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

End of School Year Kindergarten Appraisal Report

School Name Bethlehem Elementary School District Narra District I Division Palawan Region Region IV-B

School ID 170571 Section MARCELO 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 8 2 10

1 170571200010 ADAMI,TERRENCE JAY QUIAMCO 110 AD GRADE ONE READY

Needs Further Intervention 0 0 0
2 170571200001 CASTILLO,KEVIN ROSALES 116 AD GRADE ONE READY

3 170571200007 LORENZO,BONIE MARK BASIO 105 AD GRADE ONE READY LEVEL OF PROFICIENCY

4 170571200002 MARTINEZ,ADRIAN MINGOY 104 AD GRADE ONE READY

Descriptor & Grading
Scale
MALE FEMALE TOTAL
5 170571200009 QUIAMCO,NOEL PAMAT 0 SSDOD GRADE ONE READY
Suggest Highly Advanced
6 170571200006 QUIAMCO,NOEL PAMAT 104 AD GRADE ONE READY Development - SHAD (130 0 0 0
and above)

7 170571200008 QUIAMCO,YOHAN PAMAT 104 AD GRADE ONE READY Suggest Slight Advanced
Development - SSAD (120- 0 0 0
129)
8 408322190011 SALADAGA,MARK RAYMON DUTIN 0 SSDOD GRADE ONE READY

Average Development - AD
8 <=== TOTAL MALE (80-119) 6 2 8

Suggest Slight Delay in

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

FEMALE
INSTRUCTIONS:
9 170571200003 MASIBAG,TRESHEA TINGSON 117 AD GRADE ONE READY

10 170571200004 MERALPIS,JULIE MAE ADAME 113 AD GRADE ONE READY

1. As per Deped Memorandum 14, 2021, this form (SF5) shall be
checked by the School Checking Committee alone. The SCC shall
2 <=== TOTAL FEMALE 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
10 <=== COMBINED signature on top (additional space may be added)
3. This form shall be submitted to the DCC together with the
accomplished School Form Checking Report (SFCR)
PREPARED BY:

DIANA LLERA MARCELO

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

BERNARDO CRUZ DELOS REYES

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)