Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
ALAMINOS CITY, PANGASINAN

MALE STUDENTS’ VACCINATION RECORD

S.Y. 2021-2022
Grade and Section: COOKERY 11 - NORA DAZA
Adviser: SANDRA DEE B. CORPUS
Number of Male Students: 33
Number of Fully Vaccinated: 15
Number of Partially Vaccinated: 0
Number of Student/s with Booster Dose: 0
Number of Student/s Willing to Vaccinate: 18
Number of Student/s Unwilling to Vaccinate: 0
No. Name of Students Sex Age Birthday Contact Address Categoy 1st Dose 2nd Dose Booster Unvacci- Unvacci-
Number (ROPP/ (Vaccine/Date) (Vaccine/Date) (Vaccine nated nated (Not
PA3/
ROAP/ /Date) (Willing to willing to
etc.) Vaccinate) Vaccinate)
1 Brgy. Pogo, Alaminos
Abarra, Angelo Sarmiento M 16 8/18/2005 09071874368 ROPP PFIZER/11-30-2021 PFIZER/12-04-2022 NA
City, Pangasinan
2 Brgy. Pogo, Alaminos
Abarra, Nathanel Raloto M 16 12/7/2004 09071874368 ROPP PFIZER/11-19-2021 PFIZER/12-10-2021 NA
City, Pangasinan
3 Brgy. Palamis,
Aguilus, Francis Devera M 16 7/16/2005 09317056102 Alaminos City, /
Pangasinan
4 Brgy. Lucap, Alaminos
Aranas, Ariel Angelo B. M 17 7/17/2004 City, Pangasinan /
Tococ West Brgy.
5 Bristol, Daniel Magno M 16 8/2/2005 09506377191 Palamis Alaminos ROPP PFIZER/12-02-2021 PFIZER/12-23-2021 N/A N/A
City, Pangasinan
Brgy. Poblacion,
6 Bristol, Emmanuel R. M 17 3/12/2004 09318643082 Alaminos City, ROPP PFIZER/11-13-2021 PFIZER/12-04-2021 N/A N/A
Pangasinan
7 Brgy. Poblacion,
Camero, John Christian Collado M 17 12/6/2004 09635161310 Alaminos City, /
Pangasinan
8 Brgy. Umanday
Cantor, Gerson Yaneza M 19 5/21/2002 09065597644 /
Bugallon, Pangasinan
9 Brgy. Sabangan,
09511521578/
Casipit, Esmael Espiritu M 17 9/8/2004 Alaminos City, /
09511521412
Pangasinan
10 Cruz, Jerby Reian Garcia M 16 6/20/2005 09673353302 Brgy. Poblacion, ROPP PFIZER/11-17-2021 PFIZER/12-08-2021 N/A N/A
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
ALAMINOS CITY, PANGASINAN

Alaminos City,
Pangasinan
11 Brgy. Poblacion,
ASTRAZENECA/11-26- ASTRAZENECA/02-18-
Damasco, Neil John Ranille M 18 12/3/2003 09673353302 Alaminos City, ROPP N/A N/A
2021 2022
Pangasinan
12 Brgy. Pocal-pocal,
De Leon, Jaybee M 17 4/13/2004 09302288811 Alaminos City, /
Pangasinan
13 Brgy. Alos, Alaminos
Gajo, Jose Gabriel Cortez M 16 8/10/2005 ROPP PFIZER/11-19-2021 PFIZER/12-10-2021 N/A N/A
City, Pangasinan
14 Brgy. Poblacion,
Hernandez, Emmanuel Pejeder M 17 12/3/2004 09302156978 Alaminos City, /
Pangasinan
15 Brgy. Poblacion,
Hernandez, Jef Stephen Nyko Baniqued M 17 10/28/2004 09302156978 Alaminos City, ROPP PFIZER/11-10-2021 PFIZER/12-01-2021 N/A
Pangasinan
16 Brgy. Palamis,
09454065563/
Ison, Winard Bryan Oliveros M 16 8/1/2005 Alaminos City, /
09159376604
Pangasinan
17 Brgy. Pocal-pocal,
09983915646/
Jove, Elixir Minimo M 17 12/19/2004 Alaminos City, /
09274423363
Pangasinan
18 Brgy. Palamis,
09282099371/
Malibiran, King Cyruz De Vera M 16 2/7/2005 Alaminos City, /
09502122936
Pangasinan
19 Brgy. Poblacion,
Nacar, Joshua Rabago M 18 3/29/2003 09335841299 Alaminos City, ROPP PFIZER/11-04-2021 PFIZER/12-02-2021 N/A N/A
Pangasinan
20 Brgy. Pangapisan,
Onrada, Peter Rapelo M 17 7/29/2004 09508262542 Alaminos City, ROPP PFIZER/11-25-2021 PFIZER/12-16-2021 NA
Pangasinan
21 Brgy. San Jose,
Orejas, Mark Caoel M 16 5/19/2005 09487485708 Alaminos City, /
Pangasinan
22 Brgy. San Vicente
09164278829/
Padaoang, John Kyle Moyano M 16 12/6/2005 Alaminos ROPP PFIZER/11-23-2021 PFIZER/12-14-2021 N/A N/A
09673554696
City ,Pangasinan
23 Brgy. Palamis,
09863614163/
Rabanal, Geremie Pagapulan M 16 6/14/2005 Alaminos City, /
09982120382
Pangasinan
24 Brgy. Paitan West
Rabot, John Kenneth Austria M 17 10/16/2004 09564600326 /
Sual, Pangasinan
25 Brgy. Alos Alaminos
Raniaga, Jovie Carenas M 17 2/21/2004 09092368210 /
City, Pangasinan
26 Brgy. Alos Alaminos
Ranit, Jannoel Bacallo M 16 1/23/2005 09317407627 ROPP PFIZER/12-10-2021 PFIZER/12-29-2021 N/A N/A
City, Pangasinan
27 Regines, Rafael Quiza M 20 9/23/2001 09473169120 Brgy. Poblacion, /
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
ALAMINOS CITY, PANGASINAN

Alaminos City,
Pangasinan
28 Brgy. Palamis,
Riturban, Jaime Soriano M 19 4/1/2002 09074661634 Alaminos City, /
Pangasinan
29 Brgy. Bolaney,
Sagun, Marco Rabina M 21 1/5/2001 Alaminos City, ROPP PFIZER/11-12-2021 PFIZER/12-22-2021 N/A N/A
Pangasinan
30 Brgy. Pocal-pocal,
Sevillena, John Marion M 16 8/7/2005 09302888116 Alaminos City, /
Pangasinan
31 Brgy. Poblacion,
Tanda, Prince Benedict Davalos M 17 10/16/2004 09201039339 Alaminos City, ROPP MODERNA/11-08-2021 MODERNA/12-16-2021 /
Pangasinan
32 Brgy. Poblacion,
Tugade, Michael John Valdez M 17 6/17/2004 09279141498 Alaminos City, ROPP PFIZER/11-24-2021 PFIZER/12-11-2021 N/A N/A
Pangasinan
33 Brgy. Poblacion,
Ubana, Daryl James Hernandez M 21 7/22/2000 09302156978 Alaminos City, /
Pangasinan
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
ALAMINOS CITY, PANGASINAN

FEMALE STUDENTS’ VACCINATION RECORD

Grade and Section: COOKERY 11 - NORA DAZA
Adviser: SANDRA DEE B. CORPUS
Number of Female Students: 35
Number of Fully Vaccinated: 23
Number of Partially Vaccinated: 1
Number of Student/s with Booster Dose: 1
Number of Student/s Willing to Vaccinate: 8
Number of Student/s Unwilling to Vaccinate: 1
No. Name of Students Sex Age Birthday Contact Address Categoy 1st Dose 2nd Dose Booster Unvacci- Unvacci-
Number (ROPP/ (Vaccine/Date) (Vaccine/Date) (Vaccine/Date) nated nated (Not
PA3/ (Willing to willing to
ROAP/ Vaccinate) Vaccinate)
etc.)
1 090684496 Brgy. Poblacion Alaminos
Alcartado, Rizza mae Quidilla F 16 2/8/2005 /
1 City, Pangasinan
2 090626227 Brgy. Alos Alaminos City
Alegria, Aira F 16 11/14/2004 ROPP PFIZER/11-19-2021 PFIZER/12-10-2021 N/A N/A
46 Pangasinan
3 091589242 Brgy. San Vicente Alaminos
Baclig, Charisse Claire Canaria F 17 1/9/2005 ROPP PFIZER/11-30-2021 PFIZER/12-21-2021 N/A N/A
98 City Pangasinan
4 093080041 Brgy. Magsaysay, Alaminos
Bejerano, Sarah Joy Rivera F 23 2/21/1998 ROPP PFIZER/02-17-2022 PFIZER/03-10-2022 NA NA
29 City, Pangasinan
5 094615045 Brgy. Sabangan ,Alaminos
Bernales, Michelle F 18 12/16/2003 ROPP PFIZER/12-02-2021 PFIZER/12-23-2021 N/A N/A
56 City,Pangasinan
6 097705959 Brgy. Seselangen Sual
Bustillo, Laiza Lynne Palma F 17 10/9/2004 ROPP PFIZER/11-25-2021 PFIZER/12-16-2021 N/A N/A
83 Pangasinan
7 095082625 Brgy. Pangapisan Alaminos
Caluya, Cristina Junio F 17 17/3/2004 ROPP PFIZER/01-08-2022 N/A N/A
42 City Pangasinan
8 095199403 Brgy. Pangapisan Alaminos
Caluya, Judy Ann De Leon F 19 12/8/2003 /
69 City, Pangasinan
9 095661223 Brgy. Palamis Alaminos City,
Carace, Eula Gwyneth Bainto F 17 11/9/2004 /
84 Pangasinan
10 094688222 Brgy. Poblacion Alaminos
Chua, Regielem Moncada F 17 1/6/2005 ROPP PFIZER/11-10-2021 PFIZER/12-01-2021 N/A N/A
69 City Pangasinan
11 095629730 Brgy. Poblacion Alaminos
Cruz, Khelssy Kyla Dawat F 17 11/3/2005 ROPP PFIZER/11-27-2021 PFIZER/12-18-2021 N/A N/A
14 City Pangasinan
12 092165542 Brgy. Palamis Alaminos City,
De Leon, Princess Abat F 16 9/10/2005 ROPP PFIZER/11-30-2021 PFIZER/12-21-2021 /
28 Pangasinan
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
ALAMINOS CITY, PANGASINAN

13 094642905 Brgy. Poblacion Alaminos

De Ocampo, Anna Tenidor F 18 4/19/2003 ROPP PFIZER/11-13-2021 PFIZER/12-04-2021 /
87 City, Pangasinan
14 091295161 Brgy. Polo, Alaminos City,
Dujale, Mirapaz Cristobal F 16 4/30/2005 ROPP PFIZER/11-18-2021 PFIZER/12-09-2021 /
99 Pangasinan
15 Brgy. Pogo Alaminos City,
Enriquez, Mia Rizelle Ramos F 15 11/30/2006 ROPP PFIZER/11-24-2021 PFIZER/12-15-2021 /
Pangasinan
16 095082830 Brgy. Poblacion Alaminos
Ferrer, Princess Ann Montemayor F 16 9/22/2004 ROPP PFIZER/11-25-2021 PFIZER/12-16-2021 /
68 City, Pangasinan
17 092981791 Brgy. Poblacion Alaminos
Flores, Wenie Gil Espelita F 17 9/8/2003 PFIZER/12-02-2021 PFIZER/12-23-2021 N/A N/A
14 City, Pangasinan ROPP
18 099968779 Brgy. Palamis, Alaminos
Galope, Lea Therese F 21 3/13/2000 /
35 City, Pangasinan
19 094652940 Brgy. Pangapisan Alaminos
Gapasen, Erica Mae Caacbay F 16 8/8/2005 ROPP PFIZER/11-23-2021 PFIZER/12-14-2021 /
04 City, Pangasinan
20 095173573 Brgy. Palamis Alaminos City,
Garcia, Manilyn Batinggan F 18 2/1/2003 ROPP PFIZER/12-07-2021 PFIZER/01-07-2021 N/A N/A
93 Pangasinan
21 090833998 Brgy. Poblacion Alaminos
Mendoza, Reena-Kristine Terbio F 17 2/16/2004 ROPP PFIZER/11-11-2021 PFIZER/12-09-2021 PFIZER/04-11-2022 N/A N/A
10 City, Pangasinan
22 093878309 Brgy. San Jose Alaminos
Mimis, Krisha Mae Loi Rabaya F 17 11/27/2004 ROPP PFIZER/01-12-2022 PFIZER/02-02-2022 N/A N/A
67 City, Pangasinan
23 096567197 Brgy. Pogo Alaminos City,
Montaño, Diana Mae Quintos F 16 6/10/2005 ROPP PFIZER/11-5-2021 PFIZER/12-06-2021 N/A N/A
10 Pangasinan
24 096300810 Brgy. San Antonio Alaminos
Onia, Gelli Rendon F 20 6/18/2001 /
02 City, Pangasinan
25 093184725 Brgy. Poblacion Alaminos
Palazo, Mary Ann Casaclang F 17 12/5/2004 /
56 City, Pangasinan
26 Brgy. Palamis Alaminos City, ASTRAZENECA/11- ASTRAZENECA/02-
Radoc, Marjorie F ROPP NA
Pangasinan 25-2021 17-2022
27 094614817 Brgy. Pogo Alaminos City,
Rancudo, Andrea Legal F 17 11/24/2004 ROPP PFIZER/11-30-2021 PFIZER/12-21-2021 /
57 Pangasinan
28 095082625 Brgy. Pangapisan Alaminos
Rapelo, Jasmin Quesada F 18 1/17/2004 ROPP PFIZER/01-08-2022 N/A N/A
42 City, Pangasinan
29 Razote, Majanin Abong F Alaminos City, Pangasinan /
30 093184208 Brgy. Pangapisan Alaminos
Sion, Jennylyn Baustista F 16 6/14/2005 ROPP PFIZER/11-23-2021 PFIZER/12-14-2021 N/A N/A
89 City, Pangasinan
31 094874874 Brgy. Luna Mabini,
Soriano, Shana Calixtro F 17 09/25/2004 ROPP PFIZER/11-19-2021 PFIZER/12-10-2021 N/A N/A
27 Pangasinan
32 091543637 Brgy. Sabangan Alaminos
Tamayo, Ma. Janelle Elicaño F 17 12/26/2004 /
75 City, Pangasinan
33 095027476 Brgy. Bisocol Alaminos City,
Tanda, Rodessa Picar F 17 2/9/2004 /
05 Pangasinan
34 097708619 Brgy. Sabangan Alaminos ASTRAZENECA/12- ASTRAZENECA/03-
Vadal, Jenny Taneo F 18 7/1/2003 ROPP NA
00 City, Pangasinan 20-2021 14-2022
35 099132970 Brgy. Sabangan Alaminos
Volante, Kyla Mae Tanda F 17 7/23/2004 ROPP PFIZER/12-19-2021 PFIZER/01-10-2022 N/A N/A
62 City, Pangasinan
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
ALAMINOS CITY, PANGASINAN
 6
5
4
3
2
1
.
No

Submitted by:
Section

NORA DAZA

__________________________
Adviser

SANDDRA DEE CORPUS

35
Number of Female Students

33
Number of Male Students

68 Total Number of Students

Submitted to:
16

Number of Fully Vaccinated

(Female)
9

Number of Fully Vaccinated (Male)

25

Total Number of Vaccinated

REGION I

Students

Officer-in-Charge
ELNORA T. RAROQUE
3

Office of the Principal IV

GRADE 11

Number of Partially Vaccinated

ALAMINOS CITY, PANGASINAN

Education Program Supervisor

Republic of the Philippines

(Female)
SCHOOLS DIVISION OF ALAMINOS CITY
ALAMINOS CITY NATIONAL HIGH SCHOOL
Department of Education

Number of Partially Vaccinated

(Male)
4

Total Number of Partially

Vaccinated Students
0

Number of Student/s with Booster

Dose (Female)
0

Number of Student with Booster

Dose (Male)
0

Total Number of Student/s with

Booster Dose
15

Number of Unvaccinated Female

(Willing to Vaccinate)
23

Number of Unvaccinated Male

(Willing to Vaccinate)
CONSOLIDATION REPORT OF VACCINATION RECORDS OF STUDENTS (S.Y. 2021-22)

38

Total Number of Unvaccinated

Student/s (Willing to Vaccinate)
1

Number of Unvaccinated Female

(Unwilling to Vaccinate)
0

Number of Unvaccinated Male

(Unwilling to Vaccinate)
1

Total Number of Unvaccinated

Student/s (Unwilling to Vaccinate)