Deped Form 1

NATIONAL SCHOOL DEWORMING MONTH S.Y. 2019 - 2

Masterlist and Recording Form for Soil Transmitted Helminthiasis

Division/District: Albay/Oas North Date:

School: Calpi Elementary School
School Address: Calpi, Oas, Albay
Grade Level/Section: III - Eagle

Sex
Name of Pupils/Students Age Birthdate Address
M F
1 Belga, Jerom S. 8 June 1, 2011 / Calpi, Oas, Albay
2 Buban, Jay Lou R. 8 December 16, 2010 / Calpi, Oas, Albay
3 Comboy, Jan Carlo R. 8 May 30, 2011 / Calpi, Oas, Albay
4 Diaz, Phill Ashlee B. 8 May 20, 2011 / Calpi, Oas, Albay
5 Garcia, Angello D. 8 May 10, 2011 / Calpi, Oas, Albay
6 Gida, Jaden R. 8 November 7, 2010 / Calpi, Oas, Albay
7 Maquiñana, Arvin T. 8 February 4, 2011 / Calpi, Oas, Albay
8 Mariano, Addison C. 7 May 18, 2011 / Calpi, Oas, Albay
9 Pedido, Jomar R. 8 January 18, 2011 / Calpi, Oas, Albay
10 Pertis, Zaivin C. 7 May 7, 2011 / Calpi, Oas, Albay
11 Rebanal Lawrence Jr C. 8 March 2, 2011 / Calpi, Oas, Albay
12 Rentoria, Zai John A. 8 January 24, 2011 / Calpi, Oas, Albay
13 Republica, Cedric M. 8 August 10, 2011 / Calpi, Oas, Albay
14 Sabaybay, Kirth John P. 8 May 29, 2011 / Calpi, Oas, Albay
15 Borito, Jovel C. 8 March 7, 2011 / Calpi, Oas, Albay
16 Niebres, Alexandra R. 8 May 12, 2011 / Calpi, Oas, Albay
17 Potentado, Janna R. 8 April 4, 2011 / Calpi, Oas, Albay
18 Rebadajo, Rica - Mea R. 9 August 5, 2011 / Calpi, Oas, Albay
19 Relato, Christel B. 8 February 6, 2011 / Calpi, Oas, Albay
20 Remogat, Emjoy R. 7 February 7, 2011 / Calpi, Oas, Albay
21 Republica, Marianne Nicole A. 7 February 11, 2011 / Calpi, Oas, Albay
22 Sabaybay, Dhelarie D. 8 February 17, 2011 / Calpi, Oas, Albay
23 Viudes, Princes Erica O. 7 June 9, 2011 / Calpi, Oas, Albay

LEGEND:
IP's - Indegenous People

Enrolment
Accomplished by: Dewormed
% of Accomplishments
4P's Enrolled
MARICSON B. TEOPE 4P's Dewormed
Class Adviser 4P's % of Accomplishment
Signature Over Printed Name IPs Enrolled
IPs Dewormed
IPs % of Accomplishmen
NTH S.Y. 2019 - 2020
mitted Helminthiasis

July 17, 2019

Dewormed4P's memberIP's Member Remark

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Month of July
5 - 9 y/o 10 - 19 y/o Grand
M F Total M F Total Total
14 9 23 0 0 0 0
0 0 0
0 0 0
3 4 7 0 0 0
0 0 0
omplishment 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0