Distribution and Retrieval Checklist: Signature

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Republic of the Philippines

Department of Education (DepEd)


Region VIII (Eastern Visayas)
Division of Leyte
ASUNCION S. MELGAR NATIONAL HIGH SCHOOL
Pob. Zone II, Capoocan, Leyte

DISTRIBUTION AND RETRIEVAL CHECKLIST


Adviser: LEAH GRACE N. GARCIA Grade & Section: GA-12 ANTHEIA Week:9

MALE:
DISTRIBUTION
RETRIEVAL FEBRUARY 4, 2022 (FRIDAY)
NAME ADDRESS
JANUARY 28, 2022
SIGNATURE (Friday) TEMPERATURE

ITPHP UCSP PE&H DRRR FIL PR 2 EFAP IWRBS TNCT HG SIGNATURE


1 DAPLAS, NEIL ADRIAN VERZOSA BRGY. BALUD
2 DE REAL, KIM MISLOS BRGY. BALUD
3 MILLOS,ROWEL SARO BRGY. BALUD
4 NEGAD,JOSHUA CATUBIG BRGY. BALUD
5 NISSORADA,RHENIEL DIONES BRGY. BALUD
6 PACAANAS,NIXXON GERALDO BRGY. BALUD
7 PANAL, JOVERICK DE REAL BRGY. BALUD
FEMALE:
DISTRIBUTION
JANUARY 28, 2022
NAME ADDRESS RETRIEVAL FEBRUARY 4, 2022 (FRIDAY) SIGNATURE (Friday) TEMPERATURE

DRRR SIGNATURE
ITPHP UCSP PE&H FIL PR 2 EFAP IWRBS TNCT HG

1 AGUDO,RAMONA ABILAR BRGY. BALUD


2 NAVARRA,LOVELY GRABAN BRGY. BALUD
3 RACELA,ISOLDE MARIE BRAVO BRGY. BALUD

Prepared by: Checked by: Approved:


LEAH GRACE N. GARCIA JURAH MAE M. TERRADO RODOLFO O. DELA CRUZ ANECITA. A. EMPINO, D.M.
Class Adviser Brgy. Coordinator/MT-I Brgy. Coordinator/ MT-I School Principal II
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Prepared by:

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