, NONO 84 PROMOTED

123700180010 ROYANDOYAN,RYZA JANE, GONZAGA 83 PROMOTED Very Satisfactory

3 0 3
(85-89)
5 <=== TOTAL FEMALE

11 <=== COMBINED
Outstanding (90-
1 2 3
100)
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:

JESSA NOROMBABA MABINI

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

RACQUEL BELDAD FENIZA

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

FERNANDO ABANAG CABARLES

(Signature Over Printed Name )

MA. JONALYN REPOSO VARON

(Signature Over Printed Name )

SIONY ROSALES ARTATES

(Signature Over Printed Name )

Generated thru LIS (SCC CO-Chair)

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