5

English
Quarter 1 – Module 1:
Filling-out Forms Accurately
English – 5
Self-Learning Module (SLM)
Quarter 1 – Module 1: Filling-out Forms Accurately
First Edition, 2020

Republic Act 8293, section 176 states that: No copyright shall subsist in any work of
the Government of the Philippines. However, prior approval of the government agency or office
wherein the work is created shall be necessary for exploitation of such work for profit. Such
agency or office may, among other things, impose as a condition the payment of royalties.

Borrowed materials (i.e., songs, stories, poems, pictures, photos, brand names,
trademarks, etc.) included in this module are owned by their respective copyright holders.
Every effort has been exerted to locate and seek permission to use these materials from their
respective copyright owners. The publisher and authors do not represent nor claim ownership
over them.

Module Development Team

Writer: Hazel D. Olegario
Editor: Mary Grace B. Leysa
Reviewer: Joanne Cher F. Yturalde
Illustrator: Hazel D. Olegario
Layout Artist: Jim Ryan S. Dela Cruz
Cover Art Designer: Arvel Garry L. Campollo
Management Team: Allan G. Farnazo, CESO IV - Regional Director
Fiel Y. Almenda, CESO V - Assistant Regional Director
Leonardo M. Balala, CESE - Schools Division Superintendent
Gilbert B. Barrera - Chief, CLMD
Arturo D. Tingson, Jr. - REPS, LRMS
Peter Van C. Ang-ug - REPS, ADM
Gerardo O. Magno – REPS, English
Ismael M. Ambalgan - Chief, CID
Sheryl L. Osano- EPS, LRMS
Mary Grace B. Leysa- EPS, English

Printed in the Philippines by the Department of Education – SOCCSKSARGEN Region

Office Address: Regional Center, Brgy. Carpenter Hill, City of Koronadal

Telefax: (083) 2288825/ (083) 2281893
E-mail Address: region12@deped.gov.ph
 5

English
Quarter 1 – Module 1:
Filling-Out Forms Accurately
Introductory Message
For the facilitator:

Welcome to the English - Grade 5 Self-Learning Module (SLM) on Filling-out Forms

Accurately!

This module was collaboratively designed, developed and reviewed by educators both
from public and private institutions to assist you, the teacher or facilitator in helping
the learners meet the standards set by the K to 12 Curriculum while overcoming
their personal, social, and economic constraints in schooling.

This learning resource hopes to engage the learners into guided and independent
learning activities at their own pace and time. Furthermore, this also aims to help
learners acquire the needed 21st century skills while taking into consideration their
needs and circumstances.

In addition to the material in the main text, you will also see this box in the body of
the module:

Notes to the Teacher

This contains helpful tips or strategies that
will help you in guiding the learners.

As a facilitator you are expected to orient the learners on how to use this module.
You also need to keep track of the learners' progress while allowing them to manage
their own learning. Furthermore, you are expected to encourage and assist the
learners as they do the tasks included in the module.

ii
For the learner:

Welcome to the English - Grade 5 Self-Learning Module (SLM) on Filling-out Forms

Accurately!

The hand is one of the most symbolized part of the human body. It is often used to
depict skill, action and purpose. Through our hands we may learn, create and
accomplish. Hence, the hand in this learning resource signifies that you as a learner
is capable and empowered to successfully achieve the relevant competencies and
skills at your own pace and time. Your academic success lies in your own hands!

This module was designed to provide you with fun and meaningful opportunities for
guided and independent learning at your own pace and time. You will be enabled to
process the contents of the learning resource while being an active learner.

This module has the following parts and corresponding icons:

What I Need to Know This will give you an idea of the skills or
competencies you are expected to learn in the
module.

What I Know This part includes an activity that aims to

check what you already know about the
lesson to take. If you get all the answers
correct (100%), you may decide to skip this
module.

What’s In This is a brief drill or review to help you link

the current lesson with the previous one.

What’s New In this portion, the new lesson will be

introduced to you in various ways; a story, a
song, a poem, a problem opener, an activity
or a situation.

What is It This section provides a brief discussion of the

lesson. This aims to help you discover and
understand new concepts and skills.

What’s More This comprises activities for independent

practice to solidify your understanding and
skills of the topic. You may check the answers
to the exercises using the Answer Key at the
end of the module.

What I Have Learned This includes questions or blank

sentence/paragraph to be filled in to process
what you learned from the lesson.

What I Can Do This section provides an activity which will

help you transfer your new knowledge or skill
into real life situations or concerns.

iii
 Assessment This is a task which aims to evaluate your
level of mastery in achieving the learning
competency.

Additional Activities In this portion, another activity will be given

to you to enrich your knowledge or skill of the
lesson learned.

Answer Key This contains answers to all activities in the

module.

At the end of this module you will also find:

References This is a list of all sources used in developing

this module.

The following are some reminders in using this module:

1. Use the module with care. Do not put unnecessary mark/s on any part of the
module. Use a separate sheet of paper in answering the exercises.
2. Don’t forget to answer What I Know before moving on to the other activities
included in the module.
3. Read the instruction carefully before doing each task.
4. Observe honesty and integrity in doing the tasks and checking your answers.
5. Finish the task at hand before proceeding to the next.
6. Return this module to your teacher/facilitator once you are through with it.
If you encounter any difficulty in answering the tasks in this module, do not
hesitate to consult your teacher or facilitator. Always bear in mind that you are
not alone.

We hope that through this material, you will experience meaningful learning and
gain deep understanding of the relevant competencies. You can do it!

iv
 What I Need to Know

This module was designed and written with you in mind. It is here to
help you master Filling-out Forms Accurately. The scope of this module
permits it to be used in many different learning situations. The language used
recognizes the diverse vocabulary level of students. The lessons are arranged
to follow the standard sequence of the course. But the order in which you read
them can be changed to correspond with the textbook you are now using.
(EN5WC-Iij-3.7)

This module is consist of:

 Lesson 1 – Filling-out Various Forms Accurately

After going through this module, you are expected to:

1. identify the different parts of a form;
2. follow written directions in a document;
3. fill-out various forms completely and accurately;

What I Know

A. Directions: Read the short dialogue to answer the questions below. Choose
the letter of the best answer. Write the chosen letter on the space before the
number.

My School ID Interview

Today is August 24th, it is 10 o’clock in the morning, Nona is at the

school office, because she needs her ID.

Learner: Good Morning, Ma’am.

Secretary: Good morning. Can I help you?
Learner: Yes, I need my student ID.
Secretary: Okay. What is your name?
Learner: My last name is Fernandez.
Secretary: Can you spell it, please?
Learner: Yes, it is F-E-R-N-A-N-D-E-Z.
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Secretary: And what is your first name?
Learner: My first name is Nona.
Secretary: How old are you?
Learner: I am eleven years old. In fact, today is my birthday.
Secretary: Oh! Happy birthday, sweetheart. What is your address?
Learner: My address is #864 Tisa St.
Secretary: What is your telephone and zip code number?
Learner: My phone number is 064-201-1234 and my zip code is 9805.
Secretary: Where do you come from?
Learner: I live in Kalawag 2, Isulan, Sultan Kudarat.
Secretary: Here is your ID.
Learner: Thank you very much!
Secretary: Have a nice day!

_____ 1. What is the full name of the learner?

a. Nona c. Kalawag
b. Fernandez d. Nona Fernandez

_____ 2. What does the student need?

a. She needs her ID.

b. She is casting a ballot.
c. She is applying for a club membership.
d. She is enrolling herself for the school year.

_____ 3. When is her birthday?

a. June 24th c. September 4th

b. August 24th d. December 4th

_____ 4. How old is she?

a. She is nine years old. c. She is eleven years old.

b. She is ten years old. d. She is twelve years old.
_____ 5. The number 9805 is Nona’s _________.
a. Telephone Number c. Zip Code
b. House Number d. Birthdate

B. Directions: Read each item carefully. Choose the letter of the best answer.
Write the chosen letter on the space before the number.

______6. When might you need to fill out a form?

a. at the school club or guidance office
b. when you deposit money to the bank
c. when you vote for a candidate during election
d. all of the above
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______7. Which of the following forms requires an amount to be added to a
savings account?
a. Biodata
b. Deposit Slip
c. Official Ballot
d. Guidance Form

______8. What information might you need when filling out a form?
a. your first name and last name
b. your current phone number and address
c. your birth date
d. all of the above

______9. Which of the following should you remember when filling-out a form?
a. Use pencil in filling out forms.
b. Comply and submit forms after the deadlines.
c. Make sure that the information you are giving is complete and
accurate.
d. Do not check if you spelled the words, dates and wrote the numbers
correctly.

______10. What information is needed when filling-in the name of the person
to be notified in case of emergency.
a. your nationality
b. the occupation of your parents including their workplace
c. the complete date when you were born such as day, month and year
d. the name of the person you want to in be told in case something bad
happens to you.

3
 Lesson

1 Filling-out Forms Accurately

Have you ever tried to join in a school club or deposit some of your
savings to the bank? What were the requirements that you need to
accomplish? Did the school club or the bank ask you to fill-out some forms?
If you were, then you have an idea of what this module is about.

Forms are documents that you have to fill-out as a requirement for

admission to a school club or to have bank transactions. These are important
because they tell the club or the bank about you.

What’s In

Before studying this module, look at the following list of forms. Check
the corresponding boxes beside the forms that you are already familiar with
and know how to fill-out.

□ Bio-data

□ Bank Deposit Slip

□ Bank Withdrawal Slip

□ School ID Application

□ Election Ballot

If you checked all the forms, then you are already familiar with the
topics that will be taken up in this module. This module shall then help you
to review how to fill these out completely and accurately. If you didn’t then
study this module carefully, it will help you fill-out these forms step by step.

4
 Notes to the Teacher
Help the learners understand the importance of filling out forms
by guiding them on what to do with the activities that follow.

What’s New

During enrollment time, your parents need to fill-out a registration form

for you. This is a form which asks information about you, like your name, age,
address, and others.

It is always a good idea to read the entire form before we start to fill it
out. Some forms require us to write our last name first. Others require the
first name. Most forms specify that we type or print the information needed.
Others require our own handwriting. Since you are now old enough to know
these, you must be able to learn how to fill out the form yourself.

The Biodata

Forms often require a lot of

information. Do you know what this
information are about and why is it
important for us to be accurate?

Why do you think these forms are

important?

Each form is filled out for a

particular purpose. Study the personal
data section of a bio-data form below.
With it is possible correct entries.

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Answer the following questions:

1. Is the form completely and accurately filled out?

2. The parts of a bio-data are listed below. Check the corresponding
boxes of the items Juan has filled out properly and cross out those
he did not.
Personal Data

Name Weight

Sex Religion

Provincial address Telephone number

Date of birth Father’s Name

Place of Birth Mother’s Name

Citizenship Occupation

Height Signature

What is It

Are you ready to learn? Let us discuss the parts of a bio-data in detail.
Some reminders on how to fill-out each item are given. Let’s see how well you
understand and follow directions.

Personal Data

♦ Name- the most important information in any form and refers to your
complete name including your first name, middle name, and family name.
For example, Gani Callos de Jesus.

♦ Sex- refers to your sex that is, either male or female.

♦ Provincial address- refers to your address in the province where you

originally came from. Make sure you include the number of your house,
street, village/barangay or municipality, city, or province. You may indicate
your zip code too. For example, 10 Matiyaga Street, Barangay Kabo, Maryville
Village, Batangas City 4200.

If you do not have a provincial address, you can write n/a which stands
for “not applicable.”

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♦ Date of birth- refers to the date when you were born. Make sure you
include the month, day, and year of your birth. For example, October 5, 2008.

♦ Place of birth-refers to where you were born; the city or municipality of

your birth will do. For example, Manila or Calatagan, Batangas.

♦ Citizenship-refers to your nationality. For example, Filipino, American,

Indonesian, etc.

♦ Height-may be expressed in either feet and inches or centimeters. For

example, if you are 4 feet and 6 inches tall, you can write either 4’6” or 137
cm.

♦ Weight- may be expressed in either pounds or kilograms. For example, if

you weigh 105 pounds, you can write either 105 lbs. or 47.73 kg.

♦ Religion-refers to a cause, principle, or system of beliefs you hold on to.

For example, you may be a Roman Catholic, Muslim, Iglesia ni Cristo, etc.

♦ Telephone-refers to the number of your telephone line or the number

where you can be contacted. For example, 064-433-8873. If you have more
than one contact number, you may indicate all of them here.

♦ Father’s name- refers to the complete name of your father. For example,
Ernesto Martinez de Jesus. Make sure you indicate your father’s first name,
middle name, and family name. You may choose not to write his middle name
in full. In this case, you may simply indicate his middle initial. If your father
is already dead, write “deceased” after his name.

♦ Occupation- refers to your father’s job. For example, carpenter, farmer,

etc. If he is not working anymore, write “retired.” Or if he does not have a job
at the time you are filling-out the bio-data, write “unemployed.”

♦ Mother’s name- refers to the complete name of your mother. For example,
Nena Reyes Callos. Make sure you indicate your mother’s first name, middle
name, and family name. You may decide not to write her middle name in full.
In this case, you may simply write her middle initial. If your mother is already
dead, write “deceased” after her name.

♦ Occupation- refers to your mother’s job. For example, dressmaker, cook,

etc.

♦ Applicant’s signature- shows your signature to signify that you have been
truthful in your application.

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 The following are some guidelines for filling out forms accurately.

1. Make sure that the information you are giving is complete and accurate,
writing an incomplete address for example, may make it difficult for the
company you are applying to contact you by mail.

2. Check if you spelled the words and wrote the numbers correctly.

3. Write neatly and legibly. Do not use pencil. Use only blue or black ink in
filling-out forms. Or better yet, use a typewriter or a computer.

4. Submit forms on time. Find out when the deadlines are and comply with
them.

Keep these guidelines in mind. They will help you fill-out forms
accurately.

What’s More

Activity 1: Filling-out a Bio-data Sheet

Below is a blank form of a bio-data sheet. Fill it out with the necessary
information with the help of an adult in your family. Make sure that all data
are entered accurately. Refer to the scoring rubrics given to you.

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Activity 2: Filling-out a Bank Deposit Slip and Withdrawal
Slip
In the previous activity, you practiced how to fill out a bio-data form
neatly, completely, and accurately. You also learned what forms are and
how important they are in your daily life. Aside from bio-data, there are
many other kinds of forms. These include bank deposit and withdrawal
slips.

Read the following and find out about the other kinds of forms we
usually fill out.

Pedro’s Life Lesson

Pedro is the son of vendor who just turned 11 a week ago. His father
was considering teaching him how to fill-out a deposit slip from a bank so
he can help in depositing some of their earnings and learn the value of
saving. So, one day…

Father: Do you want to help me in the store, Pedro?

Pedro: Of course, Father. How can I help you?

Father: See, iho, my sight is not as good as it used to be. I need

someone to help me deposit our store’s weekly profit. So, I’m
planning to teach you how to fill-out a deposit and withdrawal
slip.

Pedro: Sure, Father. I am excited to help you out in filling the forms.
Someday, when I am old enough and have my means of living,
I will work hard and save for my future too. Just like you.

After a few days, Pedro learned how to fill-out deposit slips. His father
no longer needs to write on these forms. Pedro does this for
him.

Do you know what a deposit slip is for? A deposit slip is a written order
to your bank telling it to put funds into your savings account. You can use a
deposit slip to put money such as cash, checks, and money orders into your
account.

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Deposit slips vary from bank to bank. Here is an example:

To fill-out a deposit slip, here is what you need to do:

•Fill out the complete date of the day you deposit in the deposit to the
bank.

•Fill-out the name and account number.

•Write the amount of cash you are depositing on the top line.

•Calculate the total deposit. Take the slip and the money you want to
deposit to a teller at your bank.

Withdrawal slips

A withdrawal slip is a written order to your bank instructing it to

withdraw funds from your account. Withdrawal slips vary from bank to bank.

Here is an example:

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 To fill-out a withdrawal slip, here is what you need to do:

•Fill out the complete date of the day you withdraw in the bank.

•Fill-out the name and account number.

•List the amount of money you want to withdraw.

•Sign the withdrawal slip.

•Take the slip to a teller at your bank.

Identify the missing parts of the deposit slip and withdrawal slip below.

Compare your answers with those in the Answer Key given to you. How
well did you do?

Try looking at the withdrawal slip below. Which information is incorrectly

filled? Why did you say so?

Compare your answers with those in the Answer Key. How well did you do?

11
Activity 3: Filling-out a School ID Application Form

Do you have a school ID? Do you remember how the information sheet
for a school ID looks like?

What information are not included in the two previous forms we have
discussed before?

Let’s take a look at them in detail.

♦ Person to be notified in case of emergency—refers to the person you

want to be told in case something bad happens to you. He/She may be your
father, mother, or legal guardian.

The School Opening

It’s the first day of school and I am so excited to meet my new classmates
and teachers.

In this school like any other schools, learners must wear IDs for their
safety and identification. This is a school requirement that learners have
known every year since the first day of class. Administrators and teachers also
always wear IDs around their necks .

“We have to wear IDs so we will be identified, and the teachers will know
whom to contact whenever it is needed. School IDs can also be used to avail
learner privileges when riding in a public transportation such as busses.”

The teacher started to hand over a piece of paper with spaces to write on.
Suddenly I remember my nanay filling-out forms when she enrolled me for the
school year. But I am not so sure if I remember all the information the form is
asking me write.

“Excuse me Teacher Ann, can you help me in filling-out my form. I am

not sure how to do it.”

“Sure, all you have to do is to answer all the details that the form is asking
you, like your name, birthday, address, the name of your parents and their
contact numbers. Just make sure, that the form is filled-out neatly, and all
the texts are readable.”

“Thank you, Teacher Ann.” She sure is helpful. This school year is going
to be so much fun!

12
 Let’s talk about what you have read.

1. What is the first task that the teacher asks them to do?
2. What is the distributed piece of paper with spaces to write on for?
3. What information are needed to complete the form?
4. Did the learner hesitate to ask her teacher for help?
5. How would you feel if your teacher asks you to fill-out a school ID
application form? Why?

Your teacher asked all of you to hand in your accomplished school ID

application form. Using the information found in the sample School Student
ID below, identify the information that must be filled-in in each parts of the
application form.

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 1. __________________________ 6. ___________________________

2. ___________________________ 7. ___________________________

3. ___________________________ 8. ___________________________

4. ___________________________ 9. ___________________________

5. ___________________________ 10.___________________________

Activity 4: Filling-out an Election Ballot

The election for Learner Council

Officers are held each year in all
schools. The types of election vary from
school to school, depending to a large
extent upon the size of the learner
body. Oftentimes, election is done
through secret voting or using a secret
ballot.

Have you ever participated in an

election before? If you have, then you
know how a ballot looks like. If you
have not, then look at a blank ballot
below to know how it looks.

An election ballot is very easy to

fill out. You just must remember the
names of the candidates that you will
vote for. Then just follow the
instructions the election inspector will
give you.

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 What I Have Learned

Activity 5: Roundup!

Direction: Make relevant links based on the series of lessons learned about filling-
out of forms accurately. Fill in the blanks with correct answers.

What should you remember to fill out forms?

What should you do to make it clean and neat?

What should you remember in giving out information?

When filling out forms:

1. Read each item in the __________ very carefully.

2. __________ printed directions.

3. Be precise in supplying the ____________.

4. Give true and correct ___________.

5. Avoid ___________ erasures.

6. Handle the ____________ with utmost care.

What did you learn from this activity? You just learned that a form
requires a lot of information. The good news is that you know most of these
because they are about you.

All forms must be filled out correctly, completely and neatly.

15
 What I Can Do

Activity 6: Filling-out a Guidance Form

Supposing that you are in the Guidance Office. You are asked to fill-out the
Guidance Form.

A. Directions: Fill-out the guidance form correctly using the given

information below.

Guidance Form

Name ___________________________________________ ______________

Family name First name M.I Grade/Section

Date of Birth _____________________________ Place____________________

Father ___________________________________ Occupation______________
Mother ___________________________________ Occupation _____________
Address __________________________________ Tel. No. _________________

No. of brothers/sisters enrolled in the school ______________________________

School last attended __________________________________________________
Other Important Data __________________________________________________

Johrian F. Lonzaga (Learner) San Pedro Hospital

Michael Lonzaga 291-23-40
Driver Housewife
3 Magsaysay Elem. School
July 20, 1995 Grage Five - Mars
San Roque, Daliao, Davao City Maria Isabelle Lonzaga

16
 Assessment

Post Assessment

Directions: Choose the letter of the best answer. Write the chosen letter on the blank
before each number.

_____ 1. Which of the following forms requires an amount to be added to a

savings account?
a. Bio-data c. Deposit Slip
b. Official Ballot d. Guidance Form
_____ 2. This information refers to where you came from or live. This includes
the number of your house, street, village/barangay or municipality,
city or province.
a. Date of Birth c. Father’s Name
b. Complete Address d. Contact Number
_____ 3. This information tells how many brothers and sisters you have.
a. Occupation of Parents
b. School Last Attended
c. Number of Siblings
d. Forename, Last Name and Middle Name
______ 4. This is the number where other people can call you.
a. Complete Address
b. Grade and Section
c. Place of Birth
d. Contact Number
_____ 5. Which of the following is a surname?
a. First name b. Middle Name c. Last name d. Forename
______6. When might you need to fill out a form?
a. at the school club or guidance office
b. when you deposit money to the bank
c. when you vote for a candidate during election
d. all of the above
______7. Which of the following forms requires an amount to be taken from a
savings account?
a. Bio-data c. Deposit Slip
b. Withdrawal Slip d. Guidance Form

17
______8. When finding out the deadline for submission, you can assure
that ________.
a. the form will be submitted to the right person
b. the form will be submitted on time
c. the form will be kept confidential
d. all of the above
______9. Which of the following information are needed when filling-out a
deposit slip?

a. Full name of depositor c. Amount to be deposited

b. Date of the bank transaction d. All of the above

______10. Which of the following statement about forms is true?

a. Forms are found in schools only.
b. Using pencil is better than black pen when filling-out forms.
c. Forms are documents that has spaces in which we can write
information.
d. Online forms and e-forms that can be found online are not
considered document forms.

Additional Activities

Activity 7: Filling-out a Guidance Form

Directions: Fill-out the guidance form below using the given information.
Guidance Form

Name _______________________________________________ _______________________

Family name First name M.I Grade/Section

Date of Birth ____________________________ Place ____________________________

Father ___________________________________ Occupation_______________________

Mother __________________________________ Occupation_______________________

Address ___________________________________ Tel. No. __________________________

No. of brothers/sisters enrolled in the school ____________________________

School last attended ______________________________________________________

Other Important Data______________________________________________________

18
Johrian F. Lonzaga (Learner) San Pedro Hospital

Michael Lonzaga 291-23-40

Driver Housewife

3 Magsaysay Elem. School

July 20, 2009 Grage Five - Mars

Kalawag 2, Isulan, Sultan Kudarat Maria Isabelle Lonzaga

Activity 7: Filling-out a Borrower’s Card/Library Card

Directions: Fill-out the Borrower’s Card/Library Card correctly using the
given information below. Make sure to read the entire form before you start
to fill it out.

2020-2019 Isulan, Sultan Kudarat

Maria Antonette D. Paro Girl - 21

Gr. IV – Pluto Mrs. Michelle D. Allaba (Teacher)

Ms. Nancy A. Suarez (In charge of the Library)

Division of Sultan Kudarat

Isulan Central School SPED Center
Isulan, Sultan Kudarat

Borrower’s Card Photo

School Year ____________

___________________________________________________________________________
Surname Given Name M.I

____________________________ _____________________________________
Grade/Section Address

____________________________ _____________________________________
Student No. Signature

________________________________________
Section Adviser

_______________________________________
Librarian

19
 Filling-out Forms Rubrics

Poor Fair Good Excellent

1 pts 2 pts 3 pts 4 pts
Holistic Poor Fair Good Excellent
Learner is not Learner can Learner can Learner can
able to complete the complete the complete the
complete the task with some task with task
task. errors or few errors. successfully
difficulty. with no
errors.
Required Poor Fair Good Excellent
Information Learner does Learner Learner Learner
not provide the provides some
provides provides all
required of the required
most of the required
information. information.
required information.
information.
Mechanics Poor Fair Good Excellent
Learner's Learner's Learner's Learner's
writing is writing is writing is writing is
illegible, and somewhat neat mostly neat neat and
many errors and legible. and legible. legible.
are present. Some errors Learner Learner
present. writes on writes on
lines and lines and
follows form follows form
instructions instructions.
with few
errors.
Spelling/ Poor Fair Good Excellent
Punctuation Learner's Learner's Learner has Learner has
spelling causes spelling causes mostly no spelling
problems with some problems correct or spelling
comprehension. with spelling. Few errors.
comprehension. errors. No
problems
with
punctuation.

20
 21
What I Know What's More What's More
11.D ACTIVITY 1 ACTIVITY 2
12.A (RUBRICS)
13.B 1. NAME
14.C 2. TOTAL
15.C 3. NAME
16.D 4. SIGNATURE
17.B 5. CENTS
18.D
19.C
20.D
What's More What I Can Do Assessment
ACTIVITY 3 ACTIVITY 1 1. C
(RUBRICS) 2. B
1. NORMA M. JAVIER
3. C
2. 09171717171
4. D
3. ALLAN S. JAVIER
4. YES 5. C
5. ANA M. JAVIER 6. D
6. KALAWAG II, 7. B
ISULAN, SULTAN 8. B
KUDARAT 9. D
7. MAY 7, 2009 10. C
8. ALLAN S. JAVIER
9. 09191919191
10. N/A
Answer Key
References

BBC Teach. Writing: Filling in a form. June 4, 2020.

https://www.bbc.co.uk/teach/skillswise/filling-in-a-form/zfvrpg8.

Department of Education. English Unit 1 Learner’s Material. July 3, 2016.

https://www.slideshare.net/lhoralight/k-to-12-grade-5-learners-material-in-
english-q1q4.

Department of Education. K to 12 Curriculum Guide: English. March 18, 2014.

https://lrmds.deped.gov.ph/list/kto12/subject/1185.

DepEd Resources. Grade 5 TG. June 1, 2018,

https://www.depedresources.com/grade-5-teachers-guide-k-to-12-
curriculum/grade-5-tg/.

Easy Pace Learning. Application forms and filling them out English lesson. 2020.
https://www.easypacelearning.com/all-lessons/learning-english-level-1/17-
application-forms-fill-out-basic-forms-english.

ESL Library. How to Fill Out a Form. June 3, 2020.

https://www.esllibrary.com/courses/74/lessons/2239.

ESOL Nexus - British Council. Filling in school forms. June 3, 2020.

https://esol.britishcouncil.org/content/teachers/lessons-and-activities/teaching-
beginners/filling-school-forms.

Learning Resource Center- DepEd-Iligan. Filling Up Forms. June 2, 2020.

http://dlrciligan.weebly.com/uploads/5/0/8/0/50800379/filling_up_forms_accur
ately.pdf.

Macmillan Publishers Ltd. Form filling lesson plan-Onestopenglish. 2003.

http://www.onestopenglish.com/esol/esol-lesson-plans/pdf-content/cambridge-
esol-skills-for-life-form-filling-lesson-plan/146926.article.

Materials and Tips for ESL. Lesson 5: Filling out Forms. June 2, 2020.
https://migranteduesl.wordpress.com/summer-2012-curriculum/lesson-5-filling-
out-forms/.

UVM Extension. Basic Life Skills Lessons Filling Out a Form. 2013.
https://www.osymigrant.org/Basic%20Life% 20Skills%20Lessons%20-
%20Filling%20Out%20a%20Form.pdf.

22
 DISCLAIMER
This Self-Learning Module (SLM) was developed by DepEd
SOCCSKSARGEN with the primary objective of preparing for and addressing
the new normal. Contents of this module were based on DepEd’s Most
Essential Learning Competencies (MELC). This is a supplementary material
to be used by all learners of Region XII in all public schools beginning SY
2020-2021. The process of LR development was observed in the production of
this module. This is version 1.0. We highly encourage feedback, comments,
and recommendations.

For inquiries or feedback, please write or call:

Department of Education – SOCCSKSARGEN

Learning Resource Management System (LRMS)

Regional Center, Brgy. Carpenter Hill, City of Koronadal

Telefax No.: (083) 2288825/ (083) 2281893

Email Address: region12@deped.gov.ph