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  • Health Declaration Checklist

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    AGNES DUMALAGAN
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    This health declaration form checklist from Sta. Cruz Elementary School contains the names of 7 teachers who submitted their health declarations from November 30 to December 4, 2020. The form includes spaces for each teacher's name, date and time of submission, signature, and any remarks. It will be used to track the health declarations submitted by teachers during that period.

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    HEALTH DECLARATION CHECKLIST

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    This health declaration form checklist from Sta. Cruz Elementary School contains the names of 7 teachers who submitted their health declarations from November 30 to December 4, 2020. The form includes spaces for each teacher's name, date and time of submission, signature, and any remarks. It will be used to track the health declarations submitted by teachers during that period.

    Copyright:

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

    Health Declaration Checklist

    Uploaded by

    AGNES DUMALAGAN
    This health declaration form checklist from Sta. Cruz Elementary School contains the names of 7 teachers who submitted their health declarations from November 30 to December 4, 2020. The form includes spaces for each teacher's name, date and time of submission, signature, and any remarks. It will be used to track the health declarations submitted by teachers during that period.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Department of Education

    Caraga Administrative Region


    Bislig City Division
    Bislig V District
    STA. CRUZ ELEMENTARY SCHOOL

    HEALTH DECLARATION FORM CHECKLIST


    NAME OF TEACHERS Date & Time Submitted Signature REMARKS
    1. Chyla Vianca R. Barrios
    2. Ruby Reah R. Otadoy
    3. Lilibeth M. Dorilag
    4. Jayyzelle C. Blanco
    5. Aleah D. Tampogao
    6. Kymberly Jean R. Quimpan
    7. May F. Caberte

    Date: NOV. 30-DEC. 4, 2020


    NAME OF TEACHERS Date & Time Submitted Signature REMARKS
    1. Chyla Vianca R. Barrios
    2. Ruby Reah R. Otadoy
    3. Lilibeth M. Dorilag
    4. Jayyzelle C. Blanco
    5. Aleah D. Tampogao
    6. Kymberly Jean R. Quimpan
    7. May F. Caberte

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