SF5 - 2021 - Grade 4 - GRADE 4

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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 CAR Division Benguet District Bakun

School ID 135401 School Year 2021 - 2022 Curriculum

School Name Bagtangan ES Grade Level Grade 4 Section GRADE 4

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 11 8 19

MALE
CONDITIONALLY
PROMOTED 0 0 0
135401170003 CAYAT,DEANRICK SANTIL 88 PROMOTED

135573170027 CAYETANO,VAUGHN HOWIE CALANTAS 90 PROMOTED RETAINED 0 0 0

135401170004 DAGUASI,JOE BENCH NORMAN 88 PROMOTED

135401170005 DOMPAYAG,MELCHOR JR TAYAB 89 PROMOTED LEVEL OF PROGRESS AND ACHIEVEMENT

135401170006 DUMPAYAG,ALJONE DELFINO 88 PROMOTED Descriptor &


Grading MALE FEMALE TOTAL
135401170008 LODIAS,JOVET BACASEN 89 PROMOTED

135401170009 NIETO,ADRIAN SIW ATEN 89 PROMOTED Did Not Meet


Expectations (74 and 0 0 0
below)
135401170010 SAB-IT,KIVERY LODIAS 88 PROMOTED

135426170011 SANTIBAN,CHARLES WYNE BALAODAN 90 PROMOTED Fairly


Satisfactory (75- 0 0 0
79)
135401170012 TABCAL,EDMUND CUPIDO 89 PROMOTED

135401170013 TIBALDO,JIBSTHER OMAS 88 PROMOTED


Satisfactory (80-
0 0 0
11 <=== TOTAL MALE 84)

FEMALE
Very Satisfactory
135401170014 AGLAYEN,AIZEL KATE LAYUGAN 90 PROMOTED 9 4 13
(85-89)

135401170015 ALICAP,ANDREA MASING 89 PROMOTED

135401170016 BALEGAN,JANELLE PACIO 87 PROMOTED Outstanding (90-


2 4 6
100)
135401170017 DIASEN,JOYCE DUMPAYAG 89 PROMOTED
135401170018 DUMPAYAG,KREZIA JEZEL SORIANO 94 PROMOTED Instructions:

135401170020 LABISEN,JOANA DOMPAYAG 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
135401170022 SANCHEZ,NICOLE MOLINA 92 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
135401170023 VICENTE,STACEY TALICUAD 92 PROMOTED their names and signatures in SF 5
4. Only LIS generated SF5 shall be recognized (DO 11, 2018, page 7)
8 <=== 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:

ANA CONSE BOLAS


Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

AURELIA BAYAWA ATONEN


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)

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