You are on page 1of 2

Republic of the Philippines

Department of Education
Region VIII - Eastern Visayas
Division of Leyte
Julita District
Sta. Cruz Elementary School
121529
Enrollment Assessment Form
Grade: 3 – Lotus S.Y. 2023-2024 Adviser: Maria Filipina A. Nacional
Reading Numeracy
Parent’s
Name of Pupil Sex MTB FIL ENG ADD SUB MUL DIV Signature
(5) (5) (5) (3) (3) (2) (2)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.

Prepared by:

MARIA FILIPINA A. NACIONAL


Grade 3 Adviser

Noted by:

MECHIEL B. MACASO, Ph.D.


Principal II

You might also like