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Republic of the Philippines

Department of Education
REGION XI – DAVAO
SCHOOLS DIVISION OF DAVAO DEL NORTE PROVINCE
ANIBONGAN NATIONAL HIGH SCHOOL
ANIBONGAN, CARMEN, DAVAO DEL NORTE

November 6, 2020

DEE D. SILVA, DPA, CESO V


Schools Division Superintendent
Mankilam, Tagum City

Dear Maam:
INCIDENT REPORT

This is to inform your office that last October 26, 2020 one of our teacher has a close
contact to the parents of the person suspected to have COVID 19. The teacher informed me
very late that she was able to talk the mother of the suspected patent already in school. And all
of us reported on the date except those who are working from home. The patient is under close
monitoring with the Municipal Health Office and she was brought to isolation facility of Carmen
last October 27, 2020. According to the family, the person was fetched by the Municipal Health
Personnel to monitor the patient and to undergo swab test. On October 30, 2020, all family
members of the Suspected COVID 19 patient were scheduled for swab test to check their health
status. For us to be safe, though we are on 4 th line of contact I declare not to retrieve and
release the modules on October 28-30, 2020 until such time the result will come out on
November 4, 2020.

This is to further inform that school is STRICTLY following health protocol. We also have
the QR Code Application Scanner to check the coming in of our parents and visitors.

Name of Teachers Level of Contact Remarks


Acma, Mary Margarette 4th Strict Home Quarantine
Bain, Rowell 4th Strict Home Quarantine
Banuelos, Sarah Jane 5th Strict Home Quarantine
Catoc, Melodina 4th Strict Home Quarantine
Cayco, Rolando 4th Strict Home Quarantine
Davalos, Chenee 4th Strict Home Quarantine
Deiparine, Windemae 4th Strict Home Quarantine
Devilleres, Editha 4th Strict Home Quarantine
Diocares, Karyll 4th Strict Home Quarantine
Dorias, Leomar 4th Strict Home Quarantine
Gamino, Aries 4th Strict Home Quarantine
_____________________________________________________________________________________

Address: Anibongan, Carmen, Davao del Norte


Mobile No.: (+63) 98 977-255
Republic of the Philippines
Department of Education
REGION XI – DAVAO
SCHOOLS DIVISION OF DAVAO DEL NORTE PROVINCE
ANIBONGAN NATIONAL HIGH SCHOOL
ANIBONGAN, CARMEN, DAVAO DEL NORTE

Garcia, Maria Rosario 4th Strict Home Quarantine


Ledesma, Ludy 3rd Strict Home Quarantine
Ludia, Anthony Rey 4th Strict Home Quarantine
Pacaldo, Rosalea 4th Strict Home Quarantine
Panaguiton, Noven Dirk 4th Strict Home Quarantine
Pelayre, Geneline 4th Strict Home Quarantine
Raiz, Frezyl 4th Strict Home Quarantine
Ranera, Daisy Mae 4th Strict Home Quarantine
Ranera, Lester Ian 4th Strict Home Quarantine
Rosales, Evonie 4th Strict Home Quarantine
Salcedo, Niel Michael 4th Strict Home Quarantine
Seguido, Frejan 4th Strict Home Quarantine
Tubilla, Liezel 4th Strict Home Quarantine
Valenzona, Robelyn 4th Strict Home Quarantine
Yting, Sheena Mae 4th Strict Home Quarantine

Note: All teachers are on strict home quarantine until the result of the 2 nd line of contact will be
determined. Second line of contact undergone swab test Friday October 30,2020 and the result
will be after 3 days.

Prepared by: Noted by:

Windemae P. Deiparine Eric P. Indie,EdD


TI/HRMO Designate School Principal I

_____________________________________________________________________________________

Address: Anibongan, Carmen, Davao del Norte


Mobile No.: (+63) 98 977-255

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