INSTRUCTIONS

PARTS OF THIS SLMs SITUATION FORM

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School 0
Complete School Address 0

QUARTER 01
SLM TYPE
TOTAL NUMBER Actual Quantity of
GRADE LEVEL
OF SLMs CO - SLMs from LD - Locally SLMs Printed
Central office Developed
Kindergarten 10 0 1 200
Grade 01 78 0 0 0
Grade 02 86 0 0 70
Grade 03 97 0 0 0
Grade 04 74 0 0 0
Grade 05 83 0 0 0
Grade 06 64 0 0 0
Grade 07 100 1 1 0
Grade 08 100 0 0 0
Grade 09 100 0 0 0
Grade 10 100 0 0 0
OVER-ALL TOTAL: 892 1 2 270

EPP/TLE
SLM TYPE
TOTAL NUMBER Actual Quantity of
GRADE LEVEL CO - SLMs from LD - Locally
OF SLMs SLMs Printed
Central office Developed

Grade 04 40 1 1 30
Grade 05 33 0 0 0
Grade 06 51 0 0 0
Grade 07 29 0 0 0
Grade 08 20 0 0 0
Grade 09 20 0 0 0
Grade 10 20 0 0 0
OVER-ALL TOTAL: 213 1 1 30
 DEPARTMENT OF EDUCATION
BUREAU OF LEARNING RESOURCES
PRINTED AND DISTRIBUTED SELF-LEARNING MODULES (SLMs)

1
Actual Quantity of Reusable and SLMs Shortage /
SLMs Delivered to returned SLMs to Deficiency
Learners School

100 130 -30

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 130 -30

Actual Quantity of Reusable and SLMs Shortage /

SLMs Delivered to returned SLMs to Deficiency
Learners School

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
F EDUCATION
NG RESOURCES
F-LEARNING MODULES (SLMs)

Division 0
Region 0

QUARTER 02
SLM TYPE
GRADE LEVEL
TOTAL NUMBER CO - SLMs from LD - Locally Actual Quantity of
OF SLMs Central office Developed SLMs Printed
Kindergarten 10 0 0 0
Grade 01 57 0 0 0
Grade 02 65 0 0 0
Grade 03 93 0 0 0
Grade 04 66 0 0 0
Grade 05 75 0 0 0
Grade 06 69 0 0 0
Grade 07 100 0 0 0
Grade 08 100 0 0 0
Grade 09 100 0 0 0
Grade 10 100 0 0 0
OVER-ALL TOTAL: 835 0 0 0

SHS
SLM TYPE
TOTAL NUMBER Actual Quantity of
GRADE LEVEL CO - SLMs from LD - Locally
OF SLMs SLMs Printed
Central office Developed

Grade 11 27 0 0 0
Grade 12 20 0 0 0
OVER-ALL TOTAL 47 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0 0
Actual Quantity of Reusable and SLMs Shortage /
SLMs Delivered to returned SLMs to Deficiency
Learners School
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

Actual Quantity of Reusable and SLMs Shortage /

SLMs Delivered to returned SLMs to Deficiency
Learners School

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
 DEPARTMENT OF EDUCATION
BUREAU OF LEARNING RESOURCES
PRINTED AND DISTRIBUTED SELF-LEARNING MODULES (SLMs)

School Division
Complete School Address Region

SELF- LEARNING MODULES INVENTORY REPORT AS OF _____________________________

QUARTER __________

MODULE NUMBER SLM TYPE

(Please add additional Actual Quantity of Reusable and
Actual Quantity of
GRADE LEVEL AND SUBJECT row/s based on the total SLMs Delivered to returned SLMs to
SLMs Printed
number of modules per CO - SLMs from LD - Locally Learners School
subject printed) Central Office Developed

a b c d e f
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3 0 1
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5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
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4 0 0
5 0 0
English 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
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5 0 0
Science
 Science 6 0 0
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9 0 0
10 0 0
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Mathematics 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Araling Panlipunan 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Grade 7 1 0 0
2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
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Music 6 0 0
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Arts 6 0 0
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10 0 0
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5 0 0
Physical Education 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
TOTAL 100 1 1 0 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Filipino 6 0 0
7 0 0
8 0 0
 9 0 0
10 0 0
1 0 0
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English 6 0 0
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8 0 0
9 0 0
10 0 0
1 0 0
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4 0 0
5 0 0
Araling Panlipunan 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Grade 8
Grade 8 1 0 0
2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
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Physical Education 6 0 0
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9 0 0
10 0 0
1 0 0
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 3 0 0
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Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
TOTAL 100 0 0 0 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Filipino 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
English 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Science 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
 4 0 0
5 0 0
Mathematics 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Araling Panlipunan 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Grade 9 1 0 0
2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Music 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Arts
 Arts 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Physical Education 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
TOTAL 100 0 0 0 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Filipino 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
English 6 0 0
 English
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Science 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Mathematics 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Araling Panlipunan 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Grade 10 1 0 0
2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
 9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Music 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Arts 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Physical Education 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
 TOTAL 100 0 0 0 0 0
OVER-ALL TOTAL 892 1 2 270 100 130

Prepared by: Noted by :

Name & Signature Name & Signature

School Head/ Principal Schools Division Superintendent/ District Supervisor

Date Prepared : _________________________

Actual Enrolment Ratio *If target ratio is 1:2, divide the difference indicated in letter j by 2.
(As of April 2021) - (Module:Learner/s) SLMs Shortage /
Using Modular Deficiency
Printed Learning RATIO (based
GCD
Delivery on 1:1)

g h i j=g-f
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- - - -30

pervisor
 DEPARTMENT OF EDUCATION
BUREAU OF LEARNING RESOURCES
PRINTED AND DISTRIBUTED SELF-LEARNING MODULES (SLMs)

School Division
Complete School Address Region

SELF- LEARNING MODULES INVENTORY REPORT AS OF _____________________________

QUARTER __________

MODULE NUMBER (Please add SLM TYPE Actual Quantity of Reusable and
additional row/s based on the total Actual Quantity of
GRADE LEVEL AND SUBJECT SLMs Delivered to returned SLMs to
number of modules per subject SLMs Printed
CO - SLMs from LD - Locally Learners School
printed)
Central office Developed
a b c d e f
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Filipino 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
English 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Science 6 0 0
 Science
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Mathematics 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Araling Panlipunan 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Grade 7 1 0 0
2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Music 6 0 0
7 0 0
8 0 0
 9 0 0
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Arts 6 0 0
7 0 0
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9 0 0
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4 0 0
5 0 0
Physical Education 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
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3 0 0
4 0 0
5 0 0
Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
TOTAL 100 0 0 0 0 0
1 0 0
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3 0 0
4 0 0
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Filipino 6 0 0
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 10 0 0
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8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
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Grade 8
2 0 0
3 0 0
4 0 0
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Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Music 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Arts 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
 4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
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1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Science 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
 5 0 0
Mathematics 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Araling Panlipunan 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Grade 9 1 0 0
2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Music 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Arts 6 0 0
 Arts
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
TOTAL 100 0 0 0 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Filipino 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
English 6 0 0
7 0 0
 8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Science 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
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2 0 0
3 0 0
4 0 0
Edukasyon sa 5 0 0
Pagpapakatao 6 0 0
7 0 0
8 0 0
9 0 0
 10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Music 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Arts 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
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7 0 0
8 0 0
9 0 0
10 0 0
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Health 6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
TOTAL 100 0 0 0 0 0
 OVER-ALL TOTAL 835 0 0 0 0 0
1

Prepared by: Noted by :

Name & Signature Name & Signature

School Head/ Principal Schools Division Superintendent/ District Supervisor

Date Prepared : _________________________

Actual Enrolment Ratio
(As of April 2021) - (Module:Learner/s) SLMs Shortage /
Using Printed Deficiency
Modular Learning
GCD RATIO
Delivery
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pervisor
 DEPARTMENT OF EDUCATION
BUREAU OF LEARNING RESOURCES
PRINTED AND DISTRIBUTED SELF-LEARNING MODULES (SLMs)

School Division
Complete School Address Region

SELF- LEARNING MODULES INVENTORY REPORT AS OF _____________________________

QUARTER 0

MODULE NUMBER (Please SLM TYPE

Actual Quantity of Reusable and
add additional row/s based on Actual Quantity of
GRADE LEVEL AND SUBJECT SLMs Delivered to returned SLMs to
the total number of modules SLMs Printed
CO - SLMs from LD - Locally Learners School
per subject printed)
Central office Developed

a b c d e f
Area & Subject:
Home Economics (HE)
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Cookery
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Subject Title 1
2
Other (Please specify): 4 0 0
5 0 0
Grade 7 Area & Subject: 1 0 0
Industrial Arts (IA) 2 0 0
Plumbing 3 0 0
Other (Please specify): 4 0 0
Other (Please specify): 5 0 0
Area & Subject: 1 0 0
Agriculture and Fishery Arts (AFA) 2 0 0
Animal Production 3 0 0
Other (Please specify): 4 0 0
 Other (Please specify): 5 0 0
Area & Subject: 1 0 0
Information and Communication Technology
(ICT) 2 0 0
Small Ruminant 3 0 0
Other (Please specify): 4 0 0
Other (Please specify): 5 0 0
TOTAL 29 0 0 0 0 0
Area & Subject: 1 0 0
Home Economics (HE) 2 0 0
Cookery 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Industrial Arts (IA) 2 0 0
Plumbing 3 0 0
Other (Please specify): 4 0 0
5 0 0
Grade 8 Area & Subject: 1 0 0
Agriculture and Fishery Arts (AFA) 2 0 0
Animal Production 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Information and Communication Technology
2 0 0
(ICT)
Small Ruminant 3 0 0
Other (Please specify): 4 0 0
5 0 0
TOTAL 20 0 0 0 0 0
Area & Subject: 1 0 0
Home Economics (HE) 2 0 0
Cookery 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Industrial Arts (IA) 2 0 0
Plumbing 3 0 0
Other (Please specify): 4 0 0
5 0 0
Grade 9 Area & Subject: 1 0 0
Agriculture and Fishery Arts (AFA) 2 0 0
Animal Production 3 0 0
 Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Information and Communication Technology
2 0 0
(ICT)
Small Ruminant 3 0 0
Other (Please specify): 4 0 0
5 0 0
TOTAL 20 0 0 0 0 0
Area & Subject: 1 0 0
Home Economics (HE) 2 0 0
Cookery 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Industrial Arts (IA) 2 0 0
Plumbing 3 0 0
Other (Please specify): 4 0 0
5 0 0
Grade 10 Area & Subject: 1 0 0
Agriculture and Fishery Arts (AFA) 2 0 0
Animal Production 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Information and Communication Technology
2 0 0
(ICT)
Small Ruminant 3 0 0
Other (Please specify): 4 0 0
5 0 0
TOTAL 20 0 0 0 0 0
OVER-ALL TOTAL 213 1 1 30 0 0

Prepared by: Noted by :

Name & Signature Name & Signature

School Head/ Principal Schools Division Superintendent/ District Supervisor

Date Prepared : _________________________

Actual Enrolment Ratio
(As of April 2021) - (Module:Learner/s) SLMs Shortage /
Using Printed Deficiency
Modular Learning
GCD RATIO
Delivery

g h i j=g-f
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pervisor
 DEPARTMENT OF EDUCATION
BUREAU OF LEARNING RESOURCES
PRINTED AND DISTRIBUTED SELF-LEARNING MODULES (SLMs)

School Division
Complete School Address Region

SELF- LEARNING MODULES INVENTORY REPORT AS OF _____________________________

QUARTER 0

MODULE NUMBER SLM TYPE Actual Enrolment

(Please add additional Actual Quantity of Reusable and (As of April 2021) -
Actual Quantity of
GRADE LEVEL AND SUBJECT row/s based on the total SLMs Delivered to returned SLMs to Using Printed
CO - SLMs SLMs Printed
number of modules per LD - Locally Learners School Modular Learning
from Central
subject printed) Developed Delivery
office
a b c d e f g
Area & Subject:
Core Subject
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
Contemporary Arts
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
Other (Please specify): 4 0 0
5 0 0
Grade 11 Area & Subject: 1 0 0
Core Subject 2 0 0
21st Century Literature 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Applied Subject 2 0 0
Entrepreneurship 3 0 0
Other (Please specify): 4 0 0
5 0 0
Area & Subject: 1 0 0
Applied Subject 2 0 0
 Practical Research 1 3 0 0
Other (Please specify): 4 0 0
5 0 0
TVL
Practical Research 1 3 0 0
TOTAL 27 0 0 0 0 0 -
1 0 0
2 0 0
Type Subject Here 3 0 0
4 0 0
5 0 0
1 0 0
2 0 0
Type Subject Here 3 0 0
4 0 0
5 0 0
Grade 12 1 0 0
2 0 0
Type Subject Here 3 0 0
4 0 0
5 0 0
1 0 0
2 0 0
Type Subject Here 3 0 0
4 0 0
5 0 0
TOTAL 20 0 0 0 0 0 -
OVER-ALL TOTAL 47 0 0 0 0 0 -

Prepared by: Noted by :

Name & Signature Name & Signature

School Head/ Principal Schools Division Superintendent/ District Supervisor

Date Prepared : _________________________

Ratio
(Module:Learner/s) SLMs Shortage /
Deficiency
GCD RATIO
h i j=g-f
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