Republic of the Philippines

Department of Education
Region IV – B MIMAROPA
Division of Oriental Mindoro
PRES. DIOSDADO MACAPAGAL MEMORIAL NATIONAL HIGH SCHOOL
Bulaklakan, Gloria, Oriental Mindoro

CERTIFICATION

This certifies that DHEALINE S. JUSAYAN a permanent Secondary School Teacher II

conducted Home Visitation to 4 of the students for the whole year.

Issued this 6th day of January 2018 at President Diosdado Macapagal Memorial National
High School, Gloria, Oriental Mindoro.

RUPERTO S. AGONCILLO JR.

Principal III

Corroborated by:

DHEALINE S. JUSAYAN EXAN J. ROFULI

SST-II SST II

CHRISTIAN C. TAMONDONG ZARAH A. CRUZADO

SST II SST II

RHIAN ANTHONY P. CAPILI

MT-I/SUBJECT HEAD
 Republic of the Philippines
Department of Education
Region IV – B MIMAROPA
Division of Oriental Mindoro
PRES. DIOSDADO MACAPAGAL MEMORIAL NATIONAL HIGH SCHOOL
Bulaklakan, Gloria, Oriental Mindoro

CERTIFICATION

This certifies that DHEALINE S. JUSAYAN, a permanent Secondary School Teacher III
accomplished 4 of the following:

1. accomplished home visitation form,

2. written agreement between parent, student,
teacher and guidance counselor,
3. photo documentation,
4. attendance and
5. anecdotal record.

Issued this 6th day of January 2018 at President Diosdado Macapagal Memorial National High
School, Gloria, Oriental Mindoro.

RUPERTO S. AGONCILLO JR.

Principal III

Corroborated by:

DHEALYN JUSAYAN EXAN J. ROFULI

SST-II SST II

CHRISTIAN TAMONDONG ZARAH A. CRUZADO

SST II SST II

RHIAN ANTHONY P. CAPILI

MT-I/SUBJECT HEAD