Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of CALAMBA CITY
Calamba City
CALAMBA NATIONAL HIGH SCHOOL- ANNEX

Form 1 - Classroom Level

National School Deworming Month(NSDM) Round 1
January 22, 2018

District: EAST 5 School ID: 308703

Name of School: CALAMBA NATIONAL HIGH SCHOOL-ANNEX Grade/Section:

Dewormed NOT DEWORMED

Consented to
No. Name of Child deworming Refused No Consent
(as indicated in Deworming form returned
4 Ps Non-4Ps consent form)
1 Alarcon, Mark Adrian T. /
2 Barasona, Gabriel L. / Agreed
3 Batchar, Justine L. / Agreed
4 Caburnay, David J. /
5 Cañas, Niko L. / Agreed
6 Danieles, Aldrich B. / Agreed
7 Gaintano Jr., Rodolfo B. / Agreed
8 Ignacio, Sandino B. / Agreed
9 Magbayao, Jonathan D. / Agreed
10 Manzareno, Darwin M. / Agreed
11 Marco, Jude C. / Agreed
12 Mendoza, Leian Lenard V. / Agreed
13 Quiroc, Roel D. / Agreed
14 Ramirez, Ron Allan S. / Agreed
15 Rogador, Renz E. /
16 Roldan, Adrian R. /
17 Sanggalang, Joriel James R. /
18 Talag, oliver M. /
19 Angeles, Veronica Niña L. / Agreed
20 Basco, Raven M. /
21 Bermillo, Christine Joy G. /
22 Biol,Pauline Marie A. /
23 Carpena, Vanessa Nicole C. / Agreed
24 Dawat, Dianalyn L. / Agreed
25 De Guzman, Ashley Denice L. /
26 De Jesus, Cheska Marjorie C. / Agreed
27 Dela Rama, Chriszian Ashley / Agreed
28 Diaz, Ashley Jade C. /
29 Echaluse, Sheena Mae G. / Agreed
30 Ernacio, Angeline Faye M. /
31 Evangelista, Alexis A. / Agreed
32 Gaton, Jea B. / Agreed
33 Gayas, Ma. Edelyn T. / Disagreed
34 Guerra, Gillian D. /
35 Hidalgo, Johanah Cristine B. / Agreed
36 Locañas, Elaisa Marie R. / Agreed
37 Lorenzo, Fatima L. / Agreed
38 Martinez, Evita A. /
39 Nolasco, Mary Jane C. / Agreed
40 Padua, Mary Joy A. / Agreed
41 Pelicano, Jamaicah Grace A. /
42 Roxas, Jonalin D. /
 43 Salom, Alexandrei B. /
44 Saquido, Renerose H. / Agreed
45 Saquido, Ricca H. / Agreed
46 Villena, Schenly V. / Agreed

Accomplished by: Noted by:

MERLINDA O. PEREJA
MARIA CARMELA O. MALIGAYA School Deworming Coordinato
Adviser
08703
7-LOVE

ORMED
Adverse
Precautionary Event
measure
LINDA O. PEREJA
orming Coordinator
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of CALAMBA CITY
Calamba City
CALAMBA NATIONAL HIGH SCHOOL- ANNEX

Form 1 - Classroom Level

National School Deworming Month(NSDM) Round 1
July 12, 2017

District: EAST 5 School ID: 308703

Name of School: CALAMBA NATIONAL HIGH SCHOOL-ANNEX Grade/Section:

Dewormed NOT DEWORMED

Consented to
No. Name of Child deworming Refused No Consent
(as indicated in Deworming form returned
4 Ps Non-4Ps consent form)
1 Alverio, Angelo V.
2 Alverio, Arjay
3 Alvia, Arch
4 Divinagracia, Jan David G.
5 Ebrahim, Alimar
6 Evia, Jhan Miguel P.
7 Francisco, Eugene
8 Geronimo, Mark Sydney
9 Ibay, Jhorie P.
10 Javier, Ceah Andrei
11 Layco, Bernie Jr.
12 Malaguna, Windel
13 Mauntol, Al-Raji
14 Membrot, Alcris
15 Montenegro, Ronie
16 Parducho, Dexter S.
17 Pasicolan, John Paul
18 Peregrino, Jay Allen
19 Pilapil, Khenjai Ceasar
20 Posadas, Andrew
21 Reyes, Vhon Lenard
22 Segunial, Kian Bryan
23 Servillon, Gerald N
24 Barrota, Kate Winslet
25 Camat, Anthonette R.
26 Castillo, Regine
27 Casulla, Cindy L.
28 Catapang, Irene
29 Dela Cruz, Roshiel
30 Diatao, Nerry R.
31 Felipe, Jenny Ros B.
32 Gaela, Erika Mae
33 Garcia, Kyla
34 Grefal, Precious
35 Ibasitas, Shopia Dyan
36 Layug, Ersha Lynda
37 Magora, Jade Ashley
38 Mahinay, Myka
39 Omega, Haide
40 Paglicawan, Kaery Belle
 41 Peñola, Rhearick
42 Porlage, Ernalyn
43 Sarmiento, Joana
44 Tejada, Abigail
45 Villaflores, Jessa

Accomplished by: Noted by:

MERLINDA O. PEREJA
MELODIA C. DE GUZMAN School Deworming Coordinator
Adviser
08703
7-KIND

ORMED
Adverse
Precautionary Event
measure
LINDA O. PEREJA
orming Coordinator
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of CALAMBA CITY
Calamba City
CALAMBA NATIONAL HIGH SCHOOL- ANNEX

Form 1 - Classroom Level

National School Deworming Month(NSDM) Round 1
July 12, 2017

District: EAST 5 School ID: 308703

Name of School: CALAMBA NATIONAL HIGH SCHOOL-ANNEX Grade/Section:

Dewormed NOT DEWORMED

Consented to
No. Name of Child deworming Refused No Consent
(as indicated in Deworming form returned
4 Ps Non-4Ps consent form)
1 Abril, Jhershey Joie
2 Advencula, Mark Joseph
3 Agapito, Andrew Victor
4 Alcantara, John Jay-R
5 Alverio, Cynard
6 Arcenal, Jerl's Gabriel
7 Asuncion Reymond
8 Baclao, Joshua
9 Bobier, Neil Jepoi
10 Cathulong, John Carlo
11 De Castro, Davie
12 Fallorina, Kent Sebastian
13 Hilario, Kyle Vincent
14 Labarete, Dondon
15 Labarete, Zhasney
16 Lomibao, John Renz
17 Manalo, John Giovanni
18 Mataro, Lordiem
19 Motas, Justin John
20 Pontillara, Ryan
21 Ramirez, Mark Lorence
22 Rosabel, Christian
23 Saguid, Ayen Syruz
24 Sandico, Leo Andrei
25 Virrey, John Jacob
26 Antipino, Hershey
27 Asufra, Princess
28 Asuncion, Jamin
29 Baquiran, Jessa Mae
30 Buenaobra, Jamel
31 Guevarra, Lady Angelique
32 Lagaña, Angelina
33 Lulu, Hannah Nicole
34 Macaraig, Marian Marell
35 Macaranas, Sethian
36 Magbayao, Jenalyn
37 Olavario, Ma. Cathlyn
38 Onggi, Christell Jane
39 Opulencia, Kana Mae
40 Padua, Princess Nicole
 41 Panoy, Roselle
42 Perfania, Clariss
43 Rosabel, Charis
44 Sulit, Melody

Accomplished by: Noted by:

MERLINDA O. PEREJA
LUCILLE FEDELINO School Deworming Coordinator
Adviser
08703
7-RESPECT

ORMED
Adverse
Precautionary Event
measure
 INDA O. PEREJA
orming Coordinator
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of CALAMBA CITY
Calamba City
CALAMBA NATIONAL HIGH SCHOOL- ANNEX

Form 1 - Classroom Level

National School Deworming Month(NSDM) Round 1
July 12, 2017

District: EAST 5 School ID: 308703

Name of School: CALAMBA NATIONAL HIGH SCHOOL-ANNEX Grade/Section:

Dewormed NOT DEWORMED

Consented to
No. Name of Child deworming Refused No Consent
(as indicated in Deworming form returned
4 Ps Non-4Ps consent form)
1 Basco, Nash Andrei
2 Borja, Karl Aerol
3 Breboneria, Mark Jayson
4 Canceran, Jerico
5 Carinan, Jan Rey C.
6 Como, Justine Carl
7 Cueto, Lans Enoch
8 Dela Torre, Lester
9 Enriquez, Francis
10 Grapeza, Jhon Mark
11 Marabe, John Paul
12 Morales, Lorenz
13 Navarro, Jayson
14 Ortega, Aeron C.
15 Paclita, Dave
16 Ramos, John Carl
17 Reyes, khirt hershel
18 Sales, Vincent Jay
19 Salvador, Richmon
20 Sarsosa, John Rey
21 Tandang, Ron Jhon
22 Viador, John Rey O.
23 Banga, Wendylene S.
24 Basaysay, Diana Rose A.
25 Cajolo, Chard Laine
26 Cestina, Danica
27 Diotay, Jade Kisha
28 Gelasan, Kimberly G.
29 Gulay, Jhery Mae B.
30 Jurao, Karen M.
31 Lobrido, Trisha May
32 Lobrido, Trixie Ann
33 Lucas, Shiela R.
34 Omega, Ica
35 Omega, Rysalyn A.
36 Ortega, Joy D.
37 Payad, Allyson D.
38 Rara, Jeymie T.
39 Romero, Cyrah Jane
40 Santos, Nicole Angela L.
 41 Sergio, Mae
42 Vicente, Hazel

Accomplished by: Noted by:

MERLINDA O. PEREJA
Queenzel Darren Napiza School Deworming Coordinator
Adviser
08703
7-RESPECT

ORMED
Adverse
Precautionary Event
measure
 INDA O. PEREJA
orming Coordinator