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Before you go around your community to conduct your early registration activities, coordinate with the District or Division

office and your barangay. If there are other schools in your barangay, coordinate with them as well.

Distribute this child mapping tool to your team of teachers and volunteers. They should fill this up as they move from house to house in the barangay. This will help you get important basic information on the status of 4-17 year old children in your community which you can use in school pla
need to cover your barangay unless majority of your students come from nearby communities, in which case, you need to conduct child mapping in those barangays as well. If there are no schools in a barangay, the District or Division office will initiate the child mapping in that area (followin
2015).

Child mapping should be done at least every 3 years (preferably at the start of the SIP cycle), assuming that there are no major changes in the population of your community. After events causing major population changes (e.g. disasters), child mapping should be conducted to account for th
community.
After mapping, consolidate the data. You can encode it in the School-Community Data Template for easy reference. Share the data with your District and Division offices, barangay, and with nearby schools and communities.

Barangay: ______________________________
Municipality: ______________________________

Division: ______________________________
Region: ______________________________
TOOL FOR MAPPING OF 4-17 YR. OLD CHILDREN

NAME

DEMOGRAPHIC INFORMATION

RESIDENCE

DISABILITY

ECCD (FOR 4YO CHILDREN)

Number of
If YES,
Provided
Is residence
Has a
years in
specify
with ECCD
permanent?1 disability?
present
type of
Services?
(YES/NO)
(YES/NO)
2
address
disability
(YES/NO)

EDUCATIONAL STATUS

Last

First

Middle

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

Present address

Sabrino

Princess

Ramos

October 18,2011

YES

Apud,Oas

YES

NO

CK

YES

Apud ES

Rodriguez

Mark Nolan

Camado

January 8, 2010

YES

Apud,Oas

YES

NO

CK

YES

Apud ES

Motilla

Kurt

Lampo

10

September 11, 2015

YES

Apud,Oas

YES

NO

C4

YES

Apud ES

Diaz

Marvina

Pavilonia

June 1, 2009

YES

Apud,Oas

YES

NO

C1

YES

Apud ES

Diaz

Michelle

Pavilonia

10

May 5, 2006

YES

Apud,Oas

10

YES

NO

C4

YES

Apud ES

Sandigan

Mae

Repique

May 10, 2007

YES

Apud,Oas

YES

NO

C3

YES

Apud ES

Sandigan

Norman

Sharon

January 23, 2008

YES

Apud,Oas

YES

NO

CK

YES

Apud ES

Sandigan

John Arman

Sharon

10

October 22, 2005

YES

Apud,Oas

10

YES

NO

C3

YES

Apud ES

Saguit

Edcel

Bongay

11

April 5, 2004

YES

Apud,Oas

11

YES

NO

C6

YES

Apud ES

Espiritu

Madelyn

Miravalles

May 21, 2010

YES

Apud,Oas

YES

NO

YES

Apud ES

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

If YES, specify name of


school

If NO, state reason for not


studying

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5

INTERVIEWER

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

SKS1S2S3S4S5-

Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DATE

C6- Completed Grade 6

S6- Some Grade 6

NAME

DEMOGRAPHIC INFORMATION

RESIDENCE

DISABILITY

ECCD (FOR 4YO CHILDREN)

Number of
If YES,
Provided
Is residence
Has a
years in
specify
with ECCD
permanent?1 disability?
present
type of
Services?
(YES/NO)
(YES/NO)
address
disability2 (YES/NO)

EDUCATIONAL STATUS

Last

First

Middle

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

Present address

Espiritu

Miguel

Miravalles

11

May 12, 2004

YES

Apud,Oas

11

YES

NO

C4

NO

Diaz

Megan

Rico

November 13, 2010

YES

Apud,Oas

YES

NO

CK

YES

Apud ES

Diaz

Michelle

Roquio

11

November 28, 2004

YES

Apud,Oas

11

YES

NO

C5

YES

Apud ES

Villaraza

Ayjay

Siaron

April 19, 2008

YES

Apud,Oas

YES

NO

C2

YES

Apud ES

Villaraza

Lawrence Mickael

Siaron

10

December 3, 2005

YES

Apud,Oas

10

YES

NO

C4

YES

Apud ES

Danganan

Bea

Siaron

December 30, 2010

YES

Apud,Oas

YES

NO

CK

YES

Apud ES

Danganan

Carlo

Siaron

November 29, 2008

YES

Apud,Oas

YES

NO

CK

YES

Apud ES

Bongat

Mark Adrian

Mauro

10

December 16, 2005

YES

Apud,Oas

YES

NO

C4

YES

Apud ES

Bongat

Graceille Ann

Mauro

July 17, 2008

YES

Apud,Oas

YES

NO

C2

YES

Apud ES

Bongat

Jhonna Mae

Mauro

June 25, 2009

YES

Apud,Oas

YES

NO

C1

YES

Apud ES

Salazar

Rheyanne

Naris

March 24,2011

NO

Apud,Oas

YES

NO

Flor

Mantes

De La Cruz

April 10, 2007

NO

Apud,Oas

YES

NO

Apud,Oas

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

SKS1S2S3S4S5-

Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

If YES, specify name of


school

If NO, state reason for not


studying

YES Day Care Center Apud

C2

YES

Apud ES

C6- Completed Grade 6

S6- Some Grade 6

ANNEX 1B Child Mapping Tool

schools in your barangay, coordinate with them as well.

u get important basic information on the status of 4-17 year old children in your community which you can use in school planning. You only
well. If there are no schools in a barangay, the District or Division office will initiate the child mapping in that area (following DO. No. 1 s.

munity. After events causing major population changes (e.g. disasters), child mapping should be conducted to account for the children in your

s, barangay, and with nearby schools and communities.

MAPPING OF 4-17 YR. OLD CHILDREN


EDUCATIONAL STATUS

FUTURE ENROLLMENT
If studying through
ADM, specify type of
ADM

Planning to
If NO, state reason for not
study next If YES, specify the name of
planning to study next
school year?
prospective school
school year
(YES/NO)

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

EDUCATIONAL STATUS

FUTURE ENROLLMENT
If studying through
ADM, specify type of
ADM

Planning to
If NO, state reason for not
study next If YES, specify the name of
planning to study next
school year?
prospective school
school year
(YES/NO)

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Yes

Apud ES

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
to cover your barangay unless majority of your students come from nea

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

Sabrino
Rodriguez

First

Princess

Middle

Ramos

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

Flor

Heidi

De La Cruz

Flor

Jade

De La Cruz

Siaron

Anne Zymon

Saguit

Macue

Jed Rick

Pavilonia

Pabilonia

John Hiden

Flor

Saclag

Karl Ian

Quimno

Saclag

Lawrence

Quimno

Saguit

Ashley Nicole

del Cantal

Saguit

Kim Jasper

Balazuela

Umpig

Andrei

Quines

Suarez

Espiritu
1

Angelo Gabriel

Omaga

Danilo II

Mariano

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
udents come from nearby communities, in which case, you need to conduct ch

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

5 October 18,2011

With Birth
Certificate?
(YES/NO)

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

6 January 20, 2010

YES

4 February 5, 2012

NO

8 July 15, 2007

YES

7 April 25, 2007

YES

8 September 25, 2007

YES

11 September 5, 2004

YES

7 July 1, 2007

YES

6 December 23, 2010

YES

10 December 23, 2005

YES

9 November 14, 2006

YES

11 August 8, 2005

8 August 17, 2007

YES

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

District or Division office and your barangay. If there are other schools in your

ey move from house to house in the barangay. This will help you get important
you need to conduct child mapping in those barangays as well. If there are no

that there are no major changes in the population of your community. After ev

reference. Share the data with your District and Division offices, barangay, an

TOOL FOR MAPPING OF 4-1


RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

5 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

6 YES

NO

4 YES

NO

8 YES

NO

9 months

7 YES

NO

8 YES

NO

11 YES

NO

7 YES

NO

1 YES

NO

10 YES

NO

YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

11 YES

NO

8 YES

NO

other schools in your barangay, coordinate with them as well.

help you get important basic information on the status of 4-17 year old childre
s well. If there are no schools in a barangay, the District or Division office will

ur community. After events causing major population changes (e.g. disasters),

n offices, barangay, and with nearby schools and communities.

L FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

CK

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

CK

YES

NO

C3

YES

C3

YES

C3

YES

C6

YES

C2

YES

CK

YES

C4

YES

C1

YES

C7

YES

C3

YES

ear old children in your community which you can use in school planning. You
ion office will initiate the child mapping in that area (following DO. No. 1 s. 20

.g. disasters), child mapping should be conducted to account for the children

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

Apud ES

Age

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Rawis ES

Apud ES

ANNEX 1B Child Ma

an use in school planning. You only need


area (following DO. No. 1 s. 2015).

ed to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Rawis HS

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Rawis HS

YES

Rawis ES

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

First

Middle

Siaron

Zenn Luigi

Saguit

Macue

Jake

Pavilonia

Saguit

Mark Lance

Rico

Rabanzo

Sarah Jean

Rivera

Saguit

Mark Dominic

Bongay

Espiritu

Daniela

Miravalles

Sandigan

Jenny Anne

Lolo

Diaz

Realyn

Roquio

Roquio

Vanessa

Palma

Pamela Patricia

Siama

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

12 June 16, 2003

YES

12 December 23, 2003

YES

13 July 26, 2002

YES

16 June 23, 1999

YES

15 March 9, 2000

YES

15 October 28, 2000

YES

12 February 3, 2004

YES

17 September 23, 1998

YES

15 December 13, 2000

YES

14 February 6, 2002

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

District or Division office and your barangay. If there are other schools in your

ey move from house to house in the barangay. This will help you get importan
case, you need to conduct child mapping in those barangays as well. If there a

that there are no major changes in the population of your community. After e

reference. Share the data with your District and Division offices, barangay, an

TOOL FOR MAPPING OF 4RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

12 YES

NO

12 YES

NO

13 YES

NO

16 YES

NO

15 YES

NO

15 YES

NO

12 YES

NO

17 YES

NO

15 YES

NO

14 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

e other schools in your barangay, coordinate with them as well.

help you get important basic information on the status of 4-17 year old childr
gays as well. If there are no schools in a barangay, the District or Division offic

ur community. After events causing major population changes (e.g. disasters)

on offices, barangay, and with nearby schools and communities.

OL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

C6

YES

C6

YES

C8

YES

C10

YES

C9

YES

C7

YES

C6

YES

C8

YES

C8

YES

C8

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

year old children in your community which you can use in school planning. You
r Division office will initiate the child mapping in that area (following DO. No.

e.g. disasters), child mapping should be conducted to account for the children

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES
Apud ES

Apud ES

If NO, state reason for not


studying

Maramba NHS

Rawis HS

Rawis HS

Apud ES

Rawis ES

Maramba NHS

Maramba NHS

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

an use in school planning. You only


n that area (following DO. No. 1 s. 2015).

ed to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

Rawis HS

YES

Apud HS

YES

Maramba HS

YES

Maramba NHS

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

YES

Maramba NHS

YES

Maramba NHS

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

First

Middle

Flor

Renzel

De La Cruz

Flor

Johnrey

De La Cruz

Pablonia

Niko

Flor

Saguit

Leizel

Gilten

Sandigan

Norilyn

Repia

Francisco

Salve

Saguit

Saguit

Jessa Mel

Cutaran

Diaz

James Oliver

Bataller

Ello

Dan Carlo

Espiritu

Ello

Mark Oliver

Espiritu

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

16 August 9, 1999

YES

14 December 17, 2001

NO

14 December 14, 2001

YES

16 October 23, 1999

YES

17 November 10, 1999

YES

13 January 9, 2003

YES

13 August 23, 2002

YES

16 July 15, 1999

YES

14 July 21, 2001

YES

12 May 15, 2003

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

District or Division office and your barangay. If there are other schools in your

ey move from house to house in the barangay. This will help you get importan
case, you need to conduct child mapping in those barangays as well. If there a

that there are no major changes in the population of your community. After e

reference. Share the data with your District and Division offices, barangay, an

TOOL FOR MAPPING OF 4RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

16 YES

NO

14 YES

NO

14 YES

NO

16 YES

NO

17 YES

NO

11 YES

NO

10 YES

NO

16 YES

NO

14 YES

NO

122 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

e other schools in your barangay, coordinate with them as well.

help you get important basic information on the status of 4-17 year old childr
gays as well. If there are no schools in a barangay, the District or Division offi

our community. After events causing major population changes (e.g. disasters)

on offices, barangay, and with nearby schools and communities.

OL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

C5

NO

C6

NO

C8

YES

C10

YES

C9

YES

C7

YES

C8

YES

C7

YES

C8

YES

C7

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

year old children in your community which you can use in school planning. You
r Division office will initiate the child mapping in that area (following DO. No.

e.g. disasters), child mapping should be conducted to account for the children

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES
Apud ES

Rawis HS

If NO, state reason for not


studying

Rawis HS

Rawis HS

Rawis HS

Rawis HS

Rawis HS

Apud HS

Apud HS

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

can use in school planning. You only


n that area (following DO. No. 1 s.

ted to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

NO
NO

Yes

Rawis HS

Yes

Rawis HS

Yes

Rawis HS

Yes

Rawis HS

Yes

Rawis HS

Yes

Rawis HS

Yes

Apud HS

Yes

Apud HS

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

Reading Difficulty
Working

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
to cover your barangay unless majority of your students come from nea

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

First

Middle

Espiritu

Saint Daryl

Mariano

Ello

Chris Joshua

Espiritu

Ello

Russel Angelo

Espiritu

Ello

Reaalyn

Espiritu

Ello

Justin Dave

Espiritu

Piano

Marlo

Siaron

Piano

Mia

Siaron

Piano

Michelle

Siaron

Espiritu

Miguel

Miravalles

Espiritu

Marielle

Marano

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
udents come from nearby communities, in which case, you need to conduct ch

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

7 February 6, 2009

YES

8 July 12, 2008

YES

5 May 9, 2010

YES

7 August 30,2009

NO

5 April 14, 2011

NO

9 January 5, 2007

YES

6 September 25, 2010

YES

11 September 20, 2005

YES

11 May 12, 2014

YES

11 March 31, 2005

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

istrict or Division office and your barangay. If there are other schools in your b

y move from house to house in the barangay. This will help you get important
ou need to conduct child mapping in those barangays as well. If there are no s

hat there are no major changes in the population of your community. After ev

reference. Share the data with your District and Division offices, barangay, and

TOOL FOR MAPPING OF 4-1


RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

7 YES

NO

8 YES

5 YES

NO

4 YES

NO

4 YES

NO

4 YES

NO

4 YES

NO

4 YES

NO

4 NO

NO

11 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

other schools in your barangay, coordinate with them as well.

elp you get important basic information on the status of 4-17 year old childre
s well. If there are no schools in a barangay, the District or Division office will

r community. After events causing major population changes (e.g. disasters),

n offices, barangay, and with nearby schools and communities.

L FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

Asthma

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

C1

YES

C2

YES

CK

YES

C2

YES

CK

YES

C3

YES

CK

YES

C5

YES

C5

YES

C5

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

ear old children in your community which you can use in school planning. You
ion office will initiate the child mapping in that area (following DO. No. 1 s. 201

g. disasters), child mapping should be conducted to account for the children i

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES
Apud ES

Apud ES

If NO, state reason for not


studying

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

n use in school planning. You only need


area (following DO. No. 1 s. 2015).

ed to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
cover your barangay unless majority of your students come from nearb

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

First

Middle

Ramos

Judy Ann

Saguit

Ramos

Minerva

Saguit

Pabilonia

Jolina

Flor

Diaz

Josefa

Manangcaya

Pedragosa

Ma. Edwina

Diaz

Ponteres

Arnel Jr.

Romposon

Ponteres

Angeline

Romposon

Miraballes

Cesar

Riparip

Bongay

Mary Rose

Diaz

Repique

Angela

Amaro

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

Moyco

Gimber

Sasatuna

Drio

Leni Monica

Cabanes

Drio

Maria Cecilia

Cabanes

Pedragosa

Edgar

Diaz

Rama

Cedrick

Manangcaya

Lauderez

Jerald

Ral

Satioquia

Jojie

Gonzales

Saguit

Joann

Miraballes

Saguit

Jeric

Miraballes

Bungay

Eduardo

Villaraza

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
ents come from nearby communities, in which case, you need to conduct child

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

17 November 13,1998

YES

13 April 23, 2002

YES

16 August 10, 1999

YES

15 December 7, 2000

YES

14 October 25, 2001

YES

16 December 18, 1999

YES

14 February 6, 2002

YES

17 October 19, 1998

YES

12 September 24, 2003

YES

16 November 18, 1999

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

14 December 12, 2001

YES

15 April 10, 2000

YES

13 February 6, 2003

YES

12 Nonember 2, 2003

YES

12 September 30, 2003

YES

12 June 3, 2003

YES

13 June 26, 2002

YES

13

YES

17 May 18, 1999

YES

12 February 12, 2004

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

ict or Division office and your barangay. If there are other schools in your bara

ove from house to house in the barangay. This will help you get important bas
ed to conduct child mapping in those barangays as well. If there are no school

there are no major changes in the population of your community. After event

erence. Share the data with your District and Division offices, barangay, and w

TOOL FOR MAPPING OF 4-17


RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

17 YES

NO

13 YES

NO

16 YES

NO

15 YES

NO

14 YES

NO

16 YES

NO

14 YES

NO

17 YES

NO

112 YES

NO

16 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

5 YES

NO

15 YES

NO

13 YES

NO

7 YES

NO

3 NO

NO

12 YES

NO

13 YES

NO

13 YES

NO

13 YES

NO

12 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

er schools in your barangay, coordinate with them as well.

you get important basic information on the status of 4-17 year old children in
If there are no schools in a barangay, the District or Division office will initiat

ommunity. After events causing major population changes (e.g. disasters), chi

ffices, barangay, and with nearby schools and communities.

FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

NO
C7

YES

C10

YES

C9

YES

C8

YES

C9

YES

C8

YES

C10

YES

C6

YES

C9

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

C5

YES

C9

YES

C7

YES

C6

YES

C4

YES

C7

YES

C6

YES

C7

YES

C7

YES

C6

YES

old children in your community which you can use in school planning. You only
ffice will initiate the child mapping in that area (following DO. No. 1 s. 2015).

disasters), child mapping should be conducted to account for the children in y

EDUCATIONAL STATUS

If YES, specify name of


school

Maramba NHS

Rawis HS

If NO, state reason for not


studying

Rawis HS

Rawis HS

Rawis HS

Rawis HS

Rawis HS

Apud ES

Rawis HS

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES

Rawis HS

Rawis HS

If NO, state reason for not


studying

Apud ES

Apud ES

Rawis HS

Apud ES

Rawis HS

Rawis HS

Apud ES

ANNEX 1B Child Ma

se in school planning. You only need to


ollowing DO. No. 1 s. 2015).

o account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

Maramba NHS

YES

Maramba NHS

YES

LICOM

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

Apud ES

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

YES

Apud ES

YES

Rawis HS

YES

Apud ES

YES

Rawis HS

YES

Rawis HS

YES

Rawis HS

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

Financial Problem

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registra

Distribute this child mapping tool to your team of teachers and volun
unless majority of your students come from nearby communities, in w

Child mapping should be done at least every 3 years (preferably at th

After mapping, consolidate the data. You can encode it in the School

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

First

Middle

Pedragosa

Edrian

Diaz

Pedragosa

Elaine Jane

Diaz

Diaz

Heart Lorraine Jo Ibaez

Diaz

John Arvin

Santos

Ponteres

Aljon

Romposon

Saguit

Dante

Riparip

Sedillo

Veronica

Bungay

Bungay

Princess Joy

Saguit

Bollosa

Gabrielle

Bungay

Bollosa

Trixie

Bungay

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the res

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed description
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Bungay

Kenji Vilmar

Bungay

Johnvic

Middle

Saguit

Bungay

John Osmar

Antonio

Bungay

Edsel

Satioquia

Roquro

Christine

Valladolid

Domas

Michelle

Diaz

Saguit

Anjannette

Miraballes

Saguit

Mikaela

Miraballes

Saguit

Crisanta

Miraballes

Bataller

Rosendo Jr.

Masanigsasa

Bataller

Catherine

Masanigsasa

Miravalles

Mark Angelo

Riparip

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the res

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed description
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offi

teachers and volunteers. They should fill this up as they move from house t
y communities, in which case, you need to conduct child mapping in those b

ars (preferably at the start of the SIP cycle), assuming that there are no ma

ode it in the School-Community Data Template for easy reference. Share the

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

December 10, 2007

10

October 20, 2005

11

February 10, 2005

November 18, 2008

March 27, 2007

11

June 12, 2004

July 13, 2009

August 11, 2009

August 29, 2010

August 11, 2007

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

February 26, 2007

June 18, 2008

November 30, 2006

March 12, 2006

11

October 16, 2004

April 16, 2009

Aug 28, 2009

December 25, 2005

11

April 10, 2008

November 27, 2009

November 25, 2008

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

trict or Division office and your barangay. If there are other schools in your b

move from house to house in the barangay. This will help you get important
mapping in those barangays as well. If there are no schools in a barangay, th

at there are no major changes in the population of your community. After ev

ference. Share the data with your District and Division offices, barangay, and

TOOL FOR M
RESIDENCE

With Birth
Certificate?
(YES/NO)

Present address

Number of
years in
present
address

YES

Apud

YES

Apud

10

YES

Apud

11

YES

Apud

YES

Apud

YES

Apud

11

YES

Apud

YES

Apud

YES

Apud

YES

Apud

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

RESIDENCE

With Birth
Certificate?
(YES/NO)

Present address

Number of
years in
present
address

YES

Apud

Apud

Apud

Apud

Apud

11

YES

Apud

YES

Apud

YES

Apud

YES

Apud

11

YES

YES

Apud

YES

Apud

YES

Apud

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

are other schools in your barangay, coordinate with them as well.

ll help you get important basic information on the status of 4-17 year old c
o schools in a barangay, the District or Division office will initiate the child m

your community. After events causing major population changes (e.g. disast

sion offices, barangay, and with nearby schools and communities.

TOOL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

Is residence
permanent?1
(YES/NO)

Has a
disability?
(YES/NO)

YES

NO

YES

NO

If YES, specify
type of
disability2

ECCD (FOR 4YO CHILDREN

Provided
with ECCD
Services?
(YES/NO)

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

NO

NO

YES

NO

DISABILITY

Is residence
permanent?1
(YES/NO)

Has a
disability?
(YES/NO)

YES

NO

YES

NO

If YES, specify
type of
disability2

ECCD (FOR 4YO CHILDREN


Provided
with ECCD
Services?
(YES/NO)

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

h them as well.

status of 4-17 year old children in your community which you can use in sc
ce will initiate the child mapping in that area (following DO. No. 1 s. 2015).

ation changes (e.g. disasters), child mapping should be conducted to accoun

d communities.

CHILDREN

ECCD (FOR 4YO CHILDREN)

If YES, specify ECCD


facility

EDUCATIO

Currently
Educational
studying?
attainment3
(YES/NO)

C2

YES

C5

YES

C5

YES

C1

YES

C3

YES

C6

YES

C1

YES

C1

YES

C2

YES

ECCD (FOR 4YO CHILDREN)

If YES, specify ECCD


facility

EDUCATIO

Currently
Educational
studying?
attainment3
(YES/NO)

C3

YES

C2

YES

C3

YES

C4

YES

C4

YES

C1

YES

NO

C4

YES

C6

YES

C2

YES

CK

YES

C1

YES

munity which you can use in school planning. You only need to cover your b
(following DO. No. 1 s. 2015).

g should be conducted to account for the children in your community.

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES

Apud ES

If NO, state reason for not


studying

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

INTERVIEWER NAME A

DATE OF INTER

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES

Apud ES

If NO, state reason for not


studying

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

ANNEX 1B Child

ou only need to cover your barangay

n in your community.

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next If YES, specify the name of
school year?
prospective school
(YES/NO)

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

Yes

Rawis Hs

YES

Apud ES

Apud ES

YES

Apud ES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next If YES, specify the name of
school year?
prospective school
(YES/NO)

YES

Apud ES

YES

Rawis HS

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Rawis HS

YES

Apud ES

YES

Apud ES

YES

Apud ES

ANNEX 1B Child Mapping Tool

NROLLMENT

If NO, state reason for not


planning to study next
school year

NROLLMENT

If NO, state reason for not


planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

Sabrino
Rodriguez

First

Princess

Middle

Ramos

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

5 October 18,2011

With Birth
Certificate?
(YES/NO)

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

e District or Division office and your barangay. If there are other schools in yo

they move from house to house in the barangay. This will help you get importa
h case, you need to conduct child mapping in those barangays as well. If there

ng that there are no major changes in the population of your community. After

sy reference. Share the data with your District and Division offices, barangay,

TOOL FOR MAPPING OF 4


RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

5 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

are other schools in your barangay, coordinate with them as well.

ll help you get important basic information on the status of 4-17 year old chil
angays as well. If there are no schools in a barangay, the District or Division o

your community. After events causing major population changes (e.g. disaster

sion offices, barangay, and with nearby schools and communities.

OL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

CK

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

7 year old children in your community which you can use in school planning. Y
t or Division office will initiate the child mapping in that area (following DO. No

(e.g. disasters), child mapping should be conducted to account for the childre

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

u can use in school planning. You only


g in that area (following DO. No. 1 s.

ucted to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

First

Middle

Bungay

Sael

Dia

Bungay

Rosemarie

Dia

Capia

John Henry

Villanueva

Saguit

Angelo

Villanueva

Repique

Jerome

Ambo

Repique

Reymark

Ambo

Lauderez

Angelica

Ral

Lauderez

Angela

Ral

Lauderez

Alejandra

Ral

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

10 April 17, 2005

With Birth
Certificate?
(YES/NO)

YES

8 October 14, 2007

YES

YES

YES

YES

YES

7 April 13, 2008

YES

9 december 5, 2006

YES

10 March 20, 2005

, follow up "do the residents plan on moving out?"

YES

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

District or Division office and your barangay. If there are other schools in your

ey move from house to house in the barangay. This will help you get importan
case, you need to conduct child mapping in those barangays as well. If there a

that there are no major changes in the population of your community. After e

reference. Share the data with your District and Division offices, barangay, an

TOOL FOR MAPPING OF 4RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

10 YES

NO

8 YES

NO

8 YES

NO

7 YES

NO

9 YES

NO

7 YES

NO

7 YES

NO

9 YES

NO

10 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

e other schools in your barangay, coordinate with them as well.

help you get important basic information on the status of 4-17 year old childr
gays as well. If there are no schools in a barangay, the District or Division offi

ur community. After events causing major population changes (e.g. disasters)

on offices, barangay, and with nearby schools and communities.

OL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

C5

YES

C3

YES

C3

YES

C1

YES

C4

YES

C3

YES

C2

YES

C3

YES

C5

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

year old children in your community which you can use in school planning. You
r Division office will initiate the child mapping in that area (following DO. No.

e.g. disasters), child mapping should be conducted to account for the children

EDUCATIONAL STATUS

If YES, specify name of


school

Apud ES
Apud ES

Apud ES

If NO, state reason for not


studying

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

Apud ES

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

an use in school planning. You only


n that area (following DO. No. 1 s.

ted to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

YES

Apud ES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

Sabrino
Rodriguez

First

Princess

Middle

Ramos

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

5 October 18,2011

With Birth
Certificate?
(YES/NO)

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

e District or Division office and your barangay. If there are other schools in yo

they move from house to house in the barangay. This will help you get importa
h case, you need to conduct child mapping in those barangays as well. If there

ng that there are no major changes in the population of your community. After

sy reference. Share the data with your District and Division offices, barangay,

TOOL FOR MAPPING OF 4


RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

5 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

are other schools in your barangay, coordinate with them as well.

ll help you get important basic information on the status of 4-17 year old chil
angays as well. If there are no schools in a barangay, the District or Division o

your community. After events causing major population changes (e.g. disaster

sion offices, barangay, and with nearby schools and communities.

OL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

CK

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

7 year old children in your community which you can use in school planning. Y
t or Division office will initiate the child mapping in that area (following DO. No

(e.g. disasters), child mapping should be conducted to account for the childre

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

u can use in school planning. You only


g in that area (following DO. No. 1 s.

ucted to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

Before you go around your community to conduct your early registratio

Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).

Child mapping should be done at least every 3 years (preferably at the


community.

After mapping, consolidate the data. You can encode it in the School-Co

Barangay: ______________________________
Municipality: ______________________________
NAME

Last

Sabrino
Rodriguez

First

Princess

Middle

Ramos

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

NAME

Last

First

Middle

ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside

TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2

EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3

C7- Completed Grade 7


C8- Completed Grade 8
C9- Completed Grade 9
C10- Completed Grade 10
C11- Completed Grade 11
C12- Completed Grade 12

your early registration activities, coordinate with the District or Division offic

teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu

ars (preferably at the start of the SIP cycle), assuming that there are no major

ode it in the School-Community Data Template for easy reference. Share the d

Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

5 October 18,2011

With Birth
Certificate?
(YES/NO)

YES

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

DEMOGRAPHIC INFORMATION

Gender

Age

Date of birth

With Birth
Certificate?
(YES/NO)

, follow up "do the residents plan on moving out?"

or detailed descriptions)
otional disturbance

impairment
lth problems
sabilities

d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12

SKS1S2S3S4S5S6-

Some
Some
Some
Some
Some
Some
Some

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6

S7- Some Grade 7


S8- Some Grade 8
S9- Some Grade 9
S10- Some Grade 10
S11- Some Grade 11
S12- Some Grade 12

e District or Division office and your barangay. If there are other schools in yo

they move from house to house in the barangay. This will help you get importa
h case, you need to conduct child mapping in those barangays as well. If there

ng that there are no major changes in the population of your community. After

sy reference. Share the data with your District and Division offices, barangay,

TOOL FOR MAPPING OF 4


RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

5 YES

NO

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

RESIDENCE

Present address

DISABILITY

Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address

Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12

are other schools in your barangay, coordinate with them as well.

ll help you get important basic information on the status of 4-17 year old chil
angays as well. If there are no schools in a barangay, the District or Division o

your community. After events causing major population changes (e.g. disaster

sion offices, barangay, and with nearby schools and communities.

OL FOR MAPPING OF 4-17 YR. OLD CHILDREN


DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

CK

YES

DISABILITY

ECCD (FOR 4YO CHILDREN)

If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)

If YES, specify ECCD


facility

Currently
Educational
studying?
attainment3
(YES/NO)

7 year old children in your community which you can use in school planning. Y
t or Division office will initiate the child mapping in that area (following DO. No

(e.g. disasters), child mapping should be conducted to account for the childre

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

INTERVIEWER NAME AND S

DATE OF INTERVIE

EDUCATIONAL STATUS

If YES, specify name of


school

If NO, state reason for not


studying

ANNEX 1B Child Ma

u can use in school planning. You only


g in that area (following DO. No. 1 s.

ucted to account for the children in your

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

YES

INTERVIEWER NAME AND SIGNATURE

DATE OF INTERVIEWS

FUTURE ENROLLMENT

If studying through ADM,


specify type of ADM

Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)

ANNEX 1B Child Mapping Tool

NROLLMENT
If NO, state reason for not
planning to study next
school year

NROLLMENT
If NO, state reason for not
planning to study next
school year

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