2. 2
Learning Competencies (Essential Competencies)
Fill-out forms accurately (school forms, deposit and
withdraw slips, etc.) EN5WC-IIj-3.7
Objectives
At the end of the lesson, you will be able to:
- Analyze the data needed in filling out forms
- Fill-out different forms correctly
- Use the appropriate form to fill-out in different
purposes
3. 3
Let’s Understand (Study the Concept)
Here is a sample Bio-data. Try answering them
out loud.
Name: Address:
Grade and Section: Nationality: _____
Religion:
Date of birth:
Place of birth:
Father’s name:
Occupation:
Contact Number: _________
Mother’s name:
Occupation: ___________________________
Contact Number: _________________
5. 5
Here are some of the things that you
should remember in filling out forms:
1.Read each item in the form very carefully.
2.Follow printed directions.
3.Be specific in supplying the information.
4.Give true and correct information.
5.Avoid making erasures.
6.Handle the form with utmost care.
9. 9
Let’s Try (Evaluation)
Direction: Your teacher is asking for a copy of your PSA.
You need to request for another copy from the Philippine
Statistic Office. The office gives you this form to
fill out. Analyze the data and fill-up the form correctly.
FIR
ST NAME ON CERTIFICATE MIDDLE
LAST
MALE/FEMALE
MONTH
DATE OF BIRTH DAY YEAR
PLACE OF BIRTH
CITY OR TOWN REGION
FATHER’S NAME
FIRST MIDDLE LAST
MOTHER’S NAME
FIRST MIDDLE MAIDEN NAME
RELATIONSHIP OF REQUESTOR TO THE
PERSON NAMED ON CERTIFICATE REASON FOR THE REQUEST
SIGNATURE OF REQUESTOR: CONTACT NUMBERS
RES
BUS
PRINT NAME OF REQUESTOR
ADDRESS OF REQUESTOR
HOUSE NUMBER
STREET
BARANGAY CITY/MUNICIPALITY REGION Z
I
P
IF MAILING TO A LOCATION OTHER
NAME OF PERSON TO RECEIVE
CERTIFICATE
10. 10
Let’s Create
Goal: Use appropriate forms and fill it up correctly.
Role: Bank Client
Audience: Bank Teller (Your mother will act as the bank teller,
she will assist you in filling out the form.)
Situation: You were able to save some money from selling
ihaw-ihaw and decided to deposit it in the bank.
Product/Performance: You went to the bank last June 26, 2020
and deposited one thousand two hundred and fifty pesos (Php
1,250.00) in your account number: 0933-2621-13. Choose the
correct form that you need to use and fill-up the form correctly.
12. REMEMBER
12
1. Module 1 is good for two weeks. (ENGLISH only)
2. Study your lessons everyday. If you need help or
if you have questions, you may send me and
other subject teachers a message through
Facebook Messenger
3. Answer Let’s Try and Let’s Create / Likhain at
Tayain (Fil, English,Math,Science,MAPEH,EPP)
4. AP and EsP- answer all activities in the module
Answers should be hand-written –intermediate pad
paper.
4. Submission for answer sheets for Week 1 & 2 –
to be announced sooner.
