School Form 5A End of Semester and School Year Status of Learners for

Senior High School (SF5-SHS)

School Name Don Eulogio De Guzman Memorial School ID 300112 District Bauang Division La Union Region Region I

Semester Second Semester School Year 2023 Grade Level Grade 12 Section CAREGIVING- OSLER

Track and Strand Technical-Vocational-Livelihood Track Course (only for TVL) Caregiving (NC II)

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 10 21 31

Incomplete 0 0 0

MALE TOTAL 10 21 31

1 100913120001 AMANDRA,GARY BEAN, CALUZA Complete Regular

Summary Table 2nd Sem
2 100925080008 AUNOR,JOHN JOHN, TEJADA Complete Regular
STATUS Male Female Total
3 100921110015 BARROZO,EDINBURG, GARCIA Complete Regular
Complete 10 21 31
4 100925110015 CORPUZ,MC PHIL, PICAÑA Complete Regular
Incomplete 0 0 0
5 100130110029 DICHOSO,JUSTINE VON, ABENES Complete Regular
TOTAL 10 21 31
6 100925100025 GAPASIN,GLEN, TEJADA Complete Regular

7 100926110017 JACOB,EJ, BELTRAN Complete Regular

Summary Table(End of School Year Only)

8 100919110012 LLARENAS,JOEY, CALUZA Complete Regular

STATUS Male Female Total

9 100912110051 MUNAR,ANGELO, TAHUM Complete Regular

Regular 10 21 31

10 100919110021 ULALAN,FRANCES, DE GUZMAN Complete Regular

Irregular 0 0 0

10 <=== TOTAL MALE

TOTAL 10 21 31

FEMALE
GUIDELINES: This form shall be accomplished after each semester in a
school year, leaving the End of School Year Status Column and Summary
11 100930110001 ABARQUEZ,JULYET, CABUEÑAS Complete Regular 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
12 100920110001 ABERIN,REA MAE, GURAL Complete Regular semester or at the end of the School Year.

13 100924110011 BLANZA,SHEILLA MAE, ESTIGOY Complete Regular

INDICATORS: End of Semester Status: Complete - number of
14 100930110014 CABERO,DAIREN, LAVENGCO Complete Regular learners who completed/satisfied the requirements in all subject
areas (with grade of at least 75%) Incomplete - number of
15 100930110018 CABRADILLA,DORINA, CABRADILLA Complete Regular learners who did not meet expectations in one or more subject
areas, regardless of number of subjects failed (with grade less
than 75%) End of Program Status: Regular - number of learners
16 100911110020 DAMISIL,GERALDINE, ABUBO Complete Regular
who completed/satisfied requirements in all subject areas both
in the 1st and 2nd semester Irregular - number of learners who
17 101352120076 DE GUZMAN,LOVELY JOY, - Complete Regular were not able to satisfy/complete requirements in one or both
semesters
18 100812110037 FANGON,JANINE, GAZMEN Complete Regular

19 100926100021 FLORES,MISH, MAXINO Complete Regular

20 100921110035 FLORES,NIKKI MAY, ROMERONA Complete Regular Note: Do not include learners who are No Longer in School
Instructions:
21 100926100029 GAPASIN,LYKA MAE, ABUBO Complete Regular
1. The SCC shall conduct checking in their own school, no
swapping of SCC from one school to another is permitted.
22 151002110028 HADLOC,IVY, GAPASIN Complete Regular 2. The name of SCC members shall be printed and put their
signature on top (additional space may be added)
23 109192120012 LUGUE,CYRA JANE, CACDAC Complete Regular 3. The school head is accountable and liable for any wrongful
entry on the forms (Deped Order 4, 2014 par.5) therefore, the
24 100921110049 MALATE,FRANAH, OLORESISIMO Complete Regular DCC is not required to put their names and signatures in SF 5
4. Only LIS generated SF5 shall be recognized (DO 11, 2018,
page 7)
25 100929120042 NATARTE,MARGARETH, ABUAN Complete Regular 5. This form shall be submitted to the DCC together with the
accomplished SFCR1 - SCC- (Deped Order 11, 2018, page 11)
26 100929120044 PASCUAL,PRINCESS, BOADO Complete Regular

PULANCO,CHRIZZHALEI CAE,
27 100922100027 Complete Regular
ARCHEBUTCHE

28 100929110031 RODRIGO,ROSE ANNA, BENINSIG Complete Regular

29 100911110061 SABADO,MARICRIS, SABADO Complete Regular

30 400087150306 TENESO,JUDIFER, GAPASIN Complete Regular

PREPARED BY:
31 100924110035 YBUNIA,ELYSSA MAE, CALICA Complete Regular SHERWIN R. BANIQUED
Class Adviser
21 <=== TOTAL FEMALE (Name and Signature)

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

ELISEO CALICA BUENAFE PhD
School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

REYNALDO J. ESTACIO

Signature over Printed Name

JIMENA VERONICA T. NIEVA

Signature over Printed Name

FE T. CUYAHON

Signature over Printed Name

 JUBERT L. PADILLA

Generated thru LIS (SCC CO-Chair)