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Department of Education

National Capital Region


Division of City Schools
MAKATI

RIZAL ELEMENTARY SCHOOL


Milkweed Street, Brgy. Rizal, Makati City

CONTACT TRACING FORM

DATE: _______________________________________________

TIME: _______________________________________________

GRADE: _______________________________________________

SECTION: _______________________________________________

NAME OF PUPIL: _______________________________________________

NAME OF PARENT / GUARDIAN: __________________________________________

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HOME ADDRESS: _______________________________________________

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CONTACT NO.: _______________________________________________

TEMPERATURE: _______________________________________________

SIGNATURE: _______________________________________________

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