Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga Sibugay
Buug Schools District
DEL MONTE ELEMENTARY SCHOOL
-Del Monte-
LIST OF GRADE ___ PUPILS FOR DEWORMING
_________________, 2019

Name of Teacher: _____________ _____ Grade: _______ Section: ___________________

NAME OF PUPILS Check if pupil is Remarks:

LAST NAME FIRST NAME M.I. SEX 4P's/CCT

Prepared by:

___ ____________________ ___

Teacher