Distribution of Learning Modules Forms
Distribution of Learning Modules Forms
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
POBLACION SOUTH
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Male) (Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1
GONOWON KEVIN 12
LAURENCE G. EHLEE S. TUBALINAL
Prepared by:
EHLEE S. TUBALINAL
Adviser
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
POBLACION SOUTH
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Male) (Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
GONOWON KEVIN
1
LAURENCE G. EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-19, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
POBLACION WEST
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
POBLACION WEST
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
POBLACION EAST
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
BACAL III
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 -CANIOLAS BELSON C. 12
EHLEE S. TUBALINAL
2 DOMINGO JUAN LEORJON B. 12
EHLEE S. TUBALINAL
3 RODRIGUEZ CHARLISTON P 12
EHLEE S. TUBALINAL
4 TABALNO JHON LLOYD B. 12
EHLEE S. TUBALINAL
5 TORILLAS CENDY - 12
EHLEE S. TUBALINAL
6 FRANCISCO JAMIE B. 12
EHLEE S. TUBALINAL
7 BONIFACIO ANA LOVBIEN R. 12
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-26, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
BACAL III
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
Barangay CATALANACAN
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
Prepared by:
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
Barangay CATALANACAN
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
Prepared by:
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
Barangay SAN ANDRES
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 JAMES CHELSEA A. 12
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
Barangay SAN ANDRES
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 JAMES CHELSEA A.
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
Barangay BICAL
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 ROBIS LAWRENCE E. 12
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
Barangay BICAL
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 ROBIS LAWRENCE E.
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-19, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
Barangay BANTUG
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
Barangay BANTUG
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-19, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
Barangay FRANZA
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
Barangay FRANZA
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
Prepared by:
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 2 (OCTOBER 12-16, 2020)
LOGBOOK
For the RETRIEVAL OF LEARNING MODULES
Barangay MATINGKIS
Name of Retrieval of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 ABRAJANO MARVILYN B. 12
EHLEE S. TUBALINAL
2 DUMO JAMAICA KIA C. 12
EHLEE S. TUBALINAL
“L
“L
“Loyal,oyal,E
Eoyal,Excellent,A
xcellent
xcellent ,A
, Accountable Dand
and and
ccountable
ccountable
Department of Education
DD to Sto
edicated
edicated
edicated toS“ervice
erviceL ”,
” oyal
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ
MUÑOZ CENTRAL SCHOOL
MODULAR LEARNING MODALITY
WEEK 3 (OCTOBER 19-23, 2020)
LOGBOOK
For the DISTRIBUTION OF LEARNING MODULES
Barangay MATINGKIS
Name of Distribution of Module/s
Name of Pupil Name of Teacher
No. Parent/Guardian Signature Signature
(Giver of LMs) Condition of
(Recipient of LMs) Qnty
Received Module/s
Date
1 ABRAJANO MARVILYN B. 12
EHLEE S. TUBALINAL
2 DUMO JAMAICA KIA C. 12
EHLEE S. TUBALINAL