Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE - SCIENCE CITY OF MUÑOZ

ACTIVITY COMPLETION REPORT

1 Approved proposal

2 Program/Matrix

3 Attendance of Participants

4 Pictures with label/caption

5 School Memorandum (signed and numbered)

6 Reference (Memorandum, Orders, Advisories, others)

7 Quality Assurance and Monitoring and Evaluation (QAME) Results

8 Narrative Report

*to be
attached to all conducted PPAs

Evaluated by:
Name and Signature: _____________________________
Designation: ____________________________________
Date: __________________________________________

Loyal, Excellent, Accountable and Dedicated to Service

Address: Brgy. Rizal, Science City of Muñoz, 3119
Telephone No.: (044) 806 -2192; Email Address: munozscience.city@deped.gov.ph
DSCM-SGOD-HRD-QSF-007 Rev.02 (12.08.20)
Certificate No. 50500731 QM15