NAME: TIAMZON, KIAN NICKOLAI NAME: CUBACUB, PRINCE ARIEL A.
SCHOOL ASSIGNED TO: CAPAS GABALDON ELEMENTARY SCHOOL SCHOOL ASSIGNED TO: CAPAS GABALDON ELEMENTARY SCHOOL
GRADE LEVEL: IV-SSES GRADE LEVEL: IV- VENUS
Morning Afternoon Signature Morning Afternoon Signature
Month/Date Month/Date
In Out In Out of the CT In Out In Out of the CT
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/24 /24
I certify on my honor that the above records are true and correct record of the hours of my I certify on my honor that the above records are true and correct record of the hours of my
observation with demo teaching of which was made based from the prescribed/required time. observation with demo teaching of which was made based from the prescribed/required time.
Submitted by: Submitted by:
(Name and Signature of Observer-Demo Teacher) (Name and Signature of Observer-Demo Teacher)
Reviewed by: Reviewed by:
(Name and Signature of ELT 6/9 Instructor) (Name and Signature of ELT 6/9 Instructor)