RECORDIN

Region: IX Name of School: SISAY NATIO

Province: ZAMBOANGA SIBUGAY Division:
District/ Municipality: TUNGAWAN Date: AUGUST 01, 2017

To be filled up by the School Nurse/ Class Adviser

Date of Birth
No. Name Complete Address Age Sex
MM/DD/YY

1 ABAJAR, JEFFREL LOVE F. LOBOC, TUNGAWAN, ZSP 3/3/2004 13 M

2 AJETO, JAYSON L. LOBOC, TUNGAWAN, ZSP 12/28/2004 12 M
3 ANGCAP, CHRIS EVERT M. LOBOC, TUNGAWAN, ZSP 10/3/2003 13 M
4 ASOY, XYREZ KEN G. LOBOC, TUNGAWAN, ZSP 7/20/2002 15 M
5 ATTIP, NURMIN M. DATU TUMANGGONG, TUNGAWAN, ZSP 6/6/2004 13 M
6 BACALSO, STEVE J. SISAY, TUNGAWAN, ZSP 9/26/2005 11 M
7 BERINO, JOHN MARL P. LOBOC, TUNGAWAN, ZSP 4/11/2004 13 M
8 BILAO, RANDOLF F DATU TUMANGGONG, TUNGAWAN, ZSP 11/18/2005 11 M
9 CABALONA, JONEL L. SISAY, TUNGAWAN, ZSP 7/8/2002 15 M
10 CABARLES, APRIL JAMES G. LOBOC, TUNGAWAN, ZSP 8/8/2005 11 M
11 ELON, SABTURIN A. SISAY, TUNGAWAN, ZSP 12/30/2003 13 M
12 ESCUADRO, JUNIE BOY M. LOBOC, TUNGAWAN, ZSP 6/16/2005 12 M
13 GABUYA, JOEREN T. DATU TUMANGGONG, TUNGAWAN, ZSP 2/9/2004 13 M
14 GUILINGAN, REYMARK C. DATU TUMANGGONG, TUNGAWAN, ZSP 6/14/2005 12 M
15 JAILAN, SAMER H. DATU TUMANGGONG, TUNGAWAN, ZSP 9/25/2004 12 M
16 JALANI, ARNASIP A. DATU TUMANGGONG, TUNGAWAN, ZSP 5/12/1999 18 M
17 JAWALI, DEXTER N. TILASAN, R.T. LIM, ZSP 12/29/2002 14 M
18 LAPA, JEROME T. LOBOC, TUNGAWAN, ZSP 12/23/2002 14 M
19 LUMARAS, JULYDE L. DATU TUMANGGONG, TUNGAWAN, ZSP 7/10/2004 13 M
20 MARCIAL, ABDILLA B. DATU TUMANGGONG, TUNGAWAN, ZSP 4/2/2001 16 M
21 MARMITO, JUMHARI B. DATU TUMANGGONG, TUNGAWAN, ZSP 1/1/2003 14 M
22 MONTERO, ARNEL B. GAYCON, TUNGAWAN, ZSP 9/15/2004 12 M
23 SALAPAYNE, DESSI JHUN A. LOBOC, TUNGAWAN, ZSP 7/24/2004 13 M
24 SALAPAYNE, VINCENT REY A. LOBOC, TUNGAWAN, ZSP 2/26/2004 13 M
25 25. SANDIALAN, ROGELJAI D. DATU TUMANGGONG, TUNGAWAN, ZSP 10/15/2004 12 M
26 TEJAMO, JUNGIE L. GAYCON, TUNGAWAN, ZSP 3/12/2005 12 M
27 TIZON, ALDREN F. DATU TUMANGGONG, TUNGAWAN, ZSP 7/17/2005 12 M
 Prepared by:
NERIZA ROA HAIN, T-I

RECORDIN
Region: IX Name of School: SISAY NATIO
Province: ZAMBOANGA SIBUGAY Division:
District/ Municipality: TUNGAWAN Date: AUGUST 01, 2017

To be filled up by the School Nurse/ Class Adviser

Date of Birth
No. Name Complete Address Age Sex
MM/DD/YY

1 AGUILAR, THEA MARIE J. DATU TUMANGGONG, TUNGAWAN, ZSP 12/21/2002 14 F

2 ALBA, KATRINA MAE R. SISAY, TUNGAWAN, ZSP 3/5/2005 12 F
3 AMATO, RICHMA JADE P. SISAY, TUNGAWAN, ZSP 10/22/2005 11 F
4 AUTOR, PRINCESS GUIA G. LOBOC, TUNGAWAN, ZSP 3/16/2005 12 F
5 BALANDA, AIRA J. DATU TUMANGGONG, TUNGAWAN, ZSP 6/12/2004 13 F
6 BETYO, HONEY MAE P. SISAY, TUNGAWAN, ZSP 10/8/2002 14 F
7 BOLHANO, CHEARY MEI A. SISAY, TUNGAWAN, ZSP 11/27/2004 12 F
8 CABALONA, REA MAE L. SISAY, TUNGAWAN, ZSP 5/28/2005 12 F
9 CALUMBA, KEYCIE T. SISAY, TUNGAWAN, ZSP 8/1/2005 12 F
10 CONAHAP, MELDRIN C. SISAY, TUNGAWAN, ZSP 3/10/2005 12 F
11 DOMEN, ELJANE A. SISAY, TUNGAWAN, ZSP 6/9/2005 12 F
12 ELON, JUMAATIYA A. SISAY, TUNGAWAN, ZSP 9/1/2005 11 F
13 FERNANDEZ, JENNYROSE E. SISAY, TUNGAWAN, ZSP 11/18/2005 11 F
14 JAWALI, DARLYN N. TILASAN, R.T. LIM, ZSP 1/24/2003 14 F
15 LUMARAS, ESNORA L. DATU TUMANGGONG, TUNGAWAN, ZSP 10/19/2004 12 F
16 MAATA, MAICEL M. SISAY, TUNGAWAN, ZSP 9/11/2005 11 F
17 MAGLANGIT, QUICEL MAE D. SISAY, TUNGAWAN, ZSP 1/26/2005 12 F
18 MANALO, CREZIL JANE B. SISAY, TUNGAWAN, ZSP 11/18/2005 11 F
19 MARCE, ANA MONICA G. DATU TUMANGGONG, TUNGAWAN, ZSP 9/4/2005 11 F
20 MONSANTO, IVY MAE R. SISAY, TUNGAWAN, ZSP 4/28/2005 12 F
21 NAMOC, IRISH T. SISAY, TUNGAWAN, ZSP 11/17/2004 12 F
22 ORBOC, MARIEFE A. SISAY, TUNGAWAN, ZSP 3/12/2004 13 F
23 ORO, JESSICA S. SISAY, TUNGAWAN, ZSP 7/26/2005 12 F
24 PEÑERO, PRICHE JANE P. SISAY, TUNGAWAN, ZSP 4/17/2004 13 F
25 PEÑERO, PRICHE MARIE P. SISAY, TUNGAWAN, ZSP 6/9/2005 12 F
26 PILAPIL, LOVELY T. SISAY, TUNGAWAN, ZSP 5/25/2005 12 F
 27 RUBIO, MARY ANN L. LOBOC, TUNGAWAN, ZSP 3/17/2004 13 F
28 TOMOGSOK, FLORDELISA A. SISAY, TUNGAWAN, ZSP 3/21/2005 12 F
29 TUNDAAN, ANGELINA D. SISAY, TUNGAWAN, ZSP 2/6/2002 15 F
30 TUNDAAN, JOY-NA D. SISAY, TUNGAWAN, ZSP 12/31/2003 13 F

Prepared by:
NERIZA ROA HAIN, T-I

RECORDIN
Region: IX Name of School: SISAY NATIO
Province: ZAMBOANGA SIBUGAY Division:
District/ Municipality: TUNGAWAN Date: AUGUST 01, 2017

To be filled up by the School Nurse/ Class Adviser

Date of Birth
No. Name Complete Address Age Sex
MM/DD/YY

1 ABING,JOREDEN BREGONDO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 06-20-2005 12 M

2 ALBIOS,FRANKIE ESTOMAGOLANG SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 12-15-2002 15 M

3 ALBIOS,FRIENDGIE ESTOMAGOLANG SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 08-23-2004 13 M

4 ALBIOS,FRIENDVERT ESTOMAGOLANG SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 10-25-2005 12 M

5 ASOY,ALGEN-JAY GOMEZ LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 04-24-2006 12 M

6 AUTOR,MARVIN JR GEROSA LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 05-22-2006 12 M

7 BANAYBANAY,REYMOND TALLEDO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 08-28-2004 13 M

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
8 BASSOH,ABDUL BHASET AL NABUA SIBUGAY
03-13-2006 12 M

9 BUALING,JULIUS CANTILLA LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 07-09-2006 11 M

10 ELIM,CARLITO JR SORDILLA LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 06-23-2001 16 M

11 ESCORIAL,JESS AMBUS SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 11-27-2005 12 M

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
12 ETAC,RAYEAN JACOSALEM SIBUGAY
08-08-2006 11 M

13 ETOL,JAYSON REY SUMAGANG LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 06-02-2005 12 M

14 EVANGELIO,JOLOU BAYLADO LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 04-24-2006 12 M

15 GANAR,MARK TABORA LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 06-25-2005 12 M

16 HABIBAIN,ALMORSI YAHSIN SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 03-14-2004 14 M

17 LANGHAP,RODERICK SIMBORIO LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 09-11-2005 12 M

18 LOZANO,OLIVER CALIJAN SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 08-31-2005 12 M

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
19 MADJID,SURHANI LUMADAS SIBUGAY
03-23-2006 12 M
DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
20 MAMIL,JEFFREY TUMANGGONG SIBUGAY
03-02-2004 14 M
DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
21 MARCIAL,ALPARISI BALANDA SIBUGAY
08-20-2005 12 M

22 MONTERO,JUN JUN BUSTAMANTE GAYCON, TUNGAWAN, ZAMBOANGA SIBUGAY 06-17-2005 12 M

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
23 PITOGO,FREDEMAR ARTIAGA SIBUGAY
02-12-2004 14 M

24 SALAPAYNE,DONATO III ANDALOC LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 12-10-2001 16 M

 25 SALAPAYNE,VICTOR JULIUS ABASOLO LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 07-18-2005 12 M

26 SALAZAR,JOEL REY LIBROSA TILASAN, ROSELLER T LIM, ZAMBOANGA SIBUGAY 07-21-2006 11 M

27 SALAZAR,LUIS JOEY LIBROSA TILASAN, ROSELLER T LIM, ZAMBOANGA SIBUGAY 08-04-2005 12 M

28 SUSTENTO,RODEL BLASE LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 03-31-2005 13 M

29 TARROZA,YAHYA LUMASAG GAYCON, TUNGAWAN, ZAMBOANGA SIBUGAY 01-31-2006 12 M

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
30 TEOLOGO,REYMARK ETAC SIBUGAY
07-24-2006 11 M

31 TOLEDO,JOLAND GALLEGO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 10-30-2006 11 M

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
32 WADJA,FAHAD JAILAN SIBUGAY
02-04-2004 14 M
DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
33 YUSOP,NURSIN BASSOH SIBUGAY
02-07-2006 12 M

34
35
36
37
Prepared by:
LEAH M. SUMATRA, T-I

RECORDIN
Region: IX Name of School: SISAY NATIO
Province: ZAMBOANGA SIBUGAY Division:
District/ Municipality: TUNGAWAN Date: AUGUST 01, 2017

To be filled up by the School Nurse/ Class Adviser

Date of Birth
No. Name Complete Address Age Sex
MM/DD/YY

1 ABANSADO,MERRY JOY BREGUNDO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 01-28-2006 12 F

2 ARGENTES,ROWEN MARIE FRANCISCO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 07-22-2005 12 F

3 BERINO,VANESSA MARIE PAGENTE LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 02-20-2006 12 F

4 BOLHANO,JONALYN SAROAY SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 05-26-2006 12 F

5 CALIJAN,TRISHLEY CLAIRE MEJARES SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 08-15-2006 11 F

6 CAMANZO,CLAUDINE ABUDA SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 09-06-2004 13 F

7 EBO,CHERIES CABOL SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 10-14-2006 11 F

8 FRANCISCO,LEAH DADAN LOBOC, TUNGAWAN, ZAMBOANGA SIBUGAY 12-24-2004 13 F

9 GANTE,CHRISAMAE BACALSO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 09-27-2006 11 F

10 MAQUILING,GRETCHEN ENCONTRO SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 02-15-2006 12 F

DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
11 MARMITO,NURKISA BUYO SIBUGAY
11-19-2004 13 F
DATU TUMANGGONG, TUNGAWAN, ZAMBOANGA
12 PITOGO,DUNAMAE ARTIAGA SIBUGAY
12-12-2005 12 F

13 QUIMBA,JOSEPHINE ADORADA SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 08-31-2004 13 F

14 SUMAOT,SHELA JANE SANGHILAN SISAY, TUNGAWAN, ZAMBOANGA SIBUGAY 10-18-2006 11 F

15 SUMELING,AILYN TAKILID GAYCON, TUNGAWAN, ZAMBOANGA SIBUGAY 07-27-2004 13 F

16 SUMELING,ARLYN TAKILID GAYCON, TUNGAWAN, ZAMBOANGA SIBUGAY 07-27-2004 13 F

17
18
19

Prepared by:
LEAH M. SUMATRA, T-I
 School-Based Immunization
RECORDING Form 3: Masterlist of Grade 7 Students
me of School: SISAY NATIONAL HIGH SCHOOL
ZAMBOANGA SIBUGAY Section: Grade Seven-Rose
e: AUGUST 01, 2017

r To be filled up by the Vaccinator Te

Sick Today? Last Menstrual Potentially

Parents' Response Slip History of Allergies (Foods, Vaccine Given
Meds, Previously (FEVER) Period Pregnant
Immunization MR/ Td

Yes No Yes No (For Females Only) Yes/ No MR (R arm)

Allergy (dried fish)

Allergy (dried fish)

Allergy (dried fish)

 Noted by:

School-Based Immunization
RECORDING Form 3: Masterlist of Grade 7 Students
me of School: SISAY NATIONAL HIGH SCHOOL
ZAMBOANGA SIBUGAY Section: Grade Seven-Rose
e: AUGUST 01, 2017

r To be filled up by the Vaccinator Te

Sick Today? Last Menstrual Potentially

Parents' Response Slip History of Allergies (Foods, Vaccine Given
Meds, Previously (FEVER) Period Pregnant
Immunization MR/ Td

Yes No Yes No (For Females Only) Yes/ No MR (R arm)

Allergy (eggplant, chicken)

May-17

Jun-17

16-Jul-17

29-Jun-17
 Noted by:

School-Based Immunization
RECORDING Form 3: Masterlist of Grade 7 Students
me of School: SISAY NATIONAL HIGH SCHOOL
ZAMBOANGA SIBUGAY Section: Grade Seven-Daisy
e: AUGUST 01, 2017

r To be filled up by the Vaccinator Te

Sick Today? Last Menstrual Potentially
Parents' Response Slip History of Allergies (Foods, Vaccine Given
Meds, Previously (FEVER) Period Pregnant
Immunization MR/ Td
Yes No Yes No (For Females Only) Yes/ No MR (R arm)
 Noted by:

School-Based Immunization
RECORDING Form 3: Masterlist of Grade 7 Students
me of School: SISAY NATIONAL HIGH SCHOOL
ZAMBOANGA SIBUGAY Section: Grade Seven-Daisy
e: AUGUST 01, 2017

r To be filled up by the Vaccinator Te

Sick Today? Last Menstrual Potentially
Parents' Response Slip History of Allergies (Foods, Vaccine Given
Meds, Previously (FEVER) Period Pregnant
Immunization MR/ Td
Yes No Yes No (For Females Only) Yes/ No MR (R arm)
7/13/2017

6/3/2017

7/13/2017
Noted by:
 To be filled up by the Vaccination Team
MR
Lot No:
Batch No:
Td
Lot No:
Batch No:

up by the Vaccinator Team

Reasons for
Vaccine Given Deferred Refusal 4P's IP's
Refusal

Td (L arm)
/
/
/
/
/
/

/
/

/
/
/
/

/
/
/

/
/
/

/
/
/
 JESSEL P. CABALJOG
School Principal-I

To be filled up by the Vaccination Team

MR
Lot No:
Batch No:
Td
Lot No:
Batch No:

up by the Vaccinator Team

Reasons for
Vaccine Given Deferred Refusal 4P's IP's
Refusal

Td (L arm)
/
/
/
/

/
/
/

/
/
/
/
/
/
/
/

/
/
/
/
 /
/

JESSEL P. CABALJOG
School Principal-I

To be filled up by the Vaccination Team

MR
Lot No:
Batch No:
Td
Lot No:
Batch No:

up by the Vaccinator Team

Reasons for
Vaccine Given Deferred Refusal 4P's IP's
Refusal
Td (L arm)
/
/
/
/
/
/

/
/
/
/
/

/
/
/
/
/
/
/
/
 /
/
/
/
/
/
/

/
/

JESSEL P. CABALJOG
School Principal-I

To be filled up by the Vaccination Team

MR
Lot No:
Batch No:
Td
Lot No:
Batch No:

up by the Vaccinator Team

Reasons for
Vaccine Given Deferred Refusal 4P's IP's
Refusal
Td (L arm)
/
/
/
/

/
/
/
/
/

/
/
/
JESSEL P. CABALJOG
School Principal-I