Template A - ELEMENTARY ( TO BE USE IN PREPARING SCHOOL AND DISTRICT REPORT)

Do not encode on columns highlighted with green

Republic of the Philippines
Department of Education
Region VI- Western Visayas
DIVISION OF CAPIZ
Banica, Roxas City
District/ School:
Complete Address:
LEARNERS' RESOURCES SITUATION REPORT AS OF Januuary 20,2022
LRs Situation
Learning Area and Quantity Actual Learner's
Title ( please reflect the title of the
Grade Level LM per Area ) Actual Losses Enrolment Resources
Quantity and Usable SY 2021-2022 Shortage/
of LRs Damages Deficiency
(including current deliveries)

a b c d e f g
e=c-d g=f-e
Kindergarten AS - -

Grade 1
AP - -
EsP - -
English - -
Filipino - -
MTB-MLE ( Hiligaynon) - -
Mathematics - -
Music and Arts - -
PE & Health - -

Grade 2
AP - -
EsP - -
English - -
Filipino - -
MTB-MLE ( Hiligaynon) - -
Mathematics - -
Music and Arts - -
PE & Health - -

Grade 3
AP - -
EsP - -
English - -
Filipino - -
MTB-MLE ( Hiligaynon) - -
Mathematics - -
Music and Arts - -
PE & Health - -
Science - -

Grade 4
AP - -
EsP - -
English - -
Filipino - -
Mathematics - -
Music and Arts - -
PE & Health - -
Science - -
EPP - -
 Republic of the Philippines
Department of Education
Region VI- Western Visayas
DIVISION OF CAPIZ
Banica, Roxas City
District/ School:
Complete Address:

LEARNERS' RESOURCES SITUATION REPORT AS OF Januuary 20,2022

LRs Situation
Learning Area and Quantity Actual Learner's
Title ( please reflect the title of the
Grade Level LM per Area ) Actual Losses Enrolment Resources
Quantity and Usable SY 2021-2022 Shortage/
of LRs Damages Deficiency
(including current deliveries)

a b c d e f g
e=c-d g=f-e

Grade 5
AP - -
EsP - -
English - -
Filipino - -
Mathematics - -
Music and Arts - -
PE & Health - -
Science - -
EPP - -

Grade 6
AP - -
EsP - -
English - -
Filipino - -
Mathematics - -
Music and Arts - -
PE & Health - -
Science - -
EPP/TLE - -

Prepared by: Certified True and Correct:

________________________________________ __________________________
DISTRICT/SCHOOL PROPERTY CUSTODIAN School Head

____________________________________ __________________________
DISTRICT/SCHOOL LRMS Coordinator DATE
LRs Situation
Learner's
Resources
Excess

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Template B (SECONDARY TO USE IN PREPARING SCHOOL REPORT
Do not encode on columns highlighted with green
Republic of the Philippines
Department of Education
Region VI- Western Visayas
DIVISION OF CAPIZ
Banica, Roxas City
School:
Complete Address:

LEARNERS' RESOURCES SITUATION REPORT AS OF January 20,2022

LRs Situation
Learning Area and Quantity Actual Learner's
Title ( please change if the title per
Grade Level Area is different) Actual Losses Enrolment Resources
Quantity and Usable SY 2021-2022 Shortage/
of LRs Damages Deficiency
(including current deliveries)

a b c d e f g
e=c-d g=f-e
Grade 7
Asya: Pagkakaisa sa Gitna ng
AP - -
Pagkakaiba
Art Music & Arts - -
EsP Pagkilala at Pagmamahal sa Sarili - -
English English - -
Filipino Panitikang Pilipino - -
Health Health - -
Mathematics Mathematics - -
Music Music (Music and Arts of Asia Lms) - -
Physical Education ( Physical Education &
PE & Health - -
Health )
Science Science - -
TLE : AFA
Agri. Crop Prod. - -
Animal Production - -
Food Processing - -
TLE : IA
EIM - -
EPAS - -
Auto Servicing - -
SMAW - -
Carpentry - -
TLE: HE
Cookery - -
Beauty Care - -
Household Services - -
Dressmaking - -
TLE : ICT
CSS - -
Technical Drawing - -

Grade 8
AP Kasysayan ng Daigdig - -
Art Art - -
EsP Edukasyon sa Pagpapakatao - -
English English - -
Filipino Panitikang Pilipino - -
Health Health - -
Mathematics Mathematics - -
Music Music and Arts of Asia - -
Physical Education (Physical Education &
PE & Health - -
Health)
Science Science - -

TLE : AFA
Agri. Crop Prod. - -
 Republic of the Philippines
Department of Education
Region VI- Western Visayas
DIVISION OF CAPIZ
Banica, Roxas City
School:
Complete Address:

LEARNERS' RESOURCES SITUATION REPORT AS OF January 20,2022

LRs Situation
Learning Area and Quantity Actual Learner's
Title ( please change if the title per
Grade Level Area is different) Actual Losses Enrolment Resources
Quantity and Usable SY 2021-2022 Shortage/
of LRs Damages Deficiency
(including current deliveries)

a b c d e f g
e=c-d g=f-e
Animal Production - -
Food Processing - -
TLE : IA
EIM - -
EPAS - -
Auto Servicing - -
SMAW - -
Carpentry - -
TLE: HE
Cookery - -
Beauty Care - -
Household Services - -
Dressmaking - -
TLE : ICT
CSS - -
Technical Drawing - -

Grade 9
AP Ekonomics - -
Art Art - -
EsP Edukasyon sa Pagpapakatao - -
A Journey through Anglo-American
English - -
Literature
Filipino Panitikang Asyano - -
Health Health - -
Mathematics Mathematics - -
Music Music (Music and Arts of Asia Lms) - -
Physical Education (Physical Education &
PE & Health - -
Health)
Science Science - -
AFA - -
TLE ( please specify title
per component on IA - -
specialization) HE - -
ICT - -

Grade 10
AP Kasaysayan ng Daigdig - -
Art Art - -
EsP Edukasyon sa Pagpapakatao - -
Celebrating Diversity throuh World
English - -
Literature
Filipino Filipino - -
Health Health - -
Mathematics Mathematics - -
Horizon Music & Arts Appreciation for
Music - -
Young Filipino
Physical Education (Physical Education &
PE & Health - -
Health)
Science Science - -
 Republic of the Philippines
Department of Education
Region VI- Western Visayas
DIVISION OF CAPIZ
Banica, Roxas City
School:
Complete Address:

LEARNERS' RESOURCES SITUATION REPORT AS OF January 20,2022

LRs Situation
Learning Area and Quantity Actual Learner's
Title ( please change if the title per
Grade Level Area is different) Actual Losses Enrolment Resources
Quantity and Usable SY 2021-2022 Shortage/
of LRs Damages Deficiency
(including current deliveries)

a b c d e f g
e=c-d g=f-e

AFA - -
TLE ( please specify title
per component on IA - -
specialization) HE - -
ICT - -

Prepared by: Certified True and Correct:

__________________________ __________________________
School Supply Officer School Head

__________________________ __________________________
School LRMDS Coordinator Date
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Learner's
Resources
Excess

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LRs Situation
Learner's
Resources
Excess

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Learner's
Resources
Excess

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To all Public District Supervisors/OICs of the District:

Good day and greetings of Peace!

May we ask for your help to facilitate the preparation and submission of the required report
Kindly share this template to our school heads (Elementary and Secondary) for them to shar
For elementary, all schools should prepare respective report and a district consolidated repor
Memo will follow.

Submission of report will be on or before January 20, 2022 using the Google Shee

Thank you so much and God bless us all.

Very truly yours,

SEGUNDINA F. DOLLETE, EdD.

CES - CID
n of the required report on LRs to included in the 2023 Budget Preparation
ndary) for them to share to their school supply officer/property custodian and school LR coordinators.
strict consolidated report will be prepared and to be reflected on the Google Sheet.

using the Google Sheet to be sent to the field.