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Republic of the Philippines

Department of Education
Region IV-A ( CALABARZON )
CITY SCHOOLS DIVISION OF DASMARIÑAS
DASMARIÑAS INTEGRATED HIGH SCHOOL
CONGRESSIONAL SOUTH AVENUE, BUROL I, CITY OF DASMARIÑAS, CAVITE
______________________________________________________________________________________________________
OUTPUT RETRIEVAL TRACKING FORM
(JUNIOR HIGH SCHOOL)

Grade & Section: _G7- BELLFLOWER __ _ Retrieval Date:__________________


Adviser: __ MRS. MARIBEL B. VIDEÑA______ Venue (BLDG No. & RM No.): ___________

*NOTE TO ADVISER: Please copy-paste your students’ names on the name of learner column before
printing to minimize the filling out time of submitters during retrieval of outputs. Put check mark ( / ) on
the corresponding subject columns for recording of student’s submitted outputs as you retrieve their
outputs.

NAME OF

MAPEH
NAME OF

others
MATH
LEARNER SIGNATURE

ENG

TLE
EsP
SCI

HG
FIL

AP
PARENT/
GUARDIAN
(MALE)

1 Aguil, Charles, A.
2 Alba, Clint, Baun
3 Alejaño, Julian, P.
4 Alianita, Rodel A.
5 Carillo, Ruwie-John C.
6 Escototo, Clarence D.
7 Labinghisa, Sean Laurence, M.
8 Macacua, Samanodin, M.
9 Mangalindan, Zhonard Jay, S.
10 Marcelino, Gerard, R.
11 Mengote, Juliene Clyde, A.
12 Reario, Iexter, R.
13 Reyes, Aaron Jhon V.
14 Rotoni, Jhay, A.
15 Tuco, Chanmavric, B.
16 Yuga, Ambher, S.
17
18
19
20

22
23
24
25

OUTPUT RETRIEVAL TRACKING FORM


______________________________________________________________________________________________________

(Formerly Dasmariñas National High School)


Address: Congressional South Avenue, Burol I, City of Dasmariñas, Cavite
Telephone No.: (046) 506-1208 / 416-0498
Email: dasmarinas.ihs@depeddasma.edu.ph
DCC REGISTERED
QMS-HDT-FORM12
Republic of the Philippines
Department of Education
Region IV-A ( CALABARZON )
CITY SCHOOLS DIVISION OF DASMARIÑAS
DASMARIÑAS INTEGRATED HIGH SCHOOL
CONGRESSIONAL SOUTH AVENUE, BUROL I, CITY OF DASMARIÑAS, CAVITE
______________________________________________________________________________________________________
(JUNIOR HIGH SCHOOL)

Grade & Section: __G7-BELLFLOWER_____ Retrieval Date:__________________


Adviser: ____MRS. MARIBEL B. VIDEÑA___ Venue (BLDG No. & RM No.): ___________

*NOTE TO ADVISER: Please copy-paste your students’ names on the name of learner column before
printing to minimize the filling out time of submitters during retrieval of outputs. Put check mark ( / ) on
the corresponding subject columns for recording of student’s submitted outputs as you retrieve their
outputs.

NAME OF

MAPEH
NAME OF

others
MATH
LEARNER SIGNATURE

ENG

TLE
EsP
SCI

HG
FIL

AP
PARENT/
GUARDIAN
(FEMALE)

1 Angeles, Jenny Kate


2 Ardino, Princess, B.
3 Beltran, Jewel Anne
4 Camposano, Verlith
5 Carlos, Mary Joy C.
6 Edalde, Ayen
7 Eustaquio, Princess
8 Limpin, Jay-mie, M.
9 Loteriña, Gracezelle
10 Lozareta, Shannea
11 Macalaba, Asnorah,
12 Osabel, Alexa Jane
13 Pachoco, Aihra, A.
14 Pangantihon, Andrea
15 Pasion, Ma Antonette P.
16 Reyes, Clarisa, C.
17 Rosales, Britney
18 Santos, Chery Mai
19 Tambara, Sittie Ainah, D.
20 Tambara, Sittie Amerah, P.
21 Villalobos, Jenelyn, L.
22
23
24
25

PREPARED BY:
_________________________

______________________________________________________________________________________________________

(Formerly Dasmariñas National High School)


Address: Congressional South Avenue, Burol I, City of Dasmariñas, Cavite
Telephone No.: (046) 506-1208 / 416-0498
Email: dasmarinas.ihs@depeddasma.edu.ph
Republic of the Philippines
Department of Education
Region IV-A ( CALABARZON )
CITY SCHOOLS DIVISION OF DASMARIÑAS
DASMARIÑAS INTEGRATED HIGH SCHOOL
CONGRESSIONAL SOUTH AVENUE, BUROL I, CITY OF DASMARIÑAS, CAVITE
______________________________________________________________________________________________________
(DESIGNATION)

______________________________________________________________________________________________________

(Formerly Dasmariñas National High School)


Address: Congressional South Avenue, Burol I, City of Dasmariñas, Cavite
Telephone No.: (046) 506-1208 / 416-0498
Email: dasmarinas.ihs@depeddasma.edu.ph

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