5

English
Quarter 1- Module 1:
Filling-Out Forms Accurately
English- Grade 5
Alternative Delivery Mode
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
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Such agency or office may, among other things, impose as a condition the payment of
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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.

Published by the Department of Education

Secretary: Leonor Magtolis Briones
Undersecretary: Diosdado M. San Antonio

Development Team of the Module

Writer: Claire C.Paraiso

Editors: Abegail R. Villamor & Jean P. Momongan
Reviewer: Racel W. Tura
Layout Artist: Rhea Marie T. Gabule
Quality Assurance Team: Imelda H. Gealon (Moderator, English-Key Stages 1 & 2)
Chloe Garrucha (Evaluator for Grade 5 English)

Management Team:
Schools Division Superintendent:
Marilyn S. Andales, CESO V
Assistant Schools Division Superintendents:
Cartesa M. Perico
Ester A. Futalan
Leah B. Apao
CID Chief: Mary Ann P. Flores
EPS in LRMS: Isaiash T. Wagas
EPS in English: Ma. Chona B. Redoble

Printed in the Philippines by:

Department of Education – Region VII, Division of Cebu Province
Office Address: IPHO Bldg., Sudlon, Lahug, Cebu City
Telefax: (032) 255-6405
E-mail Address: cebu.province@deped.gov.ph
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English
Quarter 1- Module 1:
Filling-Out Forms Accurately
Points to Ponder!
Key Message

For Educators:

Learning is a constant process. Amidst inevitable circumstances, the

Department of Education extends its resources and looks for varied ways to cater
your needs and to adapt to the new system of Education as a fortress of Learning
Continuity Plan. One of the probable solutions is the use of Teacher-made
Educational Modules in teaching.

You are reading the English 5 Quarter 1 Alternative Delivery Mode (ADM)
Module 1 on Filling-out Forms Accurately.

The creation of this module is a combined effort of competent educators from

different levels and various schools of the Department of Education-Cebu Province.
In addition, this module is meticulously planned, organized, checked and verified
by knowledgeable educators to assist you in imparting the lessons to the learners
while considering the physical, social, and economical restraints in the teaching
process.

The use of Teacher-made Educational Module aims to surpass the

challenges of teaching in a new normal education set-up. Through this module, the
students are given independent learning activities, which embodies in the Most
Essential Learning Competencies based on the K-12 curriculum competencies, to
work on in accordance to their capability, efficiency, and time. Thus, helping the
learners acquire the prerequisite 21 st century skills needed with emphasis on
utmost effort in considering the whole well-being of the learners.

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 part of the module gives you
helpful tips, suggestions or strategies
that will make the learning process
easy and efficient to the learners.

As the main source of learning, it is your top priority to explain clearly on

how to use this module to the learners. While using this module, learners’ progress
and development should be recorded verbatim to assess their strengths and
weaknesses while doing the activities presented independently in the safety of their
homes.

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 Moreover, you are anticipated to persuade learners to comply and to finish
the modules on or before the scheduled time.

For the Learners:

As a significant stakeholder of learning, the Department of Education

researched and explored on innovative ways to address your needs with high
consideration on social, economic, physical, and emotional aspects of your well-
being. To continue the learning process, DepEd comes up with an Alternative
Delivery Mode of teaching using Teacher-made Educational Modules.

You are reading the English 5 Quarter 1 Alternative Delivery Mode (ADM)
Module 1 on Filling-out Forms Accurately.

This module is especially crafted for you to grasp the opportunity to continue
learning even at home. Using guided and independent learning activities, rest
assured that you will be able to take pleasure as well as to deeply understand the
contents of the lesson presented using; recognizing your own capacity and
capability in acquiring knowledge.

This module has the following parts and corresponding icons:

The first part of the module will keep you on

tract on the Competencies, Objectives and
WHAT I NEED TO KNOW
Skills expected for you to be developed and
mastered.

This part aims to check your prior knowledge

on the lesson to take. If you answered this
WHAT I KNOW part with full marks, you can decide to skip
this module.

This part helps you link the previous lesson

WHAT’S IN to the current one through a short
exercise/drill.

The lesson to be partaken is introduced in

this part of the module creatively. It may be
WHAT’S NEW through a story, a song, a poem, a problem
opener, an activity, a situation or the like.

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 A brief discussion of the lesson can be read in
this part. It guides and helps you unlock the
WHAT IS IT lesson presented.

A comprehensive activity/ies for independent

practice is in this part to solidify your
WHAT’S MORE
knowledge and skills of the given topic. Check
the answers to the exercises using the
Answer Key at the end of the module.
This part of the module is used to process
WHAT I HAVE LEARNED
your learning and understanding on the
given topic.

A transfer of newly acquired knowledge and

skills to a real life situation is present in this
WHAT I CAN DO part of the module.

This activity assesses your level of mastery

ASSESSMENT
towards the topic.

ADDITIONAL ACTIVITIES In this section, enhancement activities will be

given for you to further grasp the lessons.

ANSWER KEYS This contains answers to all activities in the

module.

At the end of this module you will also find:

References Printed in this part is a list of all

reliable and valid resources used in
crafting and designing this module.
In using this module, keep note of the fundamental reminders below.
1. The module is government owned. Handle it with care. Unnecessary marks
are prohibited. Use a separate sheet of paper in answering all the given
exercises.

2. This module is organized according to the sequential levels of understanding.

Skipping one part of this module may lead you to confusion and
misinterpretation.

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 3. The instructions are carefully laden for you to understand the given lessons.
Read each items cautiously.

4. This is a Home-Based class, your reliability and honor in doing the tasks
and checking your answers are a must.

5. This module helps you attain and learn lessons at home. Make sure to
clearly comprehend the first activity before proceeding to the next one.

6. This module should be returned in good condition to your teacher/facilitator

once you completed it.

If you wish to talk to your teacher/educator, do not hesitate to keep in touch

with him/her for further discussion. Know that even if this is a home-based class,
your teacher is only a call away. Good communication between the teacher and the
student is our priority to flourish your understanding on the given lessons.

We do hope that in using this material, you will gain ample knowledge and
skills for you to be fully equipped and ready to answer the demands of the globally
competitive world. We are confident in you! Keep soaring high

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 WHAT I NEED TO KNOW

Have you tried to enroll in school? Have you used the library or have
received money transfer? Did the school, librarian or teller ask you to fill out
some forms? If you did, then you have the idea of what this module is about.

A form is a printed or typed document with blank spaces where

important information about you like name, birthdate and address are
written.

Forms are documents that you have to fill out as a requirement for
you to be accepted to a school, allowed to use the library or open a bank
account. These are important because the information you write in the
forms tell about you. There are many types of forms that you may fill out.
There are deposit and withdrawal slip from the banks. There is a bio-data
that is required when you apply for a job. In school there are enrolment
forms, membership forms if you want to join in an organization and voting
forms when you choose your leaders.

This module shall teach you how to fill out important forms
accurately.

At the end of module, you should be able to fill out the following forms
completely and accurately: school forms; deposit and withdrawal slips; bio-
data; election ballots.

After studying this module, you should be able to:

  explain the importance of filling out forms;

  identify the different parts of a form;
  follow written directions in a document; and
 fill out various forms completely and accurately.

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 WHAT I KNOW

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

 Biodata

 Community Tax Certificate

 Library Visitors Form

 Deposit Slip

 Withdrawal Slip

 Club Membership

 Enrolment Form

 Election Ballot

 Personal Information Sheet

If you checked all the forms, then you are familiar with the lesson that
will be discussed in this module. This module shall help you how to fill out
forms completely and accurately. If you didn’t check all boxes, then study
this module carefully to help you know how to do it step by step.

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 WHAT’S IN

Let us find out if you understand the simple questions about filling
out forms.

A. Directions: Circle the letter of the correct answer.

1. When do you need to fill out a form?

a. when withdrawing money from the bank
b. when you send money to a relative
c. when you enroll in school
d. all of the above

2. Birth place means the place where you live.

a. Yes b. No

3. What information might you need when filling out a form?

a. your first name and last name
b. your birthdate and address
c. your age and gender
d. all of the above

4. Is the date of birth the same as today’s date?

a. Yes b. No

5. Should you write down all the information needed to enroll, deposit or
join a club?
a. Yes b. No

B. Directions: Fill out this form by writing down the needed

information about you.

Date: ____________
First Name: ____________________
Last Name: ____________________
Address: _______________________________________________
Birthday: ________________________ Age: ____________

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 WHAT’S NEW

Let’s Read the Words:

Directions: Read the following words with /f/ correctly. Think of what each
word means or you can use your dictionary to get the meaning of each word.

fill fold
form fund
found fill out
find fell

Let’s Try This

Directions: Complete the sentences by choosing the words from the table:

1. Read the __________ carefully before you write anything.

2. Be sure you write correct information when you __________ a form.
3. __________ out if you are asked to write the words or shade the circle.
4. Never __________ the filled-out form after answering it.
5. Erase neatly if you _______ some wrong or wrongly spelled answers.

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 WHAT IS IT

FILLING OUT FORMS

Do you know what forms are? Have you seen or filled out a form
before? Was it easy or difficult to answer?

Filling out forms is an important skill that needs to be learned.

Forms need a lot of information. This information is to be written correctly
and accurately in spaces provided.

A form often requires you to write name, address, date and place of
birth, names of your parents, education background, work and so on.
Writing the information in an accurate way is a skill that has to be learned
or else you may provide wrong or incomplete information.

Forms have many uses. They are used for gathering information, for
registration, identification, enrolment and certification.

Examine the sample school form. Are you familiar with the words?
Ask someone who can help you

APPLICATION FOR CLUB MEMBERSHIP

Minglanilla Central School

“Save the Animals Club”

1x1 I.D.
First Name: ______________ Photo
Middle Name: ______________
Surname: ______________
Grade and Section: __________
Age: _____ Gender: _______
Birthday: ______________
Address: __________________________________
Pet animals if any: ____________________________
Reason for joining the Club: ___________________________
____________________________________________

____________________

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Let us review what some words mean:
Surname – is your family name
Middle Name is your Mother’s maiden name
Gender – tells if you are a boy/male or a girl/female
Birthday – tells the Month, Date and Year when you were born
Address – tells where you live
Reason – explains why you want to join the club

Here are some helpful tips in filling out forms:

1. Read the form carefully before you write anything.

2. Make sure that you write complete and necessary information or
details.
3. Find out if you are asked to write block letters or block capitals in
boxes.
4. If an item does not apply to you, leave it blank.
5. If there is an item that you do not understand, ask for help.
6. Review the entries before submitting the form.

Study the forms on that follow. Examine each of them and find out
what details are needed to fill out each of the form.

A. Registration Form
- asks you to write the
responses in the boxes.
- you will write your
name, address, birthdate,
grade, date, status and
other details/
- Date of registration
makes you write the date
when you filled out the
form
- Date of Entrance is
your first day of
attendance in school

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B. Remittance Encashment
Form
- asks you to fill in the name
of receiver and the sender
- let’s you write the amount
of money you will send
- it needs you to present an
Identification Card
- you are required to write
your cell phone number and
affix your signature

C. Deposit Slip
The words written
in red guide you on what
to write on the slip. It
needs you to write your
bank account number so
that you can make a
transaction with the
bank.
Cash amount tells
how much money you
will deposit.

D. Withdrawal Slip
The words written
in red guide you on what
to write on the slip. It
needs you to write your
bank account number so
that you can make a
transaction with the bank.
Cash amount tells
how much money you will
withdraw.

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Questions:
1. What forms are shown above?
________________, __________________, __________________, _________________

2. What should you do to make it clean and neat?

___________________________________________________________________________

3. How will you fill out each form?

___________________________________________________________________________

4. What should you remember in writing the information needed?

___________________________________________________________________________
5. What common information are asked in the given forms?

a. ________________________ e. __________________________
b. ________________________ f. __________________________
c. ________________________ g. __________________________
d. ________________________ h. __________________________

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 WHAT’S MORE

Let’s Practice:
When you grow older and you want to apply for a job, you need to
prepare and answer some forms. One of these is a biodata. A Biodata is a
common form that asks you to write personal details in addition to
educational and professional experience. It includes detailed personal
information such as date of birth, gender, religion, race, nationality, marital
status, residence, parents' names, names of your children and siblings,
languages spoken, etc.

Have you seen a biodata answered by your parents, brothers or sisters

when they applied for a job? If not, you may request your mother to buy a
biodata sheet so she can help you understand the parts and words that
require answers. Read the activity below and find out if the form is
accurately answered.

“Albert wants to apply as a Supermarket Bagger. He went to Grand

Supermarket where he was requested to submit his Biodata. He bought a
Biodata sheet from a bookstore and filled it out. He handed the form to the
secretary. Read Albert’s responses.

BIO-DATA
PERSONAL DATA
Position: Albert Perez Date: March 24, 2019
Name: _______________ Sex: Male
Address: Rizal St., Poblacion, Argao , Cebu
Date of Birth: July 29, 1982` Place of Birth: _____________
Civil Status: 5’ 4” Citizenship: Filipino
Height: ______________ Weight: _____________
Religion: Catholic Telephone Number: 500-2942
Color of Hair: Black Color of Eyes: Brown
Father’s Name: Jose b, Perez Occupation: Farmer
Mother’s Name: Belen Occupation: ________
Their Address: Argao
Person to be notified in case of emergency: ____________________________________________

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 Questions:

1. Did Albert fill out the Biodata accurately? _________________________

2. Do you think it will give a good impression about Albert? ___________

Why? _____________________________________________________________

3. Based on Albert’s Biodata, will he be hired for the job? ______________

Why? _____________________________________________________________

4. What did he fail to answer correctly? _______________________________

Why do you think so? _____________________________________________

Let’s Practice More:

A. Directions: Fill out this form accurately:

Some children your age already have bank accounts opened by their
parents. If given the chance to open one, would you like to have your own
bank account? Yes, it is important that young children need to save their
extra money in the bank. It is a good value that children must realize the
importance of saving money instead of spending it on unimportant things.
Try filling out the deposit slip below with the help of your parents or
anybody from your family.
Write the needed details to deposit your money in the bank.

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B. Directions: Fill out this form accurately:
Pretend that you are in the Guidance Office and is asked to fill out this
form to get other details about you as a learner of the school. Find out what
words correctly answer the given items and write them on the blanks.

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 WHAT I HAVE LEARNED

Did you learn something about the discussion? I hope your parents
guided you in learning more about the lesson. Did you answer the activities
correctly? I think you were challenged to answer them. When you get to see
these types of forms, I know it will be easy for you to fill them out. Now, let’s
check what you learned.

  What is a form?
_____________________________________________________________________

  What personal details are usually seen in the forms?
_____________________________________________________________________

  What things need to be remembered when filling out forms?
_____________________________________________________________________

  Why are forms important to people?
_____________________________________________________________________

Wow, it’s a good thing you are able to answer the questions about the
lesson. These are the important things you need to remember about Forms
and how to fill them out accurately.

A form is a printed or typed document with blank spaces where

important information about you like name, birthdate, and address are
written.

When filling out forms, remember these:

  Read each item in the form wisely.
  Follow printed directions.
  Be accurate in supplying information.
  Give true and correct details.
  Avoid making erasures.
 Handle the form carefully.

Forms have many uses. They are used for gathering information,
registration, identification, enrollment and certification. Different kinds of
forms require different kinds of information. But all these have something to
do with whatever the form you are filling up is for.

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 WHAT I CAN DO

A. Directions: Have you ever participated in an election before? If you have,

then you know how a ballot looks. If you haven’t, then look at the blank
ballot below. Think of the names you will write.

B. Directions: Read this form and find out if the details are
correctly written. Answer these questions:

1. For whom is the money sent?

________________________________
2. Who is the sender?
________________________________
3. How much was sent to
Antonio?
________________________________
4. Who signed the form?
________________________________
5. What is the address of the
receiver?
________________________________

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 ASSESSMENT
Let us find out if you understand the simple questions about filling out
forms.

A. Directions: Circle the letter of the correct answer.

1. When do you need to fill out a form?

a. when withdrawing money from the bank
b. when you send money to a relative
c. when you enroll in school
d. all of the above

2. Birth place means the place where you live.

a. Yes b. No

3. What information might you need when filling out a form?

a. your first name and last name
b. your birthdate and address
c. your age and gender
d. all of the above

4. Is the date of birth the same as today’s date?

a. Yes b. No

5. Should you write down all the information needed to enroll, deposit or
join a club?
a. Yes b. No

B. Directions: Fill out this School Admission Form accurately:

Admission Form
Name: ___________________ _____________________ _________________
(Surname) (First Name) (Middle Name)
Date of Birth: __________ ____ ,_________ Place of Birth: __________,_______
(Month) (Date) (Year) (Town/City, Province)
Address: ____________________________________________________________
( Sitio Barangay Town Province )
Grade Level to Enroll: ___________ Document Presented: ___________________
Mother’s Name: ______________________________ Work: _____________
Father’s Name : ______________________________ Work: _____________

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 ADDITIONAL ACTIVITIES
How do I Write My Name?
Let us find out if you have developed the skill in filling out forms.
There are 5 ways in which you can write the details about yourself. Read the
forms first before filling them out.

1.

2.

3.

4.

5.

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ANSWER KEYS

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References

MELC, English 5, p. 186

CG English 5, p. 110
Joy in Learning English 5, Castillo & Angeles, pp. 187-188 ALS A&E
Core Module Learning Strand 1 English
https://www.tes.com/lessons/CQjs8XjH0TKoZw/filling-out-forms
https://www.pinterest.ph/pin/88242473919214206/?autologin=true
ttps://www.slideshare.net/shepado/1st-qtr-4-fill-out-form-correctly
https://www.google.com/search?q=deposit+slip&tbm
https://www.google.com/search?q=withdrawal+slip&tbm
https://www.google.com/search?q=money+transfer+form
https://fivejs.com/wp-content/uploads/2008/12/forms_practice.pdf

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For inquiries or feedback, please write or call:

Department of Education – Region VII, Division of Cebu Province

Office Address: IPHO Bldg., Sudlon, Lahug, Cebu City

Telefax: (032) 255-6405

E-mail Address: cebu.province@deped.gov.ph