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  • School-Based Weekly Iron Folic Acid (WIFA) Supplementation: Form 1 - Classroom Level Annex A1

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    JeffAndrada
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    This document is a record of iron folic acid supplementation provided to students at Catablan Integrated School. It shows that 17 students, including 10 female learners, received weekly iron folic acid supplements without parental consent from January to April 2021. The record includes each student's name and learner reference number along with the dates they received supplements each week. It was administered by the class adviser, checked by the head teacher, and noted by the principal.

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    11-Leeuwenhoek-r1-2020-2021 (1)

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    This document is a record of iron folic acid supplementation provided to students at Catablan Integrated School. It shows that 17 students, including 10 female learners, received weekly iron folic acid supplements without parental consent from January to April 2021. The record includes each student's name and learner reference number along with the dates they received supplements each week. It was administered by the class adviser, checked by the head teacher, and noted by the principal.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    13 views1 page

    School-Based Weekly Iron Folic Acid (WIFA) Supplementation: Form 1 - Classroom Level Annex A1

    Uploaded by

    JeffAndrada
    This document is a record of iron folic acid supplementation provided to students at Catablan Integrated School. It shows that 17 students, including 10 female learners, received weekly iron folic acid supplements without parental consent from January to April 2021. The record includes each student's name and learner reference number along with the dates they received supplements each week. It was administered by the class adviser, checked by the head teacher, and noted by the principal.

    Copyright:

    © All Rights Reserved
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    of 1

    Form 1 – Classroom Level Annex A1

    School-based Weekly Iron Folic Acid (WIFA) Supplementation

    Region: I Division : URDANETA Date: 04-12-21 School Year: 2020-2021

    School ID: 500007 Name of School: Catablan Integrated School Address: Catablan, Urdaneta City

    Grade Level/Section: 12-LEEUWENHOEK Number of Students Enrolled: 17 Number of Female Learners : 10

    Round 1 Round 2
    Consent Provided with Iron Folic Acid Supplements
    REMARKS
    Jan. Month of February Month of March Month of April
    LRN Name of Learner With Without
    Consent Consent W1 W2 W3 W4 W5 W6 W7 W8 W9 W10 W11 W12

    10230212OO18 ANTONIO, MIA ABULENCIA / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    102209808009 CALIMLIM, JADE KYLA MALING / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    103677140108 ESTEFANIO, LOVE JOY VALDEZ / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    102290080029 JACOB, CRYSTAL JANE BELTRAN / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    100497080015 NEVADO, KYLA, ABUAN / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    102302080027 ORAZA,,CHRISTINE, DELA CRUZ / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    102298080057 SUPLETO, MARY ANN MADOLID / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    102290080061 TAMONDONG, MARIANE MALINIS / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    401711150318 ZAMORA, JAYCEL ANNE MARIE N. / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    102290080064 ZAMORA, JOYCEL ANNE MARIE N. / 1-25-21 2-01-21 2-08-21 2-15-21 2-22-21 3-01-21 3-08-21 3-15-21 3-22-21 3-29-21 4-05-21 4-12-21
    TOTAL 7

    Administered by: Checked by:


    Noted:

    JEFFREY G. ANDRADA, DA LOURDES R. PABITO TEDIE A. DE VERA


    Class Adviser Head Teacher III Principal IV
    Date: 04-12-21 Date: 04-12-21 Date: 04-12-21

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