EARLY REGISTRATION FORM

School ID: ______________ Division: BENGUET

School Name: ____________ Region: CAR
District: ________________ Date Accomplished:

______________________________
Kindergarten/Grade 1

No. NAME Sex Age Birthdate Address Category of Remarks

C/Y with
Disability
(children with
disability only)
Enclosure No.2 to Division Memorandum no.S. 2018 FORM 2A

SCHOOL PLAN TO ADDRESS NEEDS

EARLY REGISTRATION ELEMENTARY SCHOOLS
SY 2018 -2019
Name of school: LEGAB ES
District: BAKUN
Date Accomplish: FEBRUARY 2, 2018

Grade Level Enrolment A. Number of Existing

Male Female Total Classroom Teacher Textbooks Seats
Kindergarten 6 3 9 0 0 15 0
Grade1 10 4 14 1 1 0 10
Grade2 0 0 0 0 0 42 5
Grade3 5 1 6 1 1 83 7
Grade4 5 5 10 0 0 65 5
Grade5 0 0 0 0 0 41 4
Grade6 3 4 7 1 1 0 8
SPED 0 0 0 0 0 0 0
TOTAL 29 17 46 3 3 246 39

A. Learners under Enrolment B. Number of Existing

ADMs/OHSP
Male Female Total Teacher Modules
Facilitator
Age 9
Age 10
Age 11
Age 12 and above
TOTAL

A. Learners under ALS Enrolment C. Number of Existing

Male Female Total Teacher Modules
Facilitator
Age 9
Age 10
Age 11
Age 12 and above
TOTAL

Enrolment D.Number of Existing

C.Categories of Kinder Grade1 Grade2 Grade3 Grade4 Grade5 Grade6 Grand Class Teachers Text Seats
Total room books
disability (Children with
disability)
M F T M F T M F T M F T M F T M F T M F T M F T
Visual impairment
Hearing impairment
Intellectual disability
Speech/language
Impairment
Serious emotional
disturbance
Autism
Orthopedic Impairment
Special health problems

D.Proposed Differentiated E. Assistance Needed

1.Formal Delivery
2. ADM/ALS
3. Special Education in Inclusive Setting

Submitted by:

DARNA D. DAYAWEN
Designation: Teacher-In-Charge
Mobile No: 09208834415
Email Address: darna.dayawen@deped.gov.ph