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 III Division Zambales

School ID 301017 School Year 2020 - 2021 Curriculum k12

School Name La Paz National High School Grade Level Grade 10 (Year Section AMETHYST

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

PROMOTED 16 14 30

MALE
CONDITIONALLY
PROMOTED 0 0 0
106964100020 BROCOY,JOHN ANTHONY - 77 PROMOTED

109323100229 CONCEPCION,JC GABRIEL CALLOPE 87 PROMOTED RETAINED 0 0 0

106972090021 GUILLERMO,CHRISTIAN SIMON 79 PROMOTED

106964100061 PALMARIN,ALVIN PADRIQUELA 80 PROMOTED LEVEL OF PROGRESS AND ACHIEVEMENT

PROMOTED WITH Descriptor &

106964100063 PALMARIN,PRINCE LIAM VENTURA 90 HONORS Grading MALE FEMALE TOTAL

106963100037 PAMPOLINO,JAMES KEN HIPOLITO 88 PROMOTED

Did Not Meet
101462100099 PANSA,GERALD ELAIDA 78 PROMOTED Expectations (74 0 0 0
and below)
106964100065 QUIAMBAO,MARK OWYN CARIÑO 82 PROMOTED
Fairly
106968090041 REALIN,KEN - 77 PROMOTED Satisfactory (75- 4 0 4
79)
106970100071 RENALIZA,VIC FRANCIS FALLORINA 85 PROMOTED

106964100070 REYES,AROLD MAIC QUIMAN 88 PROMOTED Satisfactory (80-

5 5 10
84)
106968100060 REYES,ROMY RICK MORALES 88 PROMOTED

106959140037 ROSALES,RHEI ADRIAN MAYOR 87 PROMOTED

Very Satisfactory
6 5 11
(85-89)
106972100039 ROYO,JUNE ANDREY REVADILO 83 PROMOTED

106969100048 SAGUN,ERICSON OLVARA 84 PROMOTED

Outstanding (90-
106969090034 SAGUN,FELMAR OLVARA 84 PROMOTED 100)
1 3 4

16 <=== TOTAL MALE

Instructions:
FEMALE
1. As per Deped Memorandum 14, 2021, this form (SF5) shall be
106963100039 QUIJANO,JESSELLE RONDUEN 81 PROMOTED checked by the School Checking Committee alone. The SCC shall conduct
checking in their own school only, no swaping of SCC from one school to
PROMOTED WITH another is permitted.
106964100066 QUIMAN,MICAH ELLA REYES 91 HONORS 2. The name of SCC members shall be printed and put their signature
on top (additional space may be added)
3. This form shall be submitted to the DCC together with the
106964100067 QUIÑOLA,PIA MAE AMANONCE 84 PROMOTED accomplished School Form Checking Report (SFCR)

106960100059 RAMOS,HAZEL ANNE CORTEZ 82 PROMOTED

106970100069 RAMOS,JOVYLYN DAQUES 85 PROMOTED

PREPARED BY:
106934090078 RECACHO,SHERYNE ROSE NANTES 81 PROMOTED

106968100059 REGALA,GEMMEL MATA 83 PROMOTED

NEIL REBOJA FACTURA
420516150140 RELANIZA,ALTHEA FAYE PAGAR 87 PROMOTED
Class Adviser
106959100024 RENOLO,APRIL MAE RIVERA 86 PROMOTED (Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

106969100047 RESOLME,JERICA MAE FULLECE 86 PROMOTED

106964100071 REYES,IRISH JANE TADEO 88 PROMOTED

PROMOTED WITH CAROLYN COSTALES-FONTILLAS EdD
106959100025 RONDERO,PAMELA JOYCE PANTILON 95 HIGH HONORS
School Head & SCC Chair
106960100063 RUANO,CHARLENE JOY PAGAR 90 PROMOTED (Name and Signature)

106964100075 SAMILLANO,EDNA LYN FALSARIO 91 PROMOTED REVIEWED BY: SCC Members

14 <=== TOTAL FEMALE

30 <=== COMBINED

(Signature Over Printed Name )

(Signature Over Printed Name )

 (Signature Over Printed Name )

Generated thru LIS (SCC CO-Chair)

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