School_Form_5A_(SF_5A)
School_Form_5A_(SF_5A)
Semester Second Semester School Year 2023 Grade Level Grade 12 Section Marlin
Track and Strand Academic Track -General Academic Strand Course (only for TVL)
BACK SUBJECTS (List END OF SEMESTER END OF SCHOOL STATUS Male Female Total
LEARNER'S NAME
Down Subjects where STATUS YEAR
NO LRN (Last Name, First Name, Middle
learner obtain a rating (Complete/Incomplete STATUS(Regular/Irr
Name) Complete 27 31 58
below 75%) ) egular)
Incomplete 0 0 0
MALE TOTAL 27 31 58
22 134812160126 SAKILAN,RONNIE, OMPO Completer Regular Note: Do not include learners who are No Longer in School
Instructions:
23 134878130005 SAMSI,GADJALI, SABTURANI Completer Regular
1. The SCC shall conduct checking in their own
school, no swapping of SCC from one school to
24 134881120279 SAMUDDIN,ASLI, SAMMAN Completer Regular
another is permitted.
2. The name of SCC members shall be printed and
25 305071140075 TAABIL,RADZGAMAR, U Completer Regular put their signature on top (additional space may be
added)
26 134882120121 TALI,AL-KHAN, GANANG Completer Regular 3. The school head is accountable and liable for any
wrongful entry on the forms (Deped Order 4, 2014
27 134877120180 TUSAY,TERMIJIE, ISMAEL Completer Regular par.5) therefore, the DCC is not required to put
their names and signatures in SF 5
27 <=== TOTAL MALE 4. Only LIS generated SF5 shall be recognized (DO
11, 2018, page 7)
FEMALE 5. This form shall be submitted to the DCC together
with the accomplished SFCR1 - SCC- (Deped Order
11, 2018, page 11)
28 134811120057 ABDULHANI,NORMINA, GULAM Completer Regular
47 134878120215 KARBI,ANDINI, BANJAL Completer Regular Generated thru LIS (SCC CO-Chair)
58 <=== COMBINED