Republic of the Philippines

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

GRADE 10 HARMONY 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. ABAS, Justin A
2.
3. ABON, Jayrone N
4.
5. ALCANTARA, Justine O
6.
7. ANTONIO, Arein G
8.
9. AREVALO, Denver Ryan C
10.
11. CAMACHO, CJ N
12.
13. CARDENAS, Jay-R P
14.
15. CASTRO, Jerome L.
16.
17. CLEMENTE, Jomerson G
18. Gamboa, Josie
19. DELA CRUZ, Nick Francis D
20.
21. ERILLA, Earl A.
22.

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. EVANGELISTA, El-Em
24. Evangelista, Marlon
25. FRANCISCO, Saver Jhake S
26. Francisco, Oliver
27. GAMBOA, Leovan Jimm B
28.
29. HUFALAR, Dave Nask Kurby
30. Asis, Imelda
31. MAQUE, Clark Khent
32. Maque, Jovelyn
33. MARIANO, Jerson Ventura
34.
35. MENDOZA, Alfred Jhon L
36.
37. PADAMA, Justin Venice
38. Padama, Rowena
39. PIMENTEL, Soren
40. Pimentel, Dharen
41. TABERNA, Vyan Tomas
42.
43. TOLEDO, Marwin Glen R
44.
45. TOLENTINO, Ashley B
46. Tolentino Shayne

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. TOLENTINO, Merlan Dhryxs T.
48.
49. TORNO, Rod Aedrian
50. Torno, Loradel
51. TUBIERA, John Lawrence
52. Barroga, Luvy
53. VILLANUEVA, Earl Jave
54. Villanueva, Ernando
55. VILLAR, Levi Dan
56. Villar, Jo-Anne
57. ABRIAS, Jofelyn
58.
59. ARELLANO, Andrea Hope
60.
61. ASUNCION, Ryzalyn
62. Asuncion, Robert
63. BAUTISTA, Juliana Z
64. Bautista, Gerardo
65. GATIWAN, Grachielle Mae
66.
67. MALLARI, Jallane
68. Lumabi, Maribel
69. NERI, Angel
70.

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. NERI, Rhealyn
72.
73. SADUESTE, Jhannel
74.
75. VADIL, Reynalyn
76.
77. WASIN, Rudy Len C.
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