BASIC DETAILS
SCHOOL ID School Name School Head ICT COORDINATOR
BASIC DETAILS
PROPERTY CUSTODIAN MONITORING TYPE MONITORING DATE DCP BATCH
1ST DELIVERY
YEAR DELIVERED PACKAGE TYPE WARRANTY EXPIRATION DR AVAILABLE
IAR AVILABLE IRP AVAILABLE PTR AVAILABLE DCP BATCH YEAR DELIVERED
DCP EQUIPMENT DETAILS
2ND DELIVERY
PACKAGE TYPE WARRANTY EXPIRATION DR AVAILABLE IAR AVILABLE
IRP AVAILABLE PTR AVAILABLE DCP BATCH YEAR DELIVERED PACKAGE TYPE
3RD DELIVERY
WARRANTY EXPIRATION DR AVAILABLE IAR AVILABLE IRP AVAILABLE
NON- DCP EQUIPMENT DETAILS
PTR AVAILABLE HARDWARE TYPE QUANTITY ACQUIRED THROUGH
UIPMENT DETAILS
DONATED BY / OUTSOURCED FROM SERVER PC WORK STATIONS MONITOR
DCP PACKAGE
SYSTEM UNIT AVR UPS PRINTER SCANNER LAPTOP KEYBOARD MOUSE
DCP PACKAGE
LCD PROJECTOR SPEAKERS OTHERS NUMBER OF WORKING UNITS
NUMBER OF UNSERVICEABLE REMARKS SERVER PC WORK STATIONS MONITOR
COMPUTER HARDWARE PHYSICAL STATUS
DONATED
SYSTEM UNIT AVR UPS PRINTER SCANNER LAPTOP KEYBOARD MOUSE
ARDWARE PHYSICAL STATUS
DONATED
LCD PROJECTOR SPEAKERS OTHERS NUMBER OF WORKING UNITS
NUMBER OF UNSERVICEABLE REMARKS SERVER PC WORK STATIONS MONITOR
OUTSOURCED
SYSTEM UNIT AVR UPS PRINTER SCANNER LAPTOP KEYBOARD MOUSE
OUTSOURCED
LCD PROJECTOR SPEAKERS OTHERS NUMBER OF WORKING UNITS
SECURITY & SAFETY
Grills are installed
to doors and A security Doors are
windows and other personnel is protected with
holes/exits from designated double padlocks
NUMBER OF UNSERVICEABLE REMARKS the classroom
Yes No Remarks Yes No Remarks Yes
E. E-CLASSROOM/LABORATORY CONDITIONS (Place a
AFETY LAB ACTIVITY MONITORING
Class schedules User guidelines
Doors are DCPs are available
are readable and Logbooks are are readable and
protected with and usable by all
are posted in utilized are posted in
double padlocks Learning Areas
visible area/s visible area/s
No Remarks Yes No Remarks Yes No Remarks Yes No Remarks Yes No Remarks
ONDITIONS (Place a Ö mark in the appropriate column)
LEARNING ENVIRONMENT
The room is well- Chairs are
Walls are free from The computer
ventilated (electric sufficient in Tables are in good
destructive laboratory is well-
fan, air-condition number (i.e. 50 condition
designs lit
unit are installed) above)
Yes No Remarks Yes No Remarks Yes No Remarks Yes No Remarks Yes No
F. CURRICULUM UTILIZATION (List all subjects and
where the computer packages are used.
ENT
The computer The computer
Tables are in good
laboratory is clean laboratory space is Subject Grade Level
condition
and orderly sufficient
Remarks Yes No Remarks Yes No Remarks
ULUM UTILIZATION (List all subjects and grade level
where the computer packages are used. )
school
conduct
ed an
No. of Hours per week Schedule Teacher ICT LAC
Session
for the
Yes No
2. No. of times the school has conducted the ICT LAC Session
G. CONDUCT
3. If yes: MOVs presented
4. If no, why? 5. Topics of the LAC Sessions (enumerate)
G. CONDUCT OF ICT LAC SESSIONS
6. What topic/s do you intend to present in your future LAC Sessions? (Enumerate)
7. In the next ICT Literacy Training, what topics would you like to be discussed/covered? (Enumera
H. INTERNET CONNECTIVITY
SUBSCRIPTION
FUND SOURCE NO. OF SUBSCRIPTION
ISP TYPE LOCATION
H. INTERNET CONNECTIVITY
SUBSCRIPTION DETAIL
UTILIZATION (Curriculum or
Governance)
AVERAGE (Mbps) Monthly Expense
I. FINDINGS J. RECOMMENDATIONS NAME OF SCHOOL HEAD
NAME OF ICT (INFRA) COORDINATOR NAME OF PROPERTY CUSTODIAN