Boys:

Boys
LRN NO. Boys LRN NO.
School: 1 481517200011 CALILAN, VINCENT JAKE S. 1

School ID: 481517200005 ELGUIRA, MATTHEW 2

District 3

Division
Shool Year
Region
Adviser
School Head:
District Supervisor
SDS
 GIRLS:
LRN NO. NAME:
401695200004 CASTULO, ISABELLA GWEN F.
401695200002 MALABANAN, MA. RENEE T.
401695200003 TENORIO, NATASHA CORINNE T.
 School Form 5 Report on Promotion & Level of Proficiency For Kinder (SF5-K)
End of School Year Kindergarten Appraisal Report
School Name 0 District 0 Division 0
School ID 0 Section School Year 0

SUMMARY TABLE

NAME OF LEARNER
No. LRN GENERAL AVERAGE
ACTION TAKEN: PROMOTED, CONDITIONAL or RETAINED
STATUS MALE FEMALE
(Last Name, First Name, Name Extension, Middle Name)

GRADE ONE (1) READY

MALE NEEDS FURTHER
INTERVENTION

LEVEL OF PROGRESS AND ACHIEVEMENT

INTERPRETATION MALE

Suggest Highly Advanced Development -

S.H.A.D. (130 and above)

Suggest Slight Advanced Development

- S.S.A.D. (120-129)

Average Development - A.D. (80-119)

Suggest Slight Delay in Overall Development -

S.Sl.D.O.D (70-79)
 Suggest Slight Delay in Overall Development -
S.Sl.D.O.D (70-79)

Suggest Significant Delay in Overall

Development -
S.S.D.O.D (69 and below)

TOTAL BY GENDER

0 <=== TOTAL MALE

LEARNER'S NAME SUMMATIVE ACTION TAKEN (Grade One

No. LRN (Last Name, First Name, Name Extension, Middle ASSESSMENT INTERPRETATION Ready or Needs Further
Name) STANDARD SCORE Intervention)

FEMALE
1 401695200004 CASTULO, ISABELLA GWEN F. 90 A.D. Grade One Ready Prepared By:
2
2 401695200002 MALABANAN, MA. RENEE T. 80 A.D. Grade One Ready
3 401695200003 TENORIO, NATASHA CORINNE T. 89 A.D. Grade One Ready 0
90 A.D. Grade One Ready Signature of Class Adviser over Printed

92 A.D. Grade One Ready

3 A.D. Grade One Ready Certified Correct & Submitted By:

0
 Signature of School Head over Printed

Reviewed By:

0
Signature of Public Schools Distric
Supervisor/Representative over Printed

Checked & Validated By:

0
Signature of Division Representative over Print
17

GUIDELINES:
1. Do not include Dropouts and Transferred Out (DO
2. This should be prepared by the Adviser. Post Test S
Score should be taken from the record submitted to t
Division Office.
3. The summary table should reflect the total numbe
learners. For GRADE ONE READY, Summative Assessm
Standard Score must be 80 and above, while NEEDS
INTERVENTION must be 79 and below.

6 <=== TOTAL FEMALE

15 <=== COMBINED
SFRT 2017
 Region 0

BLE

FEMALE TOTAL

D ACHIEVEMENT

FEMALE TOTAL
 0
dviser over Printed Name

0
 Head over Printed Name

0
blic Schools District
tative over Printed Name

0
sentative over Printed Name

ferred Out (DO 4, s. 2014)

viser. Post Test Standard
d submitted to the

he total number of
mmative Assessment
ve, while NEEDS FURTHER
w.