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SCHOOL NAME: STO.DOMINGO ELEMENTARY SCHOOL ID: 108611 DISTRICT CALAUAG WEST
MA. JEANETTA M. ACUPAN ANGELINA M. ZALATAR MICHAEL GLENN S. MALAGA BEVERLY T. COLLERA
Chairman Vice Chair Member Member
_______________________________All fields below are solely for the use of the Division Checking Committee (DCC)_____________________________
Conforme:
Table 4. For Transferred In/Moved In Learners Without SF10 (formerly Form 137)
Grade Section Name of Adviser LRN Name of Learner Name of Originating School School ID Division/Region
Level
Type of Checking Committee: _______ School Checking Committee (SCC) ________ Division Checking Committee (DCC)
Prepared by:
MA. JEANETTA M. ACUPAN ANGELINA M. ZALATAR MICHAEL GLENN S. MALAGA BEVERLY T. COLLERA
CHAIRMAN VICE CHAIRMAN Member Member
_______________________________All fields below are solely for the use of the Division Checking Committee (DCC)_____________________________
Conforme:
/Comment or
nce Provided
Division/Region