Republic of the Philippines

Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

KINDERGARTEN

Name of School: ___________________________________________________ GRADE/ YEAR LEVEL: _____________________________

NAME OF PUPILS NAME OF PARENTS/ SIGNATURE

GUARDIAN

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Prepared by: Noted By:

______________________________ ______________________________
(Signature over Printed Name) (Signature over Printed Name)
 Republic of the Philippines
Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

SY 2020-2021

Name of School: ___________________________________________________ GRADE/ YEAR LEVEL: _____________________________

Edukasyon sa Araling
NAME OF PUPILS Mathematics 1 Pagpapakatao 1 Panlipunan 1 MTB-MLE 1 NAME OF PARENTS/ SIGNATURE OF PARENTS/ DATE SIGNED
Module 6 Module 6 Module 6 Module 10 GUARDIAN GUARDIAN

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______________________________ ______________________________
(Teacher's Signature over Printed Name) (Principal's Signature over Printed Name)
*** Please prepare in 2 copies
1. Division File - Pls. submit after distribution @ Division Supply Office
2. School File
CHANGE APPLICABLE SUBJECT
& MODULE NO.

PARENTS/GUARDIAN - WILL SIGN THEIR INITIAL EVERY MODULES RECEIVED

 Republic of the Philippines
Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

Name of School: ___________________________________________________ GRADE/ YEAR LEVEL: _____________________________

Araling Edukasyon sa
NAME OF PUPILS Mathematics 2 English 2 Filipino 2 MTB-MLE 2 Panlipunan 2 Pagpapakatao 2 NAME OF PARENTS/ SIGNATURE
Module 6 Module 6 Module 6 Module 6 Module 6 Module 6 GUARDIAN

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Prepared by: Noted By:

______________________________ ______________________________
(Signature over Printed Name) (Signature over Printed Name)
 Republic of the Philippines
Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

Name of School: ___________________________________________________ GRADE/ YEAR LEVEL: _____________________________

Edukasyon sa
NAME OF PUPILS Mathematics 3 Pagpapakatao 3 English 3 Filipino 3 NAME OF PARENTS/ SIGNATURE
Module 6 Module 6 Module 6 GUARDIAN
Module 6
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Prepared by: Noted By:

______________________________ ______________________________
(Signature over Printed Name) (Signature over Printed Name)
 Republic of the Philippines
Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

Name of School: ___________________________________________________ GRADE/ YEAR LEVEL: _____________________________

NAME OF PUPILS English 4 NAME OF PARENTS/ SIGNATURE

Module 6 GUARDIAN

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Prepared by: Noted By:

______________________________ ______________________________
(Signature over Printed Name) (Signature over Printed Name)
 Republic of the Philippines
Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

Name of School: ___________________________________________________ GRADE/ YEAR LEVEL: _____________________________

Science 5 Science 5
NAME OF PUPILS Mathematics 5 Module 3 Module 3 EPP IA 5 NAME OF PARENTS/ SIGNATURE
Module 6 Module 6 GUARDIAN
Lesson 2 Lesson 3
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Prepared by: Noted By:

______________________________ ______________________________
(Signature over Printed Name) (Signature over Printed Name)
 Republic of the Philippines
Department of Education
Region XII – SOCCSKSARGEN
KIDAPAWAN CITY DIVISION
JP Laurel corner Quirino Drive, Brgy. Poblacion, Kidapawan City

ACKNOWLEDGEMENT OF LEARNING MODULES

Name of School: Kidapawan City National High School GRADE/ YEAR LEVEL: 10

Mathematics E.P 10 English 10 Filipino 10 A.P 10 T.L.E 10 NAME OF PARENTS/

NAME OF STUDENTS SIGNATURE
Module 10 Module 10 Module 10 Module 10 Module 10 SPEC. 10 GUARDIAN

1 AMINOLAH, NORALIYAH M.
2 ANDOY, SIDEY KEITH S.
3 ANGELICAL, PRINCESS SHABY
4 ARAMBALA, KENTH ROMEL II R.
5 ARAMBALA, KENTH ROMEL R.
6 AUTIDA, FATIMA
7 BERGANTE, QUENY CAHRL D.
8 BULABOG, AVEGAIL KARISSA
9 CABILES, NIXON C.
10 DANILES, MARIA ANGELEA R.
11 DEMARO, NORALAYEN S.
12 ELLEOMBE, JAZMINE GWYN M.
13 EMBA, JHEA VIEN E.
14 ENDE, JAKE JEBBSON R.
15 ESPELITA, DONNA M.
16 ESPELITA, HANNAH LEE E.
17 ESTRADA, REY CARL
18 ESTRADA, REYNALD
19 ETING, JELLY ROSE M.
20 ETING, JOMAR M.
21 FAMILIAR, JOHN LOYD O.
22 FUENTES, JERALD A.
23 GABRIEL, ALFRANCIS J.
24 GALLAN, GERALD
25 GEPOLIO, , ANDY
26 GOLIMLIM, JUVIE G.
27 GRAFILO, LEOCIEL
28 HERBOLINGO, IVIE T.
29 IGCAS, DYLENE D.
30 LABUAN, DANMARK
31 LEGASPI, MARLA MAE
32 MAAMBONG, ROFEL JOHN M.
33 MACATANONG, SITTIE AINNA T.
34 MAMOSO, MARK VINCENT S.
35 MANGALOS, VEN JUMAR
36 MANUMBA, JEROME L.
37 MATUNOG, MARIA LIZA P.
38 MONTEROLA, HANZ GERMIN M.
39 MOTALIB, JONAINAH G.
40 MUNDIT, JHON REY T.
41 MARUHUM, AMY
42 NEBRES, JE L.
43 NEBRES,EJ L.
44 ONDOT, ERICA JOY M.
45 PAGAYON, IVAN
46 PINANTAO, JASPER P.
47 PINANTAO, JONEL D.
48 RAPIDO, BASIMAH G.
49 RAWA, MESRIN M.
50 ROJAS, MORIN R.
51 ROMA, IVAN KEN L.
52 SABINO, VILMA P.
53 SAID, ABDULLAH D.
54 SARIPADA, FARHANA B.
55 SARIPADA, HASMIAH B.
56 SARIPADA, JHON JALANIE L.
57 SICUYA, JOHN MARK M.
58 TAHER, ABDUL RAFFY C.
59 TUBAY, REGIE P.
60 VEÑARITA, RONNIE T.
61 VILLAHERMOSA, KENT A.

Prepared by: Noted By:

______________________________ ______________________________
(Signature over Printed Name) (Signature over Printed Name)