This document is a transmittal form for modules from Jaguit Elementary School for the school year 2023-2024. It lists the 27 students in Grade 6, their names, dates the modules were distributed and returned, and their signatures. It also lists the adviser, Verly L. Magno. The form is used to keep track of the distribution and collection of self-learning modules.

1. Republic of the Philippines
Department of Education
REGION VI- WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO
SCHOOLS DISTRICT OF DUENAS
JAGUIMIT ELEMENTARY SCHOOL
TRANSMITTAL FORM OF MODULES
GRADE VI
SY 2023-2024
ENROLMENT: MALE-16 FEMALE-11 TOTAL- 27 ADVISER: VERLY L. MAGNO
NAME OF LEARNERS DATE
DISTRIBUTED
DATE
RETURNED
SIGNATURE DATE
DISTRIBUTED
DATE
RETURNED
SIGNATURE DATE
DISTRIBUTED
DATE
RETURNED
SIGNATURE
Reason/s
Artillo, Mark James P.
Baguio, Jandy Wen R.
Baldizer, Landro L.
Castor, Regie L.
Celiz, JM L.
Daquipil, C-Jay B.
Labid, Lynder King P.
Laboy, Allen Rex L.
Lama, Khiephere Airon Jay M.

2. Lancero, Arjhay C.
Matandac, John Rien C.
Nobleza, Charlie Jr. D.
Pautan, Jomar L.
Sabaiton, Kith Laurence H.
Siva, Timothy F.
Tanaleon, Ludovico L.
Carbon, Cheryl L.
Castor, Danica C.
Dairo, Sharlou A.
Homena, Siti Adriana L.
Labos, Denzmyrl A.
Laboy, Sofia Erika P.
Lancero, Grace Sean T.
Laurea, Ramona G.
Octaviano, Lheana Marie L.
Patriarca, Alexa Camille P.
Vio, Lerene Kate S.