Republic of the Philippines

Region 1
Division of City Schools
Instructional District 1
PAGAL ELEMENTARY SCHOOL
San Carlos City, Pangasinan

CERTIFICATION

This is to certify that the following forms of MRS. BLESILDA I. TULAGAN, a GRADE 4

Adviser has been checked by the following checkers.

SCHOOL CHECKERS
FORMS NAME OF TEACHER SIGNATURE
Modified SF1 MARIETTA G. AQUINO
Modified SF2 BLESILDA I. TULAGAN
Modified SF5 BRENDA I. CRISTOBAL
Form 138 BRANDO B. MALICDEM
Orig. Copy of Form 137 CHRISTIN JOY Q. AQUINO
Second Copy of Form 137 SUSAN B. FERNANDEZ
Honor Roll CHRISTIN JOY Q. AQUINO
Grading Sheet BLESILDA I. TULAGAN

School CheckingCommittee:

CHRISTIN JOY Q. AQUINO SUSAN B. FERNANDEZ

MARIETTA G. AQUINO
Master Teacher I / Chairman Master Teacher I / Member
Teacher III / Member

Approved:

MARITES D. AQUINO
Principal I

Republic of the Philippines

Region 1
Division of City Schools
Instructional District 1
PAGAL ELEMENTARY SCHOOL
 San Carlos City, Pangasinan

CERTIFICATION

This is to certify that the following forms of MRS. BLESILDA I. TULAGAN, a GRADE 4

Adviser has been checked by the following checkers.

DISTRICT/ DIVISION CHECKERS

Modified SF1
Modified SF2
Modified SF5
Form 138
Orig. Copy of Form 137
Second Copy of Form 137
Grading Sheet
Honor Roll

ELIZABETH P. VISTRO, ED.D JOSEPHINE I.

ROSARIO, ED.D
EPS I-Kindergarten/ALS Public Schools District
Supervisor
Chairperson Co-Chairperson

ALVIN C. POQUIZ RHODA P. SORIANO

Head Teacher I Master Teacher II
Co-Chairperson Member

APPROVED:

DR. LORNA G. BUGAYONG, CESO VI

School Division Superintendent