Republic of the Philippines

Region I
PANGASINAN DIVISION II
San Manuel, Pangasinan
JUAN C. LAYA CENTRAL SCHOOL SPED CENTER
S.Y. 2022-2023

CONTACT TRACING FORM

GRADE 2- NARRA
NAME OF PARENTS/
LRN NUMBER Name of Pupils GUARDIANS ADDRESS CP #

1 101953200099 Ancheta, Frenz Harvey A.

2 101953200102 Asuncion, Alexander L.
3 101953200033 Barbo, Gabriel S.
4 101953200056 Buado, John Nathaniel C.
6 101953200034 Carriaga, Jeric B.
7 101953200104 Escritor, Cris Reniel T.
8 101953200138 Espiritu, Lance B.
9 101953200147 Gines, Patric Yousef Q.
10 101953200101 Jabalde, Marc Justine I.
11 101953200128 Javier, Nathaniel c.
12 101953200062 Manuel, Mark Justin D.
13 101953200063 Nisperos, Rainier S.
14 101953200112 Salinas, Jayson Jr. B.

15 101953200133 Aban, Samantha Ashlee

16 101953200116 Bangayan, Clares F.
17 101953200117 Cruz, Ashley Marie
18 101953200047 Dollente, Katelyn Nicole
19 101953200048 Galamgam, Aliyah S.
20 101953200049 Larion, Hope Zhyrain J.
21 101953200072 Manuel, Ruby Shane E.
22 101953200096 Martin, Danica B.
23 101953200086 Miguel, Maria Sophia B.
24 101953200123 Ovalles, Althea Mae A.
25 101953200093 Palaganas, Faith Zion
26 Rebuldela, Nestlie Mae
27 101953200125 Renegado,Ashley Jane M.
28 101953200148 Simsiman, Grazy D.
29 101953200052 Valdez, Rica Mae B.
30 101953200127 Villanueva, Czabrina Jame A.

Prepared by:

MARIA NERISSA G. JUBILADO

Adviser
ublic of the Philippines
Region I
NGASINAN DIVISION II
n Manuel, Pangasinan
CENTRAL SCHOOL SPED CENTER
S.Y. 2022-2023

CT TRACING FORM
GRADE 2- NARRA
VACCINATED
YES/NO