Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
PHP QMS 19 930014

Encircle : Choose whether the group belongs to NO GRADE Learner lagging Behind 74 below

Grade Name of learner Learning GAPS / Challenges Action Taken Follow Remarks Ways
Level area Grade up Passed / Forward
Section conditional
10- Katimpo, Jemuel Science 68 Don’t have enough time Giving conditional
Rizal to do their modules due additional
their financial needs. activities
Orbista, Jaymon Science, 71, Don’t have enough time Giving conditional
AP, EsP to do their modules due additional
their financial needs. activities

Prepared by: Verified and Checked: Submitted by:

MARIA S. ATIENZA MT/ Grade level____________________ Principal _____

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Adviser Coordinator/ Department
Region IV-A Chairman
CALABARZON
DIVISION OF RIZAL
PHP QMS 19 930014