Republic of the Philippines

Department of Education
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

ACKNOWLEDGEMENT RECEIPT
Name of School: Don Telesforo Llorin Elementary School
School Address: San Roque Sagumay, Nabua, Cam. Sur
Name of School Head: Evelyn S. Tampoco
Grade Level: Grade II
Class Adviser: Helen V. Bellen
Total No. of Pages:

This is to acknowledge receipt of the SLM/LAS from SDO Camarines Sur for the School
Year 2021-2022.
Name of Recipient Student Received by Relationship to Signature
Recipient
1.Abonita, Jayson Abonita, Leovilla Mother
2.Carloy, Kristof Cedric Del Rosario,Lian Mother
3.Del Rosario, Denil Del Rosario, Jeralyn Mother
4.Follero, John Mark Follero, Annabel Mother
5.Marmol, Jhungie Marmol, Arjun Ryan Father
6.Navales, John Carlos Navales, Aileen Mother
7.Navales, John Paul Navales, Aileen Mother
8. Oracion, Noel Francis Oracion, Niňa Mother
9.Sevillano, Mark Denniel Sevillano, Delfin Father
10.Tercero, Jairus Rain Tercero, Maryjane G. Mother
11.Valenzuela, Jimuel Valenzuela, Abel Father
12.Acbang, Faith Hannah Acbang, Alvin Father
13.Baluca, Jessabel Baluca, Evelyn Mother
14.Beloro, Charlotte Mae Beloro, Romeo Father
15.Geraldino, Ruby Geraldino, Joan Mother
16.Panganoron, Nicole Panganoron, Noel Father
17.Vasquez, Jennifer Vasquez, Christopher Father
18.Verano, Maica Jhobel Verano, Joel Father
19.Verano, Nedilyn Verano, Esteban Saño Jr Father
20. Verano, Rhianne Verano, Genalene Mother

Prepared by:

__________HELEN V. BELLEN___________
Signature Over Printed Name of Class Adviser

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No.: (telefax) 8713340