Schools Division of Capiz

Department of Education LUCERO NATIONAL HIGH SCHOOL

Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz __________________
LUCERO NATIONAL HIGH SCHOOL Date
Lucero, Jamindan, Capiz RETRIEVAL FORM
__________________ SY 2021 - 2022
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2021 - 2022 This is to certify that _____________________________, a GRADE 11 - HUMSS
TO WHOM IT MAY CONCERN: student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the First Semester for school Year _____________.
This is to certify that _____________________________, a GRADE 11 - HUMSS
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the First Semester for school Year _____________. Oral Communication ___________________
Kom. at Pananaliksik sa Wika at Kulturang Pilipino ___________________
SUBJECTS TEACHER’S SIGNATURE General Mathematics ___________________
Oral Communication ___________________ Understanding Culture, Society &Politics ___________________
Kom. at Pananaliksik sa Wika at Kulturang Pilipino ___________________ Earth & Life Science ___________________
General Mathematics ___________________ PE & Health ___________________
Understanding Culture, Society &Politics ___________________ English for Academic & Prof. Purposes ___________________
Earth & Life Science ___________________ Empowerment Technologies (E – Tech.) ___________________
PE & Health ___________________ Intro. to the World Religions & Belief Systems ___________________
English for Academic & Prof. Purposes ___________________
Empowerment Technologies (E – Tech.) ___________________ ____________________ RUBY F. VILLASIS
Intro. to the World Religions & Belief Systems ___________________ Class Adviser TII / Guidance Coordinator

____________________ RUBY F. VILLASIS NEOLITA Q. GABUCAY

Class Adviser TII / Guidance Coordinator TII / School Librarian

NEOLITA Q. GABUCAY ERNA I. FRANCISCO

TII / School Librarian T III / School Property Custodian

ERNA I. FRANCISCO Approval Recommended:

T III / School Property Custodian
HELARION C. LLANERA, JR., EdD
Approval Recommended: Head Teacher II

LOEL C. PAMOSO Approved:

Head Teacher II
GEROE A. ODICTA
Approved: Principal II
Department of Education
FATIMA L. ESCUTON, Ph.D. Region VI- Western Visayas
Principal III Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL
Department of Education Lucero, Jamindan, Capiz
Region VI- Western Visayas
 __________________ SY 2020 - 2021
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2020 - 2021 This is to certify that _____________________________, a GRADE 11 - HUMSS
TO WHOM IT MAY CONCERN: student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the Second Semester for school Year _____________.
This is to certify that _____________________________, a GRADE 11 - HUMSS
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the Second Semester for school Year _____________. Reading and Writing ___________________
Statistics and Probability ___________________
SUBJECTS TEACHER’S SIGNATURE Pagbasa at Pagsusuri ng Iba’t Ibang Teksto… ___________________
Reading and Writing ___________________ 21st Century Lit. from the Phil. & in the World ___________________
Statistics and Probability ___________________ Personal Dev’t. / Pansariling Kaunlaran ___________________
Pagbasa at Pagsusuri ng Iba’t Ibang Teksto… ___________________ PE & Health ___________________
21st Century Lit. from the Phil. & in the World ___________________ Practical Research 1 ___________________
Personal Dev’t. / Pansariling Kaunlaran ___________________ Discipline and Ideas in the Social Sciences ___________________
PE & Health ___________________ Trends, Networks & Critical Thinking… ___________________
Practical Research 1 ___________________
Discipline and Ideas in the Social Sciences ___________________ ____________________ RUBY F. VILLASIS
Trends, Networks & Critical Thinking… ___________________ Class Adviser TII / Guidance Coordinator

____________________ RUBY F. VILLASIS NEOLITA Q. GABUCAY

Class Adviser TII / Guidance Coordinator TII / School Librarian

ERNA I. FRANCISCO
NEOLITA Q. GABUCAY T III / School Property Custodian
TII / School Librarian
Approval Recommended:
ERNA I. FRANCISCO
T III / School Property Custodian LOEL C. PAMOSO
Head Teacher II
Approval Recommended:
Approved:
LOEL C. PAMOSO
Head Teacher II FATIMA L. ESCUTON, Ph.D.
Principal II
Approved:
Department of Education
FATIMA L. ESCUTON, Ph.D. Region VI- Western Visayas
Principal III Schools Division of Capiz
Department of Education LUCERO NATIONAL HIGH SCHOOL
Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL __________________
Lucero, Jamindan, Capiz Date
RETRIEVAL FORM
__________________ SY 2019 - 2020
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
 This is to certify that _____________________________, a GRADE 12 - HUMSS
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the First Semester for school Year _____________. Media and Information Literacy ___________________
Contemporary Phil. Arts from the Regions ___________________
SUBJECTS TEACHER’S SIGNATURE Physical Science ___________________
Media and Information Literacy ___________________ Intro. to the Philosophy of the Human Person ___________________
Contemporary Phil. Arts from the Regions ___________________ Personal Dev’t. / Pansariling Kaunlaran ___________________
Physical Science ___________________ PE & Health ___________________
Intro. to the Philosophy of the Human Person ___________________ Pagsulat sa Filipino sa Piling Larangan ___________________
Personal Dev’t. / Pansariling Kaunlaran ___________________ Practical Research II ___________________
PE & Health ___________________ Creative Writing / Malikhaing Pagsulat ___________________
Pagsulat sa Filipino sa Piling Larangan ___________________ Disciplines & Ideas in the Applied Social Sciences ___________________
Practical Research II ___________________
Creative Writing / Malikhaing Pagsulat ___________________ ____________________ RUBY F. VILLASIS
Disciplines & Ideas in the Applied Social Sciences ___________________ Class Adviser TII / Guidance Coordinator
NEOLITA Q. GABUCAY
____________________ RUBY F. VILLASIS TII / School Librarian
Class Adviser TII / Guidance Coordinator
NEOLITA Q. GABUCAY ERNA I. FRANCISCO
TII / School Librarian T III / School Property Custodian

ERNA I. FRANCISCO Approval Recommended:

T III / School Property Custodian
HELARION C. LLANERA, JR., EdD
Approval Recommended: Head Teacher II

HELARION C. LLANERA, JR., EdD Approved:

Head Teacher II
GEROE A. ODICTA
Approved: Principal III
Department of Education
GEROE A. ODICTA Region VI- Western Visayas
Principal III Schools Division of Capiz
Department of Education LUCERO NATIONAL HIGH SCHOOL
Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL __________________
Lucero, Jamindan, Capiz Date
RETRIEVAL FORM
__________________ SY 2020 - 2021
Date
RETRIEVAL FORM TO WHOM IT MAY CONCERN:
SY 2019 - 2020
TO WHOM IT MAY CONCERN: This is to certify that _____________________________, a GRADE 12 - HUMSS
student of this school is cleared of all academics / books and other school requirements from
This is to certify that _____________________________, a GRADE 12 - HUMSS the undersigned teachers for the Second Semester for school Year ___________.
student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the First Semester for school Year _____________.
SUBJECTS TEACHER’S SIGNATURE
PE & Health ___________________ Philippine Politics and Governance ___________________
Entrepreneurship ___________________ Community Engagement Solidarity & Citizenship ___________________
Inquiries, Investigation and Immersion ___________________ Work Immersion / Research / Career Advocacy /
Creative Non – Fiction: The Literacy Essay ___________________ Culminating Activity ___________________
Philippine Politics and Governance ___________________
Community Engagement Solidarity & Citizenship ___________________ ___________________ RUBY F. VILLASIS
Work Immersion / Research / Career Advocacy / Class Adviser TII / Guidance Coordinator
Culminating Activity ___________________ NEOLITA Q. GABUCAY
TII / School Librarian
___________________ RUBY F. VILLASIS
Class Adviser TII / Guidance Coordinator ERNA I. FRANCISCO
NEOLITA Q. GABUCAY T III / School Property Custodian
TII / School Librarian
Approval Recommended:
ERNA I. FRANCISCO
T III / School Property Custodian LOEL C. PAMOSO
Head Teacher II
Approval Recommended:
Approved:
LOEL C. PAMOSO
Head Teacher II FATIMA L. ESCUTON, Ph.D.
Principal III
Approved: Department of Education
Region VI- Western Visayas
FATIMA L. ESCUTON, Ph.D. Schools Division of Capiz
Principal III LUCERO NATIONAL HIGH SCHOOL
Department of Education Lucero, Jamindan, Capiz
Region VI- Western Visayas
Schools Division of Capiz __________________
LUCERO NATIONAL HIGH SCHOOL Date
Lucero, Jamindan, Capiz
RETRIEVAL FORM
SY 2019 - 2020
__________________
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2020 - 2021 This is to certify that _____________________________, a GRADE 11 - ABM
student of this school is cleared of all academics / books and other school requirements from
TO WHOM IT MAY CONCERN: the undersigned teachers for the First Semester for school Year _____________.

This is to certify that _____________________________, a GRADE 12 - HUMSS

student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the Second Semester for school Year ___________. Oral Communication ___________________
Kom. at Pananaliksik sa Wika at Kulturang Pilipino ___________________
General Mathematics ___________________
SUBJECTS TEACHER’S SIGNATURE Understanding Culture, Society &Politics ___________________
PE & Health ___________________ Earth & Life Science ___________________
Entrepreneurship ___________________ PE & Health ___________________
Inquiries, Investigation and Immersion ___________________ English for Academic & Prof. Purposes ___________________
Creative Non – Fiction: The Literacy Essay ___________________ Empowerment Technologies (E – Tech.) ___________________
Organization and Management ___________________ NEOLITA Q. GABUCAY
TII / School Librarian
___________________ RUBY F. VILLASIS
Class Adviser TII / Guidance Coordinator ERNA I. FRANCISCO
NEOLITA Q. GABUCAY T III / School Property Custodian
TII / School Librarian
Approval Recommended:
ERNA I. FRANCISCO
T III / School Property Custodian HELARION C. LLANERA, JR., EdD
Head Teacher II
Approval Recommended:
Approved:
HELARION C. LLANERA, JR., EdD GEROE A. ODICTA
Head Teacher II Principal III
Department of Education
Approved: Region VI- Western Visayas
GEROE A. ODICTA Schools Division of Capiz
Principal III LUCERO NATIONAL HIGH SCHOOL
Department of Education Lucero, Jamindan, Capiz
Region VI- Western Visayas
Schools Division of Capiz __________________
LUCERO NATIONAL HIGH SCHOOL Date
Lucero, Jamindan, Capiz
RETRIEVAL FORM
SY 2020 - 2021
__________________
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2019 - 2020 This is to certify that _____________________________, a GRADE 11 - ABM
student of this school is cleared of all academics / books and other school requirements from
TO WHOM IT MAY CONCERN: the undersigned teachers for the Second Semester for school Year _____________.

This is to certify that _____________________________, a GRADE 11 - ABM SUBJECTS TEACHER’S SIGNATURE

student of this school is cleared of all academics / books and other school requirements from Reading and Writing ___________________
the undersigned teachers for the First Semester for school Year _____________. Statistics and Probability ___________________
Pagbasa at Pagsusuri ng Iba’t Ibang Teksto… ___________________
21st Century Lit. from the Phil. & in the World ___________________
SUBJECTS TEACHER’S SIGNATURE Personal Dev’t. / Pansariling Kaunlaran ___________________
Oral Communication ___________________ PE & Health ___________________
Kom. at Pananaliksik sa Wika at Kulturang Pilipino ___________________ Practical Research 1 ___________________
General Mathematics ___________________ Business Mathematics ___________________
Understanding Culture, Society &Politics ___________________ Fund. of Accounting Business & Mgt. I ___________________
Earth & Life Science ___________________
PE & Health ___________________ ___________________ RUBY F. VILLASIS
English for Academic & Prof. Purposes ___________________ Class Adviser TII / Guidance Coordinator
Empowerment Technologies (E – Tech.) ___________________ NEOLITA Q. GABUCAY
Organization and Management ___________________ TII / School Librarian

___________________ RUBY F. VILLASIS ERNA I. FRANCISCO

Class Adviser TII / Guidance Coordinator T III / School Property Custodian
 LOEL C. PAMOSO
Approval Recommended: Head Teacher II
Approved:
LOEL C. PAMOSO
Head Teacher II FATIMA L. ESCUTON, Ph.D.
Principal III
Approved: Principal III
Department of Education
FATIMA L. ESCUTON, Ph.D. Region VI- Western Visayas
Principal III Schools Division of Capiz
Department of Education LUCERO NATIONAL HIGH SCHOOL
Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL __________________
Lucero, Jamindan, Capiz Date
RETRIEVAL FORM
__________________ SY 2020 - 2021
Date
RETRIEVAL FORM TO WHOM IT MAY CONCERN:
SY 2020 - 2021
This is to certify that _____________________________, a GRADE 12 - ABM
TO WHOM IT MAY CONCERN: student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the First Semester for school Year _____________.
This is to certify that _____________________________, a GRADE 11 - ABM
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the Second Semester for school Year _____________. Media and Information Literacy ___________________
Contemporary Phil. Arts from the Regions ___________________
Physical Science ___________________
SUBJECTS TEACHER’S SIGNATURE Intro. to the Philosophy of the Human Person ___________________
Reading and Writing ___________________ Personal Dev’t. / Pansariling Kaunlaran ___________________
Statistics and Probability ___________________ PE & Health ___________________
Pagbasa at Pagsusuri ng Iba’t Ibang Teksto… ___________________ Pagsulat sa Filipino sa Piling Larangan ___________________
21st Century Lit. from the Phil. & in the World ___________________ Practical Research II ___________________
Personal Dev’t. / Pansariling Kaunlaran ___________________ Business Finance ___________________
PE & Health ___________________ Fund. of Accounting, Business & Mgt. II ___________________
Practical Research 1 ___________________
Business Mathematics ___________________ ____________________ RUBY F. VILLASIS
Fund. of Accounting Business & Mgt. I ___________________ Class Adviser TII / Guidance Coordinator
NEOLITA Q. GABUCAY
___________________ RUBY F. VILLASIS TII / School Librarian
Class Adviser TII / Guidance Coordinator
NEOLITA Q. GABUCAY ERNA I. FRANCISCO
TII / School Librarian T III / School Property Custodian

ERNA I. FRANCISCO Approval Recommended:

T III / School Property Custodian
HELARION C. LLANERA, JR., EdD
Approval Recommended: Head Teacher II
 Approved: Region VI- Western Visayas
GEROE A. ODICTA Schools Division of Capiz
Principal III LUCERO NATIONAL HIGH SCHOOL
Department of Education Lucero, Jamindan, Capiz
Region VI- Western Visayas
Schools Division of Capiz __________________
LUCERO NATIONAL HIGH SCHOOL Date
Lucero, Jamindan, Capiz RETRIEVAL FORM
SY 2020 - 2021
__________________
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2020 - 2021 This is to certify that _____________________________, a GRADE 12 - ABM
student of this school is cleared of all academics / books and other school requirements from
TO WHOM IT MAY CONCERN: the undersigned teachers for the Second Semester for school Year _____________.

This is to certify that _____________________________, a GRADE 12 - ABM SUBJECTS TEACHER’S SIGNATURE

student of this school is cleared of all academics / books and other school requirements from PE & Health ___________________
the undersigned teachers for the First Semester for school Year _____________. Entrepreneurship ___________________
Inquiries, Investigation and Immersion ___________________
SUBJECTS TEACHER’S SIGNATURE Applied Economics ___________________
Media and Information Literacy ___________________ Business Ethics & Social Responsibility ___________________
Contemporary Phil. Arts from the Regions ___________________ Principles of Marketing ___________________
Physical Science ___________________ Business Enterprise Simulation ___________________
Intro. to the Philosophy of the Human Person ___________________
Personal Dev’t. / Pansariling Kaunlaran ___________________ ANAFE G. BARRIENTOS RUBY F. VILLASIS
PE & Health ___________________ TI / Class Adviser TII / Guidance Coordinator
Pagsulat sa Filipino sa Piling Larangan ___________________
Practical Research II ___________________ NEOLITA Q. GABUCAY
Business Finance ___________________ TII / School Librarian
Fund. of Accounting, Business & Mgt. II ___________________
ERNA I. FRANCISCO
____________________ RUBY F. VILLASIS T III / School Property Custodian
Class Adviser TII / Guidance Coordinator
NEOLITA Q. GABUCAY
TII / School Librarian Approval Recommended:
ERNA I. FRANCISCO LOEL C. PAMOSO
T III / School Property Custodian Head Teacher II
Approval Recommended: Approved:
HELARION C. LLANERA, JR., EdD FATIMA L. ESCUTON, Ph.D.
Head Teacher II Principal III
Department of Education
Approved: Region VI- Western Visayas
GEROE A. ODICTA Schools Division of Capiz
Principal III
Department of Education
 LUCERO NATIONAL HIGH SCHOOL
Lucero, Jamindan, Capiz __________________
Date
__________________ RETRIEVAL FORM
Date SY 2019 - 2020
RETRIEVAL FORM
SY 2020 – 2021 TO WHOM IT MAY CONCERN:

TO WHOM IT MAY CONCERN: This is to certify that _____________________________, a GRADE 11 - TVL

student of this school is cleared of all academics / books and other school requirements from
This is to certify that _____________________________, a GRADE 12 - ABM the undersigned teachers for the First Semester for school Year _____________.
student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the Second Semester for school Year _____________. SUBJECTS TEACHER’S SIGNATURE
Oral Communication ___________________
SUBJECTS TEACHER’S SIGNATURE Kom. at Pananaliksik sa Wika at Kulturang Pilipino ___________________
General Mathematics ___________________
PE & Health ___________________ Understanding Culture, Society &Politics ___________________
Entrepreneurship ___________________ Earth & Life Science ___________________
Inquiries, Investigation and Immersion ___________________ PE & Health ___________________
Applied Economics ___________________ English for Academic & Prof. Purposes ___________________
Business Ethics & Social Responsibility ___________________ Empowerment Technologies (E – Tech.) ___________________
Principles of Marketing ___________________ Motorcycle / Small Engine Servicing (NC II) ___________________
Business Enterprise Simulation ___________________
____________________ RUBY F. VILLASIS
ANAFE G. BARRIENTOS RUBY F. VILLASIS Class Adviser TII / Guidance Coordinator
TI / Class Adviser TII / Guidance Coordinator NEOLITA Q. GABUCAY
TII / School Librarian
NEOLITA Q. GABUCAY
TII / School Librarian ERNA I. FRANCISCO
T III / School Property Custodian
ERNA I. FRANCISCO
T III / School Property Custodian Approval Recommended:

Approval Recommended: HELARION C. LLANERA, JR., EdD

Head Teacher II
LOEL C. PAMOSO
Head Teacher II Approved:

Approved: GEROE A. ODICTA

Principal III
FATIMA L. ESCUTON, Ph.D. Department of Education
Principal III Region VI- Western Visayas
Schools Division of Capiz
Department of Education LUCERO NATIONAL HIGH SCHOOL
Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz __________________
LUCERO NATIONAL HIGH SCHOOL Date
Lucero, Jamindan, Capiz RETRIEVAL FORM
 SY 2019 - 2020 This is to certify that _____________________________, a GRADE 11 - TVL
student of this school is cleared of all academics / books and other school requirements from
TO WHOM IT MAY CONCERN: the undersigned teachers for the Second Semester for school Year _____________.

This is to certify that _____________________________, a GRADE 11 - TVL SUBJECTS TEACHER’S SIGNATURE

student of this school is cleared of all academics / books and other school requirements from Reading and Writing ___________________
the undersigned teachers for the First Semester for school Year _____________. Statistics and Probability ___________________
Pagbasa at Pagsusuri ng Iba’t Ibang Teksto… ___________________
SUBJECTS TEACHER’S SIGNATURE 21st Century Lit. from the Phil. & in the World ___________________
Oral Communication ___________________ Personal Dev’t. / Pansariling Kaunlaran ___________________
Kom. at Pananaliksik sa Wika at Kulturang Pilipino ___________________ PE & Health ___________________
General Mathematics ___________________ Practical Research 1 ___________________
Understanding Culture, Society &Politics ___________________ Motorcycle / Small Engine Servicing (NC II) ___________________
Earth & Life Science ___________________
PE & Health ___________________ ____________________ RUBY F. VILLASIS
English for Academic & Prof. Purposes ___________________ Class Adviser TII / Guidance Coordinator
Empowerment Technologies (E – Tech.) ___________________ NEOLITA Q. GABUCAY
Motorcycle / Small Engine Servicing (NC II) ___________________ TII / School Librarian

____________________ RUBY F. VILLASIS ERNA I. FRANCISCO

Class Adviser TII / Guidance Coordinator T III / School Property Custodian
NEOLITA Q. GABUCAY
TII / School Librarian Approval Recommended:

ERNA I. FRANCISCO LOEL C. PAMOSO

T III / School Property Custodian Head Teacher II

Approval Recommended: Approved:

HELARION C. LLANERA, JR., EdD

Head Teacher II FATIMA L. ESCUTON, PhD.
Principal III
Approved: Department of Education
Region VI- Western Visayas
GEROE A. ODICTA Schools Division of Capiz
Principal III LUCERO NATIONAL HIGH SCHOOL
Department of Education Lucero, Jamindan, Capiz
Region VI- Western Visayas __________________
Schools Division of Capiz Date
LUCERO NATIONAL HIGH SCHOOL RETRIEVAL FORM
Lucero, Jamindan, Capiz SY 2020 - 2021
__________________ TO WHOM IT MAY CONCERN:
Date
RETRIEVAL FORM This is to certify that _____________________________, a GRADE 11 - TVL
SY 2020 - 2021 student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the Second Semester for school Year _____________.
TO WHOM IT MAY CONCERN:
SUBJECTS TEACHER’S SIGNATURE
Reading and Writing ___________________ SUBJECTS TEACHER’S SIGNATURE
Statistics and Probability ___________________ Media and Information Literacy ___________________
Pagbasa at Pagsusuri ng Iba’t Ibang Teksto… ___________________ Contemporary Phil. Arts from the Regions ___________________
21st Century Lit. from the Phil. & in the World ___________________ Physical Science ___________________
Personal Dev’t. / Pansariling Kaunlaran ___________________ Intro. to the Philosophy of the Human Person ___________________
PE & Health ___________________ Personal Dev’t. / Pansariling Kaunlaran ___________________
Practical Research 1 ___________________ PE & Health ___________________
Motorcycle / Small Engine Servicing (NC II) ___________________ Pagsulat sa Filipino sa Piling Larangan ___________________
Practical Research II ___________________
____________________ RUBY F. VILLASIS Driving (NC II) ___________________
Class Adviser TII / Guidance Coordinator
____________________ RUBY F. VILLASIS
NEOLITA Q. GABUCAY Class Adviser TII / Guidance Coordinator
TII / School Librarian NEOLITA Q. GABUCAY
TII / School Librarian
ERNA I. FRANCISCO
T III / School Property Custodian ERNA I. FRANCISCO
T III / School Property Custodian
Approval Recommended:
Approval Recommended:
LOEL C. PAMOSO
Head Teacher II HELARION C. LLANERA, JR., EdD
Head Teacher II
Approved:
Approved:

GEROE A. ODICTA
FATIMA L. ESCUTON, PhD. Principal III
Principal III
Department of Education
Region VI- Western Visayas
Department of Education Schools Division of Capiz
Region VI- Western Visayas LUCERO NATIONAL HIGH SCHOOL
Schools Division of Capiz Lucero, Jamindan, Capiz
LUCERO NATIONAL HIGH SCHOOL __________________
Lucero, Jamindan, Capiz Date
RETRIEVAL FORM
__________________ SY 2019 - 2020
Date
RETRIEVAL FORM TO WHOM IT MAY CONCERN:
SY 2019 - 2020
This is to certify that _____________________________, a GRADE 12 - TVL
TO WHOM IT MAY CONCERN: student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the First Semester for school Year _____________.
This is to certify that _____________________________, a GRADE 12 - TVL
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the First Semester for school Year _____________.
Media and Information Literacy ___________________
Contemporary Phil. Arts from the Regions ___________________
Physical Science ___________________
Intro. to the Philosophy of the Human Person ___________________ ___________________ RUBY F. VILLASIS
Personal Dev’t. / Pansariling Kaunlaran ___________________ Class Adviser TII / Guidance Coordinator
PE & Health ___________________ NEOLITA Q. GABUCAY
Pagsulat sa Filipino sa Piling Larangan ___________________ TII / School Librarian
Practical Research II ___________________
Driving (NC II) ___________________ ERNA I. FRANCISCO
T III / School Property Custodian
____________________ RUBY F. VILLASIS
Class Adviser TII / Guidance Coordinator Approval Recommended:
NEOLITA Q. GABUCAY
TII / School Librarian LOEL C. PAMOSO
Head Teacher II
ERNA I. FRANCISCO
T III / School Property Custodian Approved:

Approval Recommended: FATIMA L. ESCUTON, Ph.D.

Principal III
HELARION C. LLANERA, JR., EdD
Head Teacher II

Approved: Department of Education

GEROE A. ODICTA Region VI- Western Visayas
Principal III
Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL
Department of Education
Lucero, Jamindan, Capiz
Region VI- Western Visayas
Schools Division of Capiz
__________________
LUCERO NATIONAL HIGH SCHOOL
Date
Lucero, Jamindan, Capiz
RETRIEVAL FORM
__________________ SY 2020 - 2021
Date
TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2020 - 2021 This is to certify that _____________________________, a GRADE 12 - TVL
student of this school is cleared of all academics / books and other school requirements from
TO WHOM IT MAY CONCERN: the undersigned teachers for the Second Semester for school Year _____________.
This is to certify that _____________________________, a GRADE 12 - TVL SUBJECTS TEACHER’S SIGNATURE
student of this school is cleared of all academics / books and other school requirements from PE & Health ___________________
the undersigned teachers for the Second Semester for school Year _____________. Entrepreneurship ___________________
Research Report ___________________
SUBJECTS TEACHER’S SIGNATURE Work Immersion ___________________
PE & Health ___________________ Construction Painting (NC II) ___________________
Entrepreneurship ___________________
Research Report ___________________ ____________________ _ RUBY F. VILLASIS
Work Immersion ___________________ Class Adviser TII / Guidance Coordinator
Construction Painting (NC II) ___________________ NEOLITA Q. GABUCAY
 TII / School Librarian
ERNA I. FRANCISCO
ERNA I. FRANCISCO T III / School Property Custodian
T III / School Property Custodian
Approval Recommended:
Approval Recommended:
LOEL C. PAMOSO
LOEL C. PAMOSO Head Teacher II
Head Teacher II
Approved:
Approved:
FATIMA L. ESCUTON, Ph.D.
FATIMA L. ESCUTON, Ph.D. School Principal III
Principal III Department of Education
Region VI- Western Visayas
Schools Division of Capiz
Department of Education LUCERO NATIONAL HIGH SCHOOL
Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL __________________
Lucero, Jamindan, Capiz Date
RETRIEVAL FORM
__________________ SY 2020 - 2021
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2020 - 2021 This is to certify that _____________________________, a GRADE __________
TO WHOM IT MAY CONCERN: student of this school is cleared of all academics / books and other school requirements from
the undersigned teachers for the school Year _____________.
This is to certify that _____________________________, a GRADE __________
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the school Year _____________.
FILIPINO ___________________
SUBJECTS TEACHER’S SIGNATURE ENGLISH ___________________
MATHEMATICS ___________________
FILIPINO ___________________ SCIENCE ___________________
ENGLISH ___________________ ARALING PANLIPUNAN ___________________
MATHEMATICS ___________________ MAPEH ___________________
SCIENCE ___________________ VALUES EDUCATION ___________________
ARALING PANLIPUNAN ___________________ T. L. E ___________________
MAPEH ___________________
VALUES EDUCATION ___________________ ____________________ RUBY F. VILLASIS
T. L. E ___________________ Class Adviser TII / Guidance Coordinator

____________________ RUBY F. VILLASIS NEOLITA Q. GABUCAY

Class Adviser TII / Guidance Coordinator TII / School Librarian

NEOLITA Q. GABUCAY ERNA I. FRANCISCO

TII / School Librarian T III / School Property Custodian
 HELARION C. LLANERA, JR., EdD
Approval Recommended: Head Teacher II

LOEL C. PAMOSO Approved:

Head Teacher II
GEROE A. ODICTA
Approved: Principal III
Department of Education
FATIMA L. ESCUTON, Ph.D. Region VI- Western Visayas
School Principal III Schools Division of Capiz
Department of Education LUCERO NATIONAL HIGH SCHOOL
Region VI- Western Visayas Lucero, Jamindan, Capiz
Schools Division of Capiz
LUCERO NATIONAL HIGH SCHOOL __________________
Lucero, Jamindan, Capiz Date
RETRIEVAL FORM
__________________ SY 2019 - 2020
Date TO WHOM IT MAY CONCERN:
RETRIEVAL FORM
SY 2019 - 2020 This is to certify that _____________________________, a GRADE 12 - GAS
TO WHOM IT MAY CONCERN: student of this school is cleared of academics / books and other school requirements from the
undersigned teachers for the Second Semester for school Year _____________.
This is to certify that _____________________________, a GRADE 12 - GAS
student of this school is cleared of all academics / books and other school requirements from SUBJECTS TEACHER’S SIGNATURE
the undersigned teachers for the First Semester for school Year _____________. PE & Health ___________________
Entrepreneurship ___________________
SUBJECTS TEACHER’S SIGNATURE Inquiries, Investigation & Immersion ___________________
Media & Information Literacy ___________________ Immersion / Research / Career Advocacy
Contemporary Phil. Arts from the Regions ___________________ Culminating Activity ___________________
Physical Science ___________________ Disaster Readiness & Risk Reduction ___________________
Intro. to Philosophy of the Human Person ___________________ Elective I – Fund. of Acctg. Business & Mgt. I ___________________
PE & Health ___________________ Elective II – Business Math ___________________
Pagsulat sa Fil. Sa Piling Larangan ___________________
Practical Research II ___________________
Organization & Management ___________________ ____________________ RUBY F. VILLASIS
Applied Economics ___________________ Class Adviser TII / Guidance Coordinator
____________________ RUBY F. VILLASIS
NEOLITA Q. GABUCAY
Class Adviser TII / Guidance Coordinator
TII / School Librarian
NEOLITA Q. GABUCAY ERNA I. FRANCISCO
TII / School Librarian T III / School Property Custodian
ERNA I. FRANCISCO Approval Recommended:
T III / School Property Custodian
HELARION C. LLANERA, JR., EdD
Approval Recommended: Head Teacher II
Approved:

GEROE A. ODICTA
Principal III