Department of Education

DIVISION OF CEBU PROVINCE

Mantalongon National High School
Mantalongon, Dalaguete, Cebu
Grade and Section: Grade - Dahlia

Date: June 5, 2012

Teacher: Tomas C. Cariquitan
VISION TEST RESULT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58

Aguitong
Amarado
Antenero
Asenjo
Bejer
Belanizo
Belia
Calvo
Caritan
Caritan
Cartilla
Castillo
Delposo
Entice
Glipa
Gutierrez
Labadia
Mier
Orozco
Panogan
Pialan
Radaza
Ramos
Ramos
Rivas
Rubin
Silvano
Silvano
Ybaez
Ybaez
Ybaez
Alonzo
Amaba
Amaba
Amancio
Ambrad
Angcos
Antecristo
Apostol
Basa
Belamide
Besin
Calvo
Cataytay
De Luna
Entera
Gamboa
Gamboa
Gerat
Hortado
Jainar
Magallano
Martinez
Panal
Ricafort
Rodriguez
Tan
Tangpos

NAME
, James
, John Leonard
, Robert
, Jose Elmer
, Silvestre Jr.
, Rolando
, Marvin
, John Jake
, Gilfun
, John Riel
, Christian Prince
, Mark Anthony
, John Dexter
, Reynaldo
, Bryan
, Regent Kent
, John Michael
, Malvin
, Alvin
, Maximo
, Jonel
, Rustom
, Jose Christopher
, Joseph Bryan
, John Dexter
, Calvin
, Mark Jason
, Marvin
, Arman
, Bartolome
, Hermelito
, Rosenda
, Josephine
, Rosalyn
, Jacquelyn
, Jennifer
, Shiela
, Claudine Shine
, Jovelyn
, Margellie Ann
, Emilou
, Ma. Jacquelyn
, Mariel
, Ivy
, Josephine
, Wilma
, Cristelle Mae
, Angelica
, Glenda Marie
, Christel Jade
, Ma. Genessa
, Quennie Jean
, Mae Ann
, Ace Mariel
, Alma
, Mary Jane
, Crystelle Joy
, Ma. Justine

No. of Students Screened: 58

Age
A.
A.
D.
B.

13.06
14.1
15.06
16.01
13.07
D. 14.04
B. 13.1
A. 14.06
D. 13.01
J. 14.09
O. 15.08
G. 13.01
B. 15.11
E. 16.08
R. 13.03
B. 13.05
E. 12.11
A. 14.04
S. 13.1
G.
15
C. 14.1
14.01
O. 12.1
E. 14.03
V. 15.11
G. 13.02
13.11
D. 14.01
J. 14.08
E. 14.07
C. 14.09
V.
13
Z. 13.1
Y. 13.02
F. 14.04
J. 12.04
T. 12.11
13.06
S.
13
G. 12.01
C.
18
C. 14.08
M. 14.03
13.05
G. 12.07
D. 12.06
12.05
A. 14.03
G. 12.1
D. 14.09
I. 13.02
A. 14.11
D. 12.09
B. 12.02
B. 12.11
D. 13.07
D. 13.00
B. 14.04

Sex
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F

Headache, Nausea,
Dizziness
Yes
No

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

No. with defects: 0

Results

Squint
Yes

No

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

W/ Glasses
R eye
L eye

W/o Glasses
R eye
L eye

20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20

Total No. of Enrollment: 58

20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20

Remarks

Department of Education
DIVISION OF CEBU PROVINCE
Mantalongon National High School
Mantalongon, Dalaguete, Cebu
Grade and Section: Grade 7 - Jasmin

Date: June 5, 2012

Teacher: Tomas C.Cariquitan
VISION TEST RESULT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

Alcazar
Alonzo
Amancio
Bejer
Besin
Bobo
Calvo
Carin
Carin
De Luna
Debalucos
Degino
Enal
Fajardo
Gabule
Gamboa
Indig
Indig
Jainar
Lacaste
Mortejo
Obiedo
Odiong
Tahil
Tangpos
Thelmo
Tiburillo
Vasquez
Ybaez
Ybaez
Ybaez
Abestano
Alcazar
Aguitong
Amagan
Amamag-id
Amancio
Becher
Carzano
Ereo
Gamboa
Grapa
Gerardo
Gesim
Hermac
Hortado
Jorillo
Mariscal
Orozco
Panugan
Pilomeno
Quevedo
Requina
Tura
Zuiega

NAME
, Angelito
, Christopher
, Cecilio
, Juan
, Mark Joseph
, Ryan Christopher
, Agustin
, Kent Alair
, John Rey
, John Michael
, Andrade
, Marcelo Jr.
, Daryll
, Agapito
, Mark Aldrin
, John Rey
, Valerio
, Jonathan
, Nicasio
, Carlo
, Marvin
, Jonathan
, Orlando
, Nio
, Marlon
, Raymart
, Gerald Mark
, Jeremy
, Rogelio
, Fernando Jr.
, Kimberly
, Genevieve
, Maileen
, Shairalyn
, Rosanna
, Richelle
, Maricar
, Ma. Lorena
, Clarissa
, Clarissa
, Ma. Lyn
, Irish
, Judelyn
, Jocelyn
, Roselyn
, Riza Mae
, Jennelyn
, Elena
, Jessica
, Irene
, Marithel
, Jennifer
, Elvira
, Melanie
, Jessa

No. of Students Screened: 55

Age
R.
G.
C.
B.
F.
P.
C.
T.
J.
R.
G.
A.
N.
A.
A.
N.
T.
A.
C.
A.
M.
P.
N.
J.
C.
C.
V.
S.
C.
B.
L.
C.
C.
C.
P.
R.
B.
M.
M.
Z.
M.
Q.
E.
P.
M.
C.
G.
S.
O.
A.
O.
D.

13.07
14.08
14.04
14.07
13.02
15.05
19.09
12.05
14.08
12.11
13.11
13.05
13.09
13.09
18.02
13.07
15.06
13.08
13.03
13.02
14.02
15.1
14.04
12.08
13.06
13.04
12.05
13.05
16.02
15.04
17.05
12.02
13.01
12.02
13.09
14.04
15.1
12.11
17.02
12.04
12.09
14.08
13.06
12.04
15.02
13.05
13.11
13.09
13.06
17.06
12.05
15.05
14.01
12.04
17.01

Sex
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F

Headache, Nausea,
Dizziness
Yes
No

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

No. with defects: 0

Results

Squint
Yes

No

x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

W/ Glasses
R eye
L eye

W/o Glasses
R eye
L eye

20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20

Total No. of Enrollment: 55

20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20
20/20

Remarks