DOMAIN1st QUARTER 2nd QUARTER 3rd QUARTER Attendance Record

Gross Motor Domain

June

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Oct

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lFine Motor DomainSelf- help DomainReceptive Language DomainExpressive Language Domain Number of School

Cognitive Domain No. of School Days Present

Social – Emotional Domain No. of School Days Absent

STANDARD SCORE

Date Signature

Interpretation of the Scaled Score ___________________ ________________________________________________________________ _____________________________________________

Scaled Score Interpretation ___________________ _____________________________________________1 – 3 Suggests significant delay in overall development.4 – 6 Suggests slight delayed in overall development.

7 – 13 Average overall development.

14 – 16 Suggests slightly advanced development. Certificate of Transfer17 – 19 Suggests highly advanced development.

Eligible for Admission to Grade ______________________________________________

Interpretation of the Standard Score Approved:

Standard Score Interpretation69 and below Suggests significant delay in overall development.

7o – 79 Suggests slight delayed in overall development. AENGEL JUDE C. PAEL80 – 119 Average overall development. Kindergarten Techer

120 – 129 Suggests slightly advanced development.130 and above Suggests highly advanced development.

CRESENCIANO B. LLEGO

TIC

Raw Score

Scaled Score

Raw Score

Scaled Score

Raw Score

Scaled Score

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Gialyn Wahingon Valentino Age: 5 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140018

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Imar Valentino Casaljay Age: 6 Sex: MaleSession: _____ A.M. _____ P.M. LRN: 124024140004

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Rico Yan Yangzon Wahingon Age: 6 Sex: MaleSession: _____ A.M. _____ P.M. LRN: 124024140005

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Angelo Deguino Valentino Age: 6 Sex: MaleSession: _____ A.M. _____ P.M. LRN: 124024140017

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Shiela Mae Wahingon Salonoy Age: 9 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140006

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Mary Rose Casaljay Yangzon Age: 8 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140009

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Anna Mateo Valentino Age: 6 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140007

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC

Form 138

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of CalbayogCalbayog II District

SALVACION ELEMENTARY SCHOOLCalbayog City

Philippine Early Childhood Development

KindergartenSchool Year 2014 – 2015

Name: Lisa Valentino Pallioc Age: 5 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140019

AENGEL JUDE C. PAEL Kindergarten Teacher

CRESENCIANO B. LLEGO TIC