Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF ILOCOS SUR

VACCINATION Monitoring Report for Students

Name of School: Cervantes National High School School ID: 300046
Address of School: Rosario, Cervantes, Ilocos Sur Division: ILOCOS SUR
Grade &Section: 7-Malikhain Region: 1
Prepared by: Position: TEACHER I
(Signature over
printed name) MARJOE P. MANUEL

STATUS OF VACCINATION REASON WHY

NOT
NO. NAME OF STUDENTS AGE SEX TYPE OF DATE OF DATE OF 2ND NOT YET VACCINATED
VACCINE 1 DOSE
ST
DOSE VACCINATED
1 Anga-angan, Marc Vallens I. 12 M Pfizer 11/30/21
2 Awingan, Ceasar B. M Moderna 12/09/21 1/6/22
3 Bagbagen, Renz Jerick M. M Moderna 12/6/21 12/28/22
4 Balbin, John Dave A. 12 M Moderna 12/09/21
5 Bonilla, Rafael G. 12 M Pfizer 12/02/21 12/23/21
6 Butangen, Viel Jasper B. 12 M Moderna 12/06/21 1/06/22
7 Camitog, Celestino L. M
8 Castro, Mark Edison A. M
10 Del Rosario, Ridley V. 12 M Pfizer 12/6/21 12/28/21
11 Gaburno, Reginald G. 12 M Pfizer 12/6/21
12 Galon, Christofer A. 12 M Pfizer 11/3021
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF ILOCOS SUR

13 Octaviano, Miel Gabriel T. 12 M Pfizer 12/1/21

15 Pingla, Ark A. 12 M Pfizer 12/17/21 1/7/22
16 Pitlongay, Renzo M
17 Rolando, Kevin Lee C. 12 M Moderna 12/09/21
18 Saldaen, Shan Stephen P. 12 M Pfizer 12/9/21
19 Tuangkay, Rojan A. 12 M Pfizer 12/2/21
FEMALE
1 Agcon, Anamie B. 12 F Pfizer 12/01/21
2 Alasco, Angelica May G. 12 F Moderna 12/09/21
3 Balisi, Shaina Marie 12 F
4 Bisyaken, Michelle G. 12 F Pfizer 12/06/21 12/28/21
5 Bonilla, Jherica F
6 Briones, Rhiane Joy M. F
7 Butangen, Chits D. 12 F Pfizer 11/30/21
8 Caugan, Adrielle Rexy O. 12 F Pfizer 11/29/21
9 Diano, Felice M. 12 F Pfizer 11/29/21
10 Duque, Jojielyn V. 12 F Pfizer 12/1/21
11 Gabatino, Lyza M. 12 F Pfizer 11/29/21 12/20/21
12 Galmote, Maureen 12 F Pfizer 11/29/21 12/20/21
13 Guimanga, Rhea Mae O. 12 F
14 Mariano, Ellen Joy V. 12 F Moderna 12/02/21 12/22/21
15 Octaviano, Miel Gabriel T. 12 F Pfizer 12/01/21
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF ILOCOS SUR

16 Octaviano, Pathriz C. 12 F Pfizer 12/2/21

18 Oliseo, Zefiosa Beth T. 12 F Pfizer 12/6/21 12/27/21
19 Ramirez, Chat Raven B. 14 F Pfizer 11/29/21 12/20/21
20 Ramirez, Naiza C. 12 F Pfizer 11/29/21
21 Tamaken, Zyanne B. 12 F Pfizer 12/06/21
22 Verdadero, Feby A. 12 F Pfizer 12/01/21

PREPARED BY:

MARJOE P. MANUEL
Adviser