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Republic of the Philippines

Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
NEPTUNE ELEMENTARY SCHOOL
Sitio Neptune, Diatagon, Lianga, Surigao Del Sur

Name of Pupil: Score:___________


Grade and Section: ___________________

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Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
NEPTUNE ELEMENTARY SCHOOL
Sitio Neptune, Diatagon, Lianga, Surigao Del Sur

_________

_________

_________

_________

_________

_________

_________

_________
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
NEPTUNE ELEMENTARY SCHOOL
Sitio Neptune, Diatagon, Lianga, Surigao Del Sur

_________

_________

_________

_________

_________

_________

_________

_________

_________
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
NEPTUNE ELEMENTARY SCHOOL
Sitio Neptune, Diatagon, Lianga, Surigao Del Sur

_________

_________

_________
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
NEPTUNE ELEMENTARY SCHOOL
Sitio Neptune, Diatagon, Lianga, Surigao Del Sur

_________

______________________________________
PARENT SIGNATURE

Checked and Evaluated by:

MARY MAE O. LLORENTE


T-I/Adviser

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