Lezo Technical College, Inc.

Poblacion, Lezo, Aklan

MONITORING TEMPLATE ON DISTRIBUTION AND RETRIEVAL OF MODULES S.Y. 2021-2022

Barangay Agcawilan

Grade level: 10 Section: GOLD Quarter 1 Assigned Teacher: MANELYN M. IGAT AND HONEY JOY S. ENGALLA

Parent/ Module 1 Module 2 Module 3 Module 4

Name of Learner REMARKS
Guardians Name
DATE DATE DATE DATE DATE DATE DATE DATE
CLAIMED RETURNED CLAIMED RETURNED CLAIMED RETURNED CLAIMED RETURNED
 Parent/ Module 5 Module 6 Module 7 Module 8
Name of Learner REMARKS
Guardians Name
DATE DATE DATE DATE DATE DATE DATE DATE
CLAIMED RETURNED CLAIMED RETURNED CLAIMED RETURNED CLAIMED RETURNED