QUARTER 1

English 5
Week 1 - 2

Name of Learner: _______________________________ Date: ________________________

Grade Level/ Section: V - Integrity School: Lalo Elementary School
Teacher: Miss Marinelle D. Abella

Learning Task 1

Instructions: Fill out the form using your personal information.

Remember to:
 write the information legibly using CAPITAL LETTERS;
 follow the correct sequence of the following:
a. name b. birthdate c. address
 Write Miss Marinelle D. Abella with the name of your class adviser;
 Write Mrs. Abbiegail A. Nañez with the name of your school librarian; and
 Write the name of the school and its address with the name and address of your school
at the top of the borrower’s card.

____________________________________________________________
(Name of School)
_________________________________________________
(School Address)

BORROWER’S CARD

Please write legibly. Use CAPITAL LETTERS.

Name: _________________________________________________________________________
First Middle Initial Last

Grade and Section: _________________________________________

Home Address: __________________________________________________________________

Number Street Barangay
_______________________________________________________
Town/City Province

Telephone Numbers:
____________________________________________
Landline Cellular Phone

Classroom Adviser: Mr./Mrs./Miss _____________________________________

(Underline)

_________________________________
School Library Coordinator

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 Learning Task 2

Instructions: Choose the letters of the best answers. Write your answers in the blank before the
number.

_______1. The process by which an individual needs to fill out and supply requested
information correctly and accurately on the space provided.
A. predicting outcomes C. noting details
B. filling-out forms D. identification

________2. It refers to the card issued by a librarian to individuals or organizations entitling

them or their representatives to borrow materials.
A. library card C. identification card
B. borrower’s card D. cash card

_______3. It is the particulars of a place where someone lives or an organization is situated.

A. venue B. postal code C. location D. address

_______4. What is a printed piece of paper used in bank to withdraw money in cash from
one’s account?
A. withdrawal card C. loyalty card
B. withdrawal slip D. claim slip

_______5. To fill out forms accurately, the following are things to remember except one:
A. See whether to write using capital letters or not.
B. Look whether you have to write first your last name or your first name.
C. See whether you need to write only your middle initial or your middle name.
D. No need to write N/A or “not applicable” if it does not apply to you

_______6. It is a small paper form that a bank customer includes when depositing funds into
a bank account.
A. payment C. deposit slip
B. credit card D. withdrawal slip

_______7. This application is filled out when a learner wants to join a specific club like
English club, Math club, etc.
A. Pupil’s Information Sheet C. Curricular Application Form
B. Co-curricular Application Form D. Graduation Form

_______8. It is the detailed information about a learner. This form is usually filled out during
enrolment period
A. Pupil’s Information Sheet C. Curricular Application Form
B. Co-curricular Application Form D. Graduation Form

_______9. It is the face value of a banknote, coin, or postage stamp

A. denomination C. account balance
B. numeration D. Account Information

_______10. It refers to your surname or family name.

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 A. first name C. last name
B. given name D. middle name

Learning Task 3

Instructions: Follow the directions carefully. Write your answer on the space provided.
Directions:
 Do the following instructions below.
 Get your pen.
 Then get ready for a meaningful learning experience.
 Tell yourself: “All is well”.
 Write your name in the upper left of your paper.
 Below your name, write your grade and section.
 On the upper right of your paper, write the date today.
 Lastly, opposite of your grade and section, write your teacher’s name.

Learning Task 4

Instructions: Choose the letter of the correct answer. Write your answers in the space before the
number.

_____1. What do you call to a set of instructions for preparing a particular dish, including
a list of ingredients required?
A. recipe B. Ingredients C. menu D. prescription

_____2. What is a scientific procedure undertaken to make a discovery, test a hypothesis,

or demonstrate a known fact.
A. science B. Experiment C. facts D. technology

_____3. One of the most important life skills that maybe written on paper or spoken aloud.
It is a list of steps to guide someone and can be useful everywhere.
A. following directions C. reading comprehension
B. predicting outcomes D. numeracy skills

Learning Task 5

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Instructions: Learner’s Information Sheet. Fill up the information sheets, then answer the questions
below. Write your answr on the space provided in each number.

Lalo Elementary School

Brgy. Lalo, Tayabas City

LEARNER’S INFORMATION SHEET

Please write legibly. Use CAPITAL LETTERS only.

Name: _____________________________________________________________________________
First Middle Initial Last

School: _____________________________________________ LRN: __________________________

Grade and Section: __________________________ Sex: (Encircle) MALE FEMALE

Birthday: ________________________ Birthplace: ______________________________________

Day Month Year Town/City Province

Home Address: _____________________________________________________________________

Number Street Barangay Town/City Province

Telephone/Cellphone Number: _____________________________________________________

Father’s Name: ________________________________ Occupation: ______________________
Mother’s Name: _______________________________ Occupation: ______________________
Number of Brothers: _____________________ Number of Sisters: ________________________

School Last Attended: ______________________________________________________________

Name and Address

Special Interests/Skills: ______________________________________________________________

1.What details are asked in learner’s information sheet?

___________________________________________________________________________________

2.Why is it important to write accurate information in a blank or space provided?

___________________________________________________________________________________

Learning Task 6

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Instructions: Co-curricular Club Application Form. Fill up the application form, then answer the
questions that follows.

CO-CURRICULAR APPLICATION FORM

Name: _______________________________________________________________________
First Middle Initial Last

School: _____________________________________ LRN:

_________________________
Grade and Section: _________________________ Gender (Encircle) Male Female
Birthdate: ___________________________________ Birthplace: ______________________
Day Month Year Town/City Province

Home Address: _______________________________________________________________

Number Street Barangay Town/City Province

Telephone/Cellphone Number: ________________________________________________

What club do you wish to join? First Choice: __________ Second Choice: __________

1. What details are asked by a co-curricular application form?

_____________________________________________________________________________________
2. When do you fill out this kind of school form?
_____________________________________________________________________________________

Learning Task 7
Instructions: Withdrawal Slip. Fill up the withdrawal slip given below. Then, answer the questions
that follows. Write your answer on the space provided in each number.

Ethan & Joy Savings BankWithdrawal Slip

Brgy. Aplaya, Santa Rosa City, Laguna
Date:

Account Type: Current Savings Peso

Savings Account Name
US Dollar Others

Account Number ______________

Amount to be Withdrawn (In Words) _______________
In Figures( ________________)

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1. What details are presented in the form?
____________________________________________________________________________________
2. When do you use this kind of form?
_____________________________________________________________________________________

Learning Task 8

Instructions: Cash Deposit Slip. Fill up the deposit slip, then answer the following questions that
follows.

1. What details are asked in a deposit slip?

_____________________________________________________________________________________

2. What do you need to put in the denomination?

_____________________________________________________________________________________

3. Why is it important to answer this form honestly, correctly and accurately?

_____________________________________________________________________________________

Learning Task 9

Instructions: Fill up and accomplish the Learner’s Information Sheet. Be guided by the instructions
provided for each item.

1.Write your full name in print, first name first. First name includes your second name, if you have any.
Middle Initial means only the first letter of your middle name. Last name refers to your surname or family
name.
Example: JUANA B. DELA CRUZ

2.Write your school name; then, opposite to it is your Learner Reference Number.

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3.Write your grade and section. Then, encircle your gender or sex.

4.In writing your birthday, follow the format: day/month/year.

5.For the place of birth, indicate the town or city and the province.

6.Write the telephone number. If not available, you may write your cellphone number instead. If there’s
no telephone or cellphone, write N/A for not applicable

7.Write the names of your mother and your father the same with how you have written your name.
Opposite of your parents’ names are their occupations.

8.Write only the number of brothers and sisters you have.

9.Write the name and address of your previous school. If are enrolled in the same school, you still have
to write it.

10.Supply the data on your special skills or talents. Lastly write N/A for “not applicable’ in the blanks
which do not apply to you.

Lalo Elementary School

Brgy. Lalo, Tayabas City

LEARNER’S INFORMATION SHEET

Please write legibly. Use CAPITAL LETTERS only.

Name: _____________________________________________________________________________
First Middle Initial Last

School: _____________________________________________ LRN: __________________________

Grade and Section: __________________________ Sex: (Encircle) MALE FEMALE

Birthday: ________________________ Birthplace: ______________________________________

Day Month Year Town/City Province

Home Address: _____________________________________________________________________

Number Street Barangay Town/City Province

Telephone/Cellphone Number: _____________________________________________________

Father’s Name: ________________________________ Occupation: ______________________
Mother’s Name: _______________________________ Occupation: ______________________
Number of Brothers: _____________________ Number of Sisters: ________________________

School Last Attended: ______________________________________________________________

Name and Address

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 Learning Task 10

Instructions: Complete the withdrawal slip below using the given information.

Juan Dela Cruz P20,000.00 August 24, 2020

Twenty Thousand Pesos 2304523318

Ethan & Joy Savings Bank Withdrawal Slip

Brgy. Aplaya, Santa Rosa City, Laguna
Date: (1)

Account Type: Current Savings

Savings / Peso US Dollar Others
Account Name _(2)________________________
Account Number _(3)

Amount to be Withdrawn (In Words) _(4)__________________________

In Figure (_(5)_____________________)

Learning Task 11

Instructions: Fill out the forms below using your personal information.
_______________________________________ School
School Year ________________

Please write legibly. Use CAPITAL LETTERS only.

Name: _____________________________________________________________________________
First Name Middle Name Last Name

LRN: _________________________________ Age: _______________________

Grade and Section: __________________________ Sex: (Put a check) ___MALE ___FEMALE

Birthday: ________________________ Birthplace: ______________________________________

Home Address: _____________________________________________________________________

Number Street Barangay Town/City Province

Cellphone Number: ___________________________ Religion: __________________________

Father’s Name: ________________________________ Occupation: ______________________
Mother’s Name: _______________________________ Occupation: ______________________
4Ps Member (Put a check) ______ Yes ______ No

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 Learning Task 12

Instructions: Pretend that you are about to deposit on August 26, 2020 two (2) pieces of P500.00 in
your savings account with account number SA 4527-9863-05. Fill out the form accurately.