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Sample Form Five Submission

This document is a school form summarizing the end of semester and end of school year status of learners for a senior high school. It provides data on 20 learners in Grade 11 including their names, learner reference numbers, end of semester status as complete or incomplete, end of school year status as regular or irregular, and breakdown of learners by gender. Key information reported includes 13 male learners and 6 female learners completed the semester, while no one was incomplete. At the end of the school year, 18 learners were regular and 1 was irregular. The form is certified by the class adviser and school head.

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53 views

Sample Form Five Submission

This document is a school form summarizing the end of semester and end of school year status of learners for a senior high school. It provides data on 20 learners in Grade 11 including their names, learner reference numbers, end of semester status as complete or incomplete, end of school year status as regular or irregular, and breakdown of learners by gender. Key information reported includes 13 male learners and 6 female learners completed the semester, while no one was incomplete. At the end of the school year, 18 learners were regular and 1 was irregular. The form is certified by the class adviser and school head.

Uploaded by

aprilyn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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School Form 5A End of Semester and School Year Status of Learners for

Senior High School (SF5-SHS)


School Name Davao Del Sur School of Fisheries School ID 304270 District Malalag Division Davao del Sur Region Region XI

Semester First Semester School Year 2019 Grade Level Grade 11 Section EYELIGHT FISH

Track and Strand Technical-Vocational-Livelihood Track Course (only for TVL) Animation (NC II), Broadband Installation- Fixed

Summary Table 1st Sem

STATUS Male Female Total


BACK SUBJECTS (List Down END OF SEMESTER END OF SCHOOL YEAR
LEARNER'S NAME
NO LRN Subjects where learner obtain a STATUS STATUS(Regular/Irregula
(Last Name, First Name, Middle Name)
rating below 75%) (Complete/Incomplete) r) Complete 13 6 19

Incomplete 0 0 0

MALE TOTAL 13 6 19

1 128957080004 AYA,VINCENT - Completer Regular


Summary Table 2nd Sem
2 128439060046 BANHAW,MARK JADE TORREON Completer Irregular
STATUS Male Female Total
3 128949080006 BASMAYOR,BRAYAL TAMPOS Dropped-out
Complete 13 6 19
4 128954120382 CABONITA,GIAN CARLO ALFAR Completer Regular
Incomplete 0 0 0
5 129008120072 CLARK,SATURNINO, III SUGPANG Completer Regular
TOTAL 0 0 0
6 128949080015 DACERA,KIER JOVEN NOVINO Completer Regular

7 129130080012 DAGUIO,CAILE CABASE Completer Regular


Summary Table(End of School Year Only)

8 128957080021 ENANGKILE,CARLO JAY ARDIENTE Completer Regular


STATUS Male Female Total

9 128905080049 HINAUT,JUN JORIZ ORDANEZA Completer Regular


Regular 12 6 18

10 128946080067 MIGALEON,VINCENT TIO Completer Regular


Irregular 1 0 1

11 511031802883 NOVAL,MARK BRYAN MAALI Completer Regular


TOTAL 13 6 19

12 128954080129 RICAMURA,JEREME BERNABE Completer Regular

13 128950120095 SARONA,PRINCE JORENZ QUIMADA Completer Regular GUIDELINES:


This form shall be accomplished after each semester in a school year,
14 511031802882 SELGAS,NIEL JAMES TAGAAN Completer Regular leaving the End of School Year Status Column and Summary Table for
End of School Year Status blank/unfilled at the end of the 1st Semester.
These data elements shall be filled up only after the 2nd semester or at the
14 <=== TOTAL MALE end of the School Year.

FEMALE
15 129481080009 ABEQUIBEL,EFRANICHA GO Completer Regular INDICATORS:
End of Semester Status
16 128946080009 ANINO,JONELYN ENTINO Completer Regular Complete - number of learners who completed/satisfied the requirements
in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or
17 129130080007 BRIGOLE,MARIE CRIS CARAAT Completer Regular more subject areas, regardless of number of subjects failed (with grade
less than 75%)
MEDEZ,ABBY CATHERINE GALE Note: Do not include learners who are No Longer in School (NLS)
18 128948120618 Completer Regular
GABUTIN

19 128946080071 MONDERO,RACHELLE PAZ GUMBAN Completer Regular

20 128954080114 PARDILLO,KEARTH DIAN BENSOLAN Completer Regular


End of Program Status
Regular - number of learners who completed/satisfied requirements in all
6 <=== TOTAL FEMALE subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete
requirements in one or both semesters
20 <=== COMBINED

PREPARED BY:
Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:


DELAREY CABILLO FLORENTINO
School Head
(Name and Signature)

REVIEWED BY:
(Name and Signature)
Division Representative

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