(Enclosure No. 10 to DeEd Memorandum No. 59,s.

2013)

(To be submitted to the Division Office one(10 week after the opening of every school year)

DEPARTMENT OF EDUCATION
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE
District of Pinamungajan I
SAMBAGON ELEMENTARY SCHOOL

School-Based Report on Incidents of Child Abuse

School Year 2020 - 2021
Classification: Public
Address: Sambagon, Pinamungajan, Cebu Level: Kindergarten/Elementary
Nature of Abuse Victims Sex Perpetrators Sex Status
Date of Incident/ Place of Relationship to the Action
Resolve/Pending/Refered to
Incident NAME Victim Taken
NAME Age (M/F) (Last Name, First Name, M.I.)
Age (M/F) other agency)
Physical Sexual Verbal/Psychological (Last Name, First Name, M.I.)
NONE

Total
Note:
● Child abuse refers to the maltreatment of a child, whether habitual or not which includes the following:
▪ Physical - refers to acts that inflects bodily harm and which subject to perform tasks which are hazardous to their physical well-being;
▪ Sexual - refers to acts that are actual in nature such as rape, sexual harassment, forcing children to which obscene publications or shows, etc. ; and
▪ Psychological - refers to acts of omissions causing mental or emotional suffering to the child which inlclude intimidation, harassment, stalking and repeated verbal abuse.
● Relationship to the victin refers to relatives (father, mother, cousins, etc.) os school personnel (teachers and non-teaching staff)
● No amicable setlement for any acts of child abuse.

Prepared by: Reviewed and Conformed by:

JEZIEL MARIE B. DONAN JULIETA O. CANILLO
School Guidance Coordinator HEAD TEACHER 2
Date: July 10, 2021 Date: July 10,2021