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A Distribution and Retrieval of Modules Form 2021-2022

This document is a modules distribution form for Grade 1 students at an elementary school in North Butuan District, Butuan City for the 2021-2022 school year. It lists the names of students and their parents/guardians and includes spaces to record the date and signature to acknowledge receipt of learning modules for the first quarter.

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arlene rubis
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0% found this document useful (0 votes)
91 views1 page

A Distribution and Retrieval of Modules Form 2021-2022

This document is a modules distribution form for Grade 1 students at an elementary school in North Butuan District, Butuan City for the 2021-2022 school year. It lists the names of students and their parents/guardians and includes spaces to record the date and signature to acknowledge receipt of learning modules for the first quarter.

Uploaded by

arlene rubis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Division of Butuan City

North Butuan District


_______ ELEMENTARY SCHOOL
Cabcabon, Butuan City

MODULES DISTRIBUTION FORM


Grade I-Upo
S. Y. 2021-2022
MODALITY- PURE MODULAR
FOURT QUARTER-1st Released Modules
Name of Pupils Name of RECEIVED
Parents/Guardian
Male Date Signature

Female

JUAN DELA CRUZ


Adviser

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