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Revised to conform with the instructions of Depe

Region Division

School ID School Year

School Name

LRN

School Form 5 (SF 5) Report on Promotion

LEARNER'S NAME (Last Name FirstName Middle Name)

!ENERAL A"ERA!E (Whole numbers for non-

honor)

A#$%N $AEN PRM$E#N%$%NAL or RE$A%NE

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LRN  LEARNER'S NAME (Last Name First

Name Middle Name)

!ENERAL A"ERA!E (Whole numbers for non-

honor)

A#$%N $AEN PRM$E#N%$%NAL or RE$A%NE

  TOTAL AL!

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LRN  LEARNER'S NAME (Last Name First

Name Middle Name)

!ENERAL A"ERA!E (Whole numbers for non-

honor)

A#$%N $AEN PRM$E#N%$%NAL or RE$A%NE

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LRN  LEARNER'S NAME (Last Name First

Name Middle Name)

!ENERAL A"ERA!E (Whole numbers for non-

honor)

A#$%N $AEN PRM$E#N%$%NAL or RE$A%NE

  TOTAL "!AL!

  #O$IN!D

Revised as of 3/10/2016 SFRT 

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d Order 8, s. 2015

Dis%ric%

#urriculum

&ra'e Level Sec%ion

S*MMAR+ $A,LE

S$A$*S MALE FEMALE $$AL

PRM$E

-#onditional

RE$A%NE

LEARN%N! PR!RESS AN A#.%E"EMEN$ (,ased on Learners' !eneral Average)

  nd Progress & Achievement

id Not Meet E/pectations o0 the 001 LearningArea2s as o0 end o0 c3rrent School +ear

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id Not Meet E/pectations o0 the 0 01 LearningArea2s as o0 end o0 c3rrent School +ear

escriptors & !rading Scale MALE FEMALE $$AL

id Not Meet E/pectations( 4 and 6elo7)

Fairl8 Satis0actor8( 4594:)

Satis0actor8( ;

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id Not Meet E/pectations o0 the 001 LearningArea2s as o0 end o0 c3rrent School +ear

*R!*AR!D $Y+

#lass A'viser

(Name an' Signa%ure)

#!RTI"I!D #ORR!#T , S$ITT!D+

School .ea'

(Name an' Signa%ure)

R!/I!W!D $Y+

Division Reresen%a%ive

(Name an' Signa%ure)

!*%EL%NES

1. Do not inlcude Dropouts and Transferred Out (D.O.4 2014!

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id Not Meet E/pectations o0 the 001 LearningArea2s as o0 end o0 c3rrent School +ear

01 *ro%ocols of vali'a%ion , submission is un'er %he 'iscre%ion of %he Schools Division Suerin%en'en%1

School "orm 0+ *age 2222 of 22222222 

31 To be reare' b4 %he A'viser1 The A'viser shoul' in'ica%e %he &eneral Average base' on %he learner5s "orm 6781Leave blan9 for #on'i%ional1

71 On %he summar4 %able: reflec% %he %o%al number of learners *ROOT!D ("inal &ra'e of a% leas% 45 in ALL learningareas): R!TAIN!D (Di' No% ee% !;ec%a%ions in three (>) or more learning areas) an'

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School Form @ (SF@)S3mmaried Report on Promotion and Learning Pro

Revised to conform with the instructions of Deped Order 8, s.

School ID Region

School Name

S*MMAR+ $A,LE!RAE = 2!RAE 4 !RAE ? 2 !RAE ; !RAE > 2 !RAE : !RAE 2 !RA

AL! "!AL! TOTAL AL! "!AL! TOTAL AL! "!AL! TOTAL AL! "!AL!

PRM$E

#N%$%NAL

RE$A%NE

AL! "!AL! TOTAL AL! "!AL! TOTAL AL! "!AL! TOTAL AL! "!AL!

 

LEARN%N! PR!RESS & A#.%E"EMEN$(6ased on Learners' !eneral Average)

id Not Meet E/pectations( 4 and 6elo7)

Fairl8 Satis0actor8 ( 459

4:)

Satis0actor8( ;

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3tstanding (:

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ress & Achievement 2015

Division

Dis%ric% School Year

E =< !RAE 5 2 !RAE == !RAE @ 2 !RAE =? $$AL

TOTAL AL! "!AL! TOTAL AL! "!AL! TOTAL AL! "!AL! TOTAL

TOTAL AL! "!AL! TOTAL AL! "!AL! TOTAL AL! "!AL! TOTAL

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No%e' b4+

S#.OOLS DI/ISION S*!RINT!ND!NT