TEMPLATE A
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
School: CALOOCAN NORTH ELEMENTARY SCHOOL Number of Learner
Enrollment who took the MFAT
SECTIONS in GRADE
1
(You may add rows
if needed) Name of Learner Male Female Total Male Female Total
ANTHURIUM Paolorey Azrael Dela Peña 22 15 37 3 0 3
Lemuel L. Fabia 0
JOHN EZEKIEL M. BOLINAS
BEGONIA CINCO, KYRISH JIMAR B. 20 19 39 2 0 2
ESTRADA, EVANN GREY S. 0
BLUEBELL Chase Dylan Macabalitao 20 19 39 1 0 1
BOUGAINVILLEA DUKE RAILOU MALANA 21 18 39 1 0 1
CAMELLIA MIRABETE, KLEI NATHANIEL D. 21 18 39 1 0 1
CAMIA FAJARDO, JED JEANDREI, RAMIREZ 16 22 38 1 1 2
CALINDARIO, RONALIZA, CASAVA 16 22 38 1 1 2
CATTLEYA CARCALLAS,RICHARD TERENC 23 14 37 1 0 1
JASMINE VILLAR, KRISHA MAE 22 17 39 0 1 1
LAVENDER CABIGAS, LHIAMZAYNE JEREM A. 19 20 39 1 0 1
MARIGOLD Kyrie Erwin D. Bariso 20 19 39 1 0 1
ROSE Dela Peña, Shawn Rey F. 24 15 39 1 0 1
SNOWDROP ALEXIS CAPINIG 22 17 39 1 0 1
TULIP HUELAR, BIEN CHRISLHIER IWAG 20 19 39 1 0 1
YELLOWBELL ONG, TERRENCE GAVIN 22 17 39 1 0 1
TOTAL 15 2 17
Noted by:
CARMENIA C. ABEL Ed. D
Principal
of the Philippines
ent of Education
CAPITAL REGION
Scores in the 5 Domains
Socio-of Learning
Daily Living Emotional Motor (Fine/Gross)MS (F and G)
Communica Cognitive Skills Behavior
tion (Activity 2 - (Activity 3 - (Activity 4- Activity 5A Activity 5B-
(Activity 1- Treasure My Daily Wether Work of Let's Get
Let’s Talk) Box) Routine Weather ) Hands Physical TOTAL
15 7 15 10 1 2 50
5 3 18 5 5 0 36
20 18 15 18 5 15 91
23 19 17 19 5 14 97
21 7 1 6 4 1 40
19 14 20 15 7 6 81
20 18 20 16 8 12 94
21 13 24 23 9 14 105
21 17 23 22 9 14 106
30 15 23 25 10 14 117
11 6 24 11 13 7 72
20 18 20 19 9 9 95
6 2 4 5 0 0 17
18 15 12 14 5 9 73
13 19 20 10 10 20 73
4 2 4 3 5 0 18
23 21 22 24 10 14 114
313 215 277 245 99 121 1270
Submitted by:
MARICEL N. PEÑAFLORIDA
School Grade 1 Coordinator/In-Charge
TEMPLATE A
School: CALOOCAN NORTH ELEMENTARY SCHOOL
COMMUNICATION note: Write
SECTIONS in
GRADE 1
(You may add 1 2 3 4 5 6 7 8 9 10
rows if needed) Name of Learner
ANTHURIUM Paolorey Azrael Dela Peña 1 1 1 1 1 1
Lemuel L. Fabia
JOHN EZEKIEL M. BOLINAS
BEGONIA CINCO, KYRISH JIMAR B. 1 1 1 1 1 1 1 1 1 1
ESTRADA, EVANN GREY S. 1 1 1 1 1 1 1 1 1 1
BLUEBELL Chase Dylan Macabalitao 1 1 1 1 1 1 0 1 1 1
BOUGAINVILLEA DUKE RAILOU MALANA
CAMELLIA MIRABETE, KLEI NATHANIEL D.
CAMIA FAJARDO, JED JEANDREI, RAMIREZ 1 1 1 1 1 1 1 1 1 1
CALINDARIO, RONALIZA, CASAVA 1 1 1 1 1 1 1 1 1 1
CATTLEYA CARCALLAS,RICHARD TERENCE M.
JASMINE VILLAR, KRISHA MAE
LAVENDER CABIGAS, LHIAMZAYNE JEREM A. 1 1 1 1 1 1 1 0 0 1
MARIGOLD Kyrie Erwin D. Bariso 0 1 1 1 0 0 1 0 0 1
ROSE Dela Peña, Shawn Rey F. 1 1 1 1 1 1 0 0 0 1
SNOWDROP ALEXIS CAPINIG 1 1 1 1 0 0 1 0 0 1
TULIP HUELAR, BIEN CHRISLHIER IWAG 1 0 0 0 0 0 0 0 0 0
YELLOWBELL ONG, TERRENCE GAVIN
10 10 10 10 8 8 7 5 5 9
TION note: Write 1 for YES and 0 for NO COGNITIVE note
TOTAL
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
6
0
1 1 1 0 1 0 0 1 0 1 1 1 1 0 1 20 1 1 1 1 1 1 0 0
1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 23 1 1 1 1 1 1 1 1
1 1 0 1 1 0 1 1 1 1 1 1 1 1 21 1 0 0 0 0 0 0 0
0
0
1 1 1 0 1 0 1 1 0 1 1 1 1 1 1 22 0 0 1 1 1 1 1 1
1 0 1 0 1 0 1 1 0 1 1 1 1 1 1 21 0 1 1 1 1 1 0 0
0
0
1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 20 1 1 1 1 1 1 1 1
0 1 0 0 1 0 1 0 0 0 0 0 0 1 1 10 1 0 1 1 1 1 1 0
0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 18 1 1 1 1 1 1 1 1
1 1 1 0 1 0 1 1 0 0 0 0 0 0 1 13 1 1 1 1 1 1 1 1
0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 4 0 0 0 0 0 0 0 0
0
7 9 5 4 9 2 8 8 1 5 7 7 7 7 10 7 6 8 8 8 8 6 5
COGNITIVE note: Write 1 for YES and 0 for NO DAILY LIVING
total
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55
0
0
1 1 1 1 0 1 0 0 0 1 1 1 1 1 1 1 0 18 1 1 1 1 1
1 1 1 1 1 1 0 0 0 1 0 0 1 1 1 1 0 19 1 1 1 1 1
0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 8 1 0 0 0 0
0
0
1 1 1 0 0 1 0 0 0 1 1 1 1 1 1 1 0 17 1 1 1 1 1
1 1 1 0 0 1 0 0 0 1 1 1 1 1 1 1 0 16 1 1 1 1 1
0
0
1 1 1 1 0 1 0 0 1 1 1 1 1 0 0 0 0 18 1 1 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 1
1 1 1 0 0 1 0 0 0 1 1 1 0 0 0 0 0 15 1 1 0 0 1
1 1 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 18 1 1 1 1 1
1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1
0
8 7 7 3 1 7 1 0 1 8 5 7 7 6 5 6 2 8 7 6 5 9
DAILY LIVING SKILLS note: Write 1 for YES and 0 for NO
total
56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
0
0
1 1 0 1 1 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 15 1 1
1 1 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 1 17 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0
0
1 1 1 1 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 1 20 1 1
1 1 1 1 1 1 0 0 1 0 0 0 1 1 1 1 1 1 0 1 19 1 1
0
0
1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 0 20 1 1
1 1 0 1 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 9 0 0
0 1 0 1 1 1 0 0 1 0 1 0 0 1 1 1 0 0 0 0 12 1 1
1 1 0 1 0 1 0 0 1 1 1 1 1 1 1 1 1 0 1 1 20 1 1
1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 4 0 0
0
8 8 2 8 7 8 1 2 6 2 3 3 5 9 6 8 6 3 2 5 7 7
MOTOR SKILLS note: Write 1 for YES and 0 for NO
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 ###
1 1 1 1 0 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1
1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1
1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 0 1 1
1 1 1 1 1 1 1 0 1 1 0 1 1 1 1 1 0 1 1 1 0 1 1
1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 1 1 1 0 1
0 0 1 0 0 1 1 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0
0 0 1 0 0 1 0 0 0 1 1 1 1 0 1 1 0 0 0 0 1 0 1
1 0 1 0 1 1 0 0 0 0 1 0 0 0 1 0 1 0 0 1 0 0 0
0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0
6 4 9 6 5 8 4 0 2 4 6 7 7 6 9 6 1 4 6 7 5 6
SOCIO-EMOTIONAL BEHAVIOR note: Write 1 for YES and 0 for NO
total
### 102###104 ######################################################
0
0
18 1 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 0 1 1 1 1
19 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 0 0 1 1 1
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0
0
22 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
21 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0
0
19 1 0 1 1 1 0 0 1 0 0 1 1 1 0 1 1 1 1 1 1 0 1
7 0 0 1 1 1 0 0 0 0 0 1 1 0 0 1 0 1 1 1 1 1 1
12 0 0 1 0 1 0 0 0 1 1 1 1 0 0 1 0 0 1 1 1 1 0
10 1 1 1 0 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1
5 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
6 5 9 7 9 1 1 3 6 6 8 6 3 8 7 5 6 7 8 7 7
0 for NO
l
ta
to
#########
0
0
1 1 1 20
1 1 1 19
0 0 0 1
0
0
1 1 1 24
1 1 1 23
0
0
1 1 1 18
0 0 0 12
1 1 1 14
1 1 1 20
0 0 0 3
0
7 7