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 IV- Division Oriental Mindoro District Roxas

School ID 110640 School Year 2020 - 2021 Curriculum

School Name Roxas CS Grade Level Grade 3 Section ORIOLE

SUMMARY TABLE
Did Not Meet Expectations
ACTION TAKEN:
of the ff.
LEARNER'S NAME GENERAL PROMOTED,
LRN CONDITIONAL or
Learning Area/s as of end of STATUS MALE FEMALE TOTAL
(Last Name, First Name, Middle Name) AVERAGE current
RETAINED
School Year
PROMOTED 19 21 40

MALE
CONDITIONALLY
PROMOTED 0 0 0
110640160059 AGONCILLO,GIAN GUSTAV GUSI 75 PROMOTED

500792170001 BELTRAN,JHON LESTER YGOT 81 PROMOTED RETAINED 0 0 0

110640130179 DELOVIAR,JOHN KARLO GABUNA 81 PROMOTED

109320160927 ESTEBAN,JAMES DOMINIC FAJILAN 77 PROMOTED LEVEL OF PROGRESS AND ACHIEVEMENT

110640170020 FAJUTAGANA,JESSIE II CEZAR 77 PROMOTED Descriptor &

Grading MALE FEMALE TOTAL
110640160101 FETALSANA,CARLO - 75 PROMOTED

110640170077 JARDELIZA,ISMAEL III FABELLA 84 PROMOTED Did Not Meet

Expectations (74 and 0 0 0
below)
136768170010 LUIS,ADRIAN LABATETE 80 PROMOTED

110640170140 MAABA,JAY EL DELGADO 80 PROMOTED Fairly

Satisfactory (75- 11 4 15
79)
110640170024 MADAMO,PRINCE DANIEL GENABE 85 PROMOTED

110640170112 MANSUELO,ROMNICK BELTRAN 78 PROMOTED

Satisfactory (80-
7 14 21
110640170169 MASLOG,JAIRUS DELA CRUZ 83 PROMOTED 84)

110640170133 MASLOG,JHON ERIC SALIBIO 78 PROMOTED

Very Satisfactory
110640140148 MENDOZA,DAVE NACITA 78 PROMOTED 1 3 4
(85-89)

110640170036 MESOLANIA,NEIL JOHN OBANIA 80 PROMOTED

110638160039 MORTEL,JOHN MARK BONGCALES 76 PROMOTED Outstanding (90-

0 0 0
100)
110640170097 PURIO,JOHN FELIX ALCANTARA 79 PROMOTED
110640170164 SADANG,KENNETH MECCA 79 PROMOTED

110459170043 SELOSA,JANUS BENJAMINE FAUSTINO 78 PROMOTED Instructions:

19 <=== TOTAL MALE 1. As per Deped Memorandum 14, 2021, this form (SF5) shall be 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 another is
FEMALE permitted.
2. The name of SCC members shall be printed and put their signature on top
(additional space may be added)
110640170114 BACAY,CHARISSE MAE ESCAREZ 80 PROMOTED 3. This form shall be submitted to the DCC together with the accomplished
School Form Checking Report (SFCR)
110628170051 CAJILIG,ZYRAH CATINEC 80 PROMOTED

110640170015 CANDIDO,CRISZA MAE DELA CRUZ 80 PROMOTED

110637170009 DALISAY,DANICA GWEEN LAPORGA 81 PROMOTED PREPARED BY:

110640170098 DEL CARMEN,ANGELA JOY GACO 85 PROMOTED

110640170047 EUGENIO,NATHALY SELOSA 84 PROMOTED ELEONOR VILLAR GARCIA

110640170029 FALLARIA,ROCHELLE REVAÑO 86 PROMOTED Class Adviser
(Name and Signature)
110640170099 GABALOG,ROSE ANN GALLANO 80 PROMOTED CERTIFIED CORRECT & SUBMITTED BY:

403470170022 GALARIO,AIRICH ANGEL - 85 PROMOTED - TE

110640170138 GALIN,JENNELYN DITCHE 79 PROMOTED

MINERVA FETALSANA CASTRO
110640170110 GERONIMO,PRINCESS RIVAS 80 PROMOTED School Head & SCC Chair
(Name and Signature)
110640170152 IBABAO,JEAH CASTILLO 81 PROMOTED

110640170149 MAABA,MA. PAULINE DENISE DELGADO 81 PROMOTED REVIEWED BY: SCC Members

110640170050 MADAMO,PRINCESS JENIE MASLOG 83 PROMOTED

BLETHZIE R. QUINTINIO
110640170156 MARCIANO,EDRALYN ROYO 79 PROMOTED
(Signature Over Printed Name )
110640160126 MENDOZA,DRIXINE NACITA 78 PROMOTED

110640170151 MORTEL,ALTHEA MAVIE MANGAO 81 PROMOTED FLORIBEL J. ASIS

110640170104 QUINTON,MECAELLA MAE ABANTE 82 PROMOTED

(Signature Over Printed Name )

110640170009 SANGLAP,CARLA SESCAR 83 PROMOTED

FAIRELYN F. CASTILLO
110630160055 TAYTAY,KESHA CAPIO 78 PROMOTED
(Signature Over Printed Name )
110640170010 YLING,KRIS VERON ABRAGAN 83 PROMOTED
LIEZYL M. LORIA
21 <=== TOTAL FEMALE

40 <=== COMBINED Generated thru LIS (SCC CO-Chair)

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