Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya

GRADE 7 NEWTON HEALTH DECLARATION SHEET DATE: JULY 8, 2022

Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
1. ALEJO, Marc Zeasar M.
2. Alejo, Jhonny
3. BARASI, Azhlei Miles
4. Barasi, Rafael
5. BARAWED, Aizen
6. Barawed, Marilyn
7. BULLECER, Czanrah Waver
8. Bullecer, Walter
9. CORPUZ, Candice Ellaine
10. Corpuz, Crispulo
11. CORPUZ, John Paul
12. Corpuz, Demler
13. EVANGELISTA, Michaela
14. Libadia, Bibinao
15. FRANCISCO, Danica Gail
16. Francisco, Rutchel
17. ILARDE, Spencer Cyle
18. Ilarde, Florence
19. LATORRE, Stephanie Nicole
20. Orpia, Noemi
21. LORENZO, Glemer Rae
22. Cagungao, Glen

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 1
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
23. MADDELA, Charis Mary
24. Maddela, Mary Grace
25. MASANQUE, Diojo
26. Masanque, Jovelyn
27. NUESTRO, Liejay
28. Nuestro, Randell Jay
29. NUESTRO, Nicole Angelie
30. Nuestro, Franklin
31. PADRE, Ma. Lean
32. Padre, Nyquel
33. RIVERA, Mariane Jeniele
34. Rivera, Mark Jaylord
35. TAGAMA, Mharhianne Pearl
36. Tagama, Jerry
37. TOLENTINO, Louijane Joy
38. Tolentino, JhonLouie
39. TUBIERA, Karylle Love
40. Tubiera, Daisy Jean
41. TUMANENG, Kzaridhaye
42. Cabia, Michelle
43. URBANO, Reinette Angelene
44. Velasco, Janette
45. WATAN, Jaymar Josh
46. Aranda, Rosalina
47. ZARATE, Mark Frieven
48. Zarate, Mark Kevin

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 2
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya

GRADE 7 ARCHIMEDES HEALTH DECLARATION SHEET DATE: JULY 8, 2022

Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
1. ABANGAN, Christopher
2. Abangan, Lenie
3. ABLANG, Clyde Audrey
4. Ablang, Emimar
5. ACPAL, Anithea Kyl
6. Daquioag, July Mharie
7. BALAOING, Joellyn Joy
8. Balaoing, Jay
9. BAYLE, Alliah Rodchel
10. Bayle, Celia
11. CAYTON, Vrynaea Rouen
12. Cayton, Rubylyn
13. CORPUZ, Lady May
14. Corpuz, Armila
15. CRUZ, Nina
16. Herrera, Romelyne
17. DE VERA, Margiline
18. Delizo, Geraldine
19. DIZON, Justine Carl
20. Dizon, Gleny
21. DRES, Ben John
22. Dres, Benson

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 3
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
23. DUCUSIN, Ave Rhianne Jane
24. Ducusin, Avril
25. GATMAITAN, Jordan
26. Abalos, Jasmine
27. MAQUE, Akisha Faye
28. Maque, Michelle
29. MARTINEZ, Jason James
30. Martinez, Judie
31. MIGUEL, Vaughn Clyde
32. Miguel, Shiela
33. NUESTRO, Cheenee
34. Nuestro, Ofelia
35. OLA, Crislyn Niquia
36. Ola, Arnel
37. PACHECO, Frennz Archy
38. Pacheco, Arsenio
39. PASION, Pzydev Immanuel
40. Pasion, Merry Joy
41. PICAR, Gwendhel Joyce
42. Picar, Delilah
43. TACANG, Eloisa Jane
44. Tacang, Roby Joy
45. TAINO, Arghie
46. Taino, Angie

GRADE 7 DISCIPLINE DATE: JULY 8, 2022

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya
Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 4
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
HEALTH DECLARATION SHEET
Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
1. APIGO, Glenn Mark
2. Apigo, Rubylyn
3. BALUT, Reymar
4. Balut, Regina
5. GAMBOA, John Rey
6. Gamboa, Josie
7. GRACIANO, Ezra Elijah
8. Graciano, Edison
9. MANGAOIL, Princess
10. Mangaoil, Michelle
11. MENTAC, Zyber John
12. Mentac, Caroline
13. ORIBELLO, Althea
14. Valdez, Jessie
15. REYES, John Melvin
16. Llanan, Mely
17. REYES, Mark Zyron
18. Reyes, Romwell
19. ROMERO, Christian Grace
20. Romero, Relailyn
21. SIANO, April Ann
22. Miranda, Arlene
NAME Temp. Fever Cough & Difficulty of Sore Throat Diarrhea Fatigue or Headache Loss of Taste Body Pain REMARKS
Colds Breathing Tiredness or smell

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 5
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
23. TABERNA, Natasha
24. Taberna, Romel
25. ZARATE, Mikhyle Kurt
26. Zarate, Michaellalyn
27. ZARATE, Rayden
28. Zarate, Jocelyn
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.

GRADE 7 FAITH HEALTH DECLARATION SHEET DATE: JULY 8, 2022

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 6
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya

Cough & Difficulty of Fatigue or Loss of Taste

Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
1. CABARAL, Kristine
2.
3. CAPICIO, Sheldon
4. Capicio, Vermon
5. DOMINCEL, Justin
6. Domincel, Maricris
7. GAJES, Jenyzen
8. Gajes, Digna
9. GRACIANO, Sunshine
10.
11. PACUBAS, Reizel Joy
12.
13. PUYAT, Mark Darren
14.
15. PA-AT, Harley Argen
16. Pa-at, Narciso
17.
18.
19.
20.

GRADE 7 HOPE HEALTH DECLARATION SHEET DATE: JULY 8, 2022

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 7
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya

Cough & Difficulty of Fatigue or Loss of Taste

Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
1. AMBATALI, Leslie
2.
3. GALAMAY, John Lord
4.
5. JUMAWAY, Xendrix York
6.
7. MARIANO, RonRon
8.
9. TELAN, Prince Elijah
10.
11. SIADOR, Jamaica Pearl
12.
13. VADIL, Kimberly Chloe
14.
15. VALDEZ, Emily
16.
17. ZARATE, Gaizelyn
18.
19.
20.

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 8