ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment

Marticio Ann Michelle Legrama n/a F November 22, 1986 32 Bachelor of Scienceannmichelle.marticio@dep
Prepared by:

Ann Michelle L. Marticio

Signature Over Printed Name
Teacher I
Designation
April 5, 2019
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position

Teacher I 1 year Biological Science Earth and Life Science1 Jesus F. MagsaysaZambales III

Physical Science

Personal Development

21st Century Literature from the Philippines and the World

Contemporary Philippine Arts from the Region

Reading and Writing

Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted

Schools Division Teachers Inducti November 8-10, 201Regional Mass Training of Senior Hi October 21-30, NoveN/A N/A

Schools Division Mass Training of December 18-21, 2017

Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address
2019) Attainment
Prepared by:

____________________________
Signature Over Printed Name
____________________________
Designation
____________________________
Date of Submission
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14] [15] Division [16] Region
Position Position Designated Specialization Taught in DepEd Office/School
Position
Noted by:

____________________________
Signature Over Printed Name
____________________________
Date
 [17] Title of L & D Program Attended

Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted
Approved by:

_________________________
Signature Over Printed Name
_________________________
Date