BAR AMA BARO PROGRAM

Teaching and Learning Materials Distribution Form

Name of school: ________________________________________ School Code: _______________
State: ______________ Region: __________ District: ______________ Village: ______________
Name of Activity: ________________________________________ Activity Date: ______________

NO MATERIAL DESCRIPTION LEVEL QUANTITY QUALITY

10

11

12

13

14

15

16
Name Signature (Stamp) Date
BAB Representative: ________________________________ ____________________ _____________

Name of Head Teacher: ______________________________ ____________________ _____________

MoECHE/DEO: ____________________________________ ____________________ _____________