Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF LIPA CITY
LUMBANG INTEGRATED NATIONAL HIGH SCHOOL
LUMBANG, LIPA CITY

SCHOOL - BASED REPORT ON INCIDENTS OF BULLYING

SY 2021 - 2022

School: LUMBANG INTEGRATED NATIONAL HIGH SCHOOL Classification: Public Secondary

Address: Brgy. Lumbang, Lipa City, Batangas Level: Secondary

DATE/ ACTION
NATURE OF BULLYING VICTIMS PERPETRATORS Recommendation STATUS
PLACE OF TAKEN
INCIDEN (RESOLVED/PENDING/REFERRED
T GENDER - Cyber SEX SEX
PHYSICAL SOCIAL NAME AGE NAME AGE     TO OTHER AGENCY)
BASED Bullying Retaliation (M/F) (M/F)

NONE TO REPORT
                               

                               

                               

Reviewed and Conformed by: MARIBEL T. LESCANO Prepared by: CARMELITA M. BASCO
Principal II School Guidance
Date: July 12, 2022 Date: July 12, 2022

Address: Lumbang, Lipa City

E – mail: 301495@deped.gov.ph
Telephone No: (043)784-3462