Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE OF SAN CARLOS CITY
PAYAR ELEMENTARY SCHOOL
BRGY. PAYAR, San Carlos City, Pangasinan

DISTRIBUTION AND RETRIEVAL OF MODULE SCHEDULE

Modules Modules/
Signature of
Distribut Notebook
NAME OF ed Signature of Retrieved Parent/Guardian
NAME OF LEARNERS
PARENT/GUARDIAN Date: Parent/Guardian Date:

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FEMALE
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 Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE OF SAN CARLOS CITY
PAYAR ELEMENTARY SCHOOL
BRGY. PAYAR, San Carlos City, Pangasinan

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