DRR Incidental Form

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Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
ATIMONAN I DISTRICT
MALUSAK NATIONAL HIGH SCHOOL

INCIDENTAL REPORT
(General Information)

District: _ATIMONAN 1_________________ School:MALUSAK NATIONAL HIGH SCHOOL

School ID: _301357______________________ School Address:Malusak, Atimonan, Quezon

NATURE OF INCIDENT: (Please check) TIME OF OCCURENCE (Please check)

Accident Robbery A.M. P.M.

Armed Conflict Health Issues

Bullying Others: Time: 7:00am - 5:00 pm Januay 04, 2023.

Fire Flooding Incident

Short Narrative:
On 04 January 2023, the Low-Pressure Area (LPA) and northeast moonson (locally termed
amihan) brought heavy rain and prolonged rainfall over the municipality of Atimonan resulting to
excessive flooding particularly in Malusak National High School (FVR Building and Pathway).
Use extra sheet if needed

Prepared by: Noted:

CYNTHIA P. CUYA
ROLAND DAVE J. SEGOVIA
Principal I
SDRRM-Coordinator
Signature Over Printed Name
Signature Over Printed Name

DEPEDQUEZON-SGO-DRR-04-004-001

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
ATIMONAN I DISTRICT
MALUSAK NATIONAL HIGH SCHOOL

FLOODING INCIDENT IN MALUSAK NATIONAL HIGH SCHOOL


Open Area/Pathway

DEPEDQUEZON-SGO-DRR-04-004-001

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
ATIMONAN I DISTRICT
MALUSAK NATIONAL HIGH SCHOOL

FVR BUILDING 2000


Grade 8-Jacinto Grade 9-Luna

DEPEDQUEZON-SGO-DRR-04-004-001

“Creating Possibilities, Inspiring Innovations”


Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph

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