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FM HRD 004 Program Completion Report

This document is a program completion report from the Department of Education in the Philippines. It provides details about a learning program including the provider, participants, dates, location, and evaluations. It also includes signatures and attachments to validate the report.

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Kakka Bielgo
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29 views2 pages

FM HRD 004 Program Completion Report

This document is a program completion report from the Department of Education in the Philippines. It provides details about a learning program including the provider, participants, dates, location, and evaluations. It also includes signatures and attachments to validate the report.

Uploaded by

Kakka Bielgo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region II – Cagayan Valley

PROGRAM COMPLETION REPORT

Learning Service Provider:


LSP Authorization No.: Expiry Date:
Contact Person: Designation:
Contact No.: Email Adress:
Program/Course Title:

PD Recognition No.: Date of Recognition:

Date/s of Conduct:

Venue:

Total No. of Participants: Male: Female:

M and E Analysis

General Comments and Issues Encountered

Recommendations

Address: Regional Government Center, Carig Sur, Tuguegarao City, 3500


Telephone Nos.: (078) 304-3855; (078) 396-9728
Email Address: [email protected] Doc Code: FM-HRD-004 Rev: 00
Website: region2.deped.gov.ph As of: July 1, 2021 Page 1
:
RECOGNITION EVALUATION COMMITTEE

EDNA M. DELA CRUZ NANETTE M. MICU


EPS II-HRD SEPS-HRD

RECOGNITION APPROVAL COMMITTEE

JULIET V. GUMPAL SAMUEL P. LAZAM, PhD


Chief Education Supervisor-SGOD Chief Education Supervisor- CID

NELIA M. MABUTI, CESE


Assistant Schools Division Superintendent

GILBERT N. TONG. PhD, CEO VI, CESO V


Schools Division Superintendent

I hereby declare the information provided in this program completion report is true and
correct and there have been no misleading statements, omission of any relevant facts nor
any misinterpretation made. I further allow DepEd-NEAP to investigate the authenticity of
all the documents submitted.

I agree that DepEd-NEAP to be the co-owner of all the data gathered and the copyright of
any publication of the use of these data.

Sign off by the Program/Course Manager or its equivalent


P/C Manager:

Signature:

Date:

Program Report Attachments:


1. Registration Sheets
2. Attendance Sheets
3. Summary of Evaluation Results
4. Finacial Report
5. Photo Documentation

Address: Regional Government Center, Carig Sur, Tuguegarao City, 3500


Telephone Nos.: (078) 304-3855; (078) 396-9728
Email Address: [email protected] Doc Code: FM-HRD-004 Rev: 00
Website: region2.deped.gov.ph As of: June 14, 2021 Page 2
:

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