Republic of the Philippines

Department of Education
Caraga Administrative Region
DIVISION OF SURIGAO DEL NORTE
Surigao City
surigao.delnorte@deped.gov.ph Tel. No. 086-826-8216

LEARNING AND DEVELOPMENT(L&D)

NOMINATION FORM
(Note: In nominating participant/s, the undersigned is hereby directed to adhere to the
principle of providing equal opportunity for the deserving personnel. Non-
discrimination on account of gender identity, sexual orientation, disabilities, religion,
and/or group membership should be exercised.

L&D Activity Title: Division Capacity Building for RPMS – PPST Raters
Venue:
Date Covered:
Source of Funds:

We are nominating the following personnel to the above-named L&D Activity.

No Name Position/Designation Station

.
1 GINA A. BESARIO PRINCIPAL - I UPPER PATAG ES
2 NILDA M. EDILLOR HEAD TEACHER - III SAN PABLO ES
3 JESSA RODRIGUEZ MASTER TEACHER I SAN PABLO ES
4 ANGELINA EBUEZA MASTER TEACHER I TOLEDO S. PANTILO MNHS
5 ALEXANDER O. GAAS MASTER TEACHER I TOLEDO S. PANTILO MNHS
6 LIRRY M. BONILLA HEAD TEACHER - III HINAPAYAW ES
7 MALVIN GONZAGA MASTER TEACHER I MABUHAY ES
8 JUDITH ACEDERA MASTER TEACHER I SISON CENTRAL ES
9 ANNABEL LARANJO MASTER TEACHER I SISON CENTRAL ES
10 JEMIMA CABANILLA PRINCIPAL - II MABUHAY ES
11 JEMALYN S. JACQUEZ HEAD TEACHER - V DAKUNG PATAG NHS
12 DOLOROSA G. DELICANO PRINCIPAL - I DAKUNG PATAG ES
13 WILMA S. DAMOS MASTER TEACHER I DAKUNG PATAG ES
14 EVANS B. DAGUMAN HEAD TEACHER - III IMA ES
15 ROSA FE O. BACOL HEAD TEACHER - I MAYAG ES
16 ROLLY L. ALAPAG HEAD TEACHER - III MAYAG NHS
17 JERSELYN JOY DAGOC MASTER TEACHER I HINAPAYAW ES
18 ANEFIL L. LOAYON MASTER TEACHER I DISTRICT ALS COORDINATOR

Nominated by: Recommended for Approval:

JOSEPHINE G. BOLOTAOLO DOLOROSA DELICANO

Principal II District L&D Focal Person

Approved:

CECILIA M. SACLOLO, Ed.D

District In Charge