LEARNING ACTIVITY SHEET

Name: ____________________________ Date: ____________ Score: ______

Activity 1. FILLING OUT FORM

Direction: Fill out the form accurately so that we may know some information about
each of you.

Pupil’s Information Sheet

Name: _______________________________________________________________________
(Surname) (Given Name) (Middle Name)

Grade and Section: ________________ Age last Birthday: ________________

Sex: _________ Nationality: ______________ Religion: ________________

Date of Birth: ________________ ______________ __________

(Month) (Date) (Year)

Birthplace: _________________________________________________________________
(Town/District) (Province/City)
Present Address:
___________________________________________________________________________
(Number) (Street) (District/Town (City/Province)

Tel./ Cell No.: ________________

Father’s Name: ______________________________________________________________

(Surname) (Given Name) (Middle

Occupation: ______________

Mother’s Name: ______________________________________________________________

(Surname) (Given Name) (Middle Name)

Occupation: ______________

Week: 1 Competency: MELC Based Objective: Fill out forms accurately

Prepared by: Pamela Dolly P. Portugal/ Bagong Silangan Elementary School
 LEARNING ACTIVITY SHEET
Name: ____________________________ Date: ____________ Score: ______

Activity 2. FILLING OUT FORM

Direction: Fill out the form accurately so that we may know some information about
each of you.

Pupil’s Information Sheet

Name: _______________________________________________________________________
(Surname) (Given Name) (Middle Name)

Grade and Section: ________________ Age last Birthday: ________________

Sex: _________ Nationality: ______________ Religion: ________________

Date of Birth: ________________ ______________ __________

(Month) (Date) (Year)

Birthplace: _________________________________________________________________
(Town/District) (Province/City)
Present Address:
___________________________________________________________________________
(Number) (Street) (District/Town (City/Province)

Tel./ Cell No.: ________________

Father’s Name: ______________________________________________________________

(Surname) (Given Name) (Middle

Occupation: ______________

Mother’s Name: ______________________________________________________________

(Surname) (Given Name) (Middle Name)

Occupation: ______________

Week: 1 Competency: MELC Based Objective: Fill out forms accurately

Prepared by: Pamela Dolly P. Portugal/ Bagong Silangan Elementary School
 LEARNING ACTIVITY SHEET
Name: ____________________________ Date: ____________ Score: ______

Activity 3. FILLING OUT FORM

Direction: Fill out the form accurately.

Pupil’s Information Sheet

Name: _______________________________________________________________________
(Surname) (Given Name) (Middle Name)

Grade and Section: ________________ Age last Birthday: ________________

Sex: _________ Nationality: ______________ Religion: ________________

Date of Birth: ________________ ______________ __________

(Month) (Date) (Year)

Birthplace: _________________________________________________________________
(Town/District) (Province/City)
Present Address:
___________________________________________________________________________
(Number) (Street) (District/Town (City/Province)

Tel./ Cell No.: ________________

Father’s Name: ______________________________________________________________

(Surname) (Given Name) (Middle

Occupation: ______________

Mother’s Name: ______________________________________________________________

(Surname) (Given Name) (Middle Name)

Occupation: ______________

Week: 1 Competency: MELC Based Objective: Fill out forms accurately

Prepared by: Pamela Dolly P. Portugal/ Bagong Silangan Elementary School
 LEARNING ACTIVITY SHEET
Name: ____________________________ Date: ____________ Score: ______

Activity 4. FILLING OUT FORM

Direction: Fill out the form accurately.

Week: 1 Competency: MELC Based Objective: Fill out forms accurately

Prepared by: Pamela Dolly P. Portugal/ Bagong Silangan Elementary School