Modules Distribution and Retrieval Form

Name: MICHELLE A. PANIMBATAN ____________________________________

Subject:

Grade and Section: 3-SARDONYX School Year:2023-2024

Module 1 Module 2 Module 3 Module 4 Module 5 Module 6 Module 7

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

1 Abedoza, Marcel, Cortez

2 Batoon, Marcus, Lopez

3 Bognot, Prince Lucas, Tuyogon

4 Calata, John Kevin, Jimenez

5 Etchon, John Vincent, Colinayo

6 Gesta, Ronald Resutay

7 Ibasco, Angelo Ross, Yu

8 Jose, Danielle Mikko, Tomas

9 Letrodo, Fransisco, Cidro

10 Libao, Kyle Gabrielle, Obsid

11 Nadera, E Jhay, Amante

12 Pagatpat, Angelou, Rosales

13 Palec, Prince Koaisser, Francisco

14 Proceso, Chris Stanley Balondo

15 Rapada, Willy Johnson, Bonifacio

16 Rosales, France Owell O.

17 Samarro, Jade Ikeyah C.

18 Sedaya, Zedrik, Ociman

19 Torrecampo, Russel, Oclarit

20

21

22

23

24

25
TOTAL FOR MALE | TOTAL COPIES 19

1 Amatosa, Althea Jie, Figueroa

2 Calibod, Loraine, Ramos

3 Caňada, Anne Myka G.

4 Castillo, Khailly Venice, Molina

5 Cortez, Jhenna Marie, Huraño

6 Dayag, Ryzel Ace, Plaquia

7 Dolom, Cyrah Mae B.

8 Lim, Jeshianah Lorna, Delmonte

 Module 1 Module 2 Module 3 Module 4 Module 5 Module 6 Module 7

LEARNER'S NAME
NO. (Last Name, First
Name, Middle Name) Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

9 Padilla, Sheena Joy, Mapili

10 Portos, Jhaira Kate, Timbang

11 Quilang, Rhylie Mae, Fernandez

12 Rodriquez, Kate Nicole, Bohol

13 Rodriquez, Paulainne, Villon

14 Sabido, Chellsie, Marasigan

15 Sison, Queen Elizabeth, Ajon

16 Vargas, Stephanie Joy, Balisi

17
TOTAL FOR FEMALE | TOTAL COPIES 16

TOTAL LEARNERS | TOTAL COPIES 35

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Module 7 Module 8 Module 9 Module 10

REMARK/ACTION TAKEN
(Please refer to the
Date Date Date Date legend on last page)
Returned Issued Returned Issued Returned Issued Returned
Module 7 Module 8 Module 9 Module 10

REMARK/ACTION TAKEN
(Please refer to the
Date Date Date Date legend on last page)
Returned Issued Returned Issued Returned Issued Returned

Prepared By:

MICHELLE A. PANIMBATAN
(Signature over printed name)