Republic of the Philippines

Department of Education
Region IV-A CALABARZON
City Schools Division of Dasmariñas

ACTIVITY COMPLETION REPORT

HRD TRACKING NUMBER:

TITLE OF PROJECT/ACTIVITY:

LEVEL:
Division-Wide Division Level
District School Level (GAD with Budget)
TYPE OF ACTIVITY:

Program Project
General Assembly Orientation
Exhibit Sports/ Tournament
Spiritual Activity Media-Related Activity
Publicity/Awareness Campaign Contest/ Competition
Awarding Ceremony Others: ________________________

QUARTER: (1st, 2nd, 3rd, or TRAINING TYPE: (Type A CLUSTER: (Put NA if not
4th) [Included in AIP/WFP], Type B applicable)
[Scope Creep])

CONDUCTING OFFICE/ SCHOOL: CONDUCTING UNIT/

ORGANIZATION:
(Put NA if not applicable)

PROPONENT:

EMAIL ADDRESS: CONTACT NUMBER:

AMOUNT UTILIZED: FUND SOURCE: (GASS, FINAL EVALUATION

SARO, etc.) SCORES: (QAME Form 2)

RESOURCE SPEAKER SCORE: DATE ENCODED IN THE SYSTEM:

Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 432 9355
Email Address: dasmarinas.city@deped.gov.ph Doc. Ref. Code QMS-HRD-F04 Rev 05
Website: https://depeddasma.edu.ph Effectivity 01.13.23 Page 1 of 6
 Page 2 of 6

CATEGORY OF PARTICIPANTS: TYPE OF PARTICIPANTS: (Division

(Teaching, Teaching-Related, Non-Teaching, Job Personnel, Teachers 1-3, Master Teachers 1-2,
Order and/or Local School Board) etc.)

TOTAL NUMBER OF NUMBER OF FEMALE NUMBER OF MALE

PARTICIPANTS: PARTICIPANTS: PARTICIPANTS:

Start Date of Implementation: End Date of Implementation:

Start Time of Implementation: End Time of Implementation:

Venue: (Put Virtual if Online) Online Platform: (Put NA if not

applicable)

PARTNERS: (If any. Put NA if none)

NARRATIVE OF THE ACTIVITY:

Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 432 9355
Email Address: dasmarinas.city@deped.gov.ph Doc. Ref. Code QMS-HRD-F04 Rev 04
Website: https://depeddasma.edu.ph Effectivity 09.15.21 Page 2 of 6
 Page 3 of 6

PHOTOS:

Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 432 9355
Email Address: dasmarinas.city@deped.gov.ph Doc. Ref. Code QMS-HRD-F04 Rev 04
Website: https://depeddasma.edu.ph Effectivity 09.15.21 Page 3 of 6
 Page 4 of 6

Declaration:

The information provided in this training proposal are true and correct and there
have been no misleading statements, omission of any relevant facts nor any
misinterpretation made.

Sign off by the Proponent and immediate head or its equivalent.

Prepared by:

(Signature over Printed Name)

Designation:
Date:

Recommending Approval as to Purpose:

(Signature over Printed Name)

School Head/Chief
Designation:
Date:

Reviewed by: Recommending Approval as to

Content & Availability of Fund:

(Signature over Printed Name) (Signature over Printed Name)

Human Resource Development Budget and Accounting
Designation: Designation:
Date: Date:

Approved:

(Signature over Printed Name)

Schools Division Superintendent
Designation:
Date:

Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 432 9355
Email Address: dasmarinas.city@deped.gov.ph Doc. Ref. Code QMS-HRD-F04 Rev 04
Website: https://depeddasma.edu.ph Effectivity 09.15.21 Page 4 of 6
 Page 5 of 6

Attachment No. 1
ATTACH QAME FORM 2

Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 432 9355
Email Address: dasmarinas.city@deped.gov.ph Doc. Ref. Code QMS-HRD-F04 Rev 04
Website: https://depeddasma.edu.ph Effectivity 09.15.21 Page 5 of 6
 Page 6 of 6

Attachment No. 2
ATTACH COPY OF ATTENDANCE

Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 432 9355
Email Address: dasmarinas.city@deped.gov.ph Doc. Ref. Code QMS-HRD-F04 Rev 04
Website: https://depeddasma.edu.ph Effectivity 09.15.21 Page 6 of 6