Form 138 Card Kinder Cover 2

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Scaled

Score

Raw Score

Scaled
Score

June

Gross Motor Domain


Fine Motor Domain
Self- help Domain
Receptive Language Domain
Expressive Language Domai
Cognitive Domain
Social Emotional Domain

October

Raw Score

September

Scaled
Score

Attendance Record

3rd QUARTER

August

Raw
Score

2nd QUARTER

July

1st QUARTER

DOMAIN

Number of School
No. of School Days Present
No. of School Days Absent

STANDARD SCORE

Date

Interpretation of the Scaled Score


Scaled Score
13
46
7 13
14 16
17 19

Interpretation

Sign

___________________
___________________
___________________

_______________________
_______________________
_______________________

Suggests significant delay in overall development.


Suggests slight delayed in overall development.
Average overall development.

Certificate of Transfer

Suggests slightly advanced development.


Suggests highly advanced development.

Eligible for Admission to Grade ____________________

Interpretation of the Standard Score


Standard Score
69 and below
7o 79
80 119
120 129
130 and above

Approved:

Interpretation
Suggests significant delay in overall development.
Suggests slight delayed in overall development.
Average overall development.
Suggests slightly advanced development.
Suggests highly advanced development.

AENG

Kinde

CRESENCIANO B. LLEGO

TIC

Total

March

February

January

December

November

Signature

______________________________
______________________________
______________________________

ansfer

__________________________________

AENGEL JUDE C. PAEL

Kindergarten Techer

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Gialyn Wahingon Valentino


Sex: Female
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age:

LRN: 124024

Kindergarten Tea

lopment

Age: 5

LRN: 124024140018

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Imar Valentino Casaljay


Sex: Male
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age: 6

LRN: 124024

Kindergarten Tea

lopment

Age: 6

LRN: 124024140004

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Rico Yan Yangzon Wahingon


Sex: Male
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age:

LRN: 124024

Kindergarten Tea

lopment

Age: 6

LRN: 124024140005

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Angelo Deguino Valentino


Sex: Male
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age: 6

LRN: 124024

Kindergarten Tea

lopment

Age: 6

LRN: 124024140017

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Shiela Mae Wahingon Salonoy


Sex: Female
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Ag

LRN: 124024

Kindergarten Tea

lopment

Age: 9

LRN: 124024140006

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Mary Rose Casaljay Yangzon


Sex: Female
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age

LRN: 124024

Kindergarten Tea

lopment

Age: 8

LRN: 124024140009

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Anna Mateo Valentino


Sex: Female
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age: 6

LRN: 124024

Kindergarten Tea

lopment

Age: 6

LRN: 124024140007

AENGEL
ergarten Teacher

Form 138

Republic of the Philippines


Department of Education
Region VIII
Division of Calbayog
Calbayog II District
SALVACION ELEMENTARY SCHOOL
Calbayog City

Philippine
Early Childhood Developmen

Kindergarten
School Year 2014 2015

Name: Lisa Valentino Pallioc


Sex: Female
Session: _____ A.M.
_____ P.M.

JUDE C. PAEL
CRESENCIANO B. LLEGO
TIC

Age: 5

LRN: 124024

Kindergarten Tea

lopment

Age: 5

LRN: 124024140019

AENGEL
ergarten Teacher

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