Form 5 blank back page

Apr 19, 2014Download as DOCX, PDF0 likes439 views

This document contains a learner report card for 20 students listing their names, general averages, action taken, and incomplete subjects. It also includes signatures from the class adviser, school head, and division personnel certifying the results. The report shows that all 20 students were promoted based on general averages ranging from 78% to 90.4%. Validation and submission protocols for the learner report cards are determined by the Schools Division Superintendent.

LRN LEARNER’S NAME
(Last Name, First Name, Middle Name)
GENERAL
AVERAGE
(Numerical Value
in 2 decimal places and
3 decimal places for
honor learners, and
Descriptive Letter)
ACTION
TAKEN:
PROMOTED,
IRREGULAR or
RETAINED
INCOMPLETE SUBJECTS
(This column is for K to 12 Curriculum and
remaining RBEC in High School. Elementary
grades level that are still implementing RBEC
need not fill up this column)
PREPARED BY:
From previous
school years
completed as of end
of current school
year
As of end of current
school year
Class Adviser
(Name and Signature)
119173080003 1.Abayadog ,Axchelle , Zozobrado 83.80 Promoted
119173080006 2.Alcontin ,Shelly Jane , Barbadillo 83.80 Promoted CERTIFIED CORRECT & SUBMITTED:
119173080012 3. Alega , Felomina 81.20 Promoted
119173080013 4.Alegado ,Alyanna 79.40 Promoted LINDA T. DRAPER
128184080012 5. Balberona , Jhannine , Alcover 85.60 Promoted School Head
6.Bitanga , Chrzl Anne ,Fernadez 78.40 Promoted
119179080030 7.Del Valle ,Jocel 86.20 Promoted (Name and Signature)
119173080060 8.Dotdot , Gwen Vida , Alcontin 78.20 Promoted
119173080067 9.Estoce ,Lazie May 88.400 Promoted REVIEWED BY:
119173080072 10.Genobisa ,Chona ,Quindala 90.400 Promoted
119173080074 11.Jalandoni ,Mercy , Decena 81.00 Promoted BABY MA. ELENA C. UYTICO
119173080081 12.Lavajo , Yvonne Leslie ,Suico 78.80 Promoted (Name and Signature)
119173080092 13.Marañon ,Honey Babes ,Padin 79.00 Promoted Head, CLMD/ Science Coordinator
14.Orquisa ,May 80.00 Promoted
119173080100 15.Padilla ,Ma. Zairah Mae ,Caballes 78.80 Promoted Recommending Approval:
119173080113 16.Regis , Danica Ley 78.40 Promoted
119173080114 17.Regis , Rowelyn 78.00 Promoted CATALINA CATHERINE S. CABAHUD, Ed.D.
119173080119 18.Sanchez ,Jenicel ,Diapera 81.20 Promoted (Name and Signature)
119173080120 19.Saramosing ,Lyka ,Yap 81.80 Promoted ASDS-Designate/District Supervisor/Head-QAAD
119173080104 20.Tampos ,Trexzel ,Patria 83.00 Promoted
Officer-in-Charge
Schools Division Superintendent
GUIDELINES:
1. For All Grade/ Year Levels
2. To be prepared by the adviser. Final rating per subject area should be taken
from the record of subject teachers. The class adviser should compute for the
General Average.
3. On the summary table, reflect the total number of learners promoted,
retained and irregular (for grade 7 onwards only) and the level of proficiency
according to the individual General Average.
4. Must tally with the total enrollment report As of End of School Year
GESP/GSSP (EBEIS)
5. Protocols of validation & submission is under the discretion of the Schools
Division Superintendent.
School Form 5: Page _____ of _____
20 TOTAL FEMALE
46 COMBINED
School Checkers: Division Checkers:
Form1
Form 5
Form 137
F0rm 138

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Form 5 blank back page

1. LRN LEARNER’S NAME (Last Name, First Name, Middle Name) GENERAL AVERAGE (Numerical Value in 2 decimal places and 3 decimal places for honor learners, and Descriptive Letter) ACTION TAKEN: PROMOTED, IRREGULAR or RETAINED INCOMPLETE SUBJECTS (This column is for K to 12 Curriculum and remaining RBEC in High School. Elementary grades level that are still implementing RBEC need not fill up this column) PREPARED BY: From previous school years completed as of end of current school year As of end of current school year Class Adviser (Name and Signature) 119173080003 1.Abayadog ,Axchelle , Zozobrado 83.80 Promoted 119173080006 2.Alcontin ,Shelly Jane , Barbadillo 83.80 Promoted CERTIFIED CORRECT & SUBMITTED: 119173080012 3. Alega , Felomina 81.20 Promoted 119173080013 4.Alegado ,Alyanna 79.40 Promoted LINDA T. DRAPER 128184080012 5. Balberona , Jhannine , Alcover 85.60 Promoted School Head 6.Bitanga , Chrzl Anne ,Fernadez 78.40 Promoted 119179080030 7.Del Valle ,Jocel 86.20 Promoted (Name and Signature) 119173080060 8.Dotdot , Gwen Vida , Alcontin 78.20 Promoted 119173080067 9.Estoce ,Lazie May 88.400 Promoted REVIEWED BY: 119173080072 10.Genobisa ,Chona ,Quindala 90.400 Promoted 119173080074 11.Jalandoni ,Mercy , Decena 81.00 Promoted BABY MA. ELENA C. UYTICO 119173080081 12.Lavajo , Yvonne Leslie ,Suico 78.80 Promoted (Name and Signature) 119173080092 13.Marañon ,Honey Babes ,Padin 79.00 Promoted Head, CLMD/ Science Coordinator 14.Orquisa ,May 80.00 Promoted 119173080100 15.Padilla ,Ma. Zairah Mae ,Caballes 78.80 Promoted Recommending Approval: 119173080113 16.Regis , Danica Ley 78.40 Promoted 119173080114 17.Regis , Rowelyn 78.00 Promoted CATALINA CATHERINE S. CABAHUD, Ed.D. 119173080119 18.Sanchez ,Jenicel ,Diapera 81.20 Promoted (Name and Signature) 119173080120 19.Saramosing ,Lyka ,Yap 81.80 Promoted ASDS-Designate/District Supervisor/Head-QAAD 119173080104 20.Tampos ,Trexzel ,Patria 83.00 Promoted Officer-in-Charge Schools Division Superintendent GUIDELINES: 1. For All Grade/ Year Levels 2. To be prepared by the adviser. Final rating per subject area should be taken from the record of subject teachers. The class adviser should compute for the General Average. 3. On the summary table, reflect the total number of learners promoted, retained and irregular (for grade 7 onwards only) and the level of proficiency according to the individual General Average. 4. Must tally with the total enrollment report As of End of School Year GESP/GSSP (EBEIS) 5. Protocols of validation & submission is under the discretion of the Schools Division Superintendent. School Form 5: Page _____ of _____ 20 TOTAL FEMALE 46 COMBINED School Checkers: Division Checkers: Form1 Form 5 Form 137 F0rm 138

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