CHECKLIST ON THE DISTRIBUTION AND RETRIEVAL OF LAS/ MODULE

GRADE 6-Sunflower
Quarter 1-Week _____
No. Name of Pupil Name of Parent Date Received Signature Date Retrieved Signature Remarks/Contact
Number
1 ARROFO, MERWAYNE KEAN ROWENA ARROFO

2 GABUYA, NINO, MALATE 9/13/2021 9/27/2021

3 GERVACIO, CHARLES KIE, ALBERCA RICA GERVACIO

4 GILBERT L. MACATUMPAG
MACATUMPAG, RENZ STEVEN, SACEDOR
BENERISSA S. MACATUMPAG
5 NAPOLES, NILO, LOMOT PABLO NAPOLES
6 ARNOLD O. PENAFLOR
PENAFLOR, ARNOLD, JR CANEDA
JOSIE M. CANEDO
7 SAJOL, JONARD, SABANAG RONA SAJOL
8 FRANKLIN R. ARMADO
ARMADO, MARY ELISH A, DE PAZ
NELIZA M. DE PAZ
9 HENRY C. LOMOT
LOMOT, JESSA MAE, EGIPTO
JENNELYN A. EGIPTO
10 OMAR M. MATUDAN
MATUDAN, GLENDA, CABRADILLA
ROSALINDA C. MATUDAN
11 MENARD A. MENDOZA
MENDOZA, PRINCESS MENARD, BAYABAY
EMMA G. BAYABAY
12 GIL MERCOLITA
MERCOLITA, JAICA, ESTRERA
LILIBETH E. MERCOLITA
13 METRAN, CHRISTINE, ROSALES 9/27/2021
No. Name of Pupil Name of Parent Date Received Signature Date Retrieved Signature Remarks/Contact
Number
14 JOHNREY M. MOMO
MOMO, MA JIEZEL RHAE, MACATUMPAG
ZEMA M. MOMO
15 ARNEL O. PENAFLOR
PENAFLOR, AIRA MAE, BASAGAN
GINA C. BASAGAN
16 PEROL, BLEST STEPHANIE, ROSAL JOCELYN PEROL
18 RAMIREZ, ROBELYN, NAPOLIS ELIZABETH NAPOLES
19 RETORBAR, JAYMAVIT, AGOT - VICENTE RETURBAR
120778130015
 Pending Enrolment
20 RETORBAR, NICELLE MAE, ARNOCO RENANTE E. RETORBAR
LORINA A. RETORBAR
21 RETORBAR, SHAIRA MAE, ARNOCO RENANTE E. RETORBAR
120778130014 LORINA A. RETORBAR
Pending Enrolment
22 RETURBAR, ZYRA, REUBAL VICENTE RETURBAR
23 ROSALES, SHENA MAE, CORPIN JOEL LAHOYLA
JACQUILENE C. ROSALES
24 SUPREMO, JANE APRIL, MANGUNAON NANESSA M. SUPREMO

Prepared by:
NIKKI R. PALCONIT
Teacher I

CHECKLIST ON THE DISTRIBUTION AND RETRIEVAL OF LAS/ MODULE

GRADE 6-Sunflower
Quarter 1-Week _____
No. Name of Pupil Name of Parent Date Received Signature Date Retrieved Signature Remarks/Contact
Number
1 ARROFO, MERWAYNE KEAN ROWENA ARROFO

2 GABUYA, NINO, MALATE

3 GERVACIO, CHARLES KIE, ALBERCA RICA GERVACIO

4 GILBERT L. MACATUMPAG
MACATUMPAG, RENZ STEVEN, SACEDOR
BENERISSA S. MACATUMPAG
5 NAPOLES, NILO, LOMOT PABLO NAPOLES
6 ARNOLD O. PENAFLOR
PENAFLOR, ARNOLD, JR CANEDA
JOSIE M. CANEDO
7 SAJOL, JONARD, SABANAG RONA SAJOL
8 ARMADO, MARY ELISH A, DE PAZ FRANKLIN R. ARMADO
 NELIZA M. DE PAZ
9 HENRY C. LOMOT
LOMOT, JESSA MAE, EGIPTO
JENNELYN A. EGIPTO
10 OMAR M. MATUDAN
MATUDAN, GLENDA, CABRADILLA
ROSALINDA C. MATUDAN
11 MENARD A. MENDOZA
MENDOZA, PRINCESS MENARD, BAYABAY
EMMA G. BAYABAY
12 GIL MERCOLITA
MERCOLITA, JAICA, ESTRERA
LILIBETH E. MERCOLITA
13 METRAN, CHRISTINE, ROSALES 9/27/2021
No. Name of Pupil Name of Parent Date Received Signature Date Retrieved Signature Remarks/Contact
Number
14 JOHNREY M. MOMO
MOMO, MA JIEZEL RHAE, MACATUMPAG
ZEMA M. MOMO
15 ARNEL O. PENAFLOR
PENAFLOR, AIRA MAE, BASAGAN
GINA C. BASAGAN
16 PEROL, BLEST STEPHANIE, ROSAL JOCELYN PEROL
17 RAMIREZ, ROBELYN, NAPOLIS ELIZABETH NAPOLES
18 RETORBAR, JEMAVIT, AGOT VICENTE RETORBAR
19 RETORBAR, NICELLE MAE, ARNOCO RENANTE E. RETORBAR
LORINA A. RETORBAR
20 RETORBAR, SHAIRA MAE, ARNOCO RENANTE E. RETORBAR
LORINA A. RETORBAR
21 RETURBAR, ZYRA, REUBAL VICENTE RETORBAR
22 ROSALES, SHENA MAE, CORPIN JOEL LAHOYLA
JACQUILENE C. ROSALES
23 SUPREMO, JANE APRIL, MANGUNAON NANESSA M. SUPREMO

Prepared by:
NIKKI R. PALCONIT
Teacher I

CHECKLIST ON THE DISTRIBUTION AND RETRIEVAL OF LAS/ MODULE

GRADE 6-Sunflower
Quarter 1-Week _____
No. Name of Pupil Name of Parent Date Received Signature Date Retrieved Signature Remarks/Contact
Number
1 ARROFO, MERWAYNE KEAN ROWENA ARROFO

2 GABUYA, NINO, MALATE 9/27/2021

3 GERVACIO, CHARLES KIE, ALBERCA RICA GERVACIO

4 GILBERT L. MACATUMPAG
MACATUMPAG, RENZ STEVEN, SACEDOR
BENERISSA S. MACATUMPAG
5 NAPOLES, NILO, LOMOT PABLO NAPOLES
6 ARNOLD O. PENAFLOR
PENAFLOR, ARNOLD, JR CANEDA
JOSIE M. CANEDO
7 SAJOL, JONARD, SABANAG RONA SAJOL
8 FRANKLIN R. ARMADO
ARMADO, MARY ELISH A, DE PAZ
NELIZA M. DE PAZ
9 HENRY C. LOMOT
LOMOT, JESSA MAE, EGIPTO
JENNELYN A. EGIPTO
10 OMAR M. MATUDAN
MATUDAN, GLENDA, CABRADILLA
ROSALINDA C. MATUDAN
11 MENARD A. MENDOZA
MENDOZA, PRINCESS MENARD, BAYABAY
EMMA G. BAYABAY
12 GIL MERCOLITA
MERCOLITA, JAICA, ESTRERA
LILIBETH E. MERCOLITA
13 METRAN, CHRISTINE, ROSALES 9/27/2021
No. Name of Pupil Name of Parent Date Received Signature Date Retrieved Signature Remarks/Contact
Number
14 JOHNREY M. MOMO
MOMO, MA JIEZEL RHAE, MACATUMPAG
ZEMA M. MOMO
15 ARNEL O. PENAFLOR
PENAFLOR, AIRA MAE, BASAGAN
GINA C. BASAGAN
16 PEROL, BLEST STEPHANIE, ROSAL JOCELYN PEROL
17 RABANZO, LILIAN JULIET, NEAR MYRNA P. RABANZO
18 RAMIREZ, ROBELYN, NAPOLIS ELIZABETH NAPOLES
19 RETORBAR, JEMAVIT, AGOT VICENTE RETORBAR
20 RETORBAR, NICELLE MAE, ARNOCO RENANTE E. RETORBAR
LORINA A. RETORBAR
21 RETORBAR, SHAIRA MAE, ARNOCO RENANTE E. RETORBAR
LORINA A. RETORBAR
22 RETURBAR, ZYRA, REUBAL VICENTE RETORBAR
23 ROSALES, SHENA MAE, CORPIN JOEL LAHOYLA
JACQUILENE C. ROSALES
24 SUPREMO, JANE APRIL, MANGUNAON NANESSA M. SUPREMO

Prepared by:
NIKKI R. PALCONIT
Teacher I