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
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
(Jr, Sr, II,etc.) (M/F)

CORREA EMILY MANAOG F

Prepared by:

EMILY M. CORREA
Signature Over Printed Name
Master Teacher II
Designation
April 9,2019
Date of Submission
[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla
(MM/DD/YY) (by June Educational Address Position
2019) Attainment
OSEC-DECSB-
BSIE + 18 BEED+ MTCHII-150028-
01/29/72 47 36 MAED emily.correa@deped.gov.ph
2010
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject
Position Designated Specialization Taught
Position
Master Teacher BSIE Garments
23 II 9 Technology All Subject
Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
pines
ducation

PANT'S PROFILE

[13] Years [14] [15] Division [16] Region

in DepEd Office/School Division Level

Schools Division Orientation on

23 San Isidro ES Zambales III RPMS-PPST for SYon
Roll-Out Training 2019-2020
the Results-
Based Performance Management
System (RPMS)
Orientation of School Heads on
Adopt-A-School Program (ASP)in
Educational
Orientation onefeence (EMPOWER)
the Grant
,Utilization,&onLiquidation
Orientation the Nationalof Cash
Advances
Inventory
Schools of DepEd
Division Public
Capability
Schools Building
Training Programfor forSY
the2016-
Holistic
2017
SchoolsCum
Development EBEIS/LIS Updates
of Orientation/
Division School Heads &
Key Teachers
Briefing in the Conduct
on Recipient Public of
School LAC Session
Elementary & Secondary Schools
Under DCP Batches 29,30,31,32
& 33. Division Orientation &
Schools
Workshop on Data Uploading of
R3-IRIS
 [17] Title of L & D Program Attended

Date Conducted Regional Level Date Conducted

March 18-19,2019

May 29-30,2018

Nov.7,2018

July 4,2018

Jan.5,2017

July 20-22,2016

March 3-4,2016

Jan.18-20,2016
nded

National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

DALERE ANNA MARIE AMOGUIS F

Prepared by:

ANNA MARIE A. DALERE

Signature Over Printed Name
Teacher I
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
BSIE + 18 BEED + TCHR1-171345-
12/18/71 48 20 MAED-Science annamarie.dalere@deped.gov.ph
1998 20
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position
BSIE Major in Girls
Teacher I 20 Vocational Course All Subject 20 San Isidro ES
Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Division Level Date Conducted

Retooling on Nutritional Status

Zambales III assessment Feb.20,2019
NARS and Government Property
Insurance Orientation
Schools Division Workshop
Orientation on Sept.4,2018
the National Inventory of DepEd
Updates on Health
Public School Program
Building for SY Sept.3,2018
2016-2017 Cum EBEIS/LIS
Updates Jan.5,2017
Schools Division
Dengue Vaccine Orientation
Orientation/Briefing of Recepient March 9,2016
Public Elem/Secondary Schools
Under Batches 29,30,31,32 &33. March 3,2016
Orientation for the 2nd National
Schools Deworming Day Jan.27,2016
[17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

DEVILLAS OTEZA DOLFO F

Prepared by:

OTEZA D. DEVILLAS
Signature Over Printed Name
Teacher III
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
TCH3-150120-
10/5/1972 47 BSIE + 42 MAED oteza.devillas@deped.gov.ph
2014 14
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position
BSIE Food
Teacher 3 5 Technology All Subject 14 San Isidro ES
Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Division Level Date Conducted

Zambales III
[17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

MERTO RONALD ABARCA M

Prepared by:

RONALD A. MERTO
Signature Over Printed Name
Teacher I
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
4/5/1975 44 BSIE + 9 MAED ronald.merto@deped.gov.ph
TCH1-130945 20
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position
BSIE Major in
Furniture and Science,EPP,MAPEH,
Teacher I 20 Cabinet Making AP 20 San Isidro ES
Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Division Level Date Conducted
Schools Division Training
Workshop on Teaching Problem
Solving in Mathematics for Grade
Zambales III VI Teachers March 16-18,2016
[17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

DELIZO JOSEFA GALO F

Prepared by:

JOSEFA G. DELIZO
Signature Over Printed Name
Teacher I
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
TCH1-171344-
07/14/55 63 BSE + 21 MAED josefa.delizo@deped.gov.ph
1998 13
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position
BSE English &
Teacher I 13 Science Library All Subject 13 San Isidro ES
Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Division Level Date Conducted

Zambales III
[17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

DONOR MARIA MONICA ESPINOSA F

Prepared by:

MARIA MONICA E. DONOR

Signature Over Printed Name
Teacher I
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
BSE + 21 MA-ECE TCH1-153891-
3/5/1988 31 +18 MAED monica.donor@deped.gov.ph
2012 6
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position

Teacher I 6 BSE Social Studies All Subjects 6 San Isidro ES

Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Division Level Date Conducted
Roll-Out Training on the Results-
Based Performance Management
Zambales III System (RPMS) May 29-30,2018
[17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

MAPANOO MARY STEPHANIE ANN ALBA F

Prepared by:

MARY STEPHANIE ANN ALBA MAPANOO

Signature Over Printed Name
Teacher I
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
TCH1-160584-
07/22/92 27 BEED + 36 MAED marystephanieann.alba001@deped.gov.ph
1998 3
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position

Teacher 1 3 BEED All Subject 3 San Isidro ES

Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Schools Division
DivisionOrientation
Level on Date Conducted
Indigenous Peoples Education
(IPED) Program Cum
Indigenization of Competencies-
Zambales III Batch 4 Nov.28- Dec.1,2017
 [17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Regionwide Training for selected
Supervisors,Principals and teaches
on early Language,Literacy and
Numeracy Oct.14-23,2016
Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date
ANNEX "A"

[1] Last Name First Name Middle Name Extension [2] Sex
(Jr, Sr, II,etc.) (M/F)

SANTOS BERNALYN BADA F

Prepared by:

BERNALYN B. SANTOS
Signature Over Printed Name
Teacher I
Designation
April 9,2019
Date of Submission
 D

[3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the
(MM/DD/YY) (by June Educational Address Position Position
2019) Attainment
OSEC-DECSB-
TCH1-154727-
9/4/1993 26 BEED bernalyn.santos001@deped.gov.ph
2018 1
 Republic of the Philippines
Department of Education

LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[9] Designation [10] Years in the [11] Area of [12] Subject [13] Years [14]
Designated Specialization Taught in DepEd Office/School
Position

Teacher 1 1 BEED All Subject 1 San Isidro ES

Noted by:

ROSALINDA A. AMIGABLE
Signature Over Printed Name
April 9,2019
Date
 [17] Title of L & D Program
[15] Division [16] Region
Division Level Date Conducted

Schools Division Orientation on

Zambales III ICT Information System Oct.16,2018
Basic Training Course for New
Troop Leaders Oct.5-7,2018
[17] Title of L & D Program Attended

Regional Level Date Conducted National Level Date Conducted

Approved by:

BLESILDA D. FONTANILLA,Ph.D.
Signature Over Printed Name
April 9,2019
Date