SF5 - 2021 - Grade 4 - GRADE 4
SF5 - 2021 - Grade 4 - GRADE 4
SF5 - 2021 - Grade 4 - 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
FEMALE
Very Satisfactory
135401170014 AGLAYEN,AIZEL KATE LAYUGAN 90 PROMOTED 9 4 13
(85-89)
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:
1 1