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ANNEX C Form 1 (Deworming Summary Form) Rechie

The document is a checklist from Pawican Elementary School documenting their National School Deworming Day. It includes the names of students from two sections (VI DAFFODIL and II - ARIES) who received hand washing, feeding, deworming and tooth brushing. The checklist notes the school's address, total student enrollment, and is signed by the class and grade level advisors.

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Genesis Terana-Perez
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78 views3 pages

ANNEX C Form 1 (Deworming Summary Form) Rechie

The document is a checklist from Pawican Elementary School documenting their National School Deworming Day. It includes the names of students from two sections (VI DAFFODIL and II - ARIES) who received hand washing, feeding, deworming and tooth brushing. The checklist notes the school's address, total student enrollment, and is signed by the class and grade level advisors.

Uploaded by

Genesis Terana-Perez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ANNEX C

Form 1

National School Deworming Day


Deworming Checklist

Province : Masbate
Division : Masbate Province
District : Cataingan East
Name of School : Pawican Elementary School
School Address : Pawican Cataingan Masbate
Total Enrolment: 21
Grade Level and Section : VI DAFFODIL
Gender Hand Feeding Dewormed Tooth Remarks Action
Name of Child M F washin Done Brushin Taken
g Done g
Done
ALMENCION,JEMBOY, TOLING / / / / /
ARANETA,RONEL, PADOGA / / / / /
ATIBAGOS,CHRIS JOHN, SERTIMO / / / / /
BADRINA,CHRISTIAN, ABAJA / / / / /
BADRINA,JOHN DAVE, ABAJA / / / / /
BINDER,JOREL, SESTOZO / / / / /
BOLANTE,JOHN GABRIEL, - / / / / /
CUYOS,ARCHEL, BINDER / / / / /
ERATO,SAMUEL, ARCABADO / / / / /
ESCOTOTO,JAMES LLOYD, SIAZAR / / / / /
MONTICER,GLEN MARK, LUNCHAVEZ /
RONGASAN,RAMIL JR, LOMOTOS / / / / /
SAMSON,KEVIN, NUGAS / / / / /
SENOY,MARTIN, DELADIA / / / / /
SEPIO,ALBERT, LAWIS / / / / /
TOLING,SUNNY, PAGLINAWAN / / / / /
TOYCO,MICHAEL JR, MOMPIL / / / / /
TUYCO,MARK ANGELO, BASTASA / / / / /
YONGCO,JOSEPH, JR BARRUGA / / / / /
FEMALE

PELLEJERA,JENNALYN, ORNOPIA / / / / /
PELLEJERA,RENALYN, PADERA / / / / /

Accomplished by Noted by:

RECHIE S. MELITON _____________________


Class Adviser Grade Level Advisor

Date Accomplished:___________________________
ANNEX C
Form 1

National School Deworming Day


Deworming Checklist

Province : Masbate
Division : Masbate Province
District : Cataingan East
Name of School : Pawican Elementary School
School Address : Pawican Cataingan Masbate
Total Enrolment: 29
Grade Level and Section : II - ARIES
Gender Hand Feeding Dewormed Tooth Remarks Action
Name of Child M F washin Done Brushin Taken
g Done g
Done
Male
ABEJERO,RAMESES, IV SABANG / / / / /
ABENASA,KEN BENJIE, MACALISANG / / / / /
AFABLE,EJ, LAURITO / / / / /
ALMANZOR,JOHN RENZKEY, CLARIDAD / / / / /
ALMARIO,MARJUN, TOLING / / / / /
ALMENCION,RENANTE, - / / / / /
ARANETA,JAMES, PADOGA / / / / /
BARRUGA,CHRISTIAN, JR TORTUSA / / / / /
CATARININ,JOEL, NACIONAL / / / / /
DILAO,ZAI JOHN, BALATUCAN / / / / /
LLANTE, KING DAVID A. / / / / /
PELLEJERA,JHONRICK, TOLING / / / / /
PELLEJERA,RONALD, PADERA / / / / /
PRECILLAS,FRANCO, ANDO / / / / /
YANSON,MARK JOHN, SENADA / / / / /
FEMALE

ALIÑO,RELYN, ARNILLA / / / / /
ARIZALA,RENALYN, ABILONG / / / / /
ATENDIDO,ANGEL QUEEN, PASAYLO / / / / /
BARING,MADELINE PHOEBE, DALAC / / / / /
BAYBAYON,MA. ARIANA, DIAZ / / / / /
HESULA,ASHA MARIE, CARBA / / / / /
LAURITO,CHINELYN, ABENASA / / / / /
MANCO,AUDREY, ABEJUELA / / / / /
MESA,MARYCRIS, ALMENCION / / / / /
NAPILITAN,ALLEA JOYCE, ABEJERO / / / / /
NUñEZ,MAICA, APOLINARIO / / / / /
PAGLINAWAN,MAE ANN, C / / / / /
PEPITO,ZENIAH, AYOHAN / / / / /
YUNGCO,REJEAN, BARRUGA / / / / /
Accomplished by Noted by:

GINA L. BOOC _____________________


Class Adviser Grade Level Advisor

Date Accomplished:___________________________
ANNEX C
Form 1

National School Deworming Day


Deworming Checklist

Province : Masbate
Division : Masbate Province
District : Cataingan East
Name of School : Pawican Elementary School
School Address : Pawican Cataingan Masbate
Total Enrolment: 21
Grade Level and Section : I - JUPITER
Gender Hand Feeding Dewormed Tooth Remarks Action
Name of Child M F washin Done Brushin Taken
g Done g
Done
Male
AMBE,STEVEN KIEL, - / / / / /
ARCILLAS,ALBERTO, JR MALARAS / / / / /
BARRUGA,JERALD, DELA TORRE / / / / /
DOLORES,EUSHAN, ADOPTANTE / / / / /
FLOR,MARK NATHAN, YANSON / / / / /
FUENTES,JOHNREY, AMORA / / / / /
GASTARDO,JHON DEXTER, ABIT / / / / /
NUÑEZ,PAUL CHANDLER, GALVEZ / / / / /
ROBESO,LORENZ, SAPIO / / / / /
SALUDAR,RENZ LUJAN, ROMERO / / / / /
SINAHONON,MIKE FRANCIS, FLORES / / / / /
YANSON,IVAN, DURANO / / / / /
FEMALE
ADIGUE,RIANNE, SARZUELO / / / / /
ALTERADO,ELLEAH, TRANGIA / / / / /
CATARIN,GRACELLE ANN, CASTRO / / / / /
DELFIN,MONICA, ALVARADO / / / / /
DURA,AIZA, MORALES / / / / /
LOPEZ,LYKA JANE, ARINAVO / / / / /
MAPA,MARIA ALEXA, VERDAGA / / / / /
SULIT,RHEAFLOR, ABENIDO / / / / /
VARGAS,REJANE, DITAN / / / / /
ADIGUE,RIANNE, SARZUELO / / / / /
ALTERADO,ELLEAH, TRANGIA / / / / /
CATARIN,GRACELLE ANN, CASTRO / / / / /
Accomplished by Noted by:

LEIZEL S. SALAMODING _____________________


Class Adviser Grade Level Advisor

Date Accomplished:___________________________

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