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Form 2

 National School Deworming Month


School Level Reporting Form

Province: SAMAR Name of School: ASLUM ELEMENTARY SCHOOL


Division: SAMAR School Address: Brgy.Aslum Sta.Rita,Samar
District : STA.RITA II

Grade Level Enrolment No.of Children Dewormed Remarks


4Ps Non 4Ps 4Ps Non 4Ps
Kinder 0 7 0 7 Given
Grade 1 0 6 0 6 Given
Grade 2 1 7 1 7 Given
Grade 3 1 7 1 7 Given
Grade 4 1 5 1 5 Given
Grade 5 1 4 1 4 Given
Grade 6 3 4 3 4 Given
Total 7 40 7 40

Accomplished by: Noted by:

JAQUELINE B. BARBACENA FELIPE C. DACUT,PhD


Teacher In-Charge District-in-Charge

Date Accomplished: November 16, 2020

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