Republic of the Philippines

Department of Education
Region I
Pangasinan Division II
SANTA MARIA DISTRICT
Sta. Maria, Pangasinan

Name: MEENA T. BACLAAN District: STA. MARIA DISTRICT

Designation/Position: DISTRICT ALS COORDINATOR
SIGNATURE OF
FORMATIVE NO. OF
DATE LEARNING STRAND TOPIC MODULE USED TEST RESULT
CLC LEARNERS
PRINCIPAL/ BRGY.
OFFICIAL

Prepared by:
MEENA T. BACLAAN Checked by:
ALS Implementers MARY JEAN Y. DELOS REYES Noted:
School Head In-Charge of ALS EDEN E. EVANGELISTA, Ph. D
Public Schools District Supervisor

Evaluated:
CORNELIO R. AQUINO, Ed.D.
Education Program Supervisor-I, ALS