Republic of the Philippines

Department of Education
REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE
ANTONIO V. FRUTO SR. NATIONAL HIGH SCHOOL
(Formerly: Cabayangan National High School)
Cabayangan, Braulio E. Dujali, Davao Del Norte
SCHOOL ID: 304221
SELF-LEARNING MODULES (SLMs) DISTRIBUTION AND RETRIEVAL CHECKLIST FOR ALS
S.Y. 2022 – 2023
Name of Student : _______________________________ Name of Parent/Guardian : ________________________________
Grade & Section : _________________________ Contact Number : ________________________________
Quarter : ___________

(Please fill out the form properly and neatly. Kindly put a check mark on the appropriate column in learning areas if the module is available in that particular subject.
Thank You!)
LEARNING AREAS
Komunika English Entrep
MODU Oral syon at Media Earth for reneu
Physical
LE Commun Pananalik and General and Academi rship DATE DATE REM
Educatio SPECIA SIGNATURE SIGNATURE
NO./ ication sik sa Informa Mathem Life c and RELEASED RETURNED ARKS
n& LIZED
WEEK on Wika at tion atics Scienc Professio
Health
Context Kulturang Literacy e nal
Pilipino Purposes
1
2
3
4
5
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7
8
9
10

Prepared by: Noted:

QUEENIE BELONIO-ORTIZ JOSEPH HENRY L. TUNA
ALS Focal Person Secondary School Principal I
 Republic of the Philippines
Department of Education
REGION XI
SCHOOLS DIVISION OF DAVAO DEL NORTE
ANTONIO V. FRUTO SR. NATIONAL HIGH SCHOOL
(Formerly: Cabayangan National High School)
Cabayangan, Braulio E. Dujali, Davao Del Norte
SCHOOL ID: 304221
SELF-LEARNING MODULES (SLMs) DISTRIBUTION AND RETRIEVAL CHECKLIST FOR ALS
S.Y. 2022 – 2023
Name of Student : _______________________________ Name of Parent/Guardian : ________________________________
Grade & Section : _________________________ Contact Number : ________________________________
Quarter : ___________
(Please fill out the form properly and neatly. Kindly put a check mark on the appropriate column in learning areas if the module is available in that particular subject.
Thank You!)
LEARNING AREAS
Contempo Understa Personal
MODU Physic
rary Introduction nding Develop
al Practical Filipino sa SPECI
LE Philippine to the Culture, ment/Pan ALIZE SPECIA DATE DATE REM
Educati Research Piling SIGNATURE SIGNATURE
NO./ Arts from Philosophy Society sariling D RELEASED RETURNED ARKS
on and 2 Larang LIZED
WEEK the of the and Kaunlara (SUBJ
Health
Regions Human Politics n ECT)

1
2
3
4
5
6
7
8
9
10

Prepared by: Noted:

QUEENIE BELONIO-ORTIZ JOSEPH HENRY L. TUNA
ALS Focal Person Secondary School Principal I