Enclosure No. 3a to DepEd Order No.

4, s, 2012
FORM 2A
School Plan to Address Needs

Name of Elementary School: Pagala West Elementary School

Division : Abra Region: CAR
Date Accomplished: February 2, 2015

Please indicate additional inputs needed.

A. Additional Inputs Needed

Grade Level Tentative Enrolment
(Please indicate number)
Classroom Teachers Textbooks Seats
1. Kindergarten 13 1 0 13 13
2. Grade 1 4 0 0 4 0
3. Grade 2 12 0 0 12 0
4. Grade 3 16 0 0 16 0
5. Grade 4 14 0 0 14 0
6. Grade 5 20 0 0 0 0
7. Grade 6 21 0 0 0 0
TOTAL 100 1 0 59 13

B. Inputs Needs
Learners under the ADMs/ALS Tentative Enrolment
Teacher-Facilitator Modules

Age 9 0 0 0
Age 10 0 0 0
Age 11 0 0 0
Age 12 and above 0 0 0
TOTAL 0 0 0

C. Additional Inputs Needed

Categories of Disability Tentative Enrolment
(Please indicate number)
Children with - Classroom Teachers Textbooks Seats
Visual Impairment 0 0 0 0 0
Hearing Impairment 0 0 0 0 0
Intellectual Disability 0 0 0 0 0

Speech/Language Impairment
0 0 0 0 0

Serious Emotional Disturbance

0 0 0 0 0
Autism 0 0 0 0 0
Orthopedic Impairment 0 0 0 0 0
Special Health Problems 0 0 0 0 0
Multiple Disabilities 0 0 0 0 0
TOTAL 0 0 0 0 0

D. Proposed Differentiated Program Intervention E. Assistance Needed

1. Formal Delivery System:

none

2. ADMs/ALS
none

3. Special Education in Inclusive Setting:

none

Submitted by:

GABRIEL B. VELASCO
Name and Signature of School Head
Principal I
Designation
Cell Phone Number : 09175681156
E-mail address:[email protected]
Enclosure No. 3a to DepEd Order No. 4, s, 2012
FORM 2A
School Plan to Address Needs

Name of Elementary School: Pagala East Primary School

Division : Abra Region: CAR
Date Accomplished: February 2, 2015

Please indicate additional inputs needed.

A. Additional Inputs Needed

Grade Level Tentative Enrolment
(Please indicate number)
Classroom Teachers Textbooks Seats
1. Kindergarten 10 0 0 10 0
2. Grade 1 10 0 0 10 0
3. Grade 2 9 0 0 9 0
4. Grade 3 0 0 0 0 0
5. Grade 4 0 0 0 0 0
6. Grade 5 0 0 0 0 0
7. Grade 6 0 0 0 0 0
TOTAL 29 0 0 29 0

B. Inputs Needs
Learners under the ADMs/ALS Tentative Enrolment
Teacher-Facilitator Modules

Age 9 0 0 0
Age 10 0 0 0
Age 11 0 0 0
Age 12 and above 0 0 0
TOTAL 0 0 0

C. Additional Inputs Needed

Categories of Disability Tentative Enrolment
(Please indicate number)
Children with - Classroom Teachers Textbooks Seats
Visual Impairment 0 0 0 0 0
Hearing Impairment 0 0 0 0 0
Intellectual Disability 0 0 0 0 0

Speech/Language Impairment
0 0 0 0 0

Serious Emotional Disturbance

0 0 0 0 0
Autism 0 0 0 0 0
Orthopedic Impairment 0 0 0 0 0
Special Health Problems 0 0 0 0 0
Multiple Disabilities 0 0 0 0 0
TOTAL 0 0 0 0 0

D. Proposed Differentiated Program Intervention E. Assistance Needed

1. Formal Delivery System:

none

2. ADMs/ALS
none

3. Special Education in Inclusive Setting:

none

Submitted by:

GABRIEL B. VELASCO
Name and Signature of School Head
Principal I
Designation
Cell Phone Number : 09175681156
E-mail address:[email protected]
Enclosure No. 3a to DepEd Order No. 4, s, 2012
FORM 2A
School Plan to Address Needs

Name of Elementary School: Bangcagan Primary School

Division : Abra Region: CAR
Date Accomplished: February 2, 2015

Please indicate additional inputs needed.

A. Additional Inputs Needed

Grade Level Tentative Enrolment
(Please indicate number)
Classroom Teachers Textbooks Seats
1. Kindergarten 5 0 0 5 5
2. Grade 1 10 0 0 10 0
3. Grade 2 16 0 0 16 0
4. Grade 3 0 0 0 0 0
5. Grade 4 0 0 0 0 0
6. Grade 5 0 0 0 0 0
7. Grade 6 0 0 0 0 0
TOTAL 31 0 0 31 5

B. Inputs Needs
Learners under the ADMs/ALS Tentative Enrolment
Teacher-Facilitator Modules

Age 9 0 0 0
Age 10 0 0 0
Age 11 0 0 0
Age 12 and above 0 0 0
TOTAL 0 0 0

C. Additional Inputs Needed

Categories of Disability Tentative Enrolment
(Please indicate number)
Children with - Classroom Teachers Textbooks Seats
Visual Impairment 0 0 0 0 0
Hearing Impairment 0 0 0 0 0
Intellectual Disability 0 0 0 0 0

Speech/Language Impairment
0 0 0 0 0

Serious Emotional Disturbance

0 0 0 0 0
Autism 0 0 0 0 0
Orthopedic Impairment 0 0 0 0 0
Special Health Problems 0 0 0 0 0
Multiple Disabilities 0 0 0 0 0
TOTAL 0 0 0 0 0

D. Proposed Differentiated Program Intervention E. Assistance Needed

1. Formal Delivery System:

none

2. ADMs/ALS
none

3. Special Education in Inclusive Setting:

none

Submitted by:

GABRIEL B. VELASCO
Name and Signature of School Head
Principal I
 Designation
Cell Phone Number : 09175681156
E-mail address: [email protected]
Enclosure No. 2 to DepEd Order No. 89, s. 2012 Form 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 134994 Region: CAR

School Name: Calao Elementary School Division: Abra
School Year: 2018-2019 School District: Bucay

KINDERGARTEN
Kindergarten/Grade/Year Level

CATEGORY OF C/Y
WITH
BIRTHDAT
NAME SEX AGE Address DISABILITY** (for Remarks*
E
Children and Youth
with Disability only)

1. Alunday,Cristian T. M 4 4/6/2013 Calao, Bucay

2. Ancheta,Albert Jr. B. M 5 9/1/2012 Calao, Bucay
3. Astrande, Jessie Cris S. M 4 2/20/2013 Calao, Bucay
4. Balneg, Elmar E. M 4 4/8/2013 Calao, Bucay
5. Bragas, Glen Lioyd A. M 4 5/1/2013 Calao, Bucay
6. Blasé, Vince John C. M 4 2/18/2013 Calao, Bucay
7. Bragas, Ren-Ren B. M 4 2/5/2013 Calao, Bucay
8. Bragas, John Sherom A. M 5 9/15/2012 Calao, Bucay
9. Ponce, Aldrein kiefer M. M 5 8/15/2012 Calao, Bucay
10. Pastor, Drexcel T. M 4 4/30/2013 Calao, Bucay
11. Sanidad, Joshua Edward A. M 4 7/5/2013 Calao, Bucay
12. Silva, Reiner Dwight V. M 4 8/20/2013 Calao, Bucay
13. Versoza, Mark Joshua M. M 4 7/2/2013 Calao, Bucay

1.Alvarez, Ericka B. F. 4 8/6/2013 Calao, Bucay

2. Barcena, Rei-En G. F 5 10/8/2012 Calao, Bucay
3. Baro, Angel Mae T. F 4 4/6/2013 Calao, Bucay
4. Baroña, Mardelene T. F 5 11/11/2012 Calao, Bucay
5. Bragas, Trisha Mae A. F 4 3/3/2013 Calao, Bucay
6. Casquejo, Rheyanne C. F 5 8/31/2012 Calao, Bucay
7. Macaranas, Jasnah Grizelle B. F 5 12/27/2012 Calao, Bucay
8. Molina, Shantal Wayne B. F 4 4/7/2013 Calao, Bucay
9. Pastor, Christina Arwen R. F 4 7/11/2013 Calao, Bucay

Remarks*
1. For Grade 1 Registrants: Has attended/not attended kindegarten class.
2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative
delivery mode (MISOSA,e-IMPACT, DORP) or ALS=alternative learning system
Category of C/Y with Disability**. Visual Impairment, Hearing Impairment, Intellectual Disability,Learning
Disability, Speech/language Impairment, Serious Emotional Disturbance, Autism, Orthopedic
Impairment, Special Health Problem, Multiple Disabilities.

Prepared by:

Noted by: MA. CRISTINA P. BARROGA

Teacher 1
MARY HAZEL B. BALLENA
Teacher In-Charge
Enclosure No. 2 to DepEd Order No. 89, s. 2012 Form 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 135001 Region: CAR

School Name: Pagala East Primary School Division: Abra
School District: Bucay

GRADE I
Kindergarten/Grade/Year Level

CATEGORY OF C/Y
WITH
BIRTHDAT
NAME SEX AGE Address DISABILITY** (for Remarks*
E
Children and Youth
with Disability only)

Has attended
1.Taculao,Khristan Mark G. M 5 10/3/2009 Pagala kindergarten
Has attended
2.Taculao,Marjune Jr, A. M 5 5/22/2009 Pagala kindergarten
Has attended
3.Taculao,Mark Jake T. M 5 10/17/2009 Pagala kindergarten
Has attended
4. Agaid, Mariel A. F 5 4/28/2009 Pagala kindergarten
Has attended
5. Agaid, Mariel S. F 5 2/27/2009 Pagala kindergarten
Has attended
6. Astrande, Blessie Mae T. F 5 9/21/2009 Pagala kindergarten
Has attended
7. Lazo, Angelyn L. F 5 5/25/2009 Pagala kindergarten
Has attended
8. Tang-o, JM Princess T. F 5 11/16/2008 Pagala kindergarten
Has attended
9. Tauro, Jasmin Ashlei T. F 5 7/16/2009 Pagala kindergarten
Has attended
10. Valles, Jejoy T. F 5 8/12/2009 Pagala kindergarten

Remarks*
1. For Grade 1 Registrants: Has attended/not attended kindegarten class.
2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative
delivery mode (MISOSA,e-IMPACT, DORP) or ALS=alternative learning system
Category of C/Y with Disability**. Visual Impairment, Hearing Impairment, Intellectual Disability,Learning
Disability, Speech/language Impairment, Serious Emotional Disturbance, Autism, Orthopedic
Impairment, Special Health Problem, Multiple Disabilities.
Enclosure No. 2 to DepEd Order No. 89, s. 2012 Form 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 135001 Region: CAR

School Name: Pagala East Primary School Division: Abra

School District: Bucay

GRADE II
Kindergarten/Grade/Year Level

CATEGORY OF C/Y
WITH
BIRTHDAT
NAME SEX AGE Address DISABILITY** (for Remarks*
E
Children and Youth
with Disability only)

1. Abella, Frantz Nicholai T. M 6 8/9/2008 Pagala

2. Felicano, Kyle T. M 6 2/21/2008 Pagala
3. Lazo, Adrian L. M 7 9/7/2007 Pagala
4.San Diego,Andrei Michael P. M 7 7/14/2007 Pagala
5. Trongco Mic Jan L. M 6 12/3/2007 Pagala
6. Piid, Vaneza F. F 6 2/5/2008 Pagala
7. Taculao, Janelle Mae A. F 6 5/27/2008 Pagala
8. Tang-o, April L. F 6 4/15/2008 Pagala
9. Tauro, Jeanne Lei T. F 6 11/12/2007 Pagala

Remarks*
1. For Grade 1 Registrants: Has attended/not attended kindegarten class.
2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative
delivery mode (MISOSA,e-IMPACT, DORP) or ALS=alternative learning system
Category of C/Y with Disability**. Visual Impairment, Hearing Impairment, Intellectual Disability,Learning
Disability, Speech/language Impairment, Serious Emotional Disturbance, Autism, Orthopedic
Impairment, Special Health Problem, Multiple Disabilities.
Enclosure No. 2 to DepEd Order No. 89, s. 2012 Form 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 135008 Region: CAR

School Name: Siwasiw Elementary School Division: Abra
School Year: 2018-2019 School District: Bucay

KINDERGARTEN
Kindergarten/Grade/Year Level

CATEGORY OF C/Y
WITH
BIRTHDAT
NAME SEX AGE Address DISABILITY** (for Remarks*
E
Children and Youth
with Disability only)

1. Alagao, Liam S. M 4 2/22/2013 Palaquio

2. Alapan, John Rey H. M 5 9/12/2012 Palaquio
3. Alcaide, Serge Jaylord P. M 5 12/16/2012 Quimpal
4. Baro, Alecxis B. M 4 3/21/2013 Nagbalitangan
5. Bernese, Khane Henry C. M 5 12/2/2012 Siwasiw
6. Cariño, Adrean Kyle D. M 4 8/14/2013 Nagbalitangan
7. Mandigma, Liam O. M 4 5/7/2013 Nagbalitangan
8. Molina, Jan Zoriel A. M 5 1/18/2013 Palaquio
9. Taa, Xavier Honesto T. M 4 7/12/2013 Bangbangcag
10. Tubaña, Pryam Zedrick A. M 5 9/29/2012 Palaquio

1. Alagao, Faith Angela C. F 4 7/10/2013 Palaquio

2. Alagao, Katelyn A. F 4 3/14/2013 Palaquio
3. Alapan, Gemma B. F 5 10/24/2012 Palaquio
4. Alvis, Alice A. F 5 11/29/2012 Palaquio
5. Baro, Joyce Ann D. F 5 1/12/2013 Nagbalitangan
6. Baro, Xian Faith T. F 5 10/12/2012 Nagbalitangan
7. Bautista, Angeline A. F 4 5/7/2013 Siwasiw
8. Coletraba, Nisha Leigh B. F 4 2/10/2013 Palaquio
9. Cortez, Chrishia Mae Joy B. F 4 5/7/2013 Siwasiw
10. Cuenta, Karla Concepcion B. F 5 12/8/2012 Siwasiw
11. Galliguez, Lyra B. F 4 5/8/2013 Palaquio
12. Kegan, Darlyn Vien Joy A. F 4 5/31/2013 Palaquio
13. Tabañiag, Alysa J. F 4 3/26/2013 Siwasiw
14. Tamo Xyriel T. F 5 11/24/2012 Nagbalitangan

Remarks*
1. For Grade 1 Registrants: Has attended/not attended kindegarten class.
2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative
delivery mode (MISOSA,e-IMPACT, DORP) or ALS=alternative learning system
Category of C/Y with Disability**. Visual Impairment, Hearing Impairment, Intellectual Disability,Learning
Disability, Speech/language Impairment, Serious Emotional Disturbance, Autism, Orthopedic
Impairment, Special Health Problem, Multiple Disabilities.

Prepared by:

Noted by: MA. CRISTINA P. BARROGA

Teacher 1
CATHERINE A. PEIG
Head Teacher II
Enclosure No. 2 to DepEd Order No. 89, s. 2012 Form 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 135001 Region: CAR

School Name: Pagala East Primary School Division: Abra
School District: Bucay

GRADE I
Kindergarten/Grade/Year Level

CATEGORY OF C/Y
WITH
BIRTHDAT
NAME SEX AGE Address DISABILITY** (for Remarks*
E
Children and Youth
with Disability only)

Has attended
1.Taculao,Khristan Mark G. M 5 10/3/2009 Pagala kindergarten
Has attended
2.Taculao,Marjune Jr, A. M 5 5/22/2009 Pagala kindergarten
Has attended
3.Taculao,Mark Jake T. M 5 10/17/2009 Pagala kindergarten
Has attended
4. Agaid, Mariel A. F 5 4/28/2009 Pagala kindergarten
Has attended
5. Agaid, Mariel S. F 5 2/27/2009 Pagala kindergarten
Has attended
6. Astrande, Blessie Mae T. F 5 9/21/2009 Pagala kindergarten
Has attended
7. Lazo, Angelyn L. F 5 5/25/2009 Pagala kindergarten
Has attended
8. Tang-o, JM Princess T. F 5 11/16/2008 Pagala kindergarten
Has attended
9. Tauro, Jasmin Ashlei T. F 5 7/16/2009 Pagala kindergarten
Has attended
10. Valles, Jejoy T. F 5 8/12/2009 Pagala kindergarten

Remarks*
1. For Grade 1 Registrants: Has attended/not attended kindegarten class.
2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative
delivery mode (MISOSA,e-IMPACT, DORP) or ALS=alternative learning system
Category of C/Y with Disability**. Visual Impairment, Hearing Impairment, Intellectual Disability,Learning
Disability, Speech/language Impairment, Serious Emotional Disturbance, Autism, Orthopedic
Impairment, Special Health Problem, Multiple Disabilities.
Enclosure No. 2 to DepEd Order No. 89, s. 2012 Form 1

DEPARTMENT OF EDUCATION
EARLY REGISTRATION FORM

School ID: 135001 Region: CAR

School Name: Pagala East Primary School Division: Abra

School District: Bucay

GRADE II
Kindergarten/Grade/Year Level

CATEGORY OF C/Y
WITH
BIRTHDAT
NAME SEX AGE Address DISABILITY** (for Remarks*
E
Children and Youth
with Disability only)

1. Abella, Frantz Nicholai T. M 6 8/9/2008 Pagala

2. Felicano, Kyle T. M 6 2/21/2008 Pagala
3. Lazo, Adrian L. M 7 9/7/2007 Pagala
4.San Diego,Andrei Michael P. M 7 7/14/2007 Pagala
5. Trongco Mic Jan L. M 6 12/3/2007 Pagala
6. Piid, Vaneza F. F 6 2/5/2008 Pagala
7. Taculao, Janelle Mae A. F 6 5/27/2008 Pagala
8. Tang-o, April L. F 6 4/15/2008 Pagala
9. Tauro, Jeanne Lei T. F 6 11/12/2007 Pagala

Remarks*
1. For Grade 1 Registrants: Has attended/not attended kindegarten class.
2. For ALS: Information whether the child/youth prefers to learn through the ADM=alternative
delivery mode (MISOSA,e-IMPACT, DORP) or ALS=alternative learning system
Category of C/Y with Disability**. Visual Impairment, Hearing Impairment, Intellectual Disability,Learning
Disability, Speech/language Impairment, Serious Emotional Disturbance, Autism, Orthopedic
Impairment, Special Health Problem, Multiple Disabilities.