School Form 5 Report on Promotion and Level of Proficiency For Kinder (SF5-K)

End of School Year Kindergarten Appraisal Report

School Name Nilasin Ist ES District Pura Division Tarlac Region Region III

School ID 106602 Section MELON School Year 2020-2021

SUMMARY TABLE
Summative Appraised (Grade One
LEARNER'S NAME
NO LRN Assesment Interpretation Ready or needs
(Last Name, First Name, Middle Name) Standard Score Further Intervention STATUS MALE FEMALE TOTAL

MALE GRADE ONE READY 10 8 18

1 106602200005 BALDOVINO,DAN JARRED IBABAO 117 AD GRADE ONE READY

Needs Further Intervention 0 0 0
2 106602200018 BERMUDEZ,MARK LAWRENCE GUBAT 117 AD GRADE ONE READY

3 106602200014 BONITA,JHON GABRIEL FONTANILLA 117 AD GRADE ONE READY LEVEL OF PROFICIENCY

4 106602200010 CAYAPAN,MARK YOHAN LUCAS 117 AD GRADE ONE READY

Descriptor & Grading
Scale MALE FEMALE TOTAL
5 106602200016 CRUZ,JUAN CARLOS PARCAREY 117 AD GRADE ONE READY
Suggest Highly Advanced
6 106602200003 DUERME,NEL SHANDER MILLO 117 AD GRADE ONE READY Development - SHAD (130 0 0 0
and above)

7 106602200017 EMBORNEZA,JERALD MILLO 117 AD GRADE ONE READY Suggest Slight Advanced
Development - SSAD (120- 0 0 0
129)
8 106602200012 GARRIDO,JOFF CATAP 117 AD GRADE ONE READY

Average Development - AD
9 106602200008 IGLESIA,ALEXANDER ACHILLES TAGATA 117 AD GRADE ONE READY (80-119) 10 8 18

10 106602200015 SANTOS,CARLITO JR PADUIT 91 AD GRADE ONE READY Suggest Slight Delay in

Overall Development 0 0 0
-SSIDOD (70-79)
10 <=== TOTAL MALE
Suggest Significant Delay in
Overall Development - 0 0 0
SSDOD (69 and below)
Summative Appraised (Grade One
LEARNER'S NAME
NO LRN Assesment Interpretation Ready or needs
(Last Name, First Name, Middle Name) Standard Score Further Intervention INSTRUCTIONS:

FEMALE
1. As per Deped Memorandum 14, 2021, this form (SF5) shall be
checked by the School Checking Committee alone. The SCC shall
11 106602200006 ALCANTARA,MARY JOY REYES 108 AD GRADE ONE READY conduct checking in their own school only, no swaping of SCC from
one school to another is permitted.
2. The name of SCC members shall be printed and put their
12 106602200002 CAMARILLO,REIGN CADICE TAN 117 AD GRADE ONE READY signature on top (additional space may be added)
3. This form shall be submitted to the DCC together with the
13 106602200013 GALLEMA,ANGELA ANTONIO 117 AD GRADE ONE READY accomplished School Form Checking Report (SFCR)

14 106602200001 MALLARI,LYDWINE MARY IZON 117 AD GRADE ONE READY

15 106602200007 QUIJANO,CHRISTELLA DEL ROSARIO 117 AD GRADE ONE READY

15 106602200007 QUIJANO,CHRISTELLA DEL ROSARIO 117 AD GRADE ONE READY PREPARED BY:

16 106602200004 SALVIEJO,STEPHANIE INTAL 117 AD GRADE ONE READY

17 106602200009 TAGATA,KYLER MARSEL MANGONON 117 AD GRADE ONE READY

CORINTHIAN DONATO GABRIEL
18 106602200011 TAMAYO,ANDREA GANADEN 117 AD GRADE ONE READY Class Adviser
(Name and Signature)

8 <=== TOTAL FEMALE

18 <=== COMBINED
CERTIFIED CORRECT & SUBMITTED BY:

LIEZEL BALA SARMIENTO

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

IMELDA A. VILLACORTA
T-III/School Checking Committee
Signature over Printed Name

HILDA D. TABAGO
T-III/School Checking Committee
Signature over Printed Name

NELSON E. LOMBOY
T-I/School Checking Committee
Signature over Printed Name

LALAINE JOYCE B. NATIVIDAD

Generated thru LIS (SCC CO-Chair)