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

Senior High School (SF5-SHS)

School Name Salinap National High School School ID 300387 District San Carlos Division San Carlos City Region Region I

Semester Second Semester School Year 2022 Grade Level Grade 12 Section GAS

Track and Strand Academic Track -General Academic 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 3 9 12

Incomplete 0 0 0

MALE TOTAL 3 9 12

1 136885100333 CALVARIO,JULIUS, JR DUMLAO Completer Regular

Summary Table 2nd Sem
2 136816090167 CRUZ,RONIE, FERRER Completer Regular
STATUS Male Female Total
3 102249100039 PASCUA,JULIER, DUMLAO Completer Regular
Complete 3 9 12
3 <=== TOTAL MALE
Incomplete 0 0 0
FEMALE
TOTAL 3 9 12
4 102250100001 AGBUYA,MARIBEL, DE VERA Completer Regular

5 102216100019 BANTING,MA AMOR, DAVID Completer Regular

Summary Table(End of School Year Only)

6 102249100010 BRINGAS,JAZEL, ABALOS Completer Regular

STATUS Male Female Total

7 102244100028 DE LEON,RICA, CERVANTES Completer Regular

Regular 3 9 12

8 153503100003 DELA CRUZ,JULIA, CASTRO Completer Regular

Irregular 0 0 0

9 102237100030 LOPEZ,MA. MARQUIEL, BARTOLO Completer Regular

TOTAL 3 9 12

10 102249100027 MANZON,KRISTINE DIANNE, GARCIA Completer 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
11 102242100041 PECSON,MYCA, NABE Completer Regular Status blank/unfilled at the end of the 1st Semester. These data elements shall be filled up
only after the 2nd semester or at the end of the School Year.
12 102249100057 ZUÑIGA,VANESSA, PRUDENCIO Completer Regular

INDICATORS: End of Semester Status: Complete - number of learners who

completed/satisfied the requirements in all subject areas (with grade of at least
12 <=== COMBINED 75%) Incomplete - number of learners who did not meet 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 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
Note: Do not include learners who are No Longer in School
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:
PATRICK JOSEPH S. BRIONES
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

ROGELIO P. DE GUZMAN, EdD
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)