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Republic of the Philippines

Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL

Month: September, 2021

Name of Learner: _______________________


Name of Parent: _______________________
Grade Level/ Section: I- Kamagong
Name of Parent/Guardian Subject Date Signature Date Signature
Received returned

Prepared by:
MARY ANN M. BALIOS ________________________
Class Adviser Parent’s Signature

Republic of the Philippines


Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL
ACKNOWLEDGEMENT RECEIPT
Month: May, 2021
Subject:
Quarter: Second Quarter
Grade Level/ Section: I- Kamagong
Name of Parent Date Received Signature Date returned Signature

Name of Parent Date Received Signature Date returned Signature


Prepared by:
MARY ANN M. BALIOS
Class Adviser

Republic of the Philippines


Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL
ACKNOWLEDGEMENT RECEIPT
Month: MARCH, 2021
Grade Level/ Section: I-KAMAGONG
Item: READING MATERIALS
Quan
Name of Parent Name of Child tity Date Signature
Received

Quan
Name of Parent Name of Child tity Date Signature
Received

Prepared by:
MARY ANN M. BALIOS
Class Adviser

Republic of the Philippines


Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL
ACKNOWLEDGEMENT RECEIPT
Month: MARCH, 2021
Grade Level/ Section: I-KAMAGONG
Name: Mel Bryan C. Cabando
Quan
Name of Parent Name of Parent/ Guardian tity Date Signature
Received

Prepared by:
MARY ANN M. BALIOS
Class Adviser

Republic of the Philippines


Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL
ACKNOWLEDGEMENT RECEIPT
Month: May-July, 2021
Name of Child:MANLUNAS, CLIFFORD KENT A.
Quarter: Fourth Quarter
Grade Level/ Section: I- Kamagong
Name of Parent/Guardian Subjects Date Signature Date Signature
Received returned
Republic of the Philippines
Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL
ACKNOWLEDGEMENT RECEIPT
Month: March- July, 2021
Name of Child:NANO, PRINCE MAR D.
Quarter: Fourth Quarter
Grade Level/ Section: I- Kamagong
Name of Parent/Guardian Subjects Date Signature Date Signature
Received returned
Republic of the Philippines
Department of Education
Region X- Northern Mindanao
Division of Iligan City
West 2 District
MIMBALOT ELEMENTARY SCHOOL

MALE FEMALE
1. Acut, Nathaniel Y. 1. Agravante, Princess Genniel B.
2. Asibal, Ethan C. 2. Andohon, Divine B.
3. Bahinting, Rey Jhon T. 3. Azo, Lovely Clyne A.
4. Cabasag, Eshan P. 4. Bersaldo, Chelsea Kaye A.
5. Castillon, John Rey Z. 5. Bongosia, Kathlyn B.
6. Calumpang, Rex Heart C. 6. Cabasag, Sabriena B.
7. Doverte, Christian L. 7. Casisner, Baby Pearl S.
8. Isin, Nicko 8. Dayondon, Cezanne Jane G.
9. Jumalon, Jude L. 9. Juarez, Audrey M.
10. Lamoste, Blaine Rainier M. 10. Lapad, Rieane Venice T.
11. Maghanoy, Kurt Jesryl B. 11. Oliveros, Sherleen
12. Montebon, Kenneth Earl M. 12. Sayon, Jehan Mylls P.
13. Relivo, Rieñelle Dave B. 13. Secretaria, Phoebe Kaye C.
14. Sanchez, John Michael D. 14. Tagorda, Danish Ara A.
15. Sarucam, Hezekiah G. 15. Tecson, Ritchel D.
16. Soronio, Vicente B. 16. Mandipol, Christen P.
17. Trinidad, Jay Jr. T.
18. Villaruz, Francis Mher P.
19. Lapuz, Adrien John
ADVISER

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