Republic of the Philippines

Department of Education
SCHOOLS DIVISION OF NEGROS ORIENTAL

Annex A-1: Annual Physical Examination – Consolidated Report (School Level)

Name of School: BANOG ELEMENTARY SCHOOL School Contact Number: 09171049216
Name of School Head: NINSEL P. FABILLAR

Name of Personnel Designation/Position Laboratory Results Submitted Remarks

(Please put a check mark if personnel submitted an original
copy of the results.)
Chest X-Ray Complete Blood Count Urinalysis
Ninsel P. Fabillar Teacher III / / / Physically Fit
Mary Ann C. Cornado Teacher I / / / Physically Fit
Thyna E. Maribao Teacher I / / / Physically Fit
Grejean G. Torres Teacher I / / / Physically Fit
Rophine Jocel A. Teacher I / / / Physically Fit
Paculanang
Gevin V. Paculanang Teacher I / / / Physically Fit
Marilyn T. Ganaganag Teacher I X(pregnant) / / Physically Fit

Address: Kagawasan Avenue, Capitol Area, Daro, Dumaguete City

Telephone Nos.: (035)225-2838 / 225-2376 / 422-7644
Email Address: negros.oriental@deped.gov.ph
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF NEGROS ORIENTAL

Annex A-2: Annual Physical Examination – Consolidated Report (School Level)

Name of School: BANOG ELEMENTARY SCHOOL School Contact Number: 09171049216
Name of School Head: NINSEL P. FABILLAR

Total Number of Teaching Personnel 7

Total Number of Nonteaching Personnel 0
Total Number of Teaching Personnel who have been 7
found “Fit to Work”
Total Number of Nonteaching Personnel who have been 0
found “Fit to Work”

Address: Kagawasan Avenue, Capitol Area, Daro, Dumaguete City

Telephone Nos.: (035)225-2838 / 225-2376 / 422-7644
Email Address: negros.oriental@deped.gov.ph
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF NEGROS ORIENTAL

Annex B: Annual Physical Examination – Consolidated Report (District Level)

Name of District: ____________________ District Contact Number: _________
Name of PSDS/District-In-Charge: _______________

Name of School Total Number of Total Number of Percentage of Compliance Total Number of Total Number of Remarks
Teaching Personnel Nonteaching (Total Number of Personnel Teaching Personnel who Nonteaching Personnel
Personnel underwent Physical Exam/Total have been found “Fit to who have been found “Fit
Number of TP and NTP)
Work” to Work”

Grand Total

Address: Kagawasan Avenue, Capitol Area, Daro, Dumaguete City

Telephone Nos.: (035)225-2838 / 225-2376 / 422-7644
Email Address: negros.oriental@deped.gov.ph
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF NEGROS ORIENTAL

Address: Kagawasan Avenue, Capitol Area, Daro, Dumaguete City

Telephone Nos.: (035)225-2838 / 225-2376 / 422-7644
Email Address: negros.oriental@deped.gov.ph