Republic of the Philippines

Department of Education
Region XII – SOCCSKSARGEN
Schools Division Office of Cotabato
Makilala Central District
BRAULIO G. DANO ELEMENTARY SCHOOL
Sitio Flortam, Batasan, Makilala, Cotabato

YEAR-END CHECKLIST OF SUBMITTED DOCUMENTS

Name of Teacher:
Grade Level:
Section:

Status Date
(Did the Teacher submit Document Remarks
the required documents?)
Please check if submitted
Submitted
School Form 1 (Class
☐
Register)
School Form 2 (Report of
☐
Attendance)
School Form 5 (List of
☐
Promoted)
Schoool Form 9 (Report
☐
Card)
School Form 10 (Permanent
☐
Record)
☐ Printed Class Record
Form for Year-end Awards
☐
and Recognition
Class Mean Percentage Score
☐
(MPS)
Daily Lesson Log (1st to 4th
☐
Quarter)
Individual Learners
☐
Monitoring Plan
☐ Signed Class Program
Summative Test with Table of
☐
Specification
Periodical Test with Table of
☐
Specification
Class EGRA/Phil-IRI Result,
☐
Pre and Post Assessment
Comprehensive Rapid
☐ Literacy Assessment Result
(CRLA)
Class Nutritional Status
☐ (Baseline and Endline
Status)
Classroom Equipment and
☐
Materials Inventory Report

Checked and Verified:

RALP D. LIBOON
School Head

BRAULIO G. DANO ELEMENTARY SCHOOL

Address: Sitio Flortam, Batasan, Makilala, Cotabato
Cellphone No.: 09494197318
Facebook: DepEd Tayo Braulio G. Dano Elementary School
E-mail Address: 100922@deped.gov.ph