Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya

GRADE 10 EINSTEIN HEALTH DECLARATION SHEET DATE: JULY 7, 2022

Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
1. BAYLE, Ryan Jay B.
2. Bayle, Celia
3. CABAEL, John Mathew T.
4. Toledo, Nancy
5. DELA CRUZ, Joshua A.
6. Dela Cruz, Melita
7. ESPIRITU, Lean Miguel T.
8. Espiritu, Armina
9. FERRY, Lucky Y.
10. Ferry, Alicia
11. GUZMAN, Jamiel Jelo G.
12. Guzman, Emelie
13. HINDAC, Harryson O.
14. Hindac, Wilson
15. MAGAWAY, Vince Gabriel T.
16. Magaway, Ginalyn
17. RAMEL, Gabriel John A.
18. Ramel, Mylene
19. RIGOR, Joshua Benedict H.
20. Hermoso, Teresa
21. SALEM, Mico Andrei S.
22. Salem, Harry Bill Nino M.

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 1
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Cough & Difficulty of Fatigue or Loss of Taste
Fever Sore Throat Diarrhea Headache Body Pain
NAME Temp. Colds Breathing Tiredness or smell REMARKS
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
23. UY, Jayson R.
24. Uy, Gloria
25. ALIGO, Nathalie T.
26. Aligo, Marlyn
27. ALMODOVAR, Christal May S.
28. Almodovar, Jonah
29. APIGO, Lady Lhara A.
30. Apigo, Melinda
31. BARAWED, Ethel Rose A.
32. Barawed, Ervin
33. BATUYONG, Princess Joy Q.
34. Batuyong, Arnold
35. BATUYONG, Shiela Andrea M.
36. Batuyong, Leonard
37. BELMONTE, Krizel Mitz D.
38. Belmonte, Elsa
39. CASTRO, Czarina Nina D.
40. Castro, Wendy
41. CLEMENCIA, Gracel Denisse L
42. Clemencia, Grace
43. CORPUZ, RC Eden A.
44. Corpuz, Mila
45. DE FIESTA, Kelsie Lian Z.
46. De Fiesta, Ronalyn

NAME Temp. Fever Cough & Difficulty of Sore Throat Diarrhea Fatigue or Headache Loss of Taste Body Pain REMARKS

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 2
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Colds Breathing Tiredness or smell
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
47. DISCAYA, Fiona Claire I.
48. Discaya, Ronald
49. DUGAY, Stephanie H.
50. Dugay, Keizl Jane H.
51. ESPALDON, Reese Eeya T.
52. Espaldon, Ellen
53. ESTEBAN, Luisa Antoinnete S.
54. Bautista, Betty
55. FREGILLANA, Alexy Caryl A.
56. Fregillana, Monette
57. GALAPON, Xena Jaleesa A.
58. Galapon Jane
59. LOPEZ, Jemary M.
60. Martinez, Alma
61. MATUSALEM, Jamila R.
62. Matusalem, Mila
63. MENDOZA, Paula Joreign O.
64. Mendoza, Ryan
65. OFRANCIA, Caroline B.
66. Ofrancia, Chonalyn
67. PINTO, Jamille Patricia G.
68. Pinto, Samson
69. PUMARAS, Leshlei Fei A.
70. Pumaras, Alex

NAME Temp. Fever Cough & Difficulty of Sore Throat Diarrhea Fatigue or Headache Loss of Taste Body Pain REMARKS
Colds Breathing Tiredness or smell

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 3
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
71. QUIAPE, Francheska Q.
72. Quiape, Edna
73. QUITOLES, Jhaylho D.
74. Quitoles, Julie
75. SADUESTE, Alyza Jean F.
76. Sadueste, Alvin
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
94.

Address: Quezon St., Don Domingo Maddela, Bayombong, Nueva Vizcaya

Telephone Nos.: (078) 362-0106, 09171589
Email Address: nuevavizcaya@deped.gov.ph
Website: www.deped-nv.com.ph Doc Code: FM-SGOD-HRD-004 Rev: 02
As of: 11.12.2019 Page: 4