Region I

Schools Division of Pangasinan II

EASTERN PANGASINAN AGRICULTURAL COLLEGE
Santa Maria, Pangasinan
SENIOR HIGH SCHOOL DEPARTMENT

VISITORS’ LOGBOOK
S.Y. 2020-2021

CONTACT NUMBER
NAME POSITION ADDRESS
DATE
(Please Print Full Name)

Region I
Schools Division of Pangasinan II
 EASTERN PANGASINAN AGRICULTURAL COLLEGE
Santa Maria, Pangasinan
SENIOR HIGH SCHOOL DEPARTMENT

LOGBOOK ON MODULE DISTRIBUTION & RETRIEVAL

S.Y. 2020-2021
GRADE 11
QUARTER 1, WEEK 1
BARANGAY SAN MARIANO

CONTACT
NAME OF STUDENT NAME OF PARNET / GUARDIAN NUMBER TITLE OF MODULE (SUBJECT) DATE SIGNATURE DATE SIGNATURE
STRAND NO. OF (Please Print Full Name) RECEIVED RETURNED
MODULES
1 GALINATO, Kimberly L. HUMSS
2 IBE, Florence Hannah G. HUMSS

Released by: Noted by:

GLENN NEILD D. TOBIAS SALVADOR H. DELA MASA, PhD PHOEBE F. KAGAOAN

SHS Teacher II SHS Assistant Principal II Principal IV

Region I
Schools Division of Pangasinan II
EASTERN PANGASINAN AGRICULTURAL COLLEGE
 Santa Maria, Pangasinan
SENIOR HIGH SCHOOL DEPARTMENT

LOGBOOK ON MODULE DISTRIBUTION & RETRIEVAL

S.Y. 2020-2021
GRADE 11
QUARTER 1, WEEK 1
BARANGAY SAN ALEJANDRO

CONTACT
NAME OF STUDENT NAME OF PARNET / GUARDIAN NUMBER TITLE OF MODULE (SUBJECT) DATE SIGNATURE DATE SIGNATURE
STRAND NO. OF (Please Print Full Name) RECEIVED RETURNED
MODULES
1 ESPERANZA, Elaine Joy C. GAS
2 VELICARIA, Conrad S. STEM
3 RAMIREZ, Monica C. STEM
4 GAYAP, Athan C. HUMSS
5 SORIA, Ryzl Joy C. HUMSS
6 QUITOLA, Jeffrey GAS

Released by: Noted by:

MAYLYN D. CASTILLO SALVADOR H. DELA MASA, PhD PHOEBE F. KAGAOAN

SHS Teacher II SHS Assistant Principal II Principal IV

Region I
Schools Division of Pangasinan II
EASTERN PANGASINAN AGRICULTURAL COLLEGE
 Santa Maria, Pangasinan
SENIOR HIGH SCHOOL DEPARTMENT

LOGBOOK ON MODULE DISTRIBUTION & RETRIEVAL

S.Y. 2020-2021
GRADE 11
QUARTER 1, WEEK 1
BARANGAY SAN PATRICIO

CONTACT
NAME OF STUDENT NAME OF PARNET / GUARDIAN NUMBER TITLE OF MODULE (SUBJECT) DATE SIGNATURE DATE SIGNATURE
STRAND NO. OF (Please Print Full Name) RECEIVED RETURNED
MODULES
1 BAUTISTA, Gledilyn H. GAS
2 NALOS, Shiela D. STEM
3 AGPAWA, Aprilyn L. HUMSS
4 PASCUA, Maria Clarence COOKERY
G.

Released by: Noted by:

LIZLY ANN G. MENDAROS SALVADOR H. DELA MASA, PhD PHOEBE F. KAGAOAN

SHS Teacher II SHS Assistant Principal II Principal IV

Region I
Schools Division of Pangasinan II
EASTERN PANGASINAN AGRICULTURAL COLLEGE
Santa Maria, Pangasinan
 SENIOR HIGH SCHOOL DEPARTMENT

LOGBOOK ON MODULE DISTRIBUTION & RETRIEVAL

S.Y. 2020-2021
GRADE 11
QUARTER 1, WEEK 1
BARANGAY POBLACION EAST

CONTACT
NAME OF STUDENT NAME OF PARENT / GUARDIAN NUMBER TITLE OF MODULE (SUBJECT) DATE SIGNATURE DATE SIGNATURE
STRAND NO. OF (Please Print Full Name) RECEIVED RETURNED
MODULES
1 SALAPARE, Zachary STEM
James H.
2 LUMANAS, Ashley Mae M. STEM
3
4

Released by: Noted by:

CRYSTAL MAE G. BASA SALVADOR H. DELA MASA, PhD PHOEBE F. KAGAOAN

SHS Teacher II SHS Assistant Principal II Principal IV

Region I
Schools Division of Pangasinan II
EASTERN PANGASINAN AGRICULTURAL COLLEGE
Santa Maria, Pangasinan
 SENIOR HIGH SCHOOL DEPARTMENT

LOGBOOK ON MODULE DISTRIBUTION & RETRIEVAL

S.Y. 2020-2021
GRADE 11
QUARTER 1, WEEK 1
BARANGAY POBLACION WEST

CONTACT
NAME OF STUDENT NAME OF PARENT / GUARDIAN NUMBER TITLE OF MODULE (SUBJECT) DATE SIGNATURE DATE SIGNATURE
STRAND NO. OF (Please Print Full Name) RECEIVED RETURNED
MODULES
1 MALBOG, Jomy Esperanza STEM
2
3
4

Released by: Noted by:

LARRY P. LARIOZA SALVADOR H. DELA MASA, PhD PHOEBE F. KAGAOAN

SHS Teacher II SHS Assistant Principal II Principal IV