Author: DepEd Guest

CLMD ROUTINE SLIP
P1 Source: __________________ Code: _______________________ / SUBJECT: _____________________________________________________ / DATE : _____________________________________________________ / P2 In-charge: KRA 1 ☐ KRA 3 ☐ KRA 5 ☐ KRA 2 ☐ KRA 4 ☐ / ____ File ______ Disseminate ______ Coordinate _____ Evaluate/Review ____ Consolidate _______Align ____ Attend ______ See me / P3 Output / P4 Remarks:

ORD	OARD	PPRD	QAD	ESSD	FTAD	FIN	ASD	Others

EPC	□	ERFS	□	DCTA	□	PGLO	□	VOG	□
NMD	□	ETB	□	HAET	□	LOE	□	MPM	□
	□		□	NAJPL	□		□	RPOB	□
	□		□	LCD	□		□	JCPG	□
				RAB	□			NDLP	□

Memo	☐	Indorsement	☐	Advisory	☐	Technical Report	☐
Letter	☐	Order	☐	Review Form	☐	Completion Report	☐

Revise (1st)			Revise (2nd)			Revise (3rd)
Approved			Disapproved			File

VIERNALYN M. NAMA
Chief, Curriculum and Learning Management Division

REGION IV-A CALABARZON

Republic of the Philippines
Department of Education
Office of the Regional Director