Republic of the Philippines
Department of Education
Region VIII
Schools Division of Northern Samar
Title of Activity : Seminar-Workshop On Quality Assurance On Contextualization Of Learning Resources
Venue : Silvino Lubos Vocational High School, Silvino Lubos, Northern Samar
Date : November 27, 2024 (Day 3)
ATTENDANCE SHEET
Data Privacy Notice: The Department of Education complies with the Data Privacy Act of 2012 and is committed in
protecting your privacy. During the course of this activity, we will collect personal information for the purpose of
documentation and verification of attendance. Information collected as well as pictures taken during the activity will be
stored for as long as necessary, but they will not be shared with any third parties without your consent or any legal basis. By
signing in this attendance sheet, you are consenting to the collection, use, and retention of your personal information.
NAME Signature Signature
NO POSITION DepEd EMAIL ADDRESS
(First Name, MI (if any), Last Name) AM PM
1
Address: Mabini St., Brgy. Acacia, Catarman, 6400, Northern Samar
Telephone Nos: (055) 500 1020 Page 1 of 4
Email Address:
[email protected] Division Official Website: https://northernsamar.deped.gov.ph
Department of Education, Schools Division of Northern Samar
NAME Signature Signature
NO POSITION DepEd EMAIL ADDRESS
(First Name, MI (if any), Last Name) AM PM
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Address: Mabini St., Brgy. Acacia, Catarman, 6400, Northern Samar
Telephone Nos: (055) 500 1020 Page 2 of 4
Email Address:
[email protected] Division Official Website: https://northernsamar.deped.gov.ph
Department of Education, Schools Division of Northern Samar
NAME Signature Signature
NO POSITION DepEd EMAIL ADDRESS
(First Name, MI (if any), Last Name) AM PM
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
Address: Mabini St., Brgy. Acacia, Catarman, 6400, Northern Samar
Telephone Nos: (055) 500 1020 Page 3 of 4
Email Address:
[email protected] Division Official Website: https://northernsamar.deped.gov.ph
Department of Education, Schools Division of Northern Samar
NAME Signature Signature
NO POSITION DepEd EMAIL ADDRESS
(First Name, MI (if any), Last Name) AM PM
45
46
47
48
49
50
Prepared by
MARILYN L. BALDOZA, PhD
School Head
Verified TRUE and CORRECT:
ELNA D. ENANO, PhD NOE M. HERMOSILLA, PhD
Education Program Supervisor Schools Governance and Operations Division Chief
Address: Mabini St., Brgy. Acacia, Catarman, 6400, Northern Samar
Telephone Nos: (055) 500 1020 Page 4 of 4
Email Address:
[email protected] Division Official Website: https://northernsamar.deped.gov.ph