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Filling Out Forms (Information Sheet Form)

I. Learning Objective

Fill out information sheet correctly

II. Subject Matter


A. Topic: Filling Out Information Sheet
B. References:
PELC IV 4.1
Basic English Skill Builders pp.169-171
Great Minds Book Sales Inc.
Language in Action pp.1-5
Vicente Publishing House 1990
C. Materials:
Chart, Manila Paper, Pentel Pen
Value Focus: Cleanliness and Neatness in Ones Work

III. Procedure
A. Preparatory Activities
Review
Song Getting To Know You
The class listens to the song. Ask: What does the song tell you to
going to know each other).

do? (We are

Motivation
Singing the song by rote
B. Development Activities
Presentation
Here is a Personal Information Sheet about one of your classmates. You are going to
read it by groups and be able to answer the questions about it.

(Activity sheets are given to each group)


PERSONAL INFORMATION SHEET

Name: Dino Lopez


Date of Birth: May 28, 1999
Place of Birth: San Mateo, Rizal
Father: Mr. Alfredo Lopez
Occupation: Policeman
Mother: Mrs. Gracia Lopez
Occupation: Housewife
Brother: Danny Lopez
College Student
Sisters: Delia Lopez
High School Student
Dina Lopez
Grade School Student
Address: 142 A. Rizal St. San Mateo, Rizal
School: St. Vincent School
Grade: Four Apple
Teacher: Mrs.Carla Reyes
1.) When was Dino born?
2.) Where was he born?
3.) Who is his father?
4.) Who is his mother?
5.) How many brothers does he have?
6.) How many sisters does he have?
7.) Where does he live?
8.) Where does he study?
9.) In what grade and section is Dino?
10.) What is his teachers name?
Group Work
Each group works on the activity sheet.
Reporting by groups
The leader/secretary/member of each group presents the report to the class.
Analysis and Discussion
What facts are contained in the information sheet? Do the given
information tell about the person mentioned? Do they give a clearer picture of the
person? Is the information sheet properly filled out?
Value Integration
When filling an information sheet, what must you remember to
(Observe neatness/cleanliness)

make it readable?

Generalization
Based on the activities , how should an information sheet be filled out?
C. POST ACTIVITY
Application
Pretend that you are going to the school clinic for the first time. The nurse gave
you information sheet to fill out like the one below. Fill in the card below:
INFORMATION SHEET
Name: ________________________________________
Surname: _____________________________________
First Name: _____________________________________
Middle Name: ___________________________________
Grade: ____________ Section: ____________________
Sex: ______ Height: __________ Weight: __________
Address: _______________________________________
School: __________________ Teacher: _____________
Enrichment Activity (Individual)
Read the paragraph below. Fill in the information sheet that comes after it.
Mary Anne Fernandez is a 19 year old girl who lives at 43 Santan St., Makati City.
She was born on September 15, 1980 at Makati Medical Center to Mr. and Mrs.
Mario Fernandez. Mr. Roman Fernandez is an accountant in a big Department Store
while Amelia Fernandez is a professor teaching chemistry in college.
She stands 53 and weighs 120lbs. She is single and has graduated Bachelor of
Arts from Ateneo de Manila University, Manila.

PERSONAL INFORMATION SHEET


Name:___________________________________________
Address: ________________________________________
Date of Birth: ____________________________________
Place of Birth: ____________________________________
Weight: ________________ Height: _________________
Father: ______________ Occupation: _________________
Mother: ______________ Occupation: _________________
College Graduated: _________________________________
IV. EVALUATION
Direction: Fill out the information sheet correctly.
PERSONAL INFORMATION SHEET
Name: _______________________________________________
Date of Birth: _________________________________________
Place of Birth: _________________________________________
Father:_______________________ Occupation: _____________
Mother: ______________________ Occupation: _____________
Brothers: 1.) ________________________________
2.) ________________________________
3.) ________________________________
Sisters:
1.) ________________________________
2.) ________________________________
3.) ________________________________
Address: _______________________________________________
School: ________________________________________________
Grade: _________________ Section: _______________________
Teacher: _______________________________________________

V. ASSIGNMENT
Interview a friend.
Prepare an Information Sheet about him/her. Be able to share to the class.

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