Republic of the Philippines

Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ROXAS CITY

STATEMENT OF ACTUAL DUTIES AND CIRCUMSTANCES

LEADING TO INFECTION

January 28, 2022

This is to certify that Mrs. Cheryl T. Tampos, Master Teacher l of Don Ynocencio A.
Del Rosario National High School and an active employee of the said institution.

Due to Covid-19 pandemic, the school adopted Modular Distance Learning to deliver
the needs of the learner. As an adviser to Grade 11- Cookery, her duties are as
follows; she prepares Self Learning Modules in print and distributes them every week
to parents as scheduled; conducts home visitation to check on each student’s
progress and performance; and provides remediation if necessary.

A few days prior to sickness on May 13, 2021, during the distribution of modules to
parents, she was exposed to several individuals unknown to be infected by Covid-
19, despite following precautionary measures like wearing of mask and face shield,
social distancing, and sanitizing. Two days later she found out that she's one of the
close contacts of a positive individual. She then manifested signs and symptoms
such as body malaise and headaches. She sought consultation and a swab test was
done and revealed positive results.

Noted:

MARY ANN G. PINUELA

Principal I

ARIEL B. ANDUTAN
Administrative Officer V
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ROXAS CITY

STATEMENT OF ACTUAL DUTIES AND CIRCUMSTANCES

LEADING TO INFECTION

January 28, 2022

This is to certify that Mr. Williamson B. Enoc, Teacher Il of Don Ynocencio A. Del
Rosario National High School and an active employee of the said institution.

Due to Covid-19 pandemic, the school adopted Modular Distance Learning to deliver
the needs of the learner. As an adviser to Grade 12- GAS B, his duties are as
follows; he prepares Self Learning Modules in print and distributes them every week
to parents as scheduled; conducts home visitation to check on each student’s
progress and performance; and provides remediation if necessary.

A few days prior to sickness on August 26, 2021, during the distribution of modules
to parents, he was exposed to several individuals unknown to be infected by Covid-
19, despite following precautionary measures like wearing of mask and face shield,
social distancing, and sanitizing. Two days later he found out that he's one of the
close contacts of a positive individual. He then manifested signs and symptoms such
as body malaise and headaches. He sought consultation and a swab test was done
and revealed positive results.

Noted:

MARY ANN G. PINUELA

Principal I

ARIEL B. ANDUTAN
Administrative Officer V
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF ROXAS CITY

STATEMENT OF ACTUAL DUTIES AND CIRCUMSTANCES

LEADING TO INFECTION

January 28, 2022

This is to certify that Ms. Mary Claire A. Comala, Teacher l of Don Ynocencio A. Del
Rosario National High School and an active employee of the said institution.

Due to Covid-19 pandemic, the school adopted Modular Distance Learning to deliver
the needs of the learner. As an adviser to Grade 9 - Aguinaldo, her duties are as
follows; she prepares Self Learning Modules in print and distributes them every week
to parents as scheduled; conducts home visitation to check on each student’s
progress and performance; and provides remediation if necessary.

A few days prior to sickness on August 13, 2021, during the distribution of modules
to parents, she was exposed to several individuals unknown to be infected by Covid-
19, despite following precautionary measures like wearing of mask and face shield,
social distancing, and sanitizing. Two days later she found out that she's one of the
close contacts of a positive individual. She then manifested signs and symptoms
such as body malaise and headaches. She sought consultation and a swab test was
done and revealed positive results.

Noted:

MARY ANN G. PINUELA

Principal I

ARIEL B. ANDUTAN
Administrative Officer V