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Deworming
Deworming
Prepared by:
CHARLOTTE C CAǸABANO
Teacher
Form 6 Rapid Coverage Assessment Form
National School Deworming Day
Non 4 P’s
Date: ________________
Region VII: VII Division: CEBU District: Pinamungajan II
School: Rizal Elementary School Grade & Section: Grade V-Green
Name of Child Dewormed Name of Child Dewormed
(Male) (Female)
Yes No Yes No
1. Anonas, Bel Jhon 1. Agustin, Melchie
2. Briones, Fritzgerald 2. 2.Baranggan, Maria Teresa
3. Cansancio, Joemel 3. Buro, Sherry Mae
4. Cañete, Reymark 4. Canillo, Rochelle
5. Clarido, Leomar 5. Gentapa, Daphnie
6. dela Puerta, Rhon Marvin 6. Gequilan, Shaina
7. Emperador, Ruelan 7. Gersamio, Brecyll
8. Manguilimotan, Relian 8. Julapon, Floramae
9. Mariquit, Joseph Adrian 9. Lolo, Elira
10. Navales, Jallen 10. Lumaino, Kycie
11. Nuñez, Johncent Kyle 11. Lumaino, Princess Blesselyn
12. Oyao, Charlie 12. Mahasol, Sweety
13. Pañares, Niño 13. Mancao, Joeyralyn
14. Pañares, Rey 14. Niñal, Jennifer
15. Reponte, Mar Vincent 15. Padilla, Angelie
16. Pansoy, Blazel Ann
17. Ygay, Angel Jen
18. Ygay, Benj Kisses
4 Ps Members
Dewormed
Name of Child Yes No If NO, indicate reason
1. Alvarado, Kernn James
2. Bruce, Klient
3. Bruce, Christian Lee
4. Cabalida, Jeremy
5. Enoy, Niǹo
6. Gersamio, Garry
7. Gersamio, Mar Jil
8. Jao, Renz Brille
9. Luchavez, Ramram
10. Lumaino, Alfred
11. Lumaino, Piter James
12. Morales, James Ivan
13. Padilla, Clifford
14. Sugabo, James
15. Ysatam, Josh Vincent
16. Bayking, Michelle Ann
17. Buro, Gia Marie
18. Guarin, Mae Monica
19. Isok, Jevah Mae
20. Alvarado, Kernn James
Non 4 Ps Members
Dewormed
Name of Child Yes No If NO, indicate reason
1. Alonzo, Kien Jashper
2. Alqueza, Jaycris
3. Baba, Francis Valerian
4. Benting, Joshua
5. Cainap, Jestoni
6. Cantarona, Jemil Ken
7. Cantarona, Melvin
8. Cuizon, Bybsel
9. Gersamio, Jade
10. Gines, John Lemuel
11. Gorres, Rich Lorence
12. Guibingcan, Elgie
13. Isok, Adrian
14. Jacalan, Jake
15. Labid, Anjello
16. Labrado, Kent John
17. Mahasol, Anthony
18. Moreño, Reymark
19. Narvios, Kurt
20. Saramosing, Vincent
21. Talaid, Marvin
22. Ygay, Ford Anthony
23. Cantarona, Katrina
24. Capinig, Niña Luz
25. Estriba, Fatima
26. Gellani, Jasel Kim
27. Gorres, Princess Ann
28. Labrado, Jonah Mae
29. Lingaolingao, Justine Mae
30. Lumaino, Cherry Ann
31. Mahasol, Kimberly
32. Mahinay, Lovely Jane
33. Manatad, Julie Marie