CHECKLIST FORM
Name of Section Adviser: ________________________________________
Grade and Section: _____________________________________________
Male __________
Female __________
Total __________
Mark check if the forms are duly accomplished:
SCHOOL FORM 1 ( ) SCHOOL FORM 9 ( )
SCHOOL FORM 2 ( ) SCHOOL FORM 10 ( )
SCHOOL FORM 5 ( )
Prepared: Grade Level Checker (Teacher to Teacher)
_____________________________ _____________________________
Signature of Section Adviser Signature Over Printed Name/ Date
Master Teacher Checker: Verified:
_____________________________ _______________________________
Signature Over Printed Name/ Date LIS Coordinator / Enrolment Counts & Learners Profile
Recommending Approval:
GILDA C. LASTIMOSA
Assistant Principal II
Vice Chairman for Curriculum and Assessment
Approved:
ERLE P. ARBADO PhD
Principal IV
Chairman, School Checking Committee