Republic of the Philippines

Department of Education
Bureau of Learner Support Services
DepEd Complex, Meralco Avenue, Pasig City

JINGLE MAKING FOR TOBACCO CONTROL

ENTRY FORM

Title of the
Jingle KALUSUGAN AY PANGALAGAAN
Name of MABINI NATIONAL HIGH School 304192
School SCHOOL ID

Schools Division Division of Davao de Region XI

Office Oro

Name of School Chuchie F. Yog

Head
Position of School School Principal III
Head
Contact Cellphone No.: 09190021750
Information of
School Head
Name(s) of Composer(s) and Grade Level(s)
Name Grade Level
1. Maureen Kate Partosa Grade 9
2. Angel Mojica Borja Grade 9
3. Sophia Suarez Grade 9
Name(s) of Performer(s) and Grade Level(s)
Name Grade Level
1. Maureen Kate Partosa Grade 9
2. Angel Mojica Borja Grade 9
3. Sophia Suarez Grade 9
Name(s) of Coach(es) and Position(s)
Name Position
1. Francisco C. Poliran, Jr. Teacher I
2.
3.

By submitting this entry form, participating learner(s) and coach(es) confirm that they
have read, understand, agree to, and comply with the Mechanics of the Jingle Making
Contest for Tobacco Control. All personal information collected through this entry form
will be handled in accordance with the data privacy policy of the Department of
Education.

Submitted by:

MAUREEN KATE PARTOSA ANGEL MOJICA BORJA SOPHIA SUAREZ

Composer/Performer Composer/Performer Composer/Performer

FRANCISCO C. POLIRAN, JR.

Coach
Recommended by:
CHUCHIE F. YOG
School Head