MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 1

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 1 SEPTEMBER 13-17,2021

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY ARTS PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND
NAME INFORMATION CULTURE, SOCIETY FROM THE REGION EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
No
.
(Last Name, First Name, Middle LITERACY AND POLITICS HEALTH THE HUMAN PERSON REMARKS/ ACTION TAKEN
Name)
Received Returned Received Returned Received Returned Received Returned Received Returned Received Returned Received Returned

1 BALAKAYO, DANIEL

2 BILLONES, WILLY

3 DUMA-UP, EFREN

4 ETANG, BOBBY

5 HIRAGA, REYNAND

6 KIAN, DIANESTY

7 OBREGON, MARJON

8 TINGA, CLENTHON

9 UPONG, RONNEL

10 YWAYAN, GEORGIEN

TOTAL MALE===>

1 ABARAN, ANJELYN

2 BOTE, ALMA

3 COWOL, MARICEL

4 FIGUEROA, GERALDINE

5 HINUCTAN, CREY-ANN

6 NACIO, HAYDIN

7 TENORIO, MARY GRACE

TOTAL FEMALE===>

COMBINED ===>

Prepared By:

JOAN P. BALACUIT
(Signature of Adviser over Printed Name)
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 3

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 4

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 5

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 6

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 7

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 8

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 9

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.
 MODULE MONITORING FORM DISTRIBUTION AND RETRIEVAL 1ST QUARTER WEEK 10

School Name Datu Etang Integrated School School ID 500718 District Kalamansig II Division Sultan Kudarat Region Region XII

Semester First Semester School Year 2021 - 2022 Grade Level Grade 12 Track and Strand Technical-Vocational-Livelihood Track

Section TVL Course (for TVL only) Food and Beverage Services (NC II),Cookery (NC II),Bread and Pastry

MEDIA AND UNDERSTANDING COMTEMPORARY PHYSICAL INTRODUCTION TO PRACTICAL FOOD AND

INFORMATION CULTURE, SOCIETY ARTS FROM THE EDUCATION AND THE PHILOSOPHY OF RESEARCH 2 BEVARAGES
NAME LITERACY AND POLITICS REGION HEALTH THE HUMAN PERSON
No REMARKS/ACTION TAKEN
(Last Name, First Name, Middle
. (Please refer to the codes below)
Name) Date Date Date Date Date Date Date Date Date Date
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

AQUINO,ANDRIAN
1
LUMACANG

2 BALAKAYO,TOWIG MALAYAT

3 BILLEDO,MONIE KATIL

4 LAURIE,ALDRINEL VILLARAN

5 MAGA,AYUNAN DUMATO

6 MANGI,BRYAN GOLING

TOTAL MALE===> 6 6 6 6 6 6 6 6 6 6 6 6 6 6

1 ABAD,ALMA MAGON

2 APANG,MELANIE NASSIO

3 KIAN,JELINA A

LAMBOS,MARICEL
4
ROSALEJOS

5 SANONG,TESKA KIAN

TOTAL FEMALE===> 5 5 5 5 5 5 5 5 5 5 5 5 5 5

COMBINED ===> 11 11 11 11 11 11 11 11 11 11 11 11 11 11

Prepared By:
GUIDELINES: In case of lost/unreturned books, please provide information with the following code:

1. Title of Books Issued to each learner must be recorded by the class adviser.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
5. All textbooks being used must be included. Additional copies of this form may be used if
needed.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by
parent/guardian (for code FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission
JOAN P. BALACUIT
to School Property Custodian (for code TDO), PTL=Paid by the Learner (for code NEG). References: DO#23, (Signature of Adviser over Printed Name)
s.2001, DO#25, s.2003, DO#14, 2.2012.