Republic of the Philippines

Department of Education
Region XII
SCHOOLS DIVISION OF COTABATO CITY

SURVEY QUESTIONNAIRE ON
LEARNERS’ CLASSIFICATION IN THIS NEW NORMAL SITUATION

School: CCNHS-BUBONG SITE Grade Level: 8

Adviser: MONAWARA M. KASIM Section: KASIM

Part I. Write the names of your learners based on the classification using the data from SF 5 (Report
on Promotion and Level of Proficiency). Refer to item #4 of this division memo.

DEPENDENT SEMI-DEPENDENT INDEPENDENT

1. Abdullah, Samrod P.
2. Amad, Matol B.
3. Ayob, Jonathan K.
4. Guiahal, Mohammad Al- Amin I.
5. Guiamalon, Nasrodin M.
6. Ibrahim, Shajid M.
7. Kusain,Mojahed D.
8. Puasa, Fahad A.
9. Ramie, Bimbo A.
10.Salik, Datu Nassef M.
11. Zacaria Ameer Jassem U.
11. Guialani, Mila S.
12.Mindo, Monalyn C.
1.Abdullah, Al-Hashim S. 1.Guiahal, Al-Yhouzier T.
2. Aguid, Datubong A. 2.Mindo, Angelica S.
3. Ayob, Johary K. 3. Parul, Papay T.
4. Blah, Mohaimin U. 4. Salik, Bai Zeny S.
5. Dadang, Omar N. 5. Sandra, Samal A.
6.Datumangoda, Saren R.
7.HadjiDatu, Datu Jehad A.
8.Mantog, Rahib G.
9.Ramie, Benjamin L.
10. Taib, Aliebrahim M.
11.Zacaria, Benhar A.
12.Abdullah, Jaleha –nor S.
13. Abubakar, Asleah R.
14. Acob, Fahmia A.
15. Angkad, Alibai U.
16. Asi, Jemmarie T.
17. Kamid, Charisma M.
18. Kusain, Warda L.
19. Lumayon, Norijane A.
20. Maguid, Jeana U.
21. Malang, Rabia B.
22. Matabalao, Norannia S.
23. Nasa, Arbaina M.
24. Tanto, Jennilyn M.
25. Tulon, Sittie Ferhana L.

Address: Purok Bubong, Kalanganan II, Cotabato City

Telephone Numbers: 09161287599
FB Page: https://www.facebook.com/bubongsite/
 Republic of the Philippines
Department of Education
Region XII
SCHOOLS DIVISION OF COTABATO CITY

Part II. Using the information from Part I, provide the home addresses and data by contacting the
family regarding access on learning materials (online and offline).

POSSIBLE ACCESS TO LEARNING RESOURCE

MATERIALS
Availabilit Internet Television Radio
Names of Learners Home Address y of smart Connection
phones 0 – no internet 0 – no tv 0 – no radio
1 – with strong 1 – local tv 1 – AM only
0 - No internet 2 - cable 2 – AM/FM
1 - YES 2 - with weak
internet
DEPENDENT
1.Abdullah, Samrod P. Kalanganan II, 1 2 1 2
Cotabato City
2. Amad, Matol B. Pimbaglan, Kal. II, 0 2 1 0
Cotabato City
3. Ayob, Jonathan K. Kalanganan II, 1 2 1 2
Cotabato City
4. Guiahal, Mohammad Al- Kalanganan II, 1 2 1 2
Amin I. Cotabato City
5. Guiamalon, Nasrodin Kalanganan II, 0 0 1 2
M. Cotabato City
6. Ibrahim, Shajid M. Poblacion VII, 0 0 1 2
Cotabato City
7. Kusain,Mojahed D. Kalanganan II, 0 0 1 2
Cotabato City
8. Puasa, Fahad A. Purok Bubong, Kal. II, 0 0 2 2
Cotabato City
9. Ramie, Bimbo A. Kalanganan II, 1 2 1 2
Cotabato City
10. Salik, Datu Nassef Kalanganan II, 0 1 1 2
Address: Purok Bubong, Kalanganan II, Cotabato City
Telephone Numbers: 09161287599
FB Page: https://www.facebook.com/bubongsite/
 Republic of the Philippines
Department of Education
Region XII
SCHOOLS DIVISION OF COTABATO CITY

M. Cotabato City
11. Zacaria Ameer Kalanganan II, 0 0 1 0
Jassem U. Cotabato City
12. Guialani, Mila S. Kalanganan II, 0 0 1 2
Cotabato City
13. Mindo, Monalyn C. Pimbaglan, Kal. II, 1 2 1 2
Cotabato City
SEMI-DEPENDENT
1. Abdullah, Al- Purok Bubong, Kal. II, 1 2 1 2
Hashim S. Cotabato City
2. Aguid, Datubong Kalanganan II, 0 2 1 2
A. Cotabato City
3. Ayob, Johary K. Kalanganan II, 1 2 1 2
Cotabato City
4. Blah, Mohaimin Purok Bubong, Kal. II, 1 2 1 2
U. Cotabato City
5. Dadang, Omar N. MB Tamontaka, 1 2 1 2
Cotabato City
6. Datumangoda, Purok Bubong, Kal. II, 1 2 1 2
Saren R. Cotabato City
7. HadjiDatu, Datu Purok Bubong, Kal. II, 1 2 1 2
Jehad A. Cotabato City
8. Mantog, Rahib G. Kalanganan II, 1 2 1 2
Cotabato City
9. Ramie, Benjamin Purok Bubong, Kal. II, 1 2 1 2
L Cotabato City
10. Taib, Aliebrahim Kalanganan II, 0 2 1 2
M. Cotabato City
11. Zacaria, Benhar Kalanganan II, 1 2 1 2
A. Cotabato City
12. Abdullah, Jaleha Purok Bubong, Kal. II, 0 2 1 2
–nor S. Cotabato City
13. Abubakar, Asleah Pimbaglan, Kal. II, 1 2 1 2
R. Cotabato City
14. Acob, Fahmia A. Kalanganan II, 0 0 1 1
Cotabato City
15. Angkad, Alibai U Kalanganan II, 1 0 1 1
Cotabato City
16. Asi, Jemmarie T. Purok Bubong, Kal. II, 1 2 1 2

Address: Purok Bubong, Kalanganan II, Cotabato City

Telephone Numbers: 09161287599
FB Page: https://www.facebook.com/bubongsite/
 Republic of the Philippines
Department of Education
Region XII
SCHOOLS DIVISION OF COTABATO CITY

Cotabato City
17. Kamid, Charisma M. Purok Bubong, Kal. II, 1 2 1 2
Cotabato City
18. Kusain, Warda L. Purok Bubong, Kal. II, 1 2 1 2
Cotabato City
19. Lumayon, Norijane MB Tamontaka, 1 2 1 2
A. RIBAT, Cotabato City
20. Maguid, Jeana U. Purok Bubong, 1 2 1 2
Kalanganan II,
Cotabato City
21. Malang, Rabia B. Kalanganan II, 1 2 1 2
Cotabato City
22. Matabalao, Norannia Kalanganan II, 1 2 1 2
S. Cotabato City
23. Nasa, Arbaina M. Purok Bubong, Kal. II, 1 2 1 0
Cotabato City
24. Tanto, Jennilyn M. Pimbaglan, Kal. II, 1 2 1 2
Cotabato City
25. Tulon, Sittie Ferhana Pimbaglan, Kal. II, 1 2 1 1
L. Cotabato City
INDEPENDENT
1. Guiahal, Al-Yhouzier Kalanganan II, 1 2 1 2
T. Cotabato City
2. Mindo, Angelica S. Bunsain, Kal. II, 1 2 1 2
Cotabato City
3.Parul, Papay T. Bubong Kal, 1 2 1 2
Cotabato City
4.Salik, BaiZeny S. Bubong Kal II, 1 2 1 2
Cotabato City
5. Samal, Sandra A. Purok Bubong, Kal. II, 1 2 1 2
Cotabato City

Address: Purok Bubong, Kalanganan II, Cotabato City

Telephone Numbers: 09161287599
FB Page: https://www.facebook.com/bubongsite/