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Acknowledgment Receipt for Module

1. This document is an acknowledgement receipt for modules distributed from February 8-12, 2021 for the second quarter, sixth week by the Division of Iligan City West I District of the Department of Education Region X- Northern Mindanao. 2. It contains the names of 19 students who received modules along with their parent/guardian's name, contact number, and signatures acknowledging receipt of the modules on the dates distributed and retrieved. 3. The document was prepared by the class adviser, concurred by the assistant school principal, and noted by the school principal.

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rohanne s. taha
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33 views1 page

Acknowledgment Receipt for Module

1. This document is an acknowledgement receipt for modules distributed from February 8-12, 2021 for the second quarter, sixth week by the Division of Iligan City West I District of the Department of Education Region X- Northern Mindanao. 2. It contains the names of 19 students who received modules along with their parent/guardian's name, contact number, and signatures acknowledging receipt of the modules on the dates distributed and retrieved. 3. The document was prepared by the class adviser, concurred by the assistant school principal, and noted by the school principal.

Uploaded by

rohanne s. taha
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
Region X- Northern Mindanao
Division of Iligan City
West I District

ACKNOWLEDGEMENT RECEIPT FOR MODULE


February 8-12, 2021 Quarter 2 Week 6
NAME OF PARENT/ NAME OF MODULE CONTACT DATE DATE
No. NAME OF PUPIL SIGNATURE SIGNATURE
GUARDIAN NUMBER DISTRIBUTED RETRIEVED
1 ABRAGAN,BRYLLE ZARED CASIA CARISSA JEAN ABRAGAN 0936-814-1369
2 ARNAN,REYMARK NILLAS ROCHELLE NILLAS 0967-871-5031
3 BANTIGUE,XIAN ENZO SUAN ERNESTO B. BANTIQUE II 0997-720-8510
4 CASIA,JOSHUA GANDIA JOSEPHINE G. CASIA 0935-427-6769
5 GALEOS,DAVID KLUDD COLLANTE MARYJANE L. COLLANTE 0955-200-6186
6 IMAN,JOHN DREW PACONG JOSEPHINE M. PACONG 0967-584-8384
7 LUMAWAG,ZACHARY ALEXANDER L. AARON JAY S. LAURO 0955-540-7107
8 MADALE,FAHARODDIN DIMAWALA RASHIDAH MADALE 0997-648-3554
9 MADALE,FAIZ DIMAWALA RASHIDAH MADALE 0997-648-3554
10 PABELEC,XZIAH GABRIEL ASIS DESAN S. PABELEC 0935-531-992
11 RANOCO,MARXIOUS JACQUE E. SHEILA MARIE E. RANOCO 0906-845-3926
12 SALINAS,JOHN ROBERT DANIEL ROSALIE D. SALINAS 0935-981-4582
13 SERAÑA,DHARWIN ANGELO DILAO GEMMA T. CABORNAY 0975-488-2458
14 TORMIS,RHENZ KIEFFER SARSUELO JEAN BEE S. TORMIS 0906-737-1005
1 AMBOR,MUNTIA ADAKUL TOMINATAS A. GIRAY 0909-431-4813
2 BARUIZ,DENISE BALMORES AISAH LORRAINE BARUIZ 0945-465-0488
3 BONOCAN,CHLOE JANE CRUSIO NORILIE C. BONOCAN 0905-484-5980
4 BRIAN,SAMANTHA JADE PALACIO LOUNIE P. BRIAN 0997-720-8510
5 CABALLERO,HANNAJEN OBEDENCIA JENEBETH O. CABALLERO 0997-841-3758
6 CABALLO, FRANCES CARMELLE L. IRENE L. CXABALLO 0917-610-1030
7 CAINGCOY,MARY MONIQUE BARTE JENNY LYN D. BARTE 0906-456-8796
8 DELA PEÑA,CHANTAL ESTARES LOURDES DELA PENA 0955-809-5659
9 DUSAL,ALEXZA LAUREN BUAYA EMILY BUAYA 0965-491-0731
10 ESCUADRO,ZALIKA XENA SEMBRANO ED RYAN J. ESCUADRO 0956-836-4345
11 GERALDEZ,MARY ROSE CAMANGYAN ROSEFA C. GERALDEZ 0936-889-6622
12 GOMEZ,JHERMAINE CRUZ MARIA ELISA C. GOMEZ 0955-913-3071
13 JABELLO,JORYLLAH MAE VERANO JORELL B. JABELLO 0935-423-8911
14 JUNTILLA,ALOHA JOY OCIEL ALFREDO P. JUNTILLA 0997-994-1517
15 LIMPANGOG,MARY ROSE TEJADA ROLANDO G. LIMPANGOG JR. 0955-655-6028
16 OBACH,ANDREA EGUAC RAZIE Y. EGUAC 0926-581-7693
17 SACAR,FATHMA MIMBALA NORMINA M. SACAR 0967-314-9954
18 VALLEDOR,PEARL DYNIE FERNANDEZ MARISA F. VALLEDOR 0905-780-1876
19 YAMELO., LEXIE DYN DIONESIO DOLOR D. YAMELO 0965-182-7438
Prepared by: Concurred: Noted by:

ROHANNE S. TAHA GLADYS F. RAMONEDA ANA MARIA S. TIMOGAN,JD


Class Adviser Assistant School Principal School Principal

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