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Republic of the Philippines

Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR

CLASSROOM RAPID HEALTH CHECK


GRADE 12 CHRYSANTHEMUM CLASS
SY 2021-2022
(Face to Face Class Only)
No. Name of Learner Address Means of Transportation Temperature Remarks
in out
1. Alde, Mark Angelo L. P1, Barcelona, Lingig, SDS Walking
2. Aumentar, Jhan Liester P. P3, Barcelona, Lingig, SDS Walking
3. Bantolinao, Marjhun O. P1, Barcelona, Lingig, SDS Walking
4. Barrios, Danny Jr. P. P4, Barcelona, Lingig, SDS Walking
5. Barrios, Patrick M. P4, Barcelona, Lingig, SDS Walking
6. Calising, Rey B. P1, Barcelona, Lingig, SDS Walking
7. Dela Torre, Jasten Manuel P11, Barcelona, Lingig, SDS Walking
8. Dialco, Rusty B. P4, Barcelona, Lingig, SDS Walking
9. Javinez, Elmir P. P11, Barcelona, Lingig, SDS Walking
10. Limbing John Lourence G. P1, Barcelona, Lingig, SDS Walking
11. Limbing, James Warren V. P1, Barcelona, Lingig, SDS Walking
12. Mendoza, Jomar T. P1, Barcelona, Lingig, SDS Walking
13. Padilla, James G. P11, Barcelona, Lingig, SDS Walking
14. Pagulong, Jevie S. P1, Barcelona, Lingig, SDS Walking
15. Plaza, Eric A. Tabon, Bislig City, SDS Motorcycle
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR

16. Roxas, Jecris S. P11, Barcelona, Lingig, SDS Walking


17. Salilin, Edjowie A. P1, Barcelona, Lingig, SDS Walking
18. Sumaganday, Jay Lord B. P3, Barcelona, Lingig, SDS Walking
19. Tagsip, John Ryl S. P3, Barcelona, Lingig, SDS Walking
20. Tulang, Elliemar L. KM3, Tabon, Bislig City, SDS Motorcycle

Prepared by:

JAYSON D. LAURENTE Noted:


Adviser FLOREMIE B. FRANCISQUETE
School Head

PARENT’S SCHEDULE IN CONDUCTING RAPID HEALTH CHECK IN EVERY CLASSROOM


Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR

GRADE 12 CHRYSANTHEMUM Class


SY 2021-2022

Month:
No. Date Day Parents Assign Address Means of Temperature Signature Remarks
Transportation (Be monitored by the BHW on
duty before entering the
classroom to do health check)
in out in out

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2.
3.
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22.
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR

23.
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Prepared by:

Noted:
Adviser

School Head

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