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  • Integrated Helminthiasis Control Program (Deworming) 2020-2021 Grade Level Report Form Masterlist of Pupils Dewormed

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    Regine Catipunan
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    This document provides a grade level report form listing 40 pupils who were dewormed at a school. It includes each pupil's name, age, whether consent was given for deworming, and a signature if consent was given. The form also lists the school name, grade and section, date of deworming, and region.

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    Deworming Form

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    This document provides a grade level report form listing 40 pupils who were dewormed at a school. It includes each pupil's name, age, whether consent was given for deworming, and a signature if consent was given. The form also lists the school name, grade and section, date of deworming, and region.

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    4 views1 page

    Integrated Helminthiasis Control Program (Deworming) 2020-2021 Grade Level Report Form Masterlist of Pupils Dewormed

    Uploaded by

    Regine Catipunan
    This document provides a grade level report form listing 40 pupils who were dewormed at a school. It includes each pupil's name, age, whether consent was given for deworming, and a signature if consent was given. The form also lists the school name, grade and section, date of deworming, and region.

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    © All Rights Reserved
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    INTEGRATED HELMINTHIASIS CONTROL PROGRAM (DEWORMING) 2020-2021

    GRADE LEVEL REPORT FORM


    MASTERLIST OF PUPILS DEWORMED

    Name of School:_______________________________________________District:_______________________

    Grade &Section:_______________________________________________Division:________________________

    Date Dewormed:______________________________________________ Region :VI-Western Visayas

    NAME OF PUPILS AGE CONSENTED FOR SIGNATURE


    DEWORMING
    YES NO (IF YES)
    1.ALAYON,ALFREENZ JAM, BANGGAY 10
    2.ANDRES,MARK JIO, BIASON 10
    3. BAHALA,CHARLS CHRISTIAN, LAGADA 9
    4. DE ASIS,KENT EDWARD, LIMBO 10
    5. DELFIN,ZEEB ZACHARY, GARDOSE 10
    6. ENTILA,ELORDY, BROCE 10
    7. ESPORA,GABRIEL, DELGADO 9
    8. GALLEGO,JAMES EMMANUEL, FOLGERAS 10
    9. GALVEZ,JUSTINE, LEONES 11
    10. LAGUNDAY,AUSTINE JUACKY, MIRASOL 10
    11. LOGROÑO,MELBOY, JABAYBAY 10
    12. MAMIGO,ETHAN DANIEL, MILLANA 10
    13. MANABA,JUZEL, BERDEN 9
    14. NABAJA,JIAN CARLO, COSTILLAS 11
    15. PAEZ,FRITZ ZYREL, JALECO 9
    16. PINONGAN,JOSIRK, MERCADO 10
    17. TICAR,JUANITO, III LOPEZ 9
    18. VILLA-ALBA,ROGIE, CIENTOS 10
    19. VILLEGAS,CHRISTIAN JADE, RABOTAZO 10
    20. ALEJANDRINO,CHELSEA MAURIZ, - 10
    21. ALLADO,ASHLEY KYLE, - 10
    22. ANTRONE,QUEEN RIHANNA, NIÑAL 11
    23. BAÑEZ,KEZIA, LOZADA 9
    24. BULANDRA,MA MADEL, MANLAPAO 9
    25. CABIDOG,SOFIA IRISH, DALGUNTAS 11
    26 CALMERIN,MARYELL, MARTORILLAS 10
    27. CARDOZA,TRICIA ANGELIQUE, ETUMAY 10
    28. CASTILLO,MIKAELA GWENDON, LEDESMA 10
    29. CERIALES,PATRICIA CAMILLE, PINASAS 9
    30. JACINTO,ARA MAE, SOTES 9
    31. LEDESMA,WENALYN, SERRA 9
    32. MALIBE,ALTHEA RHIAN, UNTOLAN 10
    33. MOLATO,JANIELLA KAYE, CELESTE 10
    34. NARVASA,DIANE ROSE, SALIPOD 10
    35. PEGARIDO,JAMAIKA, BACATO 10
    36. RECOSALEM,ATASHA, ZARAGOZA 9
    37. SALVADOR,YNA, BARRIENTOS 10
    38. STEFANESCU,SANDRA AMELIE, SEDAYON 9
    39. TEE,VANES, GONZALES 10
    40. VALIDOR,ARIANE CLAIRE, BANTAD 9

    Prepared by: Date:_____________________

    REGINE V. CATIPUNAN Noted: RECHILDA B. TAN


    Class Adviser School Principal

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