Enclosure 1A to DepEd Memorandum No. 59, s.

2015
School-Based Report on Incidents of Child Abuse
School Year 2020 - 2021

School: PORAC ELEMENTARY SCHOOL Classification: (Private / Public) PUBLIC

Address: POBLACION, PORAC, PAMPANGA Level: (Kindergarten / Elementary / Secondary) KINDERGARTEN/ ELEMENTARY

Nature of Abuse
Victims Perpetrators
(Place a check.)
Status
Date of Incident
Action Taken (Resolved / Pending /
(MM-DD-YYYY)
Verbal / Name Sex Name Sex Relationship to the Referred to other agency)
Physical Sexual Age Age
Psychological (Last Name, First Name, M.I. (M/F) (Last Name, First Name, M.I. (M/F) Victim

NON TO REPORT N/A N/A N/A NON TO REPORT N/A N/A NON TO REPORT N/A N/A N/A NON TO REPORT NON TO REPORT

Note:
* Child Abuse refers to the maltreatment of a child, whether habitual or not, which includes any of the following:
- Physical - refers to acts that inflict bodily harm and which subjects children to perform tasks which are hazardous to their physical well-being.
- Sexual - refers to acts that are sexual in nature such as rape, sexual harassment, sexuality demeaning remarks, forcing children to watch obscene publications or shows, etc., and
- Psychological - refers to acts or omissions causing or likely to cause mental or emotional suffering to the child which includes intimidation, harassment, stalking, public ridicule, threat of deduction from grade or merit
as a form of punishment, and repeated verbal abuse.

* Relationship to Victim refers to relatives (father, mother, cousin, etc) of school personnel (teachers and non-teaching staff).
* No amicable settlement for any acts of child abuse.

Reviewed and Confirmed by: EDWINA G. LANSANGAN Prepared by: ALMA C. PURI
 Name and Designation Name and Designation

Date: JULY 15, 2021 Date: JULY 15, 2021

Enclosure 1B to DepEd Memorandum No. 59, s. 2015
School-Based Report on Incidents of Bullying
School Year 2020 - 2021

School: PORAC ELEMENTARY SCHOOL Classification: (Private / Public) PUBLIC

Address: POBLACION, PORAC, PAMPANGA Level: (Kindergarten / Elementary / Secondary) KINDERGARTEN/ ELEMENTARY

Nature of Bullying
Victims Perpetrators
(Place a check.)
Status
Date of Incident
Action Taken Recommendation (Resolved / Pending /
(MM-DD-YYYY)
Gender - Cyber Name Sex Name Sex Referred to other agency)
Physical Social Retaliation Age Age
Based Bullying (Last Name, First Name, M.I.) (M/F) (Last Name, First Name, M.I.) (M/F)

NON TO REPORT N/A N/A N/A N/A N/A NON TO REPORT N/A N/A NON TO REPORT N/A N/A NON TO REPORT NON TO REPORT NON TO REPORT

Note: Bullying is perpretrated by a student against another student which may be:
- Physical - unwanted physical contact (punching, shoving, pushing, kicking, slapping, tickling, headlocks, etc.)
- Social - refers to deliberate, repetitive and aggressive social behavior intended to hurt or belittle an individual (name-calling, cursing, labelling, etc.)
- Gender-Based - refers to any act that humiliates or excludes a person on the basis of perceived or actual sexual orientation and gender identity.
- Cyber Bullying - any bullying done through the use of technology or any electronic means (texting, email, chatting, online games, etc.)

Reviewed and Confirmed by: EDWINA G. LANSANGAN Prepared by: ALMA C. PURI
Name and Designation Name and Designation
Date: JULY 15, 2021 Date: JULY 15, 2021
Appendix D from DepEd Order No. 18, s. 2015

CONSOLIDATED REPORT ON CASES OF CHILDREN-AT-RISK (CAR)

School: PORAC ELEMENTARY SCHOOL

Period Covered: School Year 2020 - 2021

I. CHILDREN-AT-RISK (CAR)

No. of Students
Classification Action Taken Remarks
Male Female
Victim of abuse (sexual, physical, psychological, mental,
1. economic and other mean)
N/A N/A N/A NON TO REPORT
2. Victim of Neglect N/A N/A N/A NON TO REPORT
Coming from a dysfunctional family or without parent or
3.
guardian N/A N/A N/A NON TO REPORT
4. Being member of a gang N/A N/A N/A NON TO REPORT
5. Living in a communitty with a higher level of criminality N/A N/A N/A NON TO REPORT
6. Living in a situation of armed conflict N/A N/A N/A NON TO REPORT
Committed a status Offense under Section 57 of RA 9344,
7.
as amended N/A N/A N/A NON TO REPORT
8. Prostituted Children N/A N/A N/A NON TO REPORT
9. Mendicant under PD 1563 N/A N/A N/A NON TO REPORT
10. Solvent / Rugby User N/A N/A N/A NON TO REPORT
11. Others N/A N/A N/A NON TO REPORT

II. Description of action taken by the school or division to alleviate the risk factors of the CAR:

Prepared by: Noted by:

ALMA C. PURI EDWINA G. LANSANGAN

Designation Principal
Appendix F from DepEd Order No. 18, s. 2015

School: PORAC ELEMENTARY SCHOOL

Period Covered: School Year 2020 - 2021

A. Consolidated Report on Incidents of Children in Conflict with the Law (CICL)

Learner's Reference Sex

Age Case / Violation Action Taken Interview / Diversion Program Remarks
Number (LRN) (M/F)
NON TO REPORT N/A N/A NON REPORT NON TO REPORT NON TO REPORT NON TO REPORT

B. Description of any intervention program or diversion program that the school or division initiated or adopted which facilitated the reintegration of the CICL in the school
and community.

Prepared by: Noted by:

ALMA C. PURI EDWINA G. LANSANGAN

Designation Principal