Barangay: PANDATUNG AND SIBUL Division: __BATAAN______________ Annex 1B Child Mapping Tool

Municipality: __HERMOSA_____ Region: ____III___________________

NAME DEMOGRAPHIC INFORMATION RESIDENCE DISABILITY ECCD(FOR EDUCATIONAL STATUS FUTURE ENROLLMENT
4YO
CHILDREN
Last First Middle Gender Age Date of Birth With Birth Present Numbe (Is residence Has a If YES, Provided If Educational Currently If YES, If NO, If Planning If YES, If NO,
Certificate? Address r of permanent?) disability? specify with YES, Attainment studying? specify state studying to study specify state
(YES/NO) Years in 1.(YES/NO) (YES/NO) type of ECCD spec (YES/NO) name of reason through next the name reason for
Present *has plan on disability Services? ify school for not ADM, school of not
Addres mocing out? (YES/NO) ECC studying specify year? prospecti planning
s 2.(YES/NO) D type of (YES/NO) ve school to study
facili ADM next
ty school
year
BALUYOT REYMARTH PINEDA M 12 02-16-2007 YES Prk.5 2 YES/NO NO S6 YES SIBUL E/S

GIBAN LANZ CYRIL ORTIGA M 11 07-18-2007 YES Prk.4 11 YES/NO NO S6 YES SIBUL E/S

CASAIS KRISTINE JOY BUENAOBRA F 13 05-28-2005 YES Prk.4 3 YES/NO NO S6 YES SIBUL E/S

CASAIS REGENE BUENAOBRA F 12 10-12-2006 YES Prk.5 3 YES/NO NO S6 YES SIBUL E/S

BUENAVENTURA JAN PAUL DABU M 12 01-08-2007 YES Ever- 12 YES/NO NO S6 YES SIBUL E/S
lasting
VALENCIA NICOLE JANE DE LEON F 12 11-16-2006 YES Ever- 12 YES/NO NO S6 YES SIBUL E/S
lasting
TORRES SHANJO IMPORTA M 11 04-12-2007 NO Prk.3 11 YES/NO NO S6 YES PANDATU
NG E/S
PANGILINAN PETER GABRIEL M 10 04-06-2008 YES Prk. 3 10 YES/NO NO S5 YES PANDATU
N E/S

GUINTO JOSHUA EUFEMIO M 12 02-13-2007 YES Prk.4 12 YES/NO NO S6 YES PANDATU

NG E/S

ASK: “Is the child a permanent resident?” (YES/NO) If YES, follow-up “do the residents plan on moving out?”
TYPES OF DISABILITIES :(see DepED Order No. 2, s.2014 for detailed descriptions)
1-Visual Impairment 6-Serious Emotional Disturbance

2-Hearing Impairment 7-Autism MARIANNE C. SERRANO & LAMBERTO C. ESCONDE, JR.

3-Intellectual Disability 8-Orthopedic Impairment ___________________________________________________________________________________

4-Learning Disability 9-Special Health Problems Interviewer Name and Signature

5-Speech/Language Impairment 10-Multiple Disabilities

EDUCATIONAL ATTAINMENT FEBRUARY 2, 2019

CK-Completed Kindergarten C7-Completed Grade 7 SK-Some Kindergarten S6-Some Grade 6 S12-Some Grade 12 ___________________________________________________________________________________

C1-Completed Grade 1 C8-Completed Grade 8 S1-Some Grade 1 S7-Some Grade 7 Date of Interviews
C2-Completed Grade 2 C9-Completed Grade 9 S2-Some Grade 2 S8-Some Grade 8
C3-Completed Grade 3 C10-Completed Grade 10 S3-Some Grade 3 S9-Some Grade 9
C4-Completed Grade 4 C11-Completed Grade 11 S4-Some Grade 4 S10-Some Grade 10
C5-Completed Grade 5 C12-Completed Grade 12 S5-Some Grade 5 S11-Some Grade 11
C6-Completed Grade 6