Republic of the Philippines

Department of Education
Region V (Bicol)
Division of Albay
Brgy. Bogtong, Ligñon Hill, Legazpi CIty
Telefax: (052)481-5939 . Website: www.depedalbay.com.ph

February , 2018

BEBIANO I. SENTILLAS
Schools Division Superintendent
DepEd Albay

Sir:

Attached is a list of pupils who are below five years old by June 1, 2018. The undersigned

respectfully recommends them for admission to Kindergarten Education this School Year 2018-2019.

at Elementary School, Rapu-Rapu West District.

Please find attached birth certificates and Individual Philippine Early Childhood

Development (ECCD) Checklist results and other documents.

Thank you.

Very truly yours,

School Head
8. The undersigned

ool Year 2018-2019.

 Republic of the Philippines
Department of Education
Region V (Bicol)
Division of Albay
Brgy. Bogtong, Ligñon Hill, Legazpi CIty
Telefax: (052)481-5939 . Website: www.depedalbay.com.ph

School:
School ID:
District: RAPU-RAPU WEST

LIST OF PUPILS TO BE RECOMMENDED FOR ADMISSSION FOR KINDERGARTEN

SY 2018-2019

PECD CHECKLIST RESULTS

NAME BIRTHDAY AGE (In years
SEX
(LN,FN, MI) (Month-Date-Year) and months) Score Interpretation

Prepared by:

Teacher

Certified True and Correct:

 School Head

Recommending Approval:

JOYCE R. LOMA
Education Program Supervisor
Kindergarten Education Program

APPROVED:

BEBIANO I. SENTILLAS
Schools Division Superintendent
 Republic of the Philippines
Department of Education
Region V (Bicol)
Division of Albay
Brgy. Bogtong, Ligñon Hill, Legazpi CIty
Telefax: (052)481-5939 . Website: www.depedalbay.com.ph

School:
School ID:
District: RAPU-RAPU WEST

LIST OF PUPILS
(KINDERGARTEN)
School Year 2018-2019

NAME BIRTHDAY AGE (In years

SEX ADDRESS
(LN,FN, MI) (Month-Date-Year) and months)

Prepared by:
Teacher

Certified true and correct:

School Head
h

ADDRESS
ue and correct:

School Head
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
Brgy. Bogtong, Ligñon Hill, Legazpi CIty
Telefax: (052)481-5939 . Website: www.depedalbay.com.ph

EARLY REGISTRATION FORM (FORM 1)

SCHOOL ID
SCHOOL NAME
DISTRICT

Kinder/ Grade/ Year

Name Sex Age Birthday Category of C/Y

Address Remarks
(LN,FN, MI) (M/F) (Years) (mm/dd/yyyy) with Disability
 Submitted by:

Teacher
Contact No._____________________
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
Brgy. Bogtong, Ligñon Hill, Legazpi CIty
Telefax: (052)481-5939 . Website: www.depedalbay.com.ph

SCHOOL PLAN TO ADDRESS NEEDS

Name of Elementary School:

Division: Region:
Date Accomplished:

Please indicate additional inputs needed

TENTATIVE ENROLMENT A. Additional Inputs Needed (Please indicate the number)

GRADE LEVEL
M F TOTAL Classroom Teachers Textbooks
Kindergarten 0
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0

TOTAL 0 0 0 0 0 0

B. Input Needs
LEARNERS UNDER THE ADMs TENTATIVE ENROLMENT Teacher-
Facilitator
Age 9
Age 10
Age 11
Age 12 and above
TOTAL 0 0 0

B. Input Needs
LEARNERS UNDER THE ALS TENTATIVE ENROLMENT Teacher-
Facilitator
Age 9
Age 10
Age 11
Age 12 and above
TOTAL 0 0 0

TENTATIVE ENROLMENT A. Additional Inputs Needed (Please indicate the number)

CATEGORIES OF DISABILITY M F TOTAL Classroom Teachers Textbooks
Visual impairment 0
Hearing impairment 0
Intellectual disability 0
Speech/language impairment 0
Serious emotional distrubance 0
Autism 0
Orthopedic Impairment 0
Special Health Problem 0
Multiple Disabilities 0

TOTAL 0 0 0 0 0 0

D. PROPOSED DIFFERENTIATED PROGRAM INTERVENTION E. ASSISTANCE GIVEN

1. Foprmal Delivery System

2. ADMs

3. Special Education in Inclusive Setting

Submitted by:

Name and Signature of School Head

Designation
Mobile Number:
E-mail Address:
 Form 2A

e the number)
Seats

nput Needs
Modules

nput Needs
Modules
 0

e the number)
Seats

GIVEN

School Head