Annex A

Dengvaxia Vaccine ( Dengvaxia) Recipient Masterlist SY 2018-2019

School Name: EMILIANO TRIA TIRONA MEMORIAL NATIONAL HIGH SCHOOL

Address: Gahak, Kawit, Cavite
Municipality: Kawit
Province: Cavite
Schools Division: Cavite

Name of Dengvaxia Recipient (First Name, Middle Name # of Doses Place of Vaccination
LRN Birthday
Address Age Sex Parents/ Guardians Name Contact No.
(Learner Reference Number) mm/dd/yyyy
LAST NAME FIRST NAME MIDDLE NAME

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

Prepared By: Noted by: Noted By:

contact no:
ELENITA A. PLAZA DELIA R. ROMANES, Ed.D.
Nurse II Principal IV
contact no: 434-5780 Contact No: 481-5355
Date:

** Copy furnished
rdst.ro4a@gmail.com
Cavite: phtocavite@yahoo.com.ph
* Please send the school master list to DepEd Division Health and Nutrition Section Laguna: chd4a_doh_lagunaeo@yahoo.com
Batangas: ro4a.batangaspdoho@gmail.com
Rizal: chd4a_doh_rizaleo@yahoo.com
Quezon: chd4a_doh_quezoneo@yahoo.com
 Annex A
Dengvaxia Vaccine ( Dengvaxia) Recipient Masterlist SY 2018-2019

School Name: EMILIANO TRIA TIRONA MEMORIAL NATIONAL HIGH SCHOOL

Address: Gahak, Kawit, Cavite
Municipality: Kawit
Province: Cavite
Schools Division: Cavite

Name of Dengvaxia Recipient (First Name, Middle Name # of Doses Place of Vaccination
LRN Birthday
Address Age Sex Parents/ Guardians Name Contact No.
(Learner Reference Number) mm/dd/yyyy
LAST NAME FIRST NAME MIDDLE NAME

1. ARCEO, KENT VINCENT DARAP 108018120187 Manggahan Lawin, Kawit Cavite 11 M 12/24/2005 1 BES Arceo, Manuel P. 9955878633
2. BAGNAS, HARRY CEA 108023120011 114 San Juan 2, Noveleta Cavite 11 M 09/22/2006 3 PSIES Bagnas, Manuel R. 9362064209
3. BENERAO, ALYSON FLORES 108021120028 109 P. Canda St. Kaingen Kawit Cavite 11 M 6/2/2007 3 KAPES Flores, Shirley D. 9355107819
4. CAROLA, PAUL RYAN CATUDIO 108024140230 Blk 8 Lot 23 Rockwell Classic Homes Toclong Kawit Cavite 12 M 8/4/2006 3 TES Catudio, Realyn T. 9450778461
5. CASUGAY, DANIEL SUMILING 108083120007 S926anta Rosa II, Noveleta Cavite 12 M 1/2/2006 3 SAES Sumilang, Leila C. 438-4564
6. FORNAL JOHN KERBY RESQUICIO 107985120286 659 Brgy Manggahan Binakayan Kawit, Cavite 12 M 5/11/2005 3 GOV.DM CAMERINO Resquicio, Leilani D. 09269193979/09353819423
7. GAMULO, MARK ANGELO BAUTISTA 108020100082 39 Kaingen Kawit Cavite 13 M 08/19/2004 3 GMES Gamulo, Wilson G. 9204939862
8. GANDIA, PRINCE GLENN LEGASPI. 108018120031 137 Marulas, Kawit Csvite 12 M 10/26/2006 2 GMES Legaspi, Glenda S. 9907744128
9. GENDIVE, JAN ALDWIN DIÑO 107985110056 798 Medicion II-F Imus City Cavite 12 M 01/26/2006 3 GOV.DM CAMERINO Gendive, Roger L. 9997293299
10. HEMPISAO, MARVIN JAMES DIZON 108018100234 Brgy. Aplaya, Binakayan Kawit Cavite 16 M 7/6/2002 1 BES Dizon, Mealin D. 9387239750
11. JIMENEZ, JUSTIN BENEDICT - 108026120032 273 Tanggulan St. Wakas II, Kawit Cavite 12 M 07/26/2006 3 WES Jimenez, Mariane G. 09267938018/ 09097205211
12. RILLON, CARL EDWARD BACAY 136437110218 0138 Tabon Int. Tabon II Kawit, Cavite 12 M 03/27/2006 3 CABOCBOCAN ES Rillon, Eduardo F. 09057061619/09977103882
13. ROJAS, JOHN MARK DAGALEA 107972120469 Blk7 Lot 26 Collin Ville Batong Dalig Kawit Cavite 13 M 11/6/2005 3 BUHAY NA TUBIG ES Rojas, Jerome B. 9368790930
14. TILAN, JAYSON BALLON 108017110037 Waterfield, Kawit Cavite 13 M 03/28/2006 3 AES Tilan, Noel N. 9777826075
15. ANULACION, IVY FRANCISCO 108016120027 291 Tabon I, Kawit Cavite 11 F 12/10/2006 2 AES Francisco, Liby J. 9102193751
16. BAGNAS. ALTHEA CALLISTA CEA 108023120029 114 San Juan 2, Noveleta Cavite 11 F 09/22/2006 3 PSIES Bagnas, Manuel R. 9362064209
17. CRISTOBAL, VINA MAY DEQUILLA 107985120242 635 Brgy. Manggahan Sulok, Binakayan Kawit Cavite 12 F 05/17/2006 3 GOV.DM CAMERINO Cristobal, Salvino P. 09472099410/09954817323
18. CUSTADO, FRANCINE JADE SARREAL 108023110014 87 Pag asa I Imus City Cavite 13 F 11/18/2005 3 TINABUNAN ES Sarreal, Rina Mae G. 9353171560
19. DILAN, CHYNNA MAE 136647100415 Blk5 Lot 6 Cavite Viejo Village Gahak Kawit 14 F 06/24/2004 3 GMES Dilan, Luzviminda R. 9420948477
20. MANDAPAT, ALTHEA ERIN MAGNO 107985120332 582 Medicion II-E Imus City Cavite 11 F 08/13/2006 3 GOV.DM CAMERINO Mandapat, Gibbson D. 09325516251/09162205480
21. MENDOZA, ELIZHA KEITH DAGDAG 107989140269 B2 L17 Dream Ville Carsadsang Bago Imus City, Cavite 13 F 10/22/2005 2 TINABUNAN ES Dagdag, Mary Grace C. 093220300974/09159508256
22. MULTO, MARIFHER SOLAYAO 108026110083 Sunshine Homes Wakas I, Kawit Cavite 12 F 05/29/2006 3 WES Multo, Fernan A. 9487917597
23. NUÑEZ, MARIA CRISTINA QUILINTANO 107484110030 Tramo Bantayan Binakayan, Kawit Cavite 12 F 4/4/2006 3 TRAMO ES Nuñez, Reneboy H. 9555684291
24. RENTOY, MARIEL JOY ROSARIO 107985120218 284 Manggahan Binakayan Kawit Cavite 12 F 12/20/2005 3 GOV.DM CAMERINO Rentoy, Mario S. 9654374094
25. SABALE, ANIKA JADE FRANCISCO 108020120126 248 Marulas Kawit Cavite 11 F 11/9/2006 3 GMES Sabale, Guvail H. 9265935274
Prepared By: Noted by: Noted By:

NIÑA ANGELA P. CATE DELIA R. ROMANES, Ed.D. contact no:

Adviser/ Clinic Teacher Principal IV
contact no: 09264271039/09206702423 Contact No: 481-5355
Date:

** Copy furnished
rdst.ro4a@gmail.com
Cavite: phtocavite@yahoo.com.ph
* Please send the school master list to DepEd Division Health and Nutrition Section Laguna: chd4a_doh_lagunaeo@yahoo.com
Batangas: ro4a.batangaspdoho@gmail.com
Rizal: chd4a_doh_rizaleo@yahoo.com
Quezon: chd4a_doh_quezoneo@yahoo.com
 Annex B
Division Collated Dengvaxia Vaccine ( Dengvaxia) Recipient Masterlist SY 2018-2019

Province:
Schools Division:

Total Number of Dengvaxia Recipients

No. School Address Municipality Adviser/Clinic Teacher School Principal Contact No.
Male Female Total

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Prepared By: Noted by:

Name Name
Division Health and Nutrition Section Schools Division Superintendent
Date: Date