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MARY JOSETTE ACADEMY, INC.

Tigbe, Norzagaray, Bulacan


 09566580543
Gov’t Recognition: No. E 158 s. 2005 / No. 074 s. 2006 / No. S -18, s. 2009 / SHS No. 449 s. 2015
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HEALTH DECLARATION
9-MENDEL

NAME OF STUDENT (BOYS) ARRIVAL TIME TEMPERATURE DEPARTURE TIME TEMPERATUR DATE SIGNATURE
E
1. ALBAO, JAN MANUE JATAYNA

2. AYCARDO, BRUCE ALDRICH CUEVA


3. BANAWA, CARL KEVIN V.
4. BORJA, ARJEN
5. CRUZ, JOHN REBELITO

6. DE GUZMAN, RASHID TAGWALAN


7. FETALVERO, REIGN ZION MOGOL
8. GEPIGA, CYLON ZAIRY IGNACIO
9. GOMEZ, LHANTIS
10. LOZADA, RIURI AXEL T.
11. OLIMPHIADA, FEDRICH CLIFFORD
12. RUBIO, EFRIGINO C.
13. SOCORIN, LEONARD
14. SINCO, GIAN LESTER
15. SUEÑO, FRANZE BENEDICT B.
16. VALMADRID, GABRIEL
MARY JOSETTE ACADEMY, INC.
Tigbe, Norzagaray, Bulacan
 09566580543
Gov’t Recognition: No. E 158 s. 2005 / No. 074 s. 2006 / No. S -18, s. 2009 / SHS No. 449 s. 2015
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-
HEALTH DECLARATION
9-MENDEL

NAME OF STUDENT (GIRLS) ARRIVAL TIME TEMPERATURE DEPARTURE TIME TEMPERATUR DATE SIGNATURE
E
1.ANCHETA, DEYNIELLE ASHLEY C.

2.BARTINA, MARIA DRIZEL IGNACIO


3.CABRAL, ALEXA EMILLE V.
4.DELFIN, PRINCESS EMILLE G.

5.DIAZ, MAJA JOY LEAL


6.FERNANDEZ. FIONA IVY A.
7.FERNANADO, LYKA GERRYEN S.
8.NARESH, SARA ASHLEY

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