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DEPARTMENT OF EDUCATION
Division of Cebu Province
LORENZO C. TANZA MEMORIAL NATIONAL HIGH SCHOOL
Union, San Francisco, Cebu
Grade and Section:11 TVL-ICT
OKD FLAGSHIP PROGRAM
IDENTIFIED NO. of SMOKERS / DRUG USERS
S.Y. 2022-2023
NAMES OF THE STUDENTS (YES=1/ NO=0) (YES=1/ NO=0) (YES=1/ NO=0) (YES=1/ NO=0)
LAST NAME , FIRST NAME M.I. SMOKER NO. OF YEARS DRUG USER NO. OF YEARS NONE CONTINUES STOP
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
TOTAL

__________________________
First Aide Teacher Designate

__________________________
Adviser

__________________________
Teacher In Charge
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DEPARTMENT OF EDUCATION
Division of Cebu Province
LORENZO C. TANZA MEMORIAL NATIONAL HIGH SCHOOL
Union, San Francisco, Cebu
OKD FLAGSHIP PROGRAM
SUMMARY OF IDENTIFIED NO. of SMOKERS / DRUG USERS
S.Y. 2022-2023
(YES=1/ NO=0) NO. OF YEARS
GRADE LEVEL Less than a 1-2 years 2 or more
SMOKER
year years
SECTION
SECTION
K
SECTION
SECTION
SECTION
SECTION
1
SECTION
SECTION
SECTION
SECTION
2
SECTION
SECTION
SECTION
SECTION
3
SECTION
SECTION
SECTION
SECTION
4
SECTION
SECTION
SECTION
SECTION
5
SECTION
SECTION
SECTION
SECTION
6
6
SECTION
SECTION
TOTAL

__________________________
First Aide Teacher Designate

__________________________
NDEP Coordinator

__________________________
Teacher In Charge
(YES=1/ NO=0) NO. OF YEARS (YES=1/ NO=0) (YES=1/ NO=0)
Less than 1-2 years 2 or more
DRUG USER a year years NONE CONTINUES STOP
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DEPARTMENT OF EDUCATION
Division of Cebu Province
SAN FRANCISCO CENTRAL SCHOOL SPED CENTER
Southern Poblacion, San Francisco, Cebu
Ndep Flagship Program
SUMMARY OF IDENTIFIED NO. of SMOKERS / DRUG USERS
S.Y. 2022-2023
(YES=1/ NO=0) NO. OF YEARS (YES=1/ NO=0) NO. OF YEARS (YES=1/ NO=0) (YES=1/ NO=0)

GRADE LEVEL SMOKER Less than a 1-2 years 2 or more Less than 1-2 years 2 or more
year years DRUG USER a year years NONE CONTINUESTOP
Grade 1 0
Grade 2 0
Grade 3 0
Grade 4 0
Grade 5 0
Grade 6 0

Prepared by:

GINA M. YAM- ID
School NDEP Coordinator