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Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Talisay City
Maghaway Elementary School
School i.d:1197888
Maghaway, Talisay City, Cebu

LEARNERS WITH MANIFESTATION


Name of Learner: _______________________________________________________
Grade and Section:______________________________________________________
Address: ________________________________________________________________
Check the box.
Difficulty in Seeing Difficulty in Hearing
Difficulty in Applying Knowledge Difficulty in Applying Adaptive Skills
Difficulty in Displaying Inter- Personal Difficulty in Remembering, Concentrating,
Behavior Paying Attention and Understanding
Difficulty in Mobility (Walking, Climbing, Difficulty in Communicating
Crasping

Republic of the Philippines


Department of Education
Region VII, Central Visayas
Division of Talisay City
Maghaway Elementary School
School i.d:1197888
Maghaway, Talisay City, Cebu

LEARNERS WITH MANIFESTATION


Name of Learner: _______________________________________________________
Grade and Section:______________________________________________________
Address: ________________________________________________________________
Check the box.
Difficulty in Seeing Difficulty in Hearing
Difficulty in Applying Knowledge Difficulty in Applying Adaptive Skills
Difficulty in Displaying Inter- Personal Difficulty in Remembering, Concentrating,
Behavior Paying Attention and Understanding
Difficulty in Mobility (Walking, Climbing, Difficulty in Communicating

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