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Department of Education
Region Vl ¨C Western Visayas
Division of La Carlota City
La Carlota City Sped Integrated School
La Carlota City
C E R T I F I C A T I O N
This is to certify that the following forms have been properly and thoroughly checked.
Form 1 Form 137-A
Form 5 Form 138-A
_______________________________ _______________________________
School Checker Principal
___________________________________
Division Checker
Department of Education
Region Vl ¨C Western Visayas
Division of La Carlota City
La Carlota City Sped Integrated School
La Carlota City
List of Students S.Y 2013-2014
Grade Seven
Boy
1. Panaungon, Alfred A.
Grade Eight
Girls
1. Alojado, Rejeza T.
2. Rafil,Maritess N.
Prepared by:
SARAH M. ARMIGOS
Department of Education
Region Vl ¨C Western Visayas
Division of La Carlota City
La Carlota City Sped Integrated School
La Carlota City
Grade Seven
Boy Age:
1. Panaungon,Alfred A. 28.00
GradeEight
Girls: Age:
1. Alojado,Rejeza T. 18.25
2. Rafil. Maritess N. 31.25
Prepared by:
SARAH M. ARMIGOS

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  • 1. Department of Education Region Vl ¨C Western Visayas Division of La Carlota City La Carlota City Sped Integrated School La Carlota City C E R T I F I C A T I O N This is to certify that the following forms have been properly and thoroughly checked. Form 1 Form 137-A Form 5 Form 138-A _______________________________ _______________________________ School Checker Principal ___________________________________ Division Checker Department of Education Region Vl ¨C Western Visayas Division of La Carlota City La Carlota City Sped Integrated School La Carlota City List of Students S.Y 2013-2014 Grade Seven Boy 1. Panaungon, Alfred A. Grade Eight Girls 1. Alojado, Rejeza T. 2. Rafil,Maritess N. Prepared by: SARAH M. ARMIGOS
  • 2. Department of Education Region Vl ¨C Western Visayas Division of La Carlota City La Carlota City Sped Integrated School La Carlota City Grade Seven Boy Age: 1. Panaungon,Alfred A. 28.00 GradeEight Girls: Age: 1. Alojado,Rejeza T. 18.25 2. Rafil. Maritess N. 31.25 Prepared by: SARAH M. ARMIGOS