Grade Level/Section:_____________________________________ Date: __________________

STUDENT CHECKLIST: Printed Modules; Q1.w.5 (RELEASED)

Learning Area

Name of Student Name of Parent/Guardian Signature

No. Date

Aral. Pan.

TLE
Filipino

Music

Arts

PE

EsP
Science
English

sMathematic

Health
Prepared by: _____________________ Noted: SIMPLCIO B. BENAS
Class Adviser MT II/TIC
Grade Level/Section:_____________________________________ Date: _____________________

STUDENT CHECKLIST: Printed Modules; Q1.w.5 (RECEIVED)

Learning Area

Name of Student Name of Parent/Guardian Signature

No. Date

Aral. Pan.

TLE
Filipino

Music

Arts

PE

EsP
Science
English

sMathematic

Health
Prepared by: _____________________ Noted: SIMPLCIO B. BENAS
Class Adviser MT II/TIC