GAD's PPA Accomplishment Report

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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93

ACCOMPLISHMENT REPORT
GAD PROJECT/ACTIVITY

TITLE OF THE PROJECT/ACTIVITY : _________________________________


DATE CONDUCTED: ____________________________
SCHOOL : _____________________________________

PROPONENT: __________________

PRINCIPAL: ____________________

I. RATIONALE
___________________________________________________________
___________________________________________________________
a. Legal Basis/Bases:__________________________

II. OBJECTIVE/S
a.
b.

III. ACTIVITY MATRIX

Inclusive Date PAX ACTIVITY/ PROJECT Person Involved

IV. SIGNIFICANT ACCOMPLISHMENTS (output)


______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93

V. PICTORIALS / DOCUMENTATION

4 by 6 inches photo

CAPTION -------------------------------------------------------------------------
(For the captions, use Tahoma, size 10, black)

CAPTION--------------------------------------------------------------------------

CAPTION---------------------------------------------------------------------------

Note: Cc- DGFS Secretariat


Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93

Prepared by:
School GAD Coordinator

Noted:
School Head

Recommending Approval:

VILLAMOR Q. GLORIA
SGOD Chief

Approved :

MARILU N. CARDENAS, Ed.D


Asst. Schools Division Superintendent

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