Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
SCHOOLS DIVISION OF ZAMBOANGA DEL NORTE

DISTRIBUTION AND RETRIEVAL OF SELF-LEARNING MODULES

Monitoring/Tracking Form
QUARTER 1
SY 2021-2022
District: Ponot District School: Balatakan Elementary School Grade&Section: V-Fernandez

No. No.
No Name of Learner of DISTRIBUTION PHASE of RETRIEVAL PHASE
. mod mod
ules/ ules/
LAS LAS
distri retri
bute eved
d
Week 1 Week 2 Week 1 Week 2
BOYS
1. ARBON,RYAN, DUMOLOP
2. ARCALA,LUOIE JAY, ANSALI
3. BERNAL,JOHN RODRIGO, MALICAY
4. CASTOLO,ALDREN, GANTIAO
5. CUEVAS,NIXON, -
6. CUEVAS,ROEL, CANTAO
7. DUMOLOP,JUSSEL MARK, GANTIAO
8. ELUMBA,RINCE, RECOSOSA
9. GERAGA,LEODEIL, RECOSOSA
10. LOON,ARJAY, DUGADUGA
11. MAGALLANES,JUN BERT, OTOD
12. MAGALLANES,RENIEL, ARBON
13. PANGASIAN,CHRISTIAN, CUEVAS
14. PATRIA,ANGELU, -
15. PIZON,REMARK, -
16. RODRIGUEZ,ROVEI DAVE JOSH,
BUCALOD

GIRLS
1. ABDURAHMAN,MERHANA, CUEVAS
2. ANDING,SUNDRA, AMBETIC
3. ANGGIT, BARBIE
4. ARBON,ANABEL, TUAN
5. ARBON,JULYZA, COMPORME
6. CUEVAS,RHEA MAE, LAQUIO
7. DELAPEÑA,JECHELLE MAE, GANON
8. DUMULOP,BEVERLY, PANGASIAN
9. ENTO,CRYSTAL, DUMALAGAN
10. INTING,CRISTAL MAE, ARBON
11. MAGALLANES,CLEAR JANE, OTOD
12. TRASMONTE,LIA JANE, MAGLANGIT

Tota Tota
l: l:
Note: Let the parents affix signature above name, and the date of receipt, in the corresponding box.

Attested by: Noticed by:

FLORDELIZ P. FERNANDEZ WELLIJARDO F. EQUIA JR.

Teacher- Adviser School Head