No.

DepEd Email Address

1 juan.delacruz@deped.gov.ph
2 jose.rizal@deped.gov.ph
FULL NAME (FIRST, MIDDLE, LAST AND SUFFIX) AGE SEX CELLPHONE
NUMBER

JUAN UNO DELA CRUZ JR 30 MALE 0905-366-6923

JOSÉ PROTACIO RIZAL MERCADO Y ALONSO REALONDA 32 MALE 0909-756-8342
Unit/ Bldg./ House BARANGAY MUNICIPALITY PROVINCE
No./ Street Name/
Purok

PRK. PAG-ASA KENRAM ISULAN SULTAN KUDARAT

PRK. BAYANIHAN LUNETA BAGUMBAYAN SULTAN KUDARAT
EMPLOYER STATION DISTRICT

DEPED DIVISION OF SULTAN K KAPINGKONG CENTRAL ELEMENTARY SCHOLAMBAYONG II

DEPED DIVISION OF SULTAN K ESPERANZA NATIONAL HIGH SCHOOL ESPERANZA I
LEVEL EMPLOYMENT STATUS POSITION (NO CLASSIFICATION
ABBREVIATION)

ELEMENTARY SCHOOL REGULAR/ PERMANENT TEACHER I TEACHING

SECONDARY SCHOOL REGULAR/ PERMANENT MASTER TEACHER III TEACHING
PhilHealth ID Number Experiencing SIGNS AND COMORBIDITY
UNUSUAL signs or SYMPTOMS
symptoms before EXPERIENCED
receiving COVID-19 PRIOR TO
vaccine? VACCINATION

123456789123 NO NONE NONE

123451234512 YES HEADACHE HYPERTENSION
OTHER MEDICAL Previously diagnosed DATE OF RT-PCR IF UNVACCINATED,
CONDITION with COVID-19 (based TEST RESULT (For STATE REASON OF
on RT-PCR Test Previously diagnosed NOT RECEIVING THE
Result)? with COVID-19 ONLY) VACCINE

NONE YES 9/9/2020

ON BLOOD THINNER TH
NO N/A DISQUALIFIED BY ATTENDING PHYSICIAN
 PRIORITY GROUP TYPE OF COVID-19 VACCINE PLACE OF MUNICIPALITY
PROVIDER VACCINATION
(BLDG. OR BRGY.)

A1 MUNICIPAL HEALTH OFFICE (RHU) POBLACION LAMBAYONG

IED BY ATTENDING PHYSICIAN
PROVINCE COVID-19 VACCINE FIRST DOSE VACCINE BATCH NO.
RECIEVED RECIEVED (ENTER N/A IF NOT
(MM/DD/YYYY) APPLICABLE)

SULTAN KUDARAT GAMALEYA SPUTNIK 9/9/2021 12345

VACCINE LOT NO. SECOND DOSE VACCINE BATCH NO. VACCINE LOT NO.
(ENTER N/A IF NOT RECEIVED (IF (ENTER N/A IF NOT (ENTER N/A IF NOT
APPLICABLE) JANSSEN, SAME APPLICABLE) APPLICABLE)
DATE WITH FIRST
DOSE)
(MM/DD/YYYY)

N/A 9/10/2021 54321 N/A

SIDE EFFECT/ INTERVENTION CURRENT HEALTH COVID-19 VACCINE
ADVERSE REACTION GIVEN STATUS BOOSTER DOSE
EXPERIENCED RECEIVED

FEVER GIVEN FIRST AID AT NO SIDE EFFECT OR NOVAVAX

MODERNA
DATE OF BOOSTER
VACCINATION
(MM/DD/YYYY)

1/1/2022
1/1/2022
No. LEARNER'S FULL NAME (FIRST, MIDDLE, LAST AND AGE SEX CELLPHONE BARANGAY MUNICIPALITY
SUFFIX) NUMBER

1 JIMBOY MACALOS BERTUDAZO 11 MALE MASIAG BAGUMBAYAN

2 JOHN LOYD LORANA BONGANAY 12 MALE MASIAG BAGUMBAYAN
3 IVAN DE JUAN CARO 12 MALE MASIAG BAGUMBAYAN
4 RUBEN DEMALATA CERBAS 13 MALE MASIAG BAGUMBAYAN
5 KENNETH LORIA CONSABO 12 MALE MASIAG BAGUMBAYAN
6 MARK RASSEL VIRAY DOMIDER 13 MALE MASIAG BAGUMBAYAN
7 RYAN JAY SUMALINOG FARILLON 12 MALE MASIAG BAGUMBAYAN
8 JOSHUA SEBIDO FORMAREJO 13 MALE MASIAG BAGUMBAYAN
9 ZAI JOHN BONGCO GALAGATE 11 MALE MASIAG BAGUMBAYAN
10 KARL KIRBY TINGZON GEMINO 11 MALE MASIAG BAGUMBAYAN
11 JERIC SION GUECO 11 MALE MASIAG BAGUMBAYAN
12 ALEXANDER DEJONGOY LAPIDEZ 11 MALE MASIAG BAGUMBAYAN
13 EDREWIN RAPISTA LORANA 12 MALE MASIAG BAGUMBAYAN
14 JOSEPH VILLANUEVA LOYOLA, JR. 14 MALE MASIAG BAGUMBAYAN
15 FRANCE JOY OMAGAP NABIONG 12 MALE MASIAG BAGUMBAYAN
16 CHARLS-IAN LORIA NATABIO 12 MALE MASIAG BAGUMBAYAN
17 JAYSON LAPUZ NAVARRO 12 MALE MASIAG BAGUMBAYAN
18 ALFRED MORILLA PANGANIBAN 15 MALE MASIAG BAGUMBAYAN
19 JOSUA DELA ROSA PENIDA 11 MALE MASIAG BAGUMBAYAN
20 JAY LAURENCE VILLANUEVA PENIG 11 MALE MASIAG BAGUMBAYAN
21 JONEL LORANA RAPISTA 12 MALE MASIAG BAGUMBAYAN
22 LEXTER JAY PALAWAN SION 12 MALE MASIAG BAGUMBAYAN
23 PRINCE JOHN BUCANI SOLOREN 12 MALE MASIAG BAGUMBAYAN
24 RAYMARK APRONG VITUDION 11 MALE MASIAG BAGUMBAYAN
25 MICAH JOY LIBOON ASUPARDO 12 FEMALE MASIAG BAGUMBAYAN
26 AILYN LORANA CARBON 11 FEMALE MASIAG BAGUMBAYAN
27 JESSA MAE NATABION DEL PILAR 12 FEMALE MASIAG BAGUMBAYAN
28 DIVINA QUILARTO ESTEVA 12 FEMALE MASIAG BAGUMBAYAN
29 RUBY JEAN PALMES FARILLON 12 FEMALE MASIAG BAGUMBAYAN
30 RHOXANE INOCENCIO FARINAS 12 FEMALE MASIAG BAGUMBAYAN
31 JENNIFER GALAGATE FRANCISCO 11 FEMALE MASIAG BAGUMBAYAN
32 GLAIZA INGAWAN GALVE 12 FEMALE MASIAG BAGUMBAYAN
33 ROSELYN LENTIJA GONZAGA 12 FEMALE MASIAG BAGUMBAYAN
34 REGINE ESTEVA LORIA 11 FEMALE MASIAG BAGUMBAYAN
35 MAE JOY PANAGUITON LOZADA 12 FEMALE MASIAG BAGUMBAYAN
36 CATHERINE SALES MAMON 13 FEMALE MASIAG BAGUMBAYAN
37 GWENALYN AYOSEP MECASIA 11 FEMALE MASIAG BAGUMBAYAN
38 RENALYN LIBO-ON ROTCHE 12 FEMALE MASIAG BAGUMBAYAN
39 SHERLYN GALVE SABANGAN 11 FEMALE MASIAG BAGUMBAYAN
40 ANGEL NATABIO SUMAGAYSAY 11 FEMALE MASIAG BAGUMBAYAN
PROVINCE SCHOOL GRADE SECTION DISTRICT LEVEL

SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
SULTAN KUDARAT MASIAG NATIONAL HIGH SCHOOL GRADE 7 RUBY BAGUMBAYAN III SECONDARY SCHOOL
Experiencing SIGNS AND COMORBIDITY OTHER MEDICAL Previously diagnosed DATE OF RT-PCR IF UNVACCINATED,
UNUSUAL signs or SYMPTOMS CONDITION with COVID-19 (based TEST RESULT (For STATE REASON OF
symptoms before EXPERIENCED on RT-PCR Test Previously diagnosed NOT RECEIVING THE
receiving COVID-19 PRIOR TO Result)? with COVID-19 ONLY) VACCINE
vaccine? VACCINATION

NO NONE NONE NONE NO

NO NONE NONE NONE NO
NO NONE NONE NONE NO NO CITED REASON
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO LACK OF TRUST IN THE COVID-19 VAC
NO NONE NONE NONE NO NO CITED REASON
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO
NO NONE NONE NONE NO NO CITED REASON
NO NONE NONE NONE NO
NO NONE NONE NONE NO
 PRIORITY GROUP TYPE OF COVID-19 VACCINE PLACE OF MUNICIPALITY PROVINCE COVID-19 VACCINE
PROVIDER VACCINATION RECIEVED
(BLDG. OR BRGY.)

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH

N THE COVID-19 VACCINE

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH

ROPP (REST OF PEDI MUNICIPAL HEALTH OFFICE (RHU) MASIAG BAGUMBAYAN SULTAN KUDARAT PFIZER BIONTECH
FIRST DOSE SECOND DOSE SIDE EFFECT/ INTERVENTION CURRENT HEALTH COVID-19 VACCINE DATE OF BOOSTER
RECIEVED RECEIVED (IF ADVERSE REACTION GIVEN STATUS BOOSTER DOSE VACCINATION
(MM/DD/YYYY) JANSSEN, SAME EXPERIENCED RECEIVED (MM/DD/YYYY)
DATE WITH FIRST
DOSE)
(MM/DD/YYYY)

12/7/2021 1/7/2022 NONE 3/3/2022

1/7/2022

12/7/2021 1/7/2022 NONE

12/15/2021 1/5/2022 NONE
11/12/2021 1/7/2022 NONE
11/12/2021 1/7/2022 NONE

11/26/2021 1/7/2022 NONE

11/12/2021 12/15/2021 NONE

12/5/2021 1/7/2022 NONE

12/5/2021 1/7/2022 NONE
12/5/2021 1/7/2022 NONE

11/26/2021 1/7/2022 NONE

11/12/2021 12/15/2021 NONE
11/25/2021 12/15/2021 NONE
12/7/2021 1/7/2022 NONE

12/7/2021 1/7/2022 NONE

11/26/2021 1/7/2022 NONE
12/5/2021 1/7/2022 NONE
11/26/2021 1/7/2022 NONE
11/26/2021 1/25/2022 NONE
12/7/2021 1/7/2022 NONE
11/26/2021 1/25/2022 NONE

12/7/2021 1/25/2022 NONE

12/7/2021 1/25/2022 NONE
12/7/2021 1/25/2022 NONE

11/30/2021 12/28/2021 NONE

 CONSOLIDATED COVID-19 VACCINATION REPORT (PERSONNEL)
August 22, 2022

Data
EMPLOYER DISTRICT STATION 1ST DOSE 2ND DOSE
DEPED DIVISION OF SULTAN KUDARAT 1 1
ESPERANZA I
ESPERANZA NATIONAL HIGH SCHOOL
LAMBAYONG II 1 1
KAPINGKONG 1 1
(empty)
(empty)
(empty)
Total Result 1 1

Prepared by:

NAME
Position

Noted by:

NAME
School Head
BOOSTER
2
1
1
1
1

2
 CONSOLIDATED COVID-19 VACCINATION REPORT (LEARNER)
August 22, 2022

Data
DISTRICT SCHOOL GRADE SECTION 1ST DOSE
BAGUMBAYAN III 26
MASIAG NATIONAL HIGH SCHOOL 26
GRADE 7 26
RUBY 26
(empty)
(empty)
(empty)
(empty)
Total Result 26

Prepared by:

NAME
Position

Noted by:

NAME
School Head
2ND DOSE BOOSTER
25 1
25 1
25 1
25 1

25 1
No. DepEd FULL AGE SEX CELLPHO Unit/ Bldg./ BARANGAY MUNICIPALI
Email NAME NE House No./ TY
Address (LAST, NUMBER Street
FIRST, Name/
MIDDLE Purok
AND
SUFFIX)

MALE
FEMALE
PROVINCE EMPLOYER STATION DISTRICT LEVEL EMPLOY POSITION CLASSIFIC
MENT (NO ATION
STATUS ABBREVI
ATION)

SULTAN KUDADEPED REGION

SCHOOLS DIVISCHOOLS DIELEMENTARREGULAR/ ADMINISTRA
SOUTH COTA DEPED DIVIS ABANG ELEMEBAGUMBAYA SECONDARYCASUAL ADMINISTRA
NORTH COTALGU (IF LGU PADALLA ELEMBAGUMBAYA INTEGRATEJOB ORDERADMINISTRA
SARANGGANIOTHERS AGUIL ELEMEBAGUMBAYA DIVISION OLGU PAID ADMINISTRATIVE AIDE IV
MAGUINDAN NOT APPLICA ALA CENTRALCOLUMBIO I
OTHERS ALAMADA SACOLUMBIO II
ALAS-AS LOWESPERANZA I
ALAS-AS UPP ESPERANZA II
ALFREDO ANCESPERANZA III
ALHAMBRA-GISULAN CENTRAL
AMPAD-GUIAB ISULAN EAST
ANTONG INTEISULAN SOUTH
ARSENIO ELE ISULAN WEST
ARTEMIO L. KALAMANSIG I
B. VENUS EL KALAMANSIG II
BABATO ELEMKULAMAN (SNA) I
BACALTO ELE KULAMAN (SNA) II
BADIANGON ELAMBAYONG I
BAGSING PRI LAMBAYONG II
BAGUMBAYAN LAMBAYONG III
BAGUMBAYAN LEBAK CENTRAL
BAGUMBAYAN LEBAK EAST
BAI SARIPIN LEBAK WEST
BAI SARIPIN LUTAYAN I
BALIANGO EL LUTAYAN II
BALISAN ELE PALIMBANG I
BALITE ELEM PALIMBANG II
BALNATE ELE PALIMBANG III
BALUAN CENTPRES. QUIRINO NORTH
BALUAN NATIPRES. QUIRINO SOUTH
BAMBAD CENT PRES. QUIRINO SOUTH
BAMBAD NATIONAL HIGH SCHOOL
BANALI ELEMENTARY SCHOOL
BANNAWAG ELEMENTARY SCHOOL
BARANAYAN ELEMENTARY SCHOOL
BARONGIS ELEMENTARY SCHOOL
BASAG ELEMENTARY SCHOOL
BASAG ELEMENTARY SCHOOL
BAUMOL ELEMENTARY SCHOOL
TEACHING
NONTEACHING
OTHERS
VOLUNTEERADMINISTRATIVE AIDE V
OTHERS ADMINISTRATIVE AIDE VI
NOT APPLICADMINISTRATIVE ASSISTANT I
ADMINISTRATIVE ASSISTANT II
ADMINISTRATIVE ASSISTANT III
ADMINISTRATIVE ASSISTANT IV
ADMINISTRATIVE ASSISTANT V
ADMINISTRATIVE ASSISTANT VI
ADMINISTRATIVE OFFICER I
ADMINISTRATIVE OFFICER II
ADMINISTRATIVE OFFICER III
ADMINISTRATIVE OFFICER IV
ADMINISTRATIVE OFFICER V
ASSISTANT SCHOOL PRINCIPAL I
ASSISTANT SCHOOL PRINCIPAL II
ASSISTANT SCHOOL PRINCIPAL III
ASSISTANT SCHOOLS DIVISION SUPERINTENDE
CHIEF EDUCATION SUPERVISOR
DENTAL AIDE
DENTIST II
EDUCATION PROGRAM SPECIALIST
EDUCATION PROGRAM SUPERVISOR
GUIDANCE COUNSELOR I
GUIDANCE COUNSELOR II
GUIDANCE COUNSELOR II
HEAD TEACHER I
HEAD TEACHER II
HEAD TEACHER III
HEAD TEACHER IV
INSTRUCTOR I
INSTRUCTOR II
INSTRUCTOR III
MASTER TEACHER I
MASTER TEACHER II
MASTER TEACHER III
BAYASONG ELEMENTARY SCHOOL MEDICAL OFFICER III
BAYAWA ELEMENTARY SCHOOL NURSE II
BENEBOL PRIMARY SCHOOL PRINCIPAL I
BILUMIN ELEMENTARY SCHOOL PRINCIPAL II
BITOGEN ELEMENTARY SCHOOL PRINCIPAL III
BIWANG CENTRAL SCHOOL PRINCIPAL IV
BIWANG NATIONAL HIGH SCHOOL PUBLIC SCHOOLS DISTRICT SUPERVISOR
BLACOL ELEMENTARY SCHOOL REGISTRAR
BLANGA ELEMENTARY SCHOOL SCHOOLS DIVISION SUPERINTENDENT
BLINGKONG CENTRAL SCHOOL SECURITY GUARD
BOLEBAK INTEGRATED SCHOOL SPECIAL EDUCATION TEACHER I
BONGO-BONGO ELEMENTARY SCHOOL SPECIAL EDUCATION TEACHER II
BONGO-BONGO INTEGRATED SCHOOL SPECIAL EDUCATION TEACHER III
BONIFACIO M. DIFUNTORUM SR. ELEMENTARY SPECIAL SCHOOLS PRINCIPAL
BONITA ELEMENTARY SCHOOL SPECIAL SCIENCE TEACHER I
BUAL ELEMENTARY SCHOOL TEACHER I
BUENAFLORES ELEMENTARY SCHOOL TEACHER II
BUGSO ELEMENTARY SCHOOL TEACHER III
BUGSO NATIONAL HIGH SCHOOL TECH-VOC SCHOOL ADMINISTRATOR
BUKLOD ELEMENTARY SCHOOL WATCHMAN I
BULULAWAN ELEMENTARY SCHOOL OTHERS
BUNAY PRIMARY SCHOOL NOT APPLICABLE
BUSOK ELEMENTARY SCHOOL
BUSOK NATIONAL HIGH SCHOOL
CAMPO 3 ELEMENTARY SCHOOL
CAPILAN INTEGRATED SCHOOL
CARIDAD ELEMENTARY SCHOOL
CELESTE CENTRAL ELEMENTARY SCHOOL
CENTRAL MANGILALA HIGH SCHOOL
CHRISTIANUEVO ELEMENTARY SCHOOL
CHUA INTEGRATED SCHOOL
COLUMBIO CENTRAL SCHOOL
COLUMBIO NATIONAL HIGH SCHOOL
D. LEAL ELEMENTARY SCHOOL
D. LOTILLA ELEMENTARY SCHOOL
D. MOISES ELEMENTARY SCHOOL
DAGUMA ELEMENTARY SCHOOL
DALADAP ELEMENTARY SCHOOL
DALUGA ELEMENTARY SCHOOL
DANSULI ELEMENTARY SCHOOL
DANTE INTEGRATED SCHOOL
DAPULAN ELEMENTARY SCHOOL
DATALBLAO ELEMENTARY SCHOOL
DATALBLAO NATIONAL HIGH SCHOOL
DATU AMPAK KAWAN NATIONAL HIGH SCHOOL
DATU BAGO LEBEG ELEMENTARY SCHOOL
DATU BAKBAK APANG INTEGRATED SCHOOL
DATU BANGBANGJUMBO ELEMENTARY SCHOOL
DATU ETANG INTEGRATED SCHOOL
DATU GAMBANGAN SALILING ELEMENTARY SCHOOL
DATU GAS TUBO ELEMENTARY SCHOOL
DATU GIBEL BATILAN ELEMENTARY SCHOOL
DATU GUIABAR PILOT SCHOOL
DATU INA CAPITAN INTEGRATED SCHOOL
DATU ITO ANDONG INTEGRATED SCHOOL
DATU KARON ELEMENTARY SCHOOL
DATU MALAYAT INTEGRATED SCHOOL
DATU MANGGONG PRIMARY SCHOOL
DATU MANGUDA CAPITAN ELEMENTARY SCHOOL
DATU NAKAN MEMORIAL ELEMENTARY SCHOOL
DATU SAMBILAN ELEMENTARY SCHOOL
DATU SANGKI AKOY ELEMENTARY SCHOOL
DATU SIPOT ELEMENTARY SCHOOL
DATU TALIPASAN IMPAO ELEMENTARY SCHOOL
DATU UMBOL ELEMENTARY SCHOOL
DATU WASAY ELEMENTARY SCHOOL
DATU WASAY NATIONAL HIGH SCHOOL
DAWING ELEMENTARY SCHOOL
DIDTARAS ELEMENTARY SCHOOL
DIMAPITAN ELEMENTARY SCHOOL
DIONISIO CAGADOC SR. MEMORIAL ELEMENTARY SCHOOL
DON ARTEMIO C. JACALAN ELEMENTARY SCHOOL
DON JOSE BUENCAMINO PRIMARY SCHOOL
DON JUAN P. GARCIA SR. MEMORIAL ELEMENTARY SCHOOL
DON MARCELINO CONCHA MEMORIAL ELEMENTARY SCHOOL
DON MODESTO BUENAFLOR SR. ELEMENTARY SCHOOL
DONA CATALINA INTEGRATED SCHOOL
DORIN ELEMENTARY SCHOOL
DOROTEO PASTOR MEMORIAL ELEMENTARY SCHOOL
DUMOLOL INTEGRATED SCHOOL
E. ARCAÑO MEMORIAL NATIONAL HIGH SCHOOL
EDAY ELEMENTARY SCHOOL
ELEM ELEMENTARY SCHOOL
ESPERANZA CENTRAL SCHOOL
ESPERANZA NATIONAL HIGH SCHOOL
ESTRELLA INTEGRATED SCHOOL
F. PAROHINOG SR. MEMORIAL ELEMENTARY SCHOOL
FRANCISCO BALUYOT CONCHA MEMORIAL ELEMENTARY SCHOOL
GAPOK CENTRAL SCHOOL
GAPOK NATIONAL HIGH SCHOOL
GENZOLA ELEMENTARY SCHOOL
GESTOSANI MEMORIAL ELEMENTARY SCHOOL
GUIAMALIA ELEMENTARY SCHOOL
GUINTALES ELEMENTARY SCHOOL
HINALAAN ELEMENTARY SCHOOL
IMAM ADIL MEMORIAL ELEM SCHOOL
IMAM ADIL MEMORIAL INTEGRATED SCHOOL
IMPAO ELEMENTARY SCHOOL
ISUKO INTEGRATED SCHOOL
ISULAN CENTRAL SCHOOL SPED CENTER
ISULAN NATIONAL HIGH SCHOOL
KABANALIAN ELEMENTARY SCHOOL
KABULAKAN ELEMENTARY SCHOOL
KABULANAN INTEGRATED SCHOOL
KADI ELEMENTARY SCHOOL
KALAMANSIG NATIONAL HIGH SCHOOL
KALANAWE II NATIONAL HIGH SCHOOL
KALANAWI 1 ELEMENTARY SCHOOL
KALANAWI 2 ELEMENTARY SCHOOL
KALAWAG CENTRAL SCHOOL
KALAWAG III ELEMENTARY SCHOOL
KALIBUHAN ELEMENTARY SCHOOL
KALIBUHAN NATIONAL HIGH SCHOOL
KAMANGA ELEMENTARY SCHOOL
KANALAN ELEMENTARY SCHOOL
KANGKONG ELEMENTARY SCHOOL
KANIPAAN ELEMENTARY SCHOOL
KANULAY ELEMENTARY SCHOOL
KAPATAGAN ELEMENTARY SCHOOL
KAPAYA ELEMENTARY SCHOOL
KAPAYA NATIONAL HIGH SCHOOL
KAPINGKONG CENTRAL ELEMENTARY SCHOOL
KAPINGKONG ELEMENTARY SCHOOL
KAPINGKONG NATIONAL HIGH SCHOOL
KATIKU CENTRAL SCHOOL
KATITISAN ELEMENTARY SCHOOL
KEYTODAC CENTRAL SCHOOL
KEYTODAC NATIONAL HIGH SCHOOL
KIADSAM ELEMENTARY SCHOOL
KILBOG ELEMENTARY SCHOOL
KIMAKANG ELEMENTARY SCHOOL
KINAYAO ELEMENTARY SCHOOL
KINUDALAN ELEMENTARY SCHOOL
KIPONGET ELEMENTARY SCHOOL
KIPUSO ELEMENTARY SCHOOL
KISADAY ELEMENTARY SCHOOL
KITAKAL ELEMENTARY SCHOOL
KOLAMBOG ELEMENTARY SCHOOL
KOLONG-KOLONG INTEGRATED SCHOOL
KRAAN ELEMENTARY SCHOOL
KUBO BANDAY ELEMENTARY SCHOOL
KUDANDING ELEMENTARY SCHOOL
KUDEN ELEMENTARY SCHOOL
KULAMAN CENTRAL ELEMENTARY SCHOOL
LAGANDANG ELEMENTARY SCHOOL
LAGANDANG ELEMENTARY SCHOOL
LAGETEN PRIMARY SCHOOL
LAGUBANG ELEMENARY SCHOOL
LAGUILAYAN CENTRAL ELEMENTARY SCHOOL
LAGUILAYAN NATIONAL HIGH SCHOOL
LAGUINDING ELEMENTARY SCHOOL
LAM-ALIS ELEMENTARY SCHOOL
LAMASAN ELEMENTARY SCHOOL
LAMBAYONG CENTRAL ELEMENTARY SCHOOL
LAMBAYONG NATIONAL HIGH SCHOOL
LANGALI INTEGRATED SCHOOL
LANGGAL ELEMENTARY SCHOOL
LANGGAL NATIONAL HIGH SCHOOL
LAQUICON ELEMENTARY SCHOOL
LASAK ELEMENTARY SCHOOL
LEBAK LEGISLATED NATIONAL HIGH SCHOOL
LEBAK NATIONAL HIGH SCHOOL
LEGODON ELEMENTARY SCHOOL
LIBERTAD ELEMENTARY SCHOOL
LIFI-LIFIAN ELEMENTARY SCHOOL
LILIT ELEMENTARY SCHOOL
LIMONZO PRIMARY SCHOOL
LIMUHAY ELEMENTARY SCHOOL
LIMULAN INTEGRATED SCHOOL
LUPOKEN ELEMENTARY SCHOOL
LUTAYAN NATIONAL HIGH SCHOOL
MAAT ELEMENTARY SCHOOL
MADANDING ELEMENTARY SCHOOL
MADANDING NATIONAL HIGH SCHOOL
MAGANAO ELEMENTARY SCHOOL
MAGSAYSAY ELEMENTARY SCHOOL
MAGUID ELEMENTARY SCHOOL
MAINDANG ELEMENTARY SCHOOL
MAKAT ELEMENTARY SCHOOL
MALEGDEG ELEMENTARY SCHOOL
MALIGAYA CENTRAL SCHOOL
MALIGAYA INTEGRATED SCHOOL
MALIGAYA NATIONAL HIGH SCHOOL
MALINGON ELEMENTARY SCHOOL
MALISBONG ELEMENTARY SCHOOL
MAMALI ELEMENTARY SCHOOL
MAMALI ELEMENTARY SCHOOL
MAMALI NATIONAL HIGH SCHOOL
MAMANSUAL ABDUL NATIONAL HIGH SCHOOL
MANDOD ELEMENTARY SCHOOL
MANGANDOG ELEMENTARY SCHOOL
MANGELEN ELEMENTARY SCHOOL
MANGILALA ELEMENTARY SCHOOL
MANGUDADATU ELEMENTARY SCHOOL
MANGUDADATU NATIONAL HIGH SCHOOL
MANILI ELEMENTARY SCHOOL
MANIRUB INTEGRATED SCHOOL
MANOBO VILLAGE ELEMENTARY SCHOOL
MANTIL ELEMENTARY SCHOOL
MANTISAO ELEMENTARY SCHOOL
MAPANTIG ELEMENTARY SCHOOL
MARAWIR INTEGRATED SCHOOL
MAREMCO ELEMENTARY SCHOOL
MASIAG CENTRAL SCHOOL
MASIAG NATIONAL HIGH SCHOOL
MATABAI NAMIL ELEMENTARY SCHOOL
MATANAO ELEMENTARY SCHOOL
MATIOMPONG ELEMENTARY SCHOOL
MAUNO ELEMENTARY SCHOOL
MAYO INTEGRATED SCHOOL
MIDTAPOK ELEMENTARY SCHOOL
MIDTUNGOK ELEMENTARY SCHOOL
MILBUK CENTRAL ELEMENTARY SCHOOL
MILBUK NATIONAL HIGH SCHOOL
MINDEVASISON ELEMENTARY SCHOOL
MINOROK ELEMENTARY SCHOOL
MONTANI PELANGKING MEMORIAL PRIMARY SCHOOL
NABAGBAG ELEMENTARY SCHOOL
NALILIDAN ELEMENTARY SCHOOL
NALUM ELEMENTARY SCHOOL
NATI ELEMENTARY SCHOOL
NEW BANTANGAN ELEMENTARY SCHOOL
NEW CALINOG ELEMENTARY SCHOOL
NEW CEBU ELEMENTARY SCHOOL
NEW DATAL ELEMENTARY SCHOOL
NEW EGANA ELEMENTARY SCHOOL
NEW ILOCOS ELEMENTARY SCHOOL
NEW NATIVIDAD INTEGRATED SCHOOL
NEW PANAY ELEMENTARY SCHOOL
NEW PANAY NATIONAL HIGH SCHOOL
NEW PANGASINAN ELEMENTARY SCHOOL
NEW PANGASINAN NATIONAL HIGH SCHOOL
NEW TARLAC ELEMENTARY SCHOOL
NULING ELEMENTARY SCHOOL
NULING INTEGRATED SCHOOL
NUMO ELEMENTARY SCHOOL
OLD BANTANGAN ELEMENTARY SCHOOL
P.C. BAYANIHAN ELEMENTARY SCHOOL
PAG-ASA ELEMENTARY SCHOOL
PAITAN ELEMENTARY SCHOOL
PAKIL ELEMENTARY SCHOOL
PALAVILLA INTEGRATED SCHOOL
PALIMBANG CENTRAL SCHOOL
PALIMBANG NATIONAL HIGH SCHOOL
PALUMBE INTEGRATED SCHOOL
PAMANTINGAN ELEMENTARY SCHOOL
PANAGAS-DEVERA ELEMENTARY SCHOOL
PANSUD ELEMENTARY SCHOOL
PARAISO PRIMARY SCHOOL
PASANDALAN ELEMENTARY SCHOOL
PEDRO P. SANTOS MEMORIAL ELEMENTARY SCHOOL
PEDTUBO ELEMENTARY SCHOOL
PIDTIGUIAN ELEMENTARY SCHOOL
PIGEL ELEMENTARY SCHOOL
PIMBALAYAN ELEMENTARY SCHOOL
PIMBALAYAN NATIONAL HIGH SCHOOL
PINANDIAN ELEMENTARY SCHOOL
PINGUIAMAN ELEMENTARY SCHOOL
PLAMANGO INTEGRATED SCHOOL
POLOMOLOK ELEMENTARY SCHOOL
POSADAS ELEMENTARY SCHOOL
PRESIDENT QUIRINO CENTRAL SCHOOL
PRESIDENT QUIRINO NATIONAL HIGH SCHOOL
PRIMITIVO R. GACAYAN SR. MEMORIAL ELEMENTARY SCHOOL
PURIKAY NATIONAL HIGH SCHOOL
PUROK 4 ELEMENTARY SCHOOL
PUSOT ELEMENTARY SCHOOL
QUESTION TYPE
QUEVEDO-BAPTISTA ELEMENTARY SCHOOL
R. LACAMENTO ELEMENTARY SCHOOL
RAJA MUDA ELEMENTARY SCHOOL
RICARDO CABALUNA MEMORIAL ELEMENTARY SCHOOL
ROMULO L. LATOG, SR. ELEMENTARY SCHOOL
ROQUILDO D. TALAPIAN SR. MEMORIAL ELEMENTARY SCHOOL
S. NILONG ELEMENTARY SCHOOL
S.A. BALABAGAN ELEMENTARY SCHOOL
SABANAL ELEMENTARY SCHOOL
SABANAL NATIONAL HIGH SCHOOL
SAGASA ELEMENTARY SCHOOL
SAINT ANDREWS MISSION SCHOOL MAIN
SALABACA ELEMENTARY SCHOOL
SALABACA NATIONAL HIGH SCHOOL
SALAMAN CENTRAL ELEMENTARY SCHOOL
SALANGSANG ELEMENTARY SCHOOL
SALIAO ELEMENTARY SCHOOL
SALNAONG PRIMARY SCHOOL
SALUMPING ELEMENTARY SCHOOL
SALUMPING NATIONAL HIGH SCHOOL
SAMPAO ELEMENTARY SCHOOL
SAN JOSE ELEMENTARY SCHOOL
SAN MARTIN ELEMENTARY SCHOOL
SAN ROQUE ELEMENTARY SCHOOL
SAN VICENTE ELEMENTARY SCHOOL
SANGAY NATIONAL HIGH SCHOOL
SANTO NINO ELEMENTARY SCHOOL
SAPALE ELEMENTARY SCHOOL
SARILING SIKAP ELEMENTARY SCHOOL
S'DAF PANAMIN PRIMARY SCHOOL
SEGUYA PRIMARY SCHOOL
SENAGANDAL ELEMENTARY SCHOOL
SENATOR NINOY AQUINO NATIONAL HIGH SCHOOL
SEWAL ELEMENTARY SCHOOL
SEWOD ELEMENTARY SCHOOL
SEWOD NATIONAL HIGH SCHOOL
SIA-AN PRIMARY SCHOOL
SIGAYAN ELEMENTARY SCHOOL
SIGAYAN INTEGRATED SCHOOL
SINAKULAY ELEMENTARY SCHOOL
SINAPULAN ELEMENTARY SCHOOL
SISIMAN ELEMENTARY SCHOOL
SOUTH SEPAKA ELEMENTARY SCHOOL
SPUR 2 ELEMENTARY SCHOOL
ST. ANDREW'S MISSION ES ANNEX
STA. CLARA CENTRAL SCHOOL
STA. CLARA NATIONAL HIGH SCHOOL
STA. MARIA ELEMENTARY SCHOOL
SUBEN ELEMENTARY SCHOOL
SUCOB ELEMENTARY SCHOOL
SULTAN ALI AKBAR SINENGGAYAN NATIONAL HIGH SCHOOL
SULTAN SINANGGAYAN INTEGRATED SCHOOL
SULTAN TIBONG INTEGRATED SCHOOL
SUMAPAL ELEMENTARY SCHOOL
SUMILALAO ELEMENTARY SCHOOL
SUMILIL ELEMENTARY SCHOOL
SUMILIL NATIONAL HIGH SCHOOL
TACUPIS ELEMENTARY SCHOOL
TAGADTAL INTEGRATED SCHOOL
TAMANGAN ELEMENTARY SCHOOL
TAMNAG CENTRAL SCHOOL
TANANZANG ELEMENTARY SCHOOL
TAPUDI ELEMENTARY SCHOOL
TAPUDI INTEGRATED SCHOOL
TAYUGO ELEMENTARY SCHOOL
TELAFAS CENTRAL SCHOOL
TELAFAS NATIONAL HIGH SCHOOL
TERESITA PATALINJUG MEMORIAL ELEMENTARY SCHOOL
TIBONG-TIBONG ELEMENTARY SCHOOL
TIBONG-TIBONG INTEGRATED SCHOOL
TIBUHOL ELEMENTARY SCHOOL
TIGER ELEMENTARY SCHOOL
TINALON ELEMENTARY SCHOOL
TINAUNGAN ELEMENTARY SCHOOL
TINONGGOS ELEMENTARY SCHOOL
TINUMIGUES ELEMENTARY SCHOOL
TRAN ELEMENTARY SCHOOL
TRAN NATIONAL HIGH SCHOOL
TUAL ELEMENTARY SCHOOL
TUDOG PRIMARY SCHOOL
TULALE ELEMENTARY SCHOOL
TUMIAO ELEMENTARY SCHOOL
UDTONG ELEMENTARY SCHOOL
UGIS ELEMENTARY SCHOOL
UPPER BUNAWAN INTEGRATED SCHOOL
USMAN ELEMENTARY SCHOOL
VILLA CLARA ELEMENTARY SCHOOL
VILLAMONTE ELEMENTARY SCHOOL
VILLAMOR ELEMENTARY SCHOOL
WAL ELEMENTARY SCHOOL
WASAG ELEMENTARY SCHOOL
ZENEBEN ELEMENTARY SCHOOL
 PhilHealt Experienc SIGNS COMORBI OTHER Previousl DATE OF VACCINA
h ID ing AND DITY MEDICAL y RT-PCR TION
Number UNUSUA SYMPTO CONDITI diagnose TEST STATUS
L signs or MS ON d with RESULT
symptom EXPERIE COVID-19 (For
s before NCED (based on Previousl
receiving PRIOR TO RT-PCR y
COVID-19 VACCINA Test diagnose
vaccine? TION Result)? d with
COVID-19
ONLY)

YES YES NONE NONE YES FULLY VAC

ONTEACHING NO NO HYPERTENSPREGNANTNO PARTIALLY
DIABETES MBREASTFEEDING UNVACCINA
TIVE AIDE IV CANCER ON CHEMOTHERAPY
TIVE AIDE V HEMOPHILION STEROID THERAPY
TIVE AIDE VI LOW IMMUON BLOOD THINNER THERAPY (ASPIRIN, CAUMADIN, ETC.)
TIVE ASSISTANT I DISEASES OON ANTIRETROVIRAL THERAPY OR ART
TIVE ASSISTANT II OTHERS
TIVE ASSISTANT III
TIVE ASSISTANT IV
TIVE ASSISTANT V
TIVE ASSISTANT VI
TIVE OFFICER I
TIVE OFFICER II
TIVE OFFICER III
TIVE OFFICER IV
TIVE OFFICER V
CHOOL PRINCIPAL I
CHOOL PRINCIPAL II
CHOOL PRINCIPAL III
CHOOLS DIVISION SUPERINTENDENT
TION SUPERVISOR

PROGRAM SPECIALIST
PROGRAM SUPERVISOR
OUNSELOR I
OUNSELOR II
OUNSELOR II
OLS DISTRICT SUPERVISOR

ISION SUPERINTENDENT

CATION TEACHER I
CATION TEACHER II
CATION TEACHER III
OOLS PRINCIPAL
NCE TEACHER I

HOOL ADMINISTRATOR
 IF UNVACCINATED, PRIORITY TYPE OF PLACE MUNICIP PROVINC COVID-19 FIRST
STATE REASON OF GROUP COVID-19 OF ALITY E VACCINE DOSE
NOT RECEIVING THE VACCINE VACCINA RECIEVE RECIEVE
VACCINE PROVIDE TION D D (IF
R (BLDG. APPLICA
OR BLE)
BRGY.)

DISQUALIFIED BY ATTE A1 MUNICIPAL HEALTH OFFICE (RHU) BHARAT BIOTECH

LACK OF TRUST IN THE A2 PUBLIC HOSPITAL GAMALEYA SPUTNIK V
WAITING FOR PREFERR A3 OTHER PROVATE HEALTH PROVIDER JOHNSON & JOHNSON'S JANSSEN (SINGLE
OTHER REASONS A4 MODERNA
NO CITED REASON A5 NOVAVAX
SPIRIN, CAUMADIN, ETC.) ROAP (REST OF ADULT POPULATION) OXFORD ASTRAZENECA
ROPP (REST OF PEDIATRIC POPULATION) PFIZER BIONTECH
SINOVAC CORONAVAC
 VACCINE VACCINE SECOND VACCINE VACCINE SIDE INTERVE CURREN GRADE
LOT NO. LOT NO. DOSE BATCH LOT NO. EFFECT/ NTION T
(ENTER (ENTER RECEIVE NO. (ENTER ADVERSE GIVEN HEALTH
N/A IF N/A IF D (IF (ENTER N/A IF REACTIO STATUS
NOT NOT JANSSEN N/A IF NOT N
APPLICABL APPLICABL , SAME NOT APPLICABL EXPERIE
E) E) DATE APPLICABL E) NCED
WITH E)
FIRST
DOSE)

NOT APPLICABLE NOT APPLICNO SIDE EFKINDER

A SPUTNIK V GIVEN FIRST AID AT THE VACCINATION CENT GIVEN FIRSEXPERIENCIGRADE 1
& JOHNSON'S JANSSEN (SINGLE DOREFERRED TO THE HOSPITAL REFERRED TEXPERIENCIGRADE 2
NONE NONE GRADE 3
GRADE 4
STRAZENECA GRADE 5
GRADE 6
ORONAVAC GRADE 7
GRADE 8
GRADE 9
GRADE 10
GRADE 11
GRADE 12
ALS