-
8/12/2019 School Form 5 (K-12) Edited
1/16
Region III Division District
School ID Curriculum
School Name Grade Level Section
0 #N/A (.00)0 #N/A (.00) STATUS MALE FEMALE TOTA
0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)
0 #N/A (.00) MALE FEMALE TOTA0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)0 #N/A (.00)
DEVELOPING
(D: 75%-79%)
BEGINNNING
(B: 74% and below)
LEVEL OF PROFICIENCY
ADVANCED
(A: 90% and
above)000
000PROFICIENT
(P: 85% -89%)
000APPROACHING
PROFICIENCY
(AP: 80%-84%)
000
School Form 5 SF 5 Re ort on Promotion & Level of Proficienc(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
TARLAC PROVINCE
CAPAS WEST CENTRAL ELEMENTARY SCHOOL
K to 12
CAPAS WEST
106383 School Year
LEARNER'S NAME
(Last Name, First Name, Middle Name)
SUMMARY TABLE
2013 - 2014
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
Completed as of end of current
SY as of End of the current SY
0
PROMOTED 0 0 0
*IRREGULAR 0 0 0
0RETAINED 0 0
00
-
8/12/2019 School Form 5 (K-12) Edited
2/16
LRN
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
Completed as of end of current
SY as of End of the current SY
0 #N/A (.00)0 #N/A (.00)
0 Leboj TOTAL MALE
-
8/12/2019 School Form 5 (K-12) Edited
3/16
LRN
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
Completed as of end of currentSY
as of End of the current SY
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) CERTIFIED CORRECT & SUBMIT
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) REVIEWED BY:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)GUIDELINES:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A ( 00)
Division Represen
PREPARED BY:
Class Advise
(Name and Signa
School Head
(Name and Signa
SUSAN T. VICENT
(Name and Signa
1. For All Grade/Year Levels
2. To be prepared by the Adviser.
subject area should be taken from
teacher. The class adviser should
computation of General Average.
3. On the summary table, reflect th
learners promoted, retained and ir
onwards only) and the level of prof
the individual general average
4. Must tallied with the total enrollm
of School Year GESP /GSSP (BEI
5. Protocols of validation & submis
under the discretion of the Schools
Superintendent
-
8/12/2019 School Form 5 (K-12) Edited
4/16
LRN
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
Completed as of end of current
SY as of End of the current SY
0 TOTAL FEMALE
0 COMBINED 2School Form 5: Page 2 of
-
8/12/2019 School Form 5 (K-12) Edited
5/16
Region III Division District
School ID Curriculum
School Name Grade Level Section
0 #N/A (.00)
0 #N/A (.00) STATUS MALE FEMALE TOTA
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) MALE FEMALE TOTA
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) ADVANCED
000PROFICIENT
(P: 85% -89%)
0APPROACHING
PROFICIENCY
(AP: 80%-84%)00
000DEVELOPING
(D: 75%-79%)
000BEGINNNING
(B: 74% and below)
LEVEL OF PROFICIENCY
0
0
RETAINED 0 0
*IRREGULAR 0 0
PROMOTED 0 0 0
Completed as of end of current
SY as of End of the current SY
SUMMARY TABLE
CAPAS WEST CENTRAL ELEMENTARY SCHOOL
LRNLEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
School Form 5 SF 5 Re ort on Promotion & Level of Proficienc(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
TARLAC PROVINCE CAPAS WEST
106383 School Year 2013 - 2014 K to 12
-
8/12/2019 School Form 5 (K-12) Edited
6/16
Completed as of end of current
SY as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 #N/A (.00)
0 TOTAL MALE Leboj
00(A: 90% andabove)
-
8/12/2019 School Form 5 (K-12) Edited
7/16
Completed as of end of currentSY
as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) CERTIFIED CORRECT & SUBMIT0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) REVIEWED BY:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) GUIDELINES:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A ( 00)
1. For All Grade/Year Levels
2. To be prepared by the Adviser.
subject area should be taken from
teacher. The class adviser should
computation of General Average.
3. On the summary table, reflect th
learners promoted, retained and ir
onwards only) and the level of prof
the individual general average
4. Must tallied with the total enrollm
of School Year GESP /GSSP (BEI
5. Protocols of validation & submis
under the discretion of the Schools
Superintendent
SUSAN T. VICENT
Division Represen
(Name and Signa
(Name and Signa
School Head
Class Advise
(Name and Signa
PREPARED BY:
-
8/12/2019 School Form 5 (K-12) Edited
8/16
Completed as of end of currentSY
as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 TOTAL FEMALE
0 COMBINED School Form 5: P
-
8/12/2019 School Form 5 (K-12) Edited
9/16
Region III Division District
School ID Curriculum
School Name Grade Level Section
0 #N/A (.00)
0 #N/A (.00) STATUS MALE FEMALE TOTA
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)0 #N/A (.00)
0 #N/A (.00) MALE FEMALE TOTA
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0
00 0DEVELOPING
(D: 75%-79%)
APPROACHING
PROFICIENCY
(AP: 80%-84%)
PROFICIENT
(P: 85% -89%)
ADVANCED
0
00
00
BEGINNNING
(B: 74% and below)
LEVEL OF PROFICIENCY
000
0
0
RETAINED 0 0
*IRREGULAR 0 0
PROMOTED 0 0 0
Completed as of end of current
SY as of End of the current SY
SUMMARY TABLE
CAPAS WEST CENTRAL ELEMENTARY SCHOOL
LRNLEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
School Form 5 SF 5 Re ort on Promotion & Level of Proficienc(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
TARLAC PROVINCE CAPAS WEST
106383 School Year 2013 - 2014 K to 12
-
8/12/2019 School Form 5 (K-12) Edited
10/16
Completed as of end of current
SY as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 #N/A (.00)
0
(A: 90% and
above)0
TOTAL MALE
0
-
8/12/2019 School Form 5 (K-12) Edited
11/16
Completed as of end of currentSY
as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) CERTIFIED CORRECT & SUBMIT
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) REVIEWED BY:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
Class Advise
(Name and Signa
Division Represen
(Name and Signa
School Head
(Name and Signa
GUIDELINES:
1. For All Grade/Year Levels
2. To be prepared by the Adviser.
subject area should be taken fromteacher. The class adviser should
computation of General Average.
3. On the summary table, reflect th
learners promoted, retained and ir
onwards only) and the level of prof
the individual general average
4. Must tallied with the total enrollm
of School Year GESP /GSSP (BE
SUSAN T. VICENT
PREPARED BY:
-
8/12/2019 School Form 5 (K-12) Edited
12/16
Completed as of end of currentSY
as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 TOTAL FEMALE
0 COMBINED School Form 5: P
5. Protocols of validation & submis
under the discretion of the School
Superintendent
-
8/12/2019 School Form 5 (K-12) Edited
13/16
-
8/12/2019 School Form 5 (K-12) Edited
14/16
Completed as of end of current
SY as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 TOTAL MALE
above)
-
8/12/2019 School Form 5 (K-12) Edited
15/16
Completed as of end of currentSY
as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that st ill implementing
RBEC need not to fill up this column)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) CERTIFIED CORRECT & SUBMI
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) REVIEWED BY:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00) GUIDELINES:
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
0 #N/A (.00)
1. For All Grade/Year Levels
2. To be prepared by the Adviser.
subject area should be taken from
teacher. The class adviser should
computation of General Average.
3. On the summary table, reflect t
learners promoted, retained and ir
onwards only) and the level of pro
the individual general average
4. Must tallied with the total enrollm
of School Year GESP /GSSP (BE
5. Protocols of validation & submis
under the discretion of the School
Superintendent
SUSAN T. VICENT
Division Represen
(Name and Signa
(Name and Signa
School Head
Class Advise
(Name and Signa
PREPARED BY:
-
8/12/2019 School Form 5 (K-12) Edited
16/16
Completed as of end of current
SY as of End of the current SY
LRN LEARNER'S NAME
(Last Name, First Name, Middle Name)
GENERAL AVERAGE
(Numerical Value in 3
decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBEC in
High School. Elementary grades level that still implementing
RBEC need not to fill up this column)
0 COMBINED School Form 5: Page 2 of 2
