School Form 5 (RBEC)

Region III Division District

Curriculum

Grade Level SIX Section

STATUS MALE FEMALE TOTAL

MALE FEMALE TOTAL

LEVEL OF PROFICIENCY

ADVANCED

(A: 90% and

above)

000

000PROFICIENT

(P: 85% -89%)

000APPROACHING

PROFICIENCY

(AP: 80%-84%)

000DEVELOPING

(D: 75%-79%)

0

PROMOTED 0 0 0

*IRREGULAR 0 0 0

SUMMARY TABLE

6

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

SYas of End of the current SY

School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

LRN

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

School Name

School ID

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)

TARLAC PROVINCE

CAPAS WEST CENTRAL ELEMENTARY SCHOOL

RBEC

CAPAS WEST

106383 School Year

0RETAINED 0 0

00BEGINNNING

(B: 74% and below)







LRN

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

0 TOTAL MALE







LRN

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

CERTIFIED CORRECT & SUBMITTED:

REVIEWED BY:

GUIDELINES:

Division Representative

PREPARED BY:

Class Adviser

(Name and Signature)

School Head


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

teacher. The class adviser should make the

computation of 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 tallied with the total enrollment report as of End

of School Year GESP /GSSP (BEIS)

5. Protocols of validation & submission will remain

under the discretion of the Schools Division

Superintendent








LRN

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

0 TOTAL FEMALE

0 COMBINED














Superintendent

2School Form 5: Page 2 of


Curriculum

Grade Level Section


MALE FEMALE TOTAL


TARLAC PROVINCE CAPAS WEST

School ID School Year 2013 - 2014 RBEC

SUMMARY TABLE

School Name

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







PROMOTED 0 0 0

0 0*IRREGULAR 0

0RETAINED 0 0


BEGINNNING

(B: 74% and below)

0

0 0 0

DEVELOPING

(D: 75%-79%)0 0

0 0APPROACHING

PROFICIENCY

(AP: 80%-84%)0

0 0PROFICIENT

(P: 85% -89%)0

000ADVANCED

(A: 90% and

above)

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







0 TOTAL MALE

000ADVANCED

(A: 90% and

above)

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED








REVIEWED BY:

GUIDELINES:

School Head
















Superintendent


SUSAN T. VICENTE

Class Adviser


PREPARED BY:

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







0 TOTAL FEMALE

0 COMBINED School Form 5: Page 2 of 2


Curriculum

Grade Level Section


MALE FEMALE TOTAL


TARLAC PROVINCE CAPAS WEST

School ID School Year 2013 - 2014 RBEC

SUMMARY TABLE

School Name

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







PROMOTED 0 0 0

0 0*IRREGULAR 0

0 0RETAINED 0


000BEGINNNING

(B: 74% and below)

000DEVELOPING

(D: 75%-79%)

000ADVANCED

(A: 90% and

above)

00APPROACHING

PROFICIENCY

(AP: 80%-84%)

000PROFICIENT

(P: 85% -89%)

0

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







0 TOTAL MALE

000ADVANCED

(A: 90% and

above)

LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED








REVIEWED BY:

GUIDELINES:

PREPARED BY:

School Head

















Superintendent

SUSAN T. VICENTE

Class Adviser


LRN LEARNER'S NAME


GENERAL AVERAGE


decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED







0 TOTAL FEMALE

0 COMBINED School Form 5: Page 2 of 2

Region

TeachingNon-

Teaching

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

Ave. Minutes per Day

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

Employee

No. (or Tax

Identification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending) Sex

Fund

Source

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

(C ) Other Appointments and Funding Sources

Subject Taught

(include Grade &

Section), Advisory Class

& Other Ancillary

Assignment



* Daily Program (time duration)

Fund Source

(SEF, PTA, NGO's

etc.)

Remark/s (For

Detailed Items,

Indicate name of

school/office, For

IP's -Ethnicity)

Number of

Incumbent

Minor

Appointment:

(Contractual,

Substitute,

Volunteer, others

specify)

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,

Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School Year

School ID

School Name

Division

District

(B) Nationally-Funded Non Teaching Items

Title of Designation

(Designation as appeared in the

contract/document: Teacher, Clerk,

Security Guard, Driver etc.)

(A) Nationally-Funded Teaching & Teaching Related Items

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

Employee

No. (or Tax

Identification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending) Sex

Fund

Source

Subject Taught

(include Grade &

Section), Advisory Class

& Other Ancillary

Assignment

* Daily Program (time duration)Remark/s (For

Detailed Items,

Indicate name of

school/office, For

IP's -Ethnicity)

Minor

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

GUIDELINES: Submitted by:

(Signature of School Head over Printed Name)

3. Please reflect subjects being taught and if teacher handling advisory class or Ancillary Assignment. Other administrative duties must also reported. Updated as of: ___________________________

School Form 7, Page 2 of ________




2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall

also serve as inventory list of school personnel.

4. * Daily Program Column is for teaching personnel only.

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during SY, updated Form 19

must submit to the Division Office .


School Form 5 (RBEC)

Documents

Transcript of School Form 5 (RBEC)