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Republic of the Philippines

Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

LEARNER’S
PROFILE

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

CLASS
PROGRAM

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

TEACHER’S
PROGRAM

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

LIST OF PUPILS
FOR FACE TO FACE
CLASSES

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

LEARNER’S
HEALTH
RECORD

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

CLASSROOM DAILY
HEALTH MONITORING
TOOL

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

W L L
Weekly
Learning Plan

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

EGRA RESULTS
Early Grade
Reading Assessment

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

CONTACT
TRACING
FORM

NAME OF
Position
TEACHER
Republic of the Philippines
Department of Education
REGION
SCHOOLS DIVISION
___________________ELEMENTARY/ HIGH SCHOOL
S.Y. 2021- 2022

LIST OF PUPILS
FOR FACE TO FACE

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

LIST OF PUPILS
FOR FACE TO FACE

Grade & Section

NAME OF
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF_______
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

Classroom daily health


monitoring tool

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

Learner’s
profile
Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

Contact
Tracing
form
Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

Inventory of health and


hygiene supplies

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

Learner’s health
record

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

D l l
Daily lesson log

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

W h l p
Weekly home learning
plan

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

TEACHER’S
PROGRAM

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education
REGION ___________
SCHOOLS DIVISION OF TARLAC PROVINCE
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL I.D. ____________

CLASS
PROGRAM

Grade & Section

NAME OF
Adviser
TEACHER
Republic of the Philippines
Department of Education SCHOOL
REGION III – CENTRAL LUZON LOGO
SCHOOLS DIVISION OF TARLAC PROVINCE
COJUANGCO ELEMENTARY SCHOOL
SCHOOL ID: ________

School form 1

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 2

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 3

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 4

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 5

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 6

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 7

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 8

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 9

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

School form 10

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

Las

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

WHLP

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

W L P

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

S.Y. 2021-2022

NAME OF
Adviser
Republic of the Philippines
Department of Education SCHOOL
REGION __________________ LOGO
SCHOOLS DIVISION OF _________
__________ELEMENTARY/ HIGH SCHOOL
SCHOOL ID: ________

S.Y. 2021-2022

NAME OF
Adviser

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