Republic of the Philippines

Department of Education
National Capital Region
Schools Division Office of Quezon City
Congressional District V
VILLA VERDE ELEMENTARY SCHOOL

ENGLISH 5

NAME:_______________________ SCORE:_____
WHAT I NEED TO KNOW
Fill out forms accurately (School Forms)
K12 EN5WC-ll-3.7 Q1 MELC
PONDER

A Form is a document with spaces in which to write or select. The

documents usually have a printed parts and sometimes contains a
serial number or a barcode.
Forms, when completed, may be a statement, a request, an order,
etc. Forms are used in different institutions such as schools, banks,
hospitals etc.
Forms may be filled out in duplicate or triplicate using a carbon
paper, online forms or e-forms are readily available and widely use in
the internet.

What I know
Study the picture. Tell something about it?

____________

Verde Avenue, Santa Monica, Novaliches, Quezon City

(02) 287-91-08
villaverde.qc.elem@gmail.com
www.facebook.com/villaverdees
Activity 1
Read and Learn
Once there was a young man travelling a bus from San Jose, Bulacan to
Novaliches. He was travelling alone minding his own business when the bus
started.
The bus stopped on the third station, a young lady came and sat beside
him. The young Lady looks pleasant and smiled at him, this made him feel
friendly towards her.
They were both feeling nice with each other, when the young lady lean
towards him and whispered.
“Don’t move, give me all your money and mobile phone, if you make a
scene, I’ll shout and scream and tell everybody that you’re misbehaving with
me”.
“I’m sorry Miss but I am deaf, I can’t hear what you’re saying. Can you
write it down so I can read it instead”
The lady then wrote everything she said and gave it back to him. The
young man took the note, got up and told her, “ Now you can shout and
scream.” The lady felt so shocked that she quickly got up, stopped the bus and
run.
He told the story to his friends at the office and everybody laugh.”This is
why writing is very important.” Said the young man.
The End

Let’s talk about what you Read.

1. What is the story about?
2. Where is the young man going? Do you think he is alone? Why?
3. If you’re parents asked you to travel alone, would you do it? Why?
4. How can you make youre self safe during travels?
5. What have you learned from the story?

Share the story you read to your family, ask them they think about the
story.

Activity 2

Directions: Fill out the form below correctly.

Verde Avenue, Santa Monica, Novaliches, Quezon City

(02) 287-91-08
villaverde.qc.elem@gmail.com
www.facebook.com/villaverdees
 INFORMATION SHEET

Name _____________ _____________________ ___________

(Surname) (First) (Middle)

Address __________________________________________________
Date of Birth ___________________ Civil Status ______________
Sex ___________ Height ____________ Weight _______________
Nationality __________________ Occupation ___________________
Father’s Name ________________ Occupation ________________
Mother’s Name _______________ Occupation________________
Signature (Specimen)
(1) __________________
(2) __________________

A.B. ROCACURVA

References:
1. Most Essential Learning Competencies (MELC) English 5 Q.1 Wk.1
2. Lesson Guide in Elementary English pp. 190-192
3. Exploring the English Language 5 p.171
4. On-line English 5 2005p.165-166
5. The New Writing Skills Sharpener

Verde Avenue, Santa Monica, Novaliches, Quezon City

(02) 287-91-08
villaverde.qc.elem@gmail.com
www.facebook.com/villaverdees