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FORM B

SCHOOL REPORT ON THE MOTHER TONGUE USED


S.Y. 2016-2017

SCHOOL DISTRICT No. of Pupils MTB Language Used Total


Enrolment No. of Organized Per Language Used NO. OF TEACHERS USING THE LANGUAGE AS
(FORM 3) MTB
IBANAG ILOCANO TAGALOG IBANAG ILOCANO TAGALOG Other IBANAG ILOCANO TAGALOG Other
Language Language
(Pls. (Pls.
Specify) Specify)
QUIMALABAS SAN 0 9 9 0 9 0 0 1 0 0
A NORTE E/S AGUSTIN
GRADE I 0 10 1 11 0 10 1 0 0 1 0 0
GRADE II 0 12 12 0 12 0 0 1 0 0
GRADE III

TOTAL 0 31 1 32 0 31 1 0 0 3 0 0

Submitted by:

MYRNA C. DAMGASIN NOTED:


Elementary School Principal II MANUEL D. RESPICIO
Principal II & District In-Charge
Republic of the Philippines
Department of Education
Region 02
Division of Isabela
District of San Agustin
QUIMALABASA NORTE ELEMENTARY SCHOOL
Quimalabasa Norte

REPORT ON MTB-MLE IMPLEMENTATION


S.Y. 2016-2017

SCHOO Name of School District Name of Teacher Teacher’s Section Kindergarten Grade 1 Grade II Grade III
L ID Language Total MT Total MT Total MT Total MT
103662 Quimalabasa Norte San Agustin Nova L. Pascual Ilokano 11 Ilokano
Elementary School
Nova L. Pascual Ilokano 9 Ilokano
Lucita B. De Leon Ilokano 11 Ilokano
Maridel E. Luis Ilokano 12 Ilokano

Submitted by:

MYRNA C. DAMGASIN NOTED:


Elementary School Principal II MANUEL D. RESPICIO
Principal II & District In-Charge
Republic of the Philippines
Department of Education
Region 02
Division of Isabela
District of San Agustin
QUIMALABASA NORTE ELEMENTARY SCHOOL
Quimalabasa Norte

DATA-BASED FORM FOR MOTHER TONGUE-BASED MULTILINGUAL EDUCATION (MTB-MLE)


S.Y. 2016-2017
Division: ISABELA

School District Number of Number of Lingua School Head District Head


I-V Teachers Classes per Franca/Langua TIC HT PRINCIPAL PIC PSDS
Grade ge Spoken in
the Community
Quimalabasa Norte San Agustin 5 1 Ilokano MYRNA C. DAMGASIN MANUEL D. RESPICIO
Elementary School

NOTED:

MYRNA C. DAMGASIN Prepared by:


Elementary School Principal II NOVA L. PASCUAL
School MTB-MLE Coordinator

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