Republic of the Philippines

Department of Education
REGION IX – ZAMBOANGA PENINSULA
SCHOOLS DIVISION OF ZAMBOANGA PROVINCE
Manalipa integrated SCHOOL
Barangay manalipa, manalipa island, ZAMBOANGA city

(Individual Report of Teacher)

LDM FEEDBACK REPORT
( LDM Form A )

Name of Teacher: HANNAH FAYE B. CANAGAN Grade Level & Section: 11-PUNZALAN
Subject: HOUSEKEEPING 11 No. of Pupils: Male ____ Female 13 Total 13
No. of Students with feedback: Male ____ Female __2__Total ____2____ Date: 10/20/2021 Consultation Time :1:00 PM

Type of
Name of Action Taken Challenges / Problems / Needs and other LDM-
Date/Time Feedback Problem
Student (by Teachers) related problems)
(TI, PI, SI)
ABABUN, CAPSLET was not Had a conversation with the
10/20/2021
SITTI AISA, SI able to claimed on student because she is working in Action taken successfully
1:00 PM
ABDUL the scheduled day. the city.
CAPSLET was not Had a conversation with the
10/20/2021 SAYYARI,
SI able to claimed on student because she is working in Action taken successfully
1:00 PM JULMA
the scheduled day. the city.

Prepared by:

HANNAH FAYE B. CANAGAN

Signature Over Printed Name

(Individual Report of Teacher)

Address: Barangay Manalipa, Manalipa Island, Zamboanga City

Contact No.: +639567393396
School ID 501110
Email Address: manalipaintegratedschool@gmail.com
 Republic of the Philippines
Department of Education
REGION IX – ZAMBOANGA PENINSULA
SCHOOLS DIVISION OF ZAMBOANGA PROVINCE
Manalipa integrated SCHOOL
Barangay manalipa, manalipa island, ZAMBOANGA city

LDM FEEDBACK REPORT

( LDM Form A )

Name of Teacher: HANNAH FAYE B. CANAGAN Grade Level & Section:11-MUIN

Subject: HOUSEKEEPING 11 No. of Pupils: Male ____ Female 15 Total 15
No. of Students with feedback: Male ____ Female __2__Total ____2____ Date: 10/22/2021 Consultation Time :1:00 PM

Type of
Name of Action Taken Challenges / Problems / Needs and other LDM-
Date/Time Feedback Problem
Student (by Teachers) related problems)
(TI, PI, SI)
CAPSLET was not
ADDIN, Had a conversation with the
10/22/2021 able to claimed
JUBAIRA, SI student because she is working Action taken successfully
1:00 PM on the scheduled
MANALUMPONG in the city.
day.
CAPSLET was not
Had a conversation with the
10/22/2021 TARASAIN, able to claimed
SI student because she is working Action taken successfully
1:00 PM SHEHA on the scheduled
in the city.
day.

Prepared by:

HANNAH FAYE B. CANAGAN

Signature Over Printed Name

(Individual Report of Teacher)

Address: Barangay Manalipa, Manalipa Island, Zamboanga City

Contact No.: +639567393396
School ID 501110
Email Address: manalipaintegratedschool@gmail.com
 Republic of the Philippines
Department of Education
REGION IX – ZAMBOANGA PENINSULA
SCHOOLS DIVISION OF ZAMBOANGA PROVINCE
Manalipa integrated SCHOOL
Barangay manalipa, manalipa island, ZAMBOANGA city

LDM FEEDBACK REPORT

( LDM Form A )

Name of Teacher: HANNAH FAYE B. CANAGAN Grade Level & Section:12-AMIRUL

Subject: PRACTICAL RESEARCH/ENTREPRENEURSHIP 12 No. of Pupils: Male 15 Female 18 Total 33
No. of Students with feedback: Male ____ Female __2__Total ____2____ Date: 10/15/2021 Consultation Time :10:00 AM

Type of
Action Taken Challenges / Problems / Needs and other LDM-
Date/Time Name of Student Feedback Problem
(by Teachers) related problems)
(TI, PI, SI)
CAPSLET was
Had a conversation with the
10/15/2021 MOHAMAD,ERMINA not able to
SI student because she is working Action taken successfully
10:00 AM ANGGING claimed on the
in the city.
scheduled day.
CAPSLET was
Had a conversation with the
10/15/2021 TANJILANI,ADAWINA not able to
SI student because she is working Action taken successfully
10:00 AM BAIHAKKI claimed on the
in the city.
scheduled day.

Prepared by:

HANNAH FAYE B. CANAGAN

Signature Over Printed Name

LDM MONITORING/ FEEDBACK RECORD ( M&E Form 2 )

Address: Barangay Manalipa, Manalipa Island, Zamboanga City

Contact No.: +639567393396
School ID 501110
Email Address: manalipaintegratedschool@gmail.com
 Republic of the Philippines
Department of Education
REGION IX – ZAMBOANGA PENINSULA
SCHOOLS DIVISION OF ZAMBOANGA PROVINCE
Manalipa integrated SCHOOL
Barangay manalipa, manalipa island, ZAMBOANGA city

( LDM Implementation /Consultation Time )

Grade Level:Grade 11 and Grade 12 Learning Area: TLE/TVL/HOUSEKEEPING ENTREPRENEURSHIP/

PRACTICAL RESEARCH
%. of
No. of
Class/ No of Type of students Priority
Name of Teacher students with Identified Challenges TA by SH
Students Feedback with Level for TA
Feedback
Feedback
G11-PUNZALAN CAPSlet were not able to claim
2 2-SI 15% HP
15 in the scheduled day.
G11-MUIN CAPSlet were not able to claim
2 2-SI 13% HP
15 in the scheduled day.
HANNAH FAYE B. G12-AMIRUL
CAPSlet were not able to claim
CANAGAN 33/ PRACTICAL 2 2-SI 6% HP
in the scheduled day.
RESEARCH
G12-AMIRUL
CAPSlet were not able to claim
33/ 2 2-SI 6% HP
in the scheduled day.
ENTREPRENEURSHIP
Date: October, 2021

Prepared by: Checked by: Noted by:

HANNAH FAYE B. CANAGAN DARWISA D. MOHAMAD ASPAR A. KASA, Ed. D.

Teacher I LDM Coordinator School Head/Principal

Address: Barangay Manalipa, Manalipa Island, Zamboanga City

Contact No.: +639567393396
School ID 501110
Email Address: manalipaintegratedschool@gmail.com