AGREEMENTFORM

Name:_Iyan
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_ D.
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_ Carbonilla
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____Dat e:9/23/20
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Pr
ogram, Major,YearLevel
,Section:_BPED
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______(1-A)
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Cour
seEnr ol
led: GE
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____101
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____-_Understanding
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__ _the
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_self,
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Cour
( seNumberandCour
seTi
tl
e)
Addr
ess
:_Ilas
_____Norter,
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Si
( t
io-
Bar
angay-
Muni
cipal
i
ty/
Cit
y-Pr
ovi
nce)
Cont
actNumber(
s):
__09101154855
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E-
mailAddr
ess
:_carbonillaiyan5@gmail.com
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ModeofLear
ning(Chooseonl :
yone)

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___MODULARLEARNI
NG
(
Signat
ureoverpr
int
edname)

IYAN
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___D.
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___CARBONILLA
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___ONLI
NELEARNI
NG
(
Signat
ureoverpr
int
edname)

ForModul
arLear
ning:
Opt
ion1
: Opt
ion2:

Will
i
ngt oprintt
hemodul eand Pr
efertohaveahardcopyand
anyassessmentpapersonyour pi
ck up the modul
e and any
own ex pens
e as long as t
he as
sessmentpaper
sinschool
.
profes
sor provi
des t
he
soft
copyoft hemodule.
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_ Si
gnat
ureoverpri
ntedname
Si
gnat
ureoverpri
ntedname

ForOnli
neLearni
ng
- Moduleswil
lbesentvi
aInt
eract
ionNetwork(
e-mail
orothermeans
).
- Accesstovirt
ualcl
ass
room (st
ablei
nter
netconnecti
vi
tyandavai
labi
l
ityof
gadgets
)

Agr
eementbet
ween:

IYAN
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__D.
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__ CARBONILLA
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_and PROF.MARITES
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__DEMAISIP
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Si
gnat
ureoverpr
int
edname Cour
seFaci
l
itat
or