Scribd
Upload
20 views2 pages

Distribution Retrieval-Delpilar

This document is a distribution and retrieval form for self-learning modules from Justino High School in the Philippines. It contains the names of 16 students who received modules for a particular grade, quarter, week and number. There are columns for the student name, date and time of distribution, signature of the parent/guardian receiving it, and columns for date, time and signature when the module is retrieved. The form was prepared by an unnamed person at the school.

Uploaded by

Crystalline
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
20 views2 pages

Distribution Retrieval-Delpilar

This document is a distribution and retrieval form for self-learning modules from Justino High School in the Philippines. It contains the names of 16 students who received modules for a particular grade, quarter, week and number. There are columns for the student name, date and time of distribution, signature of the parent/guardian receiving it, and columns for date, time and signature when the module is retrieved. The form was prepared by an unnamed person at the school.

Uploaded by

Crystalline
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Republic of the Philippines

Department of Education
Region III-Central Luzon
Schools Division of Pampanga
Justino High School
Cacutud, Arayat, Pampanga
______________________________________________________________
DISTRIBUTION AND RETRIEVAL OF SELF- LEARNING MODULES
GRADE 9 – ______________
S.Y___________

DISTRIBUTION RETRIEVAL
Name of Parent/
Guardian/
Name of Learner Time Signature Date Time Signature
Authorized
Representative

Prepared by:

________________________________________
Republic of the Philippines
Department of Education
Region III-Central Luzon
Schools Division of Pampanga
Justino High School
Cacutud, Arayat, Pampanga
______________________________________________________________
DISTRIBUTION AND RETRIEVAL OF SELF- LEARNING MODULES
GRADE 8 - _________________
Quarter _____, Week _____, Module No. _____
July 05, 2021
DISTRIBUTION RETRIEVAL
Name of Parent/
Guardian/
Name of Learner Time Signature Date Time Signature
Authorized
Representative
1. ABOLENCIA, RHOAN DE GUZMAN
2. ADONA, JAICEL ROLDAN
3. ALEJO, ANN SHERINA LARON
4. BERNARDO, JAMAICA PARUNGAO
5. CALALANG,CATHLYN KATE OSTIA
6. DAVID, ANGELA CASTRO
DAVID,SHEENARINE RANCY VINUYA
8. DELA CRUZ, AIRA VALIENTE
9. GONZALES, MARIANE DAYAO
10. HERPACIO, JERILYN PELAYO
11. LAZARTE, RANZEL ABORQUEZ
12. LUMBANG, LEE ANNE CARLA
TUNGOL
13. MANESE, JOCELYN SIDNEY
14. MARTIN, JENNY BORJA
15. PABALAN, KIM RIVERA
16. RIVERA, ASHLEY
17. RUIZ, RED

Prepared by:

_________________________________

You might also like