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ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment

Ragadio Marites Mangosing N/A F 4/14/1970 49 Master of Arts - Ed marites.ragadio@deped.go


Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position

Teacher III 2 Home Economics Food Processing 5 Jesus F. MagsaysaZambales III


Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted

Schools Division Standardization 12/3-5/ 2018 Training on the Conduct of Youth De08/25-26/2016 N/A N/A

School Division Capacity Building 01/25 &26/2018

Capability Training Program for th 07/22-24/ 2016


Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
[17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date

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