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Republic of the Philippines

Department of Education
Region VIII
Schools Division Office
District Learning Center VI
STO. NIÑO SPED CENTER
Corner T. Claudio St. & Sto. Niño Extension, Tacloban City

Name:__________________________________________________________________________ Grade and


Section:___________________________
Name of Adviser:___________________________________________________ Date:_______________________ Rating:_____________________

Please check the appropriate box


Subject: English Filipino Science Math
Aral. Pan. ESP EPP MAPEH

Type of Activity
Concept Note Laboratory/Observation Report Drawing/Art

Composition Writing Skills/Exercise/Drill Reflection


Others: ___________________________

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