DepEd FORM 138-E/SF 9

Republic of the Philippines

DEPARTMENT OF EDUCATION
REPORT ON ATTENDANCE Caraga Administrative Region
Division of Surigao del Sur
Lianga 1 District
November

December

February
January

TOTAL
October

March
PAYASAN ELEMENTARY SCHOOL

April

June
May
(SPECIAL EDUCATION PROGRAM FOR FL)
Name : CONSI
ABRAHAM XYRELADAM AGOMEZ
ABASOLON
No. of Last Name First Name Middle Name
School
Days Age : Sex :
No. of Grade : FOUR Section :
Days 14 20 20 19 20 14 20 20 19 20
Present School Year : LRN 13277
No. of
Days 0 0 2 1 2 0 0 2 1 2
Absent Dear Parent:
This report card shows the ability and progress of your child
Lhas made in the different learning areas as well as his/her core
values.
The school welcomes you should you desire to know more
PARENT/GUARDIAN’S SIGNATURE about your child’s progress.

1st Quarter _____________________________________ REMALYN R. ONTUA

JANE CRUZ
Teacher
2nd Quarter _____________________________________ ANTONIO N. PADURA JR.
School Head
3rs Quarter _____________________________________

4th Quarter _____________________________________ Certificate of Transfer

Admitted to Grade : ___________ Section : ___________
Eligibility for Admission to Grade : __________________
Approved:

ANTONIO N. PADURA
School Head Teacher

Cancellation of Eligibility to Transfer

Admitted in _______________________
Date: ____________
ULDARICO B. LUAREZ

School Head