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Mapping

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SURVEY FORM

Dacanlao Gregorio Agoncillo Elementary School

Ama _______________________________________________ Kapanganakan __________________________ Edad ________ Hanapbuhay ______________________________
Buwanang Sahod _______________________ Marunong Bumasa at Sumulat – lagyan ng tsek sa katabi ng sagot: Oo _______ Hindi __________
Kung nag-aaral, anong natapos? Isulat sa patlang na ito ___________________________________________________

Pangalan ng Ina, apelyido noong dalaga ang ilagay ___________________________________________Kapanganakan _______________________ Edad ___________
Hanapuhay ____________________________________ Marunong Bumasa at Sumulat – lagayn ng tsek sa katabi ng sagot: Oo _______ Hindi ____________
Kung nag-aaral, anong natapos? Isulat sa patlang na ito ___________________________________________________
Mga Anak: Hindi na kasali ang may asawa na.

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