ABCDEFGHIJKLMNOPQRSACADAEAFAGAHAIAJAKALAMANAOAP
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Republic of the Philippines
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Department of Education
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DIVISION OF PAMPANGA
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LANANG ELEMENTARY SCHOOL
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Lanang, Candaba, Pampanga
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ELEMENTARY STUDENT'S EVALUATION FORM
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Name:Date of Birth: YearMonthDate
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Place of Birth: ProvinceTownCANDABABarrio
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Parent or Guardian
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Address of Parent or Guardian
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Pre-School Completed
SY2006-2007Ave
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LevelSchool Year:LevelSchool Year:
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SchoolLocation:School
Location:
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SUBJECTSC.S. AveAction TakenSUBJECTSC.S. AveAction Taken
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FilipinoFilipino
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EnglishEnglish
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MathematicsMathematics
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ScienceScience
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Araling PanlipunanAraling Panlipunan
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Edukasyon sa PagpapakataoEdukasyon sa Pagpapakatao
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Technology and Livelihood Education (TLE)Technology and Livelihood Education (TLE)
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MAPEHMAPEH
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MusicMusic
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ArtsArts
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PEPE
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HealthHealth
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Total Days of SchoolTotal Days of School
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Total Days PresentTotal Days Present
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Total Number of Years in school to Date:Total Number of Years in school to Date:
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LevelSchool Year:LevelSchool Year:
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SchoolLocation:School
Location:
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SUBJECTSC.S. AveAction TakenSUBJECTSC.S. AveAction Taken
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FilipinoFilipino
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EnglishEnglish
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MathematicsMathematics
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ScienceScience
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Araling PanlipunanAraling Panlipunan
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Edukasyon sa PagpapakataoEdukasyon sa Pagpapakatao
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Technology and Livelihood Education (TLE)Technology and Livelihood Education (TLE)
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MAPEHMAPEH
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MusicMusic
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ArtsArts
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PEPE
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HealthHealth
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Total Days of SchoolTotal Days of School
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Total Days PresentTotal Days Present
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Total Number of Years in school to Date:Total Number of Years in school to Date:
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LevelSchool Year:LevelFIRST YEARSchool Year:
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SchoolLocation:SchoolCordova NHS
Location:
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SUBJECTSC.S. AveAction TakenSUBJECTSFirst GradingSecondGradingAction Taken
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FilipinoFilipino
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EnglishEnglish
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MathematicsMathematics
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ScienceScience
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Araling PanlipunanAraling Panlipunan
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Edukasyon sa PagpapakataoEdukasyon sa Pagpapakatao
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Technology and Livelihood Education (TLE)Technology and Livelihood Education (TLE)
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MAPEHMAPEH
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MusicMusic
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ArtsArts
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PEPE
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HealthHealth
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Total Days of SchoolTotal Days of School
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Total Days PresentTotal Days Present
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Total Number of Years in school to Date:Total Number of Years in school to Date:
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SUMMARY OF SUBJECTS EARNED/ TAKEN
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SUBJECTSCOMPLETEINCOMPLETE
I hereby certify that this is a true record of
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Grade 1-6Grade Level/Subject (X)
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Filipino
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Englishas per requirements.This certifies further that he/she
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Mathematics
has completed the academic requirements of
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ScienceElementary Education and eligible for admission to
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Araling PanlipunanSecondary School.
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Edukasyon sa Pagpapakatao
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Technology and Livelihood Education (TLE)Date of Checking:
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MAPEH
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Music
Checked against Form 137A:
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Arts
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PEPrincipal
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Health
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Division Representative
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