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Republic of the Philippines

Department of Education
REGION IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Zamboanga city

(Individual Report of Teacher)


LDM FEEDBACK REPORT
( LDM Form A )

Name of Teacher: ROMULO DS. PRAICO Grade Level & Section: V-


Subject: EPP No. of Pupils: Male 13 Female 19 Total 32
No. of Students with feedback: Male 1 Female 2 Total 3 Date: May 31-June 5, 2021 Consultation Time : 9:00 AM – 12:00 NN/1:00-3:00

Challenges/Problems
Type of Feedback /Needs
Action Taken
Date/Time Name of Student (TI,PI,SI) Problem ( and other LDM-related
( by Teachers )
problems )

June 3, 2021 Clarifies regarding the clarity Double check and gave a clearer
Ancel Deles PI
6:36 pm of illustrations of the CapSLET illustration.

June 3, 2021 Inquired about the


Fatima Shaina Sawadjaan PI Elaborated the performance task
2:53 pm performance task

June 4, 2021 Clarifies regarding the clarity Double check and gave a clearer
Astria Nicole Manuel PI
10:22 am of illustrations of the CapSLET illustration.

Prepared by:

ROMULO DS. PRAICO


Printed Name/ Signature

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