( Enclosure N0. 1 to Deped Order No. 82, s.

2009)
ASPFORM:PIM-SCH) Year 2010

First Quarter ( January-March) Deadline of submission April 15 of the year

Second Quarter (April-June) Deadline of submission July 15 of the year
Third Quarter (July-Sept) Deadline of submission Oct 15 of the year
/ Fourth Quarter (October-December) Deadline of submission Jan 15 of the year

School LUVIMIN ELEMENTARY SCHOOL

Complete Address LUVIMIN, KIDAPAWAN CITY
School ID 131345
Division KIDAPAWAN CITY
Region XII
Name of School Head IULE Q. BALGOS

Breakdown of stakeholders contribution (PRIVATE SECTOR)

Infrastructure/Physical Facilities Php

Learning Support Php 2,000.00
Health and Nutrition Php
Reading Program Php
Technology Support Php
Direct Assistance Php
Training and Development Php
Real Estate Php
Total Php 2,000.00

Prepared by: IULE Q. BALGOS Designation Principal-1

Print Name & Signature

Contact Details
Cell phone 9296863022
Landline 521-0148 Date 9/20/2010
E-mail hqatmh@yahoo.com

Supporting Documents to be submitted to the Division and District Office:

1. Photocopies of Memorandum of Agreement
2. Photocopies of Deed of Donation
3. Photocopies of Certificate of Acceptance
( Enclosure N0. 1 to Doped Order No. 82, s. 2009)
ASPFORM:PIM-SCH) Year 2010

First Quarter ( January-March) Deadline of submission April 15 of the year

/ Second Quarter (April-June) Deadline of submission July 15 of the year
Third Quarter (July-Sept) Deadline of submission Oct 15 of the year
Fourth Quarter (October-December) Deadline of submission Jan 15 of the year

School LUVIMIN ELEMENTARY SCHOOL

Complete Address LUVIMIN, KIDAPAWAN CITY
School ID 131345
Division KIDAPAWAN CITY DIVISION
Region XII
Name of School Head IULE Q. BALGOS

Breakdown of stakeholders contribution (PRIVATE SECTOR)

Infrastructure/Physical Facilities Php

Learning Support Php
Health and Nutrition Php
Reading Program Php
Technology Support Php
Direct Assistance Php
Training and Development Php 8,000.00
Real Estate Php
Total Php 8,000.00

Prepared by: IULE Q. BALGOS Designation Principal-1

Print Name & Signature

Contact Details
Cell phone 9296863022
Landline 521-0148 Date 9/20/2010
E-mail hqatmh@yahoo.com

Supporting Documents to be submitted to the Division and District Office:

1. Photocopies of Memorandum of Agreement
2. Photocopies of Deed of Donation
3. Photocopies of Certificate of Acceptance
( Enclosure N0. 1 to Deped Order No. 82, s. 2009)
ASPFORM:PIM-SCH) Year 2010

First Quarter ( January-March) Deadline of submission April 15 of the year

Second Quarter (April-June) Deadline of submission July 15 of the year
/ Third Quarter (July-Sept) Deadline of submission Oct 15 of the year
Fourth Quarter (October-December) Deadline of submission Jan 15 of the year

School LUVIMIN ELEMENTARY SCHOOL

Complete Address LUVIMIN, KIDAPAWAN CITY
School ID 131345
Division KIDAPAWAN CITY DIVISION
Region XII
Name of School Head IULE Q. BALGOS

Breakdown of stakeholders contribution (PRIVATE SECTOR)

Infrastructure/Physical Facilities Php

Learning Support Php
Health and Nutrition Php
Reading Program Php
Technology Support Php
Direct Assistance Php
Training and Development Php
Real Estate Php
Total Php

Prepared by: IULE Q. BALGOS Designation Principal-1

Print Name & Signature

Contact Details
Cell phone 9296863022
Landline 521-0148 Date 9/20/2010
E-mail hqatmh@yahoo.com
( Enclosure N0. 1 to Deped Order No. 82, s. 2009)
ASPFORM:PIM-SCH) Year 2010

First Quarter ( January-March) Deadline of submission April 15 of the year

Second Quarter (April-June) Deadline of submission July 15 of the year
/ Third Quarter (July-Sept) Deadline of submission Oct 15 of the year
Fourth Quarter (October-December) Deadline of submission Jan 15 of the year

School LUVIMIN ELEMENTARY SCHOOL

Complete Address LUVIMIN, KIDAPAWAN CITY

School ID 131345

Division KIDAPAWAN CITY DIVISION

Region XII

Name of School Head IULE Q. BALGOS

Breakdown of stakeholders contribution (PRIVATE SECTOR)

Infrastructure/Physical Facilities Php

Learning Support Php 30,000.00 (grade VI books)

Health and Nutrition Php

Reading Program Php

Technology Support Php

Direct Assistance Php

Training and Development Php

Real Estate Php

Total Php 30,000.00

Prepared by: IULE Q. BALGOS Designation Principal-1

Print Name & Signature
 Contact Details
Cell phone 9296863022
Landline 521-0148 Date 10/8/2010
E-mail hqatmh@yahoo.com

( Enclosure N0. 1 to Deped Order No. 82, s. 2009)

ASPFORM:PIM-SCH) Year 2011

/ First Quarter ( January-March) Deadline of submission April 15 of the year

Second Quarter (April-June) Deadline of submission July 15 of the year
Third Quarter (July-Sept) Deadline of submission Oct 15 of the year
Fourth Quarter (October-December) Deadline of submission Jan 15 of the year

School LUVIMIN ELEMENTARY SCHOOL

Complete Address LUVIMIN, KIDAPAWAN CITY

School ID 131345

Division KIDAPAWAN CITY DIVISION

Region XII

Name of School Head IULE Q. BALGOS

Breakdown of stakeholders contribution (PRIVATE SECTOR)

Infrastructure/Physical Facilities Php

Learning Support Php

Health and Nutrition Php 1,000.00 (Feeding Program)

Reading Program Php

Technology Support Php

Direct Assistance Php 2,000.00 (Hon. Joseph Evangelista)

Training and Development Php

Real Estate Php

Total Php 3,000.00

 Prepared by: IULE Q. BALGOS Designation Principal-1
Print Name & Signature

Contact Details
Cell phone 9296863022
Landline 521-0148 Date 4/15/2011
E-mail hqatmh@yahoo.com