BAYOG ES Deworming 2016 2017

National School Deworming Day July 29, 2016
ANNEX C: Form 1 MODIFIED deworming checklist

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Name of School BAYOG ELEM. SCHOOL
School Address TAGPUAN ST., BRGY. BAYOG, LOS BAOS, LAGUNA
Total Enrolment 23
Grade Level and
KINDER - RIZAL
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ACABADO, JOAQUIN INIGO Q.
ARANZA, JAYMARK R.
DE SILVA, SETH ANDREW M.
DEANGKINAY, MARK STEVEN C.
LAYNO, NIGEL C.
INDICO, JL SHON T.
MANILAG JAYCLO S.
MONTERO, ALVIN S.
OROGA, RAINIER K.
10
PASCUAL, JOMARI Q.
11
QUILLOY, CHRISTIAN H.
12
SALIVIA, JOHN VINCE S.
13
VASQUEZ, NIGEL C.
14
VILLAREZ, STORM PAUL A.
15
AGUDA, AKHEISHA G.
16
ALINSUNURIN, JHENICA L.
17
BATUCTOC, JHEZYREE J.
18
BUTED, PRECIOUS HANNA M.
19
DOMINGO, SOFIA C.
20
ESPINOSA, LAIZA CHRISTINE B.
21
FRIANEZA, SHEYLA YLLIZ M.
22
ILAGAN, KATE DIANNE L.
23
LAYNO, QUENNILYN FRITZ S.
24
LOPEZ, ABEGAIL NICOLE A.
25
MALAGUEO, JHARHEN B.
26
MIRABITE, PRINCESS JANE P.
27
SORIA, FRYSTELL FIONA O.
28
TAMBAN, JHENNISIS V.
29
TANDANG, CHLOE DENISE L.
29
Accomplished
by:
29
Class Adviser
(Name and
Signature)
Date Accomplished
SARAH J. MISALUCHA
7/8/2016
Remarks for not being dewormed
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Precautionary Measure
(seriously ill, with
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
before June deworming prevalence
hypersensitivity with
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
28
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 28
Grade Level and
KINDER - MABINI
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ACEBEDO, JACOB E.
ADORDIONISIO, MERWIN D.
ANDES, SHERWIN A.
DICTADO, ARMAN I.
GABALES, GIAN M.
GASULAS, CHRISTIAN N.
LAWOG-LAWOG, ACE JEXEL B.
MANILAG, EZEKIEL S.
MOLDEZ, PAUL JOHN
10
MULIMBAYAN, CHRIS ANDREI T.
11
OBIN, JOHN RONIO D.
12
PAMULAKLAKIN, ALJON T.
13
SEQUITO, MARKEN L.
14
YANEZA, BRIAN JAMES Y.
15
MAJIAS, ERLJOHN
16
ADA, JASMIN NICOLE N.
17
ALVARES, ANNE LORAINE T.
18
BANASIHAN, REALYN S.
19
BELANO, JHAERA MAE
20
BENAVENTE, CASSANDRA S.
21
BERTILLO, RHOSELHY O.
22
BUNYI, ANN ROSE M.
23
GONZALES, ROANN MAE F.
24
MANAMBIT, JEE ANN EUNICE L.
25
PAMULAKLAKIN, VHEA MAE E.
26
PARAHINOG, MERIECRIS T.
27
ROBRIGADO, ANGEL A.
28
VIVAS, QUELIANNE B.
28
Accomplished
by:
28
Class Adviser
(Name and
Signature)
Date Accomplished
ARLENE B. TALAMBAYAN
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
28
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 23
Grade Level and
KINDER - BONIFACIO
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ALVAREZ, JUSTIN P.
BIENES, OMAR M.
DE VILLA, ALDRIC MARCIN V.
DECENA, JON ECHO C.
DELMINGUEZ, REYNIT M.
GUILING, JERICHO J.
JASARENO, VINCENT M.
LAPIE, ALEXANDER J.
LAPITAN, MATT ABRAHAM F.
10
LUBATON, NIO RAILEY L.
11
PAMULAKLAKIN, EXEKIEL B.
12
PASCUAL, JUSTINE LOUIE B.
13
RAMOS, MARK ALEXANDER G.
14
VILLAVER, GHION ARKIE A.
15
ALDAVE, CRISTA ANN MAE T.
16
BAUTISTA, JULIA A.
17
DE BORJA, ANGEL A.
18
DIZON, AL-JHIE L.
19
ELAYBA, RHEIN HEART
20
HINTURAL, ALEXANDRA V.
21
LORENZO, JESSCEL E.
22
PARAISO, JILLIAN M.
23
VILLANUEVA, HAIDEE M.
23
Accomplished
by:
22
Class Adviser
(Name and
Signature)
Date Accomplished
SARAH J. MISALUCHA
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
21
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I.PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 26
Grade Level and
KINDER - MALVAR
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ADO-AN, JOHNZEL MARK
BALAHADIA, DUAN ZUES
DEANGKINAY, JOHN ERIC S.
DICTADO, ARMAN I.
GIBAS, NHIEL ALLEN A.
HINTURAL, MICOS C.
IMBEIN, EMMANUEL M.
LAPITAN, NEHJ NIGEL G.
MACAPUA, ALDWIN C.
10
MANCERAS, JOHN HENRIX B.
11
OGALIN, CYRUS
12
POMENDIA, JERICK B.
13
TABACO, LANCE LAWRENCE
14
VALERIO, REYNOLD JR. N.
15
BANASIHAN, CLARISSA M
16
BARCALA, RHIANA MIEL B.
17
BERDINE, JANE ANGELINE A.
18
CHAVEZ, FRANCINE MAE
19
DELMINGUEZ, SHENELLE D.
20
EVANGELISTA, JAMILLE Q.
21
GALERO, SYLEIDY ZHUBEL T.
22
LEONES, XYRA MAE P.
23
PAMULAKLAKIN, ZOPIA D.
24
REBOLTAN, RHAYN ANNE D.
25
SIGUE, RICA MAE
26
VALLERIO, SHIELA MAE N.
26
Accomplished
by:
26
Class Adviser
(Name and
Signature)
Date Accomplished
ARLENE B. TALAMBAYAN
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
25
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 34
Grade Level and
GRADE ONE-RIZAL
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
AGRISOLA, JHON KELVIN M.
AMOLOZA, EVAN DALE Q.
ARNESTO, JOHN LAWRENCE V.
BALLESTEROS, RAY ANTHONY C.
BANASIHAN, RUI K.
BARRIOS, MARK JOHN CHRISTOPHER
BESA, DARWIN KLEIN E.
CRISPINO, JOHN MATTHEW H.
LAINEZ, JASFHER VINCENT L.
10
LECHUGA, KARL MICHAEL R.
11
LOPEZ, GREG DELA C.
12
MEDENILLA, ALEX EVIA
13
ORENCIA, MARC LORENCE E.
14
PAMULAKLAKIN, KENNETH D.
15
PANER, RON JUSTIN F.
16
RAMIREZ, CZARED V.
17
ROBLES, SHAN RHAMIEL F.
18
TAMAYO, KEVIN C.
19
VASQUEZ, JOHN MATTHEW GAINUS A
20
ABEJAR, JHAZHIELLE A.
21
BAUTISTA, ANGELA C.
22
BIENES, ROSE PRINCESS J.
23
BUNYI, SARAH JOY L.
24
CELSO, AIYESHA G.
25
CERERA, PRINCESS NICOLE D.
26
DELA CRUZ, RISSA NAZ
27
CRUZ, CASSANDRA DENISE A.
28
DIMAPILIS, ANGELICA T.
29
FORTE, ROLAINE P.
30
LANGUNDINO, ASHLEY T.
31
MONDRAGON, CLARISSE A.
32
QUILLOY, LANARINE H.
33
TANDANG, MARIA JENICA LAIZA A.
34
VALENZUELA, ELIEZA JOY G.
34
Accomplished
by:
34
Class Adviser
(Name and
Signature)
Date Accomplished
GUADLUPE OFELIA A. BOBILA

7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
33
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 40
Grade Level and
GRADE ONE-MABINI
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
AVELINO, KENDRICK C.
ARQUILITA, JIM CALEB A.
CACHOLA, JOHNWILLE M.
CALLEJA, JEMAR V.
CANGYON, JHON LOYD C.
DELA PEA, REYNAN U.
DE VILLA, JOHN MARLON P.
ERASGA, LUCAS T.
GONZALES, JHAYRON F.
10
LAPIE, JOHNZELLE JOHN T.
11
LAPITAN, DENVER Y.
12
LAPITAN, KENT REIN D.
13
MAGINOO, JAHN ERVIN V.
14
MAZO, GIMZ RALVY J.
15
MICOSA, ADRIAN
16
NABATA, RAFAEL N.
17
NORIEL, JOHN GABRIEL
18
QUILLOY, MARK ANGELO D.
19
TOLENTINO, SHAN LAWRENCE B.
20
TABUETE, CHRIS XANDER
21
ZAYAS, BILLY JAMES T.
22
BAJA, AILEEN
23
GARAB, JELLA JANE R.
24
GULAY, STEPHANIE D.
25
HINTURAL, LHIAN ANGELA P.
26
LADJAHASAN, JHANA YESSAMIN
27
LAGANZON, RICA B.
28
LAPITAN, ERICKA C.
29
LATORRE, ALYSHA MAE C.
30
MANCIO, NIZZETH ANGEL C.
31
MANIBOG, MAFEA T.
32
ORDANZA, IRISH MIELLE S.
33
REY, YANIE SHANELLE R.
34
SALANATIN, DANIELA CORAZON S.
35
SOLINAP, KHIANNE T.
36
SY, JIHAN
37
TANDANG, CARMELA EZRA L.
38
TANDANG, MARIANE E.
39
YANEZA, FRANCHESCA E.
40
VALENZUELA, DENNIE PEARL I.
40
Accomplished
by:
40
Class Adviser
(Name and
Signature)
Date Accomplished
LUCINDA T. HIDALGO
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
37
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 38
Grade Level and
GRADE ONE-BONIFACIO
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
BARBA, AIAN D.
CARACUEL, CALVIN V.
CHAVEZ, MARK
ELLEC, KYLE ESZEKIEL
DE LOS REYES, JOSH SANIELLE A.
ESCOBIN, JOHN R.
ESQUILONA, ALJON A.
FERNANDO, JOHN MATHEW L.
GALVEZ, ALDEN CRIS
10
GARCIA, BRENDAN RICARDO ANDRIE M.
11
GRICALDA, BRENT JOZZWELL B.
12
LANUANG, LLOYD D.
13
MIEL, JAMIR M.
14
MOLDEZ, JOHN CHRISTOPHER
15
NOEL, JAY ALFRED M.
16
OIRA, JOHN JOHN G.
17
PANISALES, PRINCE KYLE L.
18
PETRAS, CHRISTIAN A.
19
RESQUITES, KIAN ALAIN V.
20
SAN PEDRO, JOHN PATRICK M.
21
SERRANO, ADRIAN JASKIE A.
22
TOLENTINO, JOEL JR. B.
23
UMALI, MARK JOSEPH M.
24
ALVARADO, MICHAELA L.
25
DIMAPILIS, RHEILYN B.
26
ELLAS, JHANETH TUD
27
FLORES JEN MARIE O.
28
LALAP, PRINCESS SHAIRA E.
29
MACAPUA, DENISE H.
30
MACAPUA, MAYAN E.
31
MALIHAN, LHARA MAE I.
32
MERCADO, CHYNNA MAE H.
33
MULIMBAYAN, ANGEL H.
34
PAMULAKLAKIN, CHRISTINE MAE C.
35
PAMULAKLAKIN, LIANNE D.
36
RANCES JOVIELYN P.
37
VIERNEZA FERLYN M.
38
VILORIA, RHIAN E.
38
Accomplished
by:
38
Class Adviser
(Name and
Signature)
Date Accomplished
JEAN Q. TOLENTINO
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
36
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 44
Grade Level and
GRADE TWO-RIZAL
Section
Number
Enrolled
Name of Child
with consent
ARGONCILLO, MAURITONIE ANGELO A.
CASTILLO, JOHN CHRISDEL R.
DAYAG, DARYL M.
DEANGKINAY, PTEROCHRIST R.
DE VILLA, ADRIEL MC GILLIAN V.
JIMENEZ, KNIGHT B.
LAGUERTA, JERWYN T.
MANTALA, JAYVEE B.
MAQUILING, VICENTE III T.
10
MOJICA, JUAN CARLOS B.
11
MURIN G, KAYDEN JADE L.
12
PADILLA, KIETH ANDRIED B.
13
PARAMIO, ELIJAH CHRISTOF C.
14
REGONDOLA, ROAN M.
15
SAGADO, RENZ WILSON S.
16
SAMADAN, CHEZTER XAVIERY E.
17
SUMBINGCO, GABRIEL C.
18
TANDANG, FRANZ ASIS M.
19
TANDANG, LON RAILEY F.
20
TOLENTINO, RALLEN O.
21
ALMONTE, PRECIOUS LEA JEAN M.
22
ARANGO, ALTHEA DARLENE B.
23
BANASIHAN, TRIXZIE G.
24
BELTRAN, PRINCESS LYANA T.
25
DEANGKINAY, MARY JANE CARLA C.
26
DELMINGUEZ, DANIELA MAE A.
27
DIJAN, RHAYZELLE MAY D.
28
DUMAGCO, STHEACY EHRA S.
29
EMOLAGA, BERNADETH M.
30
ESPADILLA, CASSANDRA S.
31
ESPINOSA, JENNIFER B.
32
GARCIA, JANISABEN SAI M.
33
LAPINID, KAYMAE JAN LIAN M.
34
MOLDEZ, PRINCESS APRIL M.
35
PELOBELLO, PRECIOUS MAE P.
36
PONDIVIDA, RICA MAE R.
37
QUILLOY, ARIANNE H.
38
RETUERTO, SAMANTHA MAE L.
39
RIVERA, CHRISTINE GAILE D.
40
SEDIEGO, MARHJIE C.
41
TANDANG, ALEKRISH RAIN L.
42
TANDANG, ROMAY G.
43
TOLENTINO, ANNE LORAIN Q.
44
VALENZUELA, AUDREY E.
44
44
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
AIDA C. LITARGO
7/8/2016
NA

dewormed
(June 1-July 29)
4P's
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Ineligible
deferred
(dewormed
Refused
due to
1)
survey
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
42
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal
eing dewormed
abdominal pain,
diarrhea, who has
previous
deworming drug
( annex B MDAP
Guide #1 page 14)

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 46
Grade Level and
GRADE TWO-MABINI
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ABARQUEZ, MARK ANTHONY P.
ADOLFO, JHON CYRILL P.
BANASIHAN, JOHN HOMER A.
CACHOLA, PAULO M.
CENAJO, MICO PRINCE V.
FABIAN,JOHN PAUL C.
GARDOCE, JOHN EZEKIEL P.
GANZALAO, CYRELL ALLEN L.
ILAGAN, JHAREL M.
10
LANTE, ENZO C.
11
LAPIE, ALEXIS DERICK J.
12
LAPITAN, WARREN I.
13
LAYNO, JURRY R.
14
MONILLA, MARK JAYDEN C.
15
PEREJA MHART JHAY A.
16
REPLAN, JOHN ALLEN D.
17
REYES, DAVE CONNON Q.
18
RODICO, MARK JHON C.
19
TANDANG, JAZZ C.
20
TANDANG ZYRUS E.
21
TERROBIAS, RALPH JUSTNIE D.
22
VASQUEZ, JHONZEL
23
VICTORIA, JAMES CARLO E.
24
ALVAREZ, RACHEL C.
25
ARMECIN, LEA MAY M.
26
BANASIHAN, CHASELYN A.
27
BANASIHAN, JENICA T.
28
BARCALA, DARLENE JOY A.
29
BARAYANG, CHRISTNEIL S.
30
BAYANI, HAYLEY C.
31
BERDIN, IRISH JANE A.
32
CAPITAN, GLYDALLE M.
33
CORTEZ, KYLE NATHALIE A.
34
DELA CRUZ, RAIZA JOI C.
35
DELOS REYES, SOPIA E.
36
DE LUNA, JHOSA MAE I.
37
EVANGELISTA, MA. CAMILLE Q.
38
FABIAN, CHAMIQUE JHADE Q.
39
GONZALES,, MA. STEPHANIE D.
40
JUEGO, JOANA MAY R.
41
LAYNO, KRISTNE CASSANDRA
42
MOLDEZ, YSSHA FAE M.
43
SILO, JHENIAH V.
44
VASARINO, VANESSA M.
45
VASQUEZ, FERSYBEL A.
46
VASQUES, JEANZEL L.
46
45
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
ETHELWINDA L. SIANO
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
40
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 40
Grade Level and
GRADE TWO-BONIFACIO
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
AGRISOLA, KIAN LEI B.
ALVAREZ, CHESTER LUIS A.
BAUTISTA, BJ M.
CIRIACO, JHON MHYCO L.
CRUZ, JERWIN A.
DALGUNTAS,KING C.
IMPERIAL, PRINCE C.
IPOSADA, ACE R.
LAPITAN, JHON ANDREI B.
10
MALIHAN, CARL LUIS M.
11
MANUEL, PRINCE ARLO F.
12
MENIA, ADRIAN V.
13
MONTANO, JADE M.
14
OGALIN, JHON PRANCIS,V.
15
PALCONIT, JERICO P.
1
1
16
RIVERA, ARMAN P.
17
SUENO, BEJAY D.
18
SULTAN, AEDRIAN P.
19
TANDANG, JOHN PAOLO J.
20
TANDANG, KENT BRYAN P.
21
VIBAL, AARON C.
22
ALDAVE, CHANTELLE JANE T.
23
BARRAMEDA, ATHENA RAINE V.
24
CASTILLO DOROTHY KEI T.
25
ESCOBIN, CRISTEL T.
26
FERNANDEZ, KATE HAIDEE Y.
27
LLOSIS, RINA JANE D.
28
LONTOC, PRINCESS S.
29
LUBATON, RHIAN NICOLE L.
30
MACAPUA, ZIDJANE B.
31
MARTINEZ, PRINCESS VIONALYN A.
32
MONTANO, JISSEL C.
33
MUDLONG, JAZMINE L.
34
NIVAL, ALYZZA L.
35
PUPA, LYRA MAE L.
36
RIVERA, AYA FRANCHESKA B.
37
SANTONIA, CHE CHE M.
38
TANDANG, GENCEL L.
39
TOBIAS, CEANA B.
40
VASQUEZ, MA. AGNES R.
40
Accomplished
by:
32
Class Adviser
(Name and
Signature)
Date Accomplished
ALONA L. LONTOK
7/8/2016
rmed
June 1-July 29)
non-4P's
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 40
Grade Level and
GRADE TWO-MALVAR
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ALANO, RENZ MICHAEL B.
BARNIDO, KIAN CLEIN L.
BUNDALIAN, CARL JAVIN S.
BUNDALIAN, JEAN CLAUDE S.
CABRAL, JOHN LERICK A.
CHUA, JUSTINE
DE DIOS, JOHN LENARD T.
FLORES, TROY ANDREI C.
GIBAS, JOHN TEDDY P.
10
GUILING, AR-JAY J.
11
LIWANAGAN, MIGZ ANTON L.
12
MENIA, JAMES R.
13
NATIVIDAD, JR. LOUIE M.
14
NAVASERO, ARON H.
15
PASCUAL, JOHN LAWRENCE B.
16
ROBRIGADO, OWEN A.
17
TENORIO, JOHN LAWRENCE B.
18
TOLENTINO, GERWIN P.
19
VILLAREZ, WINTER PAUL A.
20
VILLORIA, JAMES ROBERT B.
21
ACOSTA, TRIXIA L.
22
ANDES, SHERAIN A.
23
ALVAREZ, KEYSHIA N.
24
CARILLAGA, FATIMA M.
25
CARIO, ROXANNE V.
26
CASILAO, AYCEL A.
27
CILLS, CHRISTAL C.
28
DIZON, SHUNELA THERESE T.
29
GALIMBA, JOANA JOYCE
30
GARCIA, JACKIE RICE O.
31
MANARIN, LOUGIE M.
32
MARCELO, AIRA MAY
33
MORRON, APRIL JOYCE P.
34
PAMULAKLAKIN, RHIAN D.
35
PATOTOY, CZHARLENE ANNE M.
36
RIMAS, MARY JANE RAFAEL
37
SURETA, ANGEL CEREI A.
38
SY, KRISHIA P.
39
VALENCIA, SHEILA MAE C.
40
VILLA, CHRISTINA R.
40
Accomplished
by:
29
Class Adviser
(Name and
Signature)
Date Accomplished
IMELDA Q. SALAZAR
7/8/2016
rmed
June 1-July 29)
non-4P's
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
26
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 42
Grade Level and
GRADE THREE-RIZAL
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
AMPARO, BRENAN DERICK I.
BANASIHAN, ZEUS MAX G.
BAUTISTA, YGO KHELLE M.
CAO, RAM MARDI A.
CORDOVA, JHUDRIX A.
GALOSMO, NATHANIEL M.
GARCIA, RAVE ALVER R.
GEMINIANO, XARLET ASHEN L.
GIBE, AIKEE DENMARK V.
10
JIMENEZ, NEIL RAIZEN B.
11
LAPITAN, JOHN ARDEE G.
12
LUTAP, CEE-JAY C.
13
MEDALLON, REXTOR D.
14
MICOSA, GODWIN A.
15
MOLDEZ, JOHN KENNETH C.
16
MONDRAGON, CHRIS JERICO A.
17
NABIA JR., MELDIN J.
18
ORENCIA, MARC LENARD E.
19
QUILLOY, FRANCIS BON R.
20
SAN PEDRO, PRINCE LEN MAR M.
21
SURETA, KURD TRISTAN A.
22
AGBAY, JOSHIELIN FRANCES R.
23
ALIPIO, HERSHEY A.
24
ALVAREZ, RAIN P.
25
BUTED, CHEENINIE
26
DEANGKINAY, RHIANNE D.
27
DELMIGUEZ, IVY JANE D.
28
ESPINOSA, CLAIRE LARRA PERRETTE
29
HINTURAL, BERNALYN M.
30
JAVIER, ANREY NICOLE S.
31
LAPINID, IONAH VALEA M.
32
LOPEZ, SHANE D.
33
MONDRAGON, MARIZZ A.
34
MONTEJO, VERONICA JANE A.
35
PARAISO, FRANCHESCA DENISE
36
RAMBOYONG, MAXIME JOY O.
37
REYES, AKIRA GHAZEL L.
38
ROMERO, RHIAN VENICE B.
39
TANDANG, MYLEEN B.
40
TARZONA, CAIZEL ANGELIQUE D.
41
TIMOSAN, ALEICIA SZHANE S.
42
42
VIVAS, JHONA T.
1
42
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
TEODORA D. GABRILLO
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
40
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Name of School BAYOG ELEMENTARY SCHOOL
School Address TAGPUAN BAYOG LOS BAOS LAGUNA
Total Enrolment 42
Grade Level and
GRADE III - MABINI
Section
Number
Enrolled
Name of Child
with consent
ALTICHE, ARCHIE O.
BANASIHAN, JHARRED A.
BANASIHAN, JOHN RYLLE L.
BENAVENTE, HANJIN S.
BUARAO, JHON FRANCIS O.
CENAJO, MATTHEW IVAN V.
DELA PEA. EUNIZICE A.
DEL ROSARIO, JOHN KERVIE S.
DIAZ, KLARENCE P.
10
DIZON, IAN MATHEWS C.
11
MACAPUA, DAVE CHRISTIAN H.
12
MACAPUA, ZIDJAN B.
13
MACARAIG, CHRIS ZYRIL M.
14
MANCIO, KERVY D.
15
NAVALES, JAMES CRAVEN P.
16
POMENDIA, JHON REM B.
17
QUILLOY, SHANGAIL ADENZEL C.
18
TRABOCO, JANH PAOLO A.
1
1
19
VALENCIA, JR. CELESTINO B.
20
ACLAO, MARY JOY A.
21
BAUTISTA, ALZEA NICOLE -
22
CRUZAT, JURIELIE G.
23
DE CASA, SOPHIA ALTHEA E.
24
DELMINGUEZ, YZABELLE C.
25
DORADO, DENISE D.
26
EBEC, NICOLE B.
27
LAAB, HANNAH VICTORIA H.
28
LERON, ESTHER JOICE H.
29
LORENZO, MARIAN E.
30
MANCIO, ISHIN D.
31
MANILAG, JASMINE M.
32
MAZO, GENESIS B.
33
MESA, DAICIRIE A.
34
MOLDEZ, DIANA LYN C.
35
MUDLONG ASHLEY D.
36
PAMULAKLAKIN, GRACIE ANN T.
37
REBOLTAN, RHIANNE D.
38
RIGAY, LEA MAY M.
39
SUGASTE, LORIN MAY T.
40
TENORIO, JEANELLE MAE B.
41
TIGUE, ANTONETTE A.
42
VALERIO, NINALYN N.
42
Accomplished
by:
Class Adviser
(Name and
Signature)
SONIA M. ARLETA
1
1
1
1
25
Date Accomplished
7/8/2016

Ineligible
deferred
dewormed (June 1-July 29) (dewormed Refused
due to
1)
survey
4P's
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3
22
17
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal
t being dewormed
abdominal pain,
diarrhea, who has
previous
deworming drug ( annex
B MDAP Guide #1 page
14)

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 41
Grade Level and
GRADE THREE-BONIFACIO
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ARCINUE, JOHN ALBERT E.
AVELINO, HARVEY KENT C.
BARABA, DREW JASPER M.
CARACUEL, KENNETH V.
CUARTO, JAVIER B.
GONZALES, AARON JOHN F.
HINTURAL, NEIL ANDREI
HUINDA, CHRISTIAN JAMES V.
MANE, KENJI P.
10
MARIANO, BRIXIANIEL A.
11
MEDENILLA, ALEJANDRE E.
12
PAMULAKLAKIN, ALEXIS M.
13
PASCUAL, EDZELE E.
14
PETRAS, YURHIE A.
15
SANTONIA, JAYJAY M.
16
TANDANG, LORENZ B.
17
TEGALAO, JOHN MARK T.
18
TRIA, MICHAEL JR. V.
19
UGDIMAN, MC EDRO B.
20
ALAVARADO, MAYELLE L.
21
AVELINO, DENISE C.
22
BANASIHAN, RHYANNE S.
23
BAUTISTA, RONA SHEI S.
24
CABRAL, CHRISTINE P.
25
COMENDADOR, TRISHANNE P.
26
DELA CRUZ, NHELAINE G.
27
DELOS REYES, FHERCIE ANNE G.
28
ELIAS, PRINCESS YVONNE T.
29
GARCIA, JACKIE ROSE O.
30
HERALDO, GELLIE MARIE S.
31
LAPIZ, KYLEE O.
32
MANILAG, ELLA MARIE S.
33
MARANAN, GEMMARIE B.
34
MARANAN, MARICAR
35
NAVASERO, ANNALIZA H.
36
PASCUA, MIZHELL C.
37
QUIMBA, MA. CRISTINA T.
38
RAMOS, ZYRENE JOY L.
39
TABACO, EIZA MAE L.
40
TANDANG, HILLARY KHEANA J.
41
VILORIA, RINA JOY E.
41
Accomplished
by:
40
1
1
Class Adviser
(Name and
Signature)
Date Accomplished
HAZEL L. SAPIN
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
36
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 41
Grade Level and
GRADE THREE-MALVAR
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ALVARADO, SONNY S. JR.
ANDES, ARCHIE A.
BAYANI, RENZO T.
BESA, DARIUS GABRIELLE E.
CRUZ, DAVID ANGELO B.
DAMIAN, JAMIR LEE A.
HINTURAL, GIAN ANDREW
HOLANDA, REN-REN D.
LAPITAN, RAVEN S.
10
LERON IV, CATALINO KYLE H.
11
LONTOC, WILSON S.
12
MONTANO, JUSTINE T.
13
MONTERO, JOHN ALBERT S.
14
MULIMBAYAN, AR JAY JASTINE H.
15
NAVASERO, ANDROU H.
16
NUEZ, JASPER B.
17
OROGO, CHRISTIAN ALLEN C.
18
RANCES, CRIS JEMRIX P.
19
ROBLES, SHAN DAVE F.
20
TABUETE, JOHN PATRICK P.
21
TROLLANO, RODRIGO B.
22
VALEDEZ, MIGUEL S.
23
VASQUEZ, FRANCE DANIEL A.
24
VILLAREZ, RAIN PAUL A.
25
BANASIHAN, SHALLER ROSE P.
26
BARBA, ALTHEA D.
27
BARACALA, RESA MHEL B.
28
CABRILLAS, JASMINE
29
CASTRO, MIA M.
30
CERESO, JESSA MAE B.
31
COLLADO, PRINCESS NICOLE P.
32
DELOS SANTOS, EIRAM KASMAE P.
33
DESTACAMENTO, BEA ANGEL A.
34
GUILING, MIRA JIAN J.
35
JUINIO, CALIEX V.
36
MARCELO, PRINCESS A.
37
MELODIILAR, A MARIE S.
38
NABIA, GELAIZA B.
39
PABILLANO, ANN LEA KIM R.
40
PAMULAKLAKIN, SHAINA B.
41
ZULUETA, RHIALANE E.
41
Accomplished
by:
30
Class Adviser
(Name and
Signature)
Date Accomplished
JAHLENE V. DEQUITO
7/8/2016
rmed
June 1-July 29)
non-4P's
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
27
Noted by
10
Grade Level
Advisor (Name
and Signature) GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 43
Grade Level and
GRADE FOUR-RIZAL
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ABALOS, AHYRON JAY B.
BAUTISTA, ALEXIS B.
ELAYBA, CHRISTIAN DOMINIC M.
EVANGELISTA, JAMES BENEDICT Q.
GUZMAN, RALPH AARON C.
JABOL, KENNETH V.
LARESMA, HARLEY B.
LITARGO, ANDREI DOMINIC L.
MANAGAT, MARK JUSTIN C.
10
MANGAOANG, EZZRIELLE JHAZZ B.
11
MURING, KARL VINCENT L.
12
QUILLOY, GEM RUSSELL T.
13
REGALADO, JUREL S.
14
RELOS, JURO MATEO B.
15
REYES, TRISTAN CEDRIC B.
16
SAN PEDRO, JOHN RUSSEL G.
17
TANDANG, GIDEON L.
18
TANDANG, JAZPER C.
19
TANDANG, JOHN MATEO A.
20
TIMOSAN, STEEVEN JOSH S.
21
ADOLFO, GEODEE STEVENS
22
BAUTISTA, IRISH GLEN M.
23
BERDIN, AIRA JANE A.
24
BORJA, GUEN ANGELINE O.
25
CABRAL, RUI ANN R.
26
DE LUNA, MA. MINERVA LEA O.
27
ERASGA, LIRA T.
28
FERNANDEZ, GEANN NICOLE J.
29
LAPITAN, CHESKA LYKA F.
30
LAPITAN, MARIA PRINCESS JOY T.
31
MANARPAAC, CHARMELA A.
32
MERCADO, HONEY LEE E.
33
MIEL, IRENE M.
34
PADUA, IRISH S.
35
PANER, NINYA FLOR F.
36
PATOTOY, CZHARZETTE ANNE M.
37
RAMOS, MARSHA ANDREA D.
38
RECTO, REINELYNN G.
39
SAGPAO, NATALIE SAJIE R.
40
SUPLE, STEPHANIE D.
41
TERROBIAS, REEZE JEAN D.
42
TOLENTINO, VENIZE ANNE Q.
43
ZAMUDIO, RAIZA B.
43
Accomplished
by:
42
Class Adviser
(Name and
Signature)
Date Accomplished
CECILIA Q. SAUL
7/8/2016
rmed
June 1-July 29)
non-4P's
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
36
Noted by
Grade Level
Advisor (Name
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 44
Grade Level and
GRADE FOUR-MABINI
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ALVARADO, MARK KENJIE L.
AREVALO, JHON REY C.
BANASIHAN, JUDE CHRISTIAN
BINAMIRA, DAVE MATTHEW E.
DIMAPILIS, CARLOS T.
GABALES, JAY-CEE M.
GARCIA, GEROME
GAVINO, JHON RAVEN B.
GONZALES, MARVIN A.
10
INDICO, DUSTINE JAY T.
11
JUEGO, IAN BERNARD L.
12
LAPITAN, LOUIS SEBASTIAN L.
13
LOPEZ, JOSHUA KEN E.
14
MERCADO, PAUL MICHAEL H.
15
PAMULAKLAKIN, RUSELL T.
16
INDICO, DUSTINE JAY T.
17
REAMBON, IAN DOMINIC R.
18
SANTOS, EMANUEL T.
19
SAPIN, PETER JOHN R.
20
SOSA, JOHN LLOYD A.
21
SY JR. JOEL F.
22
TALAMBAYAN, JOHN ROCEL B.
23
TOBIAS, DANIEL JEROME B.
24
ANASTACIO, JENIFER I.
25
AONUEVO, JOHANNA V.
26
BANASIHAN, SERLYN S.
27
BANASIHAN, VALERIE M.
28
CABRAL, ANIKA REI A.
29
DELA CRUZ, ANDREA B.
30
DELOS REYES, CLAREN ANN J.
31
DUMALAON, JANNAH MAY Z.
32
GONZALES, MA. AVYGAIL D.
33
ILAGAN, RHIAN M.
34
LARINO, JAY-ANN M.
35
MANILAG, MARIANE O.
36
MENDOZA, RUBIE ANNE C.
37
MENIA, LIANE FAITH O.
38
MOLDEZ, RAICY ANN M.
39
PAMULAKLAKIN, ZYRINE LOREIGN D.
40
PAPA, MERLYN D.
41
PEREZ, ASHLEY P.
42
SARMIENTO, MARIA ELENA L.
43
VALENTINO, DANIELLA JHANE M.
44
VASQUEZ, AIKA MAE G.
44
33
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
RINA S. HISONA
7/8/2016
rmed
June 1-July 29)
non-4P's
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
30
11
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 44
Grade Level and
GRADE FOUR-BONIFACIO
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ALMADOVAR, MAC GRAVIN P.
ANDES, ALVIN JR. A.
ARCINUE, JENVER A.
BAUTISTA, AARON EDWARD D.
BIATO, JOSPEH ANGELO R.
BIENES, EUGENE M.
BLANCO, OLIVER
CRUZ, JOHN FRANCIS A.
HORIGUE, LANCE KERVY R.
10
LAPITAN, NEIL KIAN D.
11
LLOSIS, JHON REY D.
12
MACARAIG, JERRY YAN M.
13
MACKAY, LIMBERT
14
MANE, MARC AERON P.
15
MANILAG, EDMARK S.
16
PABILLANO, VIRIEL R.
17
PAMULAKLAKIN, ALLDEN Q.
18
PARAHINOG, JAY-EL T.
19
PELOBELLO, JOHN MICHAEL P.
20
RAMOS, JOHN PATRICK L.
21
RIMAS, JANRY RAFAEL
22
TABACO, ERVIN L.
23
TANDANG, JUSTIN B.
24
TOLENTINO, PAUL JEMZEL P.
25
VASQUEZ, JEO N.
26
BANASIHAN, JONABELLE T.
27
BAUTISTA, KIMBERLY
28
CIRISA, ASHLEY M.
29
CONTADO, KATE MARIE H.
30
DELA CRUZ, JADE GEM B.
31
DURAN, NADINE A.
32
FAJARDO, JOANNA S.
33
IGNACIO, JENNY ANN M.
34
LAINEZ, JHASMINE CEL L.
35
LERON, ALELIE NICOLE B.
36
MOLDEZ, JHOANNA MARIE C.
37
MONTANO, KYLA C.
38
MORRON, JESSICA P.
39
NOEL, LOVELY JOY O.
40
ROMERA, ANGEL HANNAH R.
41
SABANAL, REBECCA T.
42
SAMSON, AKIZSA T.
43
SAMSON, JAN AICELLE B.
44
TANDANG, BILLIE P.
44
43
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
MALYN D. REYES
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
39
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 41
Grade Level and
GRADE FOUR-MALVAR
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
BANASIHAN, CEDRICK G.
BANASIHAN, SHANLEI P.
BELLO, JUSTIN
COLLADO, DENMARK P.
ESCOBIN, BRIXZ ADRIAN T.
ESQUILONA, ADRIAN A.
EUSEBIO JR., ARIS B.
LAGANZON III, RICO B.
LAKSAMANA, JOHN REI B.
10
LAPITAN, JARRED B.
11
LONTOC, WILBERT S.
12
MACAPUA, FRANCISCO B.
13
MENIA, JOHN JERICH P.
14
MEIL, JOHN KELLY M.
15
MUDLONG, JEFFREY L.
16
MUDLONG, VINCENT D.
17
OGALIN, RUEL S.
18
PARAISO, JAMES RONALD M.
19
SANTONIA, JOHN PAUL M.
20
TANDANG, ARCHIE V.
21
TANDANG, JEREMIE S.
22
TANDANG, JOHN MARK D.
23
TROLLANO, RONIO B.
24
VALDEZ, PRINCE ALVANO A.
25
VENTURA, FRED JOSEPH A.
26
YANEZA, PRINCE ANGEL E.
27
BELIBER, ALEXIS P.
28
DELA PEA, ASHLEY JOY S.
29
DELA PEA, KIMBERLYN U.
30
ELEC, KATHLEEN P.
31
ENRIQUEZ, ALIZAH KARISSA
32
ESTRELLADO, KIM NICOLE S.
33
GECOMO, MICHELLE N.
34
JEBONE, ANGEL V.
35
MAMPLATA, ANGELICA GRACE L.
36
OGALIN, KRIZZY G.
37
PARAISO, SHINA C.
38
QUIATZON, ANGELYN P.
39
RAMOS, ANA MARIE D.
40
VALENCIA, CHRISTY C.
41
VIVAL, SHYRA MAE C.
38
41
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
MARIE PAZ L. BARNIDO

7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
31
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 40
Grade Level and
GRADE FIVE-RIZAL
Section
dewormed
(June 1-July 2
Number
Enrolled
Name of Child
with consent
4P's
AGRISOLA, JHONCEL M.
AMPARO, REDEN MARK V.
BIENES, RAVEN J.
CIDELLO, JOHN MELWIN P.
DELMINGUEZ, ARTHUR D.
DUMAGCO, ANTONIO JOAQUIN S.
ENOKIZONO, RYOJI Q.
ESCOBIN, JOHN MHEDRICK C.
ESPLANA, MARK PHILIP L.
10
EVANGELISTA, SAM D.
11
GABALES, CHOLO JUSTINE M.
12
HORIGUE, JUSTINE IVAN E.
13
LAPITAN, KYLE STEPHEN M.
14
MAKILING, MARK G.
15
PELOBELLO, JOHN PRECIOUS P.
1
1
16
REYES, JOHN KYLE B.
17
SUMBINGCO, MARK SAMUEL C.
18
TIMOSAN, SZHAN WAYNE S.
19
VENTURA, UNO ZANDER A.
20
VILLANUEVA, WENCY VICTOR M.
21
ALVAREZ, JASSEN NICOLE P.
22
BACOD, YHANCEE L.
23
BAGSIC, MIKAELLA B.
24
BALGUER, JAMELLA DIANNE M.
25
BARAYANG, CRISLIEN ARIANE S.
26
BLANCO, IRAH JHANE T.
27
CALPO, MEIRENNE C.
28
CECILIANO, CRISTINE JOY C.
29
DE LUNA, JHECILEE I.
30
GUZMAN, RIOME ANN C.
31
HINTURAL, STEPHANIE FRANCINE F.
32
HINTURAL, XYRILLE V.
33
HORIGUE, TRIXIE MAY R.
34
LEONIDAS, ALLYSA M.
35
MADAYAG, CHRISTINE JHAYE C.
36
MAGBOO, KEREN Q.
37
MANIBOG, JANELLE
38
MANUEL, KRIZELA F.
39
MELANIO, JAZMEEN JULIENNE D.
40
MILAGROSA, RICA B.
41
MOJICA, ANGELENE B.
42
MOLDEZ, MIJA L.
43
MULLER, JODIMIN G.
44
RIOLA, FRANCHESCA P.
45
SAPAIH, KEISMIR C.
46
TAMAYO, KATELYN C.
46
44
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
LERMA L. LITARGO
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
41
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 46
Grade Level and
GRADE FIVE-MABINI
Section
Number
Enrolled
Name of Child
with consent
AGAR, KELVIN N.
AGUILA, MARK HERVIC B.
ALVAREZ, JAMES PAUL P.
ANCHETA, JOHN EDMUND A.
BARBA, JAY CHRISTIAN T.
BINAMIRA, STEEVEN L.
BUENO, NIO -
BUNDALIAN, DJ S.
BURATA, NELSON G. JR.
10
FLORES, JUSTINE ENZO P.
11
FRIANEZA, SHER-ALYM M.
12
GEBILAGUIN, FELIPE V. III
13
LAINEZ, JAYNAN PAUL L.
14
LAMPASO, JAY-AR M.
15
MAGPANTAY, MARC HARVEY N.
16
MARTIN, ANGELO ANDREI M.
17
PAMULAKLAKIN, ALJERU T.
18
PAPA, ALEXIS OWEN Q.
19
PASCUAL, EISENE E.
20
PEREZ, RAFAEL LOUISE R.
21
TOLENTINO, GERALD P.
22
VIBAL, JOHN CARLO -
23
VILLAMAYOR, ARWIN JOHN G.
24
AEZ, JEAN T-JAY E.
25
ARELLANO, JOVIE ANN A.
26
BANASIHAN, CHARLENE A.
27
BARCALA, IVY P.
28
BELEN, ELYCA G.
29
INDICO, ERIKA MAE -
30
LAPITAN, JELAI D.
31
LARESMA, KIAM AIKEN B.
32
MAZO, KRISTIAN BELL B.
33
MELODILLAR, VANESA T.
34
MONTAO, JANA NICOLE G.
35
PANGAN, ANGEL NICOLE M.
36
PARADO, LORAINNE P.
37
PARAISO, AYUMI D.
38
PASCUA, RAQUELL C.
39
RAUTO, MARY JOLEA T.
40
RELOS, JANEL MAYA B.
41
RESQUITES, ASSHLEY ALAIN V.
42
RIAZON, MA. MARICAR C.
43
TAMISIN, ASHLY JEIZER L.
44
UGDIMAN, NINA PAULA B.
45
VALENZUELA, KHYL M.
46
YSALINA, CYRENE D.
46
33
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
GERALDINE C. GUEVARRA
7/8/2016

dewormed
(June 1-July 29)
4P's
Ineligible
deferred
(dewormed
Refused
due to
1)
survey
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
26
13
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal
eing dewormed
abdominal pain,
diarrhea, who has
previous
deworming drug
( annex B MDAP
Guide #1 page 14)

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 46
Grade Level and
GRADE FIVE-BONIFACIO
Section
Number
Enrolled
Name of Child
with consent
ADA, JUSTIN N.
BARBA, ASHLEY M.
BARRAMEDA, JOHN PAUL V.
BIO, JUSTINE L.
CARIO, ROEM V.
DE BORJA, JUNE A.
DELA CRUZ, JOHN JASON
DELMINGUEZ, AUDREY
ELIAS, JHON LLOYD
10
ESPLANA, DALE O.
11
FABIAN, KEITH ZEBASTIAN Q.
12
GIBAS, ANTHONY
13
JARABESE, DWAYNE JARED P.
14
LONGCOP, KEVIN PAOLO V.
15
MOLDES, YUJI KENNETH V.
16
NUEZ, CHARLES ALLEN B.
17
PAMULAKLAKIN, BEEJAY B.
18
PANTUA, JAY KIM U.
19
REYES, KYLLE CHRISTIAN R.
20
SAMSON, MARWINZEN M.
21
SAMSON, JERWIN B.
22
TANDANG, JOHN CLARENCE E.
23
TANDANG, PATRICK ANTONIO E.
24
VERANO, JONAS M.
25
ALCASID, COLINE ANGEL M.
26
ALDAVE, MARIAN T.
27
AQUINO, ALPHA MAE C.
28
BANASIHAN, ANGEL VEA S.
29
BATUCTOC, JEFFANY J.
30
BURATA, SOFIA BIANCA G.
31
CASTRO, RUTH M.
32
CUARTO, ISIAH B.
33
DALGUNTAS, MA KRISTINE C.
34
DAMIAN, HANNA LEEN A.
35
ESPADILLA, JADE LOISE R.
36
EUSEBIO, SHAMEL B.
37
LAPITAN, ERISH NICOLE
38
MERCADO, MICHELYN JOY H.
39
OIRA, MICAH JOY R.
40
PELEGRINA, MHEY D.
41
PEREZ, SOLIVVEN C.
42
PRESA, JASMINE S.
43
QUILLOY, JENNY LEE C.
44
RAMOS, MA SYMONETH CASANDRA G.
45
TABACO, EMERLYN L.
46
TABUETE, KATLYNE JADE P.
46
44
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
ALARICE C. BANASIHAN
7/8/2016

dewormed
(June 1-July 29)
4P's
Ineligible
deferred
(dewormed
Refused
due to
1)
survey
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
36
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal
eing dewormed
abdominal pain,
diarrhea, who has
previous
deworming drug
( annex B MDAP
Guide #1 page 14)

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 46
Grade Level and
GRADE FIVE-MALVAR
Section
Number
Enrolled
Name of Child
with consent
AGRISOLA, KRIS LORENCE B.
ALVARADO, MARION KURT L.
ALVAREZ, FERDINAND O.
BAGAAN, JOHN ROBERT T.
BANASIHAN, SHERWIN S.
BANASIHAN, WENDELL V.
BERDIN, TRISTAN AERON L.
CRUZAT, JOHN MARK G.
CUARTO, JAKE RYAN B.
10
DE VILLA, JOEMHELLE MARTHEW P.
11
DELMINGUEZ, KEVIN CLARK -
12
DIMAPILIS, ENRIQUE JR. -
13
EBEC, EDRICH G.
14
IPOSADA, ANGELITO R.
15
LAGUNDINO, TRISTHAN ASHVIN T.
16
LAINEZ, JAYDON DAVE L.
17
MACAPUA, DANILO H. JR.
18
NABIA, DOMINIQUE O.
19
PAMULAKLAKIN, ADRIAN S.
20
PAMULAKLAKIN, GIAN CARLO B.
21
PAMULAKLAKIN, ZORINE IVAN D.
22
SALIVIA, JERICK S.
23
TOMAS, ALVIN M.
24
VILLAVERDE, KIM GERALD R.
25
ANDES, ANGELICA A.
26
CHUA, JEMCEL -
27
CIRISA, RODYLYN M.
28
CORPORAL, SHELA MAY B.
29
CRUZ, DHIYNISE AN B.
30
DELMINGUEZ, RICHELLE M.
31
DE BORJA, JENNY A.
32
DE CASA, SAMANTHA NOREEN E.
33
DOMINGO, DENISE C.
34
DUMALAON, JEAMI MAE Z.
35
LAGANZON, KYLA B.
36
LAYNO, MARIAN CASSANDRA R.
37
LOGINA, FRIXIA B.
38
MACAPUA, HERLYN JANE B.
39
MANCIO, VERA FAITH D.
40
ORDANZA, BLESSY RUTH B.
41
PACIENTE, NIALYN A.
42
REYES, JAYLA L.
43
SANTONIA, KC LYN M.
44
SIGUE, RAILYN MIA A.
45
SIRUMA, FIONA MAE M.
46
TORRES, VALERIE MAE M.
46
37
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
ELADIO I. HERNANDEZ JR.

7/8/2016

dewormed
(June 1-July 29)
4P's
Ineligible
deferred
(dewormed
Refused
due to
1)
survey
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
32
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal
eing dewormed
abdominal pain,
diarrhea, who has
previous
deworming drug
( annex B MDAP
Guide #1 page 14)

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 40
Grade Level and
GRADE SIX-RIZAL
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ALVAREZ, ANGELITO O.
AMPARO, BRENDERICK I. JR
ANASTACIO, VINCENT I.
BELLO, JEFF CHENT
BINAMIRA, JOHN LESTER E.
CEDILLO, NORWIN JOHN P.
DELA CRUZ, JEROLL C.
ESPADILLA, ADRIAN S.
GUZMAN, RALPH ALLEN C.
10
LAPIE, RUSSEL E.
11
LITARGO, ADRIAN JAMES L.
12
MARASIGAN, TIMOTHY JAMES R.
13
MELODILLAR, JOHN ZORDIC C.
14
MULLER, JO HANSRUEDI G. II
15
REYES, JOHN HARRY L.
1
1
16
REYES, VON FRANCIS D.
17
RIOLA, ISAAC KIER P.
18
ACEBEDO, CRYSTAGENE G.
19
ALTICHE, ANDREA O.
20
BORJA, ARIANNE GRACE O.
21
BUAG, NIKKIE DANIELLE O.
22
CALUGAY, TRISHA T.
23
CASIO, KATE IRISH E.
24
CLAVE, KYLA Q.
25
CURA, CASSANDRA SHANE A.
26
DE BORJA, KATRINA GLEZY I.
27
DIZON, ALTHEA JODI C.
28
EMOLAGA, SAMANTHA ISABEL M.
29
GATCHALIAN, RAIZA E.
30
HERVACIO, MARJORIE O.
31
JIMENEZ, URIKO MEI B.
32
MANGERON, HANAHMAE B.
33
MILAGROSA, KIMBERLY CARMEN S
34
MOLDEZ, ALTHEA JOY C.
35
PAMULAKLAKIN, NICOLE L.
36
PAR, BEATRICE ANNE P.
37
PRESA, RICAZEL ANNE S.
38
REYES, ELAINE FRANCESCA D.
39
TANDANG, JODIE ANNE L.
40
TERROBIAS, REICHELLE JOI D.
40
Accomplished
by:
40
Class Adviser
(Name and
Signature)
Date Accomplished
CRISTINE C. AGUINALDO
7/8/2016
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
37
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 40
Grade Level and
GRADE SIX-MABINI
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
AGUINALDO, JUSTINE M.
ALCANTARA, KIER L.
AQUINO, CARL ANDREI B.
ASUNCION, JOSHUA P.
BARBA, JERICHO ANDREI D.
BASIBAS, DEO DAN D.
DEL ROSARIO, JOHN KENJIE S.
DIMAPILIS, JOSHUA P.
ESTROPE, DEXTER P.
10
HERRERA, JOHN LLOYD
11
LARESMA, CLARENCE KATE B.
12
LLAMAS, CHESTER B.
13
MANIBOG, JERIC T.
14
MENDOZA, ARREN LEI L.
15
SANGA, EMMANUEL R.
16
TANDANG, JOMAR S.
17
VALENZUELA, JOSHUA E.
18
VILLEGAS, KENNETH G.
19
ZAYAS, CYRUS JAMES A.
20
ZAYAS, ROQUE T.
21
ALANO, JM M.
22
BANASIHAN, PRINCESS M.
23
BERDIN, TRISHA MAE L.
24
CENAON, JAZREEL B.
25
CRUZ, DHEYSHANN HOPE C.
26
DELA CRUZ, ALEXANDRA B.
27
FERRER, FRANCINE D.
28
HERRERA, MARY ANN S.
29
JAVIER, SOFIA LORRAINE S.
30
LAYNO, RUTCHEL MAE C.
31
MARANAN, ROSE ANN B.
32
PARAISO, FRANCINE C.
33
PLANAS, ALLYA MAE D.
34
RELOS, JALEN RHUDEE B.
35
SOSA, ANGELINE A.
36
TABUETE, KATRINA JEANE P.
37
TANDANG, CHRISTINE JOY G.
38
TARZONA, SARAH NICOLE M.
39
TOLENTINO, PAULINE MAE B.
40
VASQUEZ, DIANE FHAY A.
40
Accomplished
by:
1
1
1
36
Class Adviser
(Name and
Signature)
Date Accomplished
ROCHEL L. DEANGKINAY
7/8/2016
rmed
June 1-July 29)
non-4P's
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
33
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BANOS
Name of School BAYOG ELEMENTARY SCHOOL
School Address TAGPUAN ST. BAYOG, LOS BANOS, LAGUNA
Total Enrolment 41
Grade Level and
VI-BONIFACIO
Section
Number
Enrolled
Name of Child
with consent
dewormed (June 1-July 29)
4P's
1
ALVAREZ, ALDWIN L.
ALVAREZ, TYRONE C.
BANASIHAN, JUSTIN T.
BALAGUER, MARK JOSEPH M.
BAUTISTA, DINDO D.
BAUTISTA, RONALD JOHN S.
CABELIN, JANN MARIUS C.
CONTADO, JOHN BENEDICT H.
DE VILLA, JHON MARFIL C.
10
LAPITAN, JONNEL VICTOR L.
11
LUZ, JOHN MICHAEL L.
12
MOLDEZ, CARMELO C.
13
MORRON, JIMBOY P.
14
PADUA, ANGEL JOHN H.
15
PAGHUBASAN, ROY LOUIE B.
16
PARADO, LORENZ P.
17
PASCUAL, KENNETH RALPH M.
18
RAMOS, JOHN MARK L.
19
RAMOS, RAYNIER G.
20
TAGAYONG, NEON LLUTZ G.
21
TANDANG, KEVIN BRYAN P.
22
VASQUEZ, JOHN PAULO L.
23
BANASIHAN, LEXA K.
24
BANASIHAN, NICOLE M.
25
BENAVENTE, CARLA S.
26
BEROY, MA. ADELAIDA -
27
BIAG, NICOLE A.
28
BIO, JERALDINE L.
29
CABRAL, ALEA JOY A.
30
ESQUILONA, ANDREA NICOLE A.
31
HERVACIO, MARY JANE O.
32
INDICO, IMELDA CHEN -
33
LAPITAN, DARYL ANNE F.
34
LAYOSA, NICOLE JAZMINE B.
35
MARTINEZ, ALMIRA FE C.
36
MEDALLON, KIMBERLY D.
37
MORATO, GLORY MAE L.
38
PARAISO, AIYA C.
39
SAN JOSE, JENNA LYN C.
40
TANDANG, MAE CIE D.
41
VASQUEZ, LEA GLAIZA R.
38
10
41
Accomplished
by:
Class Adviser
(Name and
Signature)
Date Accomplished
HAZEL B. MALIGALIG
7/8/2016
1
1

abdominal pain,
Ineligible
deferred
diarrhea, who has
med (June 1-July 29) (dewormed Refused
due to
previous
1)
survey
deworming drug ( annex
B MDAP Guide #1 page
non-4P's
14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
28
Noted by
Grade Level
Advisor (Name
Principal

Province
LAGUNA
Division
LAGUNA
District
LOS BAOS
Total Enrolment 38
Grade Level and
GRADE SIX-MALVAR
Section
dewormed
(June 1-July 29)
Number
Enrolled
Name of Child
with consent
4P's
ABELLA, MARLON
AGUILAR, ANDREI MAURICE C.
BANASIHAN, JOHN CHRISTIAN B.
CACHOLA, PJ M.
CEREZA, JASTHEN O.
CEREZO, JESSIE JR B.
DELOS REYES, ANTHONY J.
DIAZ, JOSHUA L.
ERASGA, DANREV L.
10
ESCOBIN, JAYVIE T.
11
GABRIEL, JOHN CHRISTIAN M.
12
GRICALDA, JERWELL B.
13
MARANAN, JOHN REYMART B.
14
MOLDEZ, REAVER SOLOMONE A.
15
MONTAO, JOSHUA C.
16
OLIVA, JEROME C.
17
PAMULAKLAKIN, CHRISTIAN M.
18
QUILLOY, JOHN KOBE C.
19
RANCES, JOHN C.
20
SANGALANG, ALEJANDRO C.
21
VALEZA, EURIE V.
22
BALAHADIA, ASHLLEY C.
23
CARPIO, ASHLEY MAE A.
24
DALIVA, GIORIS AZEL C.
25
EBEC, CLARENCE B.
26
ESCOBIN, RUFFA MAE T.
27
HINTURAL, GERALDINE C.
28
LUMAYBAY, ALTHEA AIRA S.
29
MONTAO, GESAIRAH JANE M.
30
MORRON, JOANA MAY P.
31
ONOYA, DIANA MAE S.
32
PAJARIT, JOEYLYN S.
33
PAMULAKLAKIN, JOAN B.
34
PAMULAKLAKIN, LEAN L.
35
QUIMBA, CHRISTINE ANN T.
36
VALENTINO, DESIREE JHOY M.
37
VALENZUELA, JADE A.
38
VIRAY, SAMANTHA MJ C.
38
Accomplished
by:
37
1
1
13
Class Adviser
(Name and
Signature)
Date Accomplished
REYMART T. ADA
rmed
June 1-July 29)
non-4P's
1
1
1
1
1
1
1
1
1
1
abdominal pain,
Ineligible
deferred
diarrhea, who has
(dewormed
Refused
due to
previous
1)
survey
deworming drug
( annex B MDAP
Guide #1 page 14)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
24
Noted by
Grade Level
Advisor (Name
and Signature)
GISELA I. PINGAD
Principal
Province
Division
District
Name of School
School Address
Total Enrolment

ANNEX C: Form 2 MODIFIED School Level Reporting Form
LAGUNA
LAGUNA
LOS BAOS
BAYOG ELEM. SCHOOL
TAGPUAN ST., BRGY. BAYOG, LOS BAOS, LAGUNA
1069
children Dewormed
Grade Level
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL
No. of Enrolled Children
with consent
106
112
170
166
172
184
159
1069
105
112
150
137
156
158
151
969
Accomplished by:
School Principal
(Name and
Signature)
Date Accomplished
GISELA I. PINGAD
Principal
4 P's
3
6
12
12
20
23
29
105

children Dewormed
non 4 P's
102
106
138
125
136
135
122
864
Noted by
District
Supervisor (Name
and Signature)
Ineligible
(dewormed
before June
1)
Refused
deworming
0
0
4
1
2
1
0
8
1
0
15
27
14
24
6
87
deferred
abdominal pain, diarrhea,
due to
who has previous
prevalence
survey
deworming drug ( annex B
MDAP Guide #1 page 14)
0
0
0
0
0
0
0
0
0
0
1
1
0
1
2
5
School ID
School Year
Name of School
No.
NAME
(Last Name, First Name, Middle Name)
M
BARBA, AIAN D.
CARACUEL, CALVIN V.
CHAVEZ, MARK
ELLEC, KYLE ESZEKIEL
DE LOS REYES, JOSH SANIELLE A.
ESCOBIN, JOHN R.
ESQUILONA, ALJON A.
FERNANDO, JOHN MATHEW

L.
GALVEZ, ALDEN CRIS
10
GARCIA, BRENDAN RICARDO ANDRIE M.
11
GRICALDA, BRENT JOZZWELL B.
12
LANUANG, LLOYD D.
13
MIEL, JAMIR M.
14
MOLDEZ,
JOHN
CHRISTOPHE
R
15
NOEL, JAY ALFRED M.
16
17
OIRA, JOHN
JOHN G.
PANISALES,
PRINCE KYLE
L.
18
PETRAS, CHRISTIAN A.
19
RESQUITES, KIAN ALAIN V.

SAN PEDRO, JOHN PATRICK
M.
20
21
SERRANO, ADRIAN JASKIE A.
22
TOLENTINO, JOEL JR. B.
23
UMALI, MARK JOSEPH M.
23
<=== MALE | TOTAL Per Day ===>
ALVARADO, MICHAELA L.
ALVARADO,
MICHAELA
LOPEZ
DIMAPILIS, RHEILYN B.
DIMAPILIS,
RHEILYN
BANASIHAN
ELLAS, JHANETH TUD
ELLAS,
JHANETH TUD
FLORES JEN MARIE O.
FLORES JEN
MARIE
ORDANZA
LALAP, PRINCESS SHAIRA E.
LALAP,
PRINCESS
SHAIRA
ESCOBIN
MACAPUA, DENISE H.
MACAPUA,
DENISE
HOMO
MACAPUA, MAYAN E.
MACAPUA,
DENISE
HOMO
TH
MALIHAN, LHARA MAE I.
MALIHAN,
LHARA MAE
INGATAN
MERCADO, CHYNNA MAE H.
MERCADO,
CHYNNA MAE
HOYOHOY
10
MULIMBAYAN, ANGEL H.
11
PAMULAKLAKIN, CHRISTINE
MAE C.
PAMULAKLAKI
N, CHRISTINE
MAE
CABISADA
12
PAMULAKLAKIN, LIANNE D.
PAMULAKLAKI
N, LIANNE
DUMALAON
13
RANCES JOVIELYN P.
RANCES
JOVIELYN
PLANAS
14
VIERNEZA FERLYN M.
VIERNEZA
FERLYN
MORENO
15
VILORIA, RHIAN E.
VILORIA,
RHIAN
ESCOBIN
15
<=== FEMALE | TOTAL Per Day ===>
38
Combined TOTAL Per Day
GUIDELINES:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the columns after Learner's Name.
3. To compute the following:
Registered Learners a
Enrolment as of 1st Fr
Total Daily
Number of School Da
Average dail
Registered Learners a
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table into School Form 4. Once signed by the principal, this f
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days and/or those at risk of dropping
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period.
School Form
2015 - 2016
School Year
TH
Registered Learners as of end of the month

x 100
Enrolment as of 1st Friday of the school year
Total Daily Attendance
Number of School Days in reporting month
Average daily attendance
x 100
Form 4. Once signed by the principal, this form should be returned to the adviser.
utive days and/or those at risk of dropping out.
School Form 2 (SF2) Daily Attendance Report of Learners

(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
July
Report for the Month of
Grade 1
Grade Level
TH
1. CODES FOR CHECKING ATTENDANCE
(blank) - Present; (x)- Absent; Tardy (hal
2. REASONS/CAUSES FOR DROPPING OUT
a. Domestic-Related Factors
x 100
a.1.
a.2.
a.3.
a.4.
Had to take care of siblings

Early marriage/pregnancy
Parents' attitude toward schooling
Family problems
x 100
b. Individual-Related Factors
b.1.
b.2.
b.3.
b.4.
b.5.
b.6.
b.7.
Illness
Overage
Death
Drug Abuse
Poor academic performance
Lack of interest/Distractions
Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor

c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. Tribal wars & clanfeuds)
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others (Specify)
July
Grade 1
TH
Section
TH
(blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Late Commer, Lower for Cutting Classes)
Bonifacio
Total for the Month
ABSENT
TARDY
REMARKS (If DROPPED OUT, state reason, please refer to legend

number 2. If TRANSFERRED IN/OUT, write the name of School.)
Month:
No. of Days of Classes:
* Enrolment as of (1st Friday of June)
Late Enrollment during the month
Summary
M
TOTAL
23
15
38
(beyond cut-off)
Registered Learners as of
end of month
Percentage of Enrolment as of
end of month
Average Daily Attendance
Percentage of Attendance for the month

Number of students absent for 5 consecutive days
Dropped out
Transferred out
Transferred in
I certify that this is a true and correct report.
JEAN Q. TOLENTINO
(Signature of Adviser over Printed Name)
Attested by:
GISELA I. PINGAD
(Signature of School Head over Printed Name)
School ID 108304
Name of School
No.
NAME
(Last Name, First Name,
Middle Name)
ARGONCILLO, MAURITONIE ANGELO A.
CASTILLO, JOHN CHRISDEL R.
DAYAG, DARYL M.
DEANGKINAY, PTEROCHRIST R.
DE VILLA, ADRIEL MC GILLIAN V.
JIMENEZ, KNIGHT B.
LAGUERTA, JERWYN T.
MANTALA, JAYVEE B.
MAQUILING, VICENTE III T.
10
MOJICA, JUAN CARLOS B.
11
MURIN G, KAYDEN JADE L.
12
PADILLA, KIETH ANDRIED B.
13
PARAMIO, ELIJAH CHRISTOF C.
14
REGONDOLA, ROAN M.
15
SAGADO, RENZ WILSON S.
16
SAMADAN, CHEZTER XAVIERY E.
17
SUMBINGCO, GABRIEL C.
18
TANDANG, FRANZ ASIS M.
19
TANDANG, LON RAILEY F.
20
TOLENTINO, RALLEN O.
20
ALMONTE, PRECIOUS LEA JEAN M.
ARANGO, ALTHEA DARLENE B.
BANASIHAN, TRIXZIE G.
BELTRAN, PRINCESS LYANA T.
DEANGKINAY, MARY JANE CARLA C.
DELMINGUEZ, DANIELA MAE A.
DIJAN, RHAYZELLE MAY D.
DUMAGCO, STHEACY EHRA S.
EMOLAGA, BERNADETH M.
10
ESPADILLA, CASSANDRA S.
11
ESPINOSA, JENNIFER B.
12
GARCIA, JANISABEN SAI M.
13
LAPINID, KAYMAE JAN LIAN M.
14
MOLDEZ, PRINCESS APRIL M.
15
PELOBELLO, PRECIOUS MAE P.
16
PONDIVIDA, RICA MAE R.
17
QUILLOY, ARIANNE H.
18
RETUERTO, SAMANTHA MAE L.
BAY
19
RIVERA, CHRISTINE GAILE D.
20
SEDIEGO, MARHJIE C.
21
TANDANG, ALEKRISH RAIN L.
22
TANDANG, ROMAY G.
23
TOLENTINO, ANNE LORAIN Q.
24
VALENZUELA, AUDREY E.
<=== FEMALE | TOTAL Per Day
===>
24
44
GUIDELINES:
a. Percentage of Enrolment =
b. Average Daily Attendance =
c. Percentage of Attendance for the month =
*Beginning of School Year cut-off report is every 1st Friday of the School Year
Sch
School Year
2016 - 2017
BAYOG ELEMENTARY SCHOOL
TH
TH



Grade Level
TH
x 100
a.1.
a.2.
a.3.
a.4.

Family problems
x 100
b.1.
b.2.
b.3.
b.4.
b.5.
b.6.
b.7.
Illness
Overage
Death
Drug Abuse
Hunger/Malnutrition
c.1. Teacher Factor

c.3. Peer influence
f. Others (Specify)
earners
Grade 2
TH
Se
TH
CKING ATTENDANCE
ES FOR DROPPING OUT
ed Factors
of siblings
pregnancy
toward schooling
ed Factors
erformance
Distractions
tion
Factors
n of classroom
ironmental
en home and school

ncl. Tribal wars & clanfeuds)
sters
Section
RIZAL
Total for the Month
ABSENT
TARDY
REMARKS (If DROPPED OUT, state

reason, please refer to legend number
2. If TRANSFERRED IN/OUT, write the
name of School.)
Month:
Summary
M
20
24
20
24
Dropped out
Transferred out
Transferred in
(beyond cut-off)
end of month
end of month

AIDA C. LITARGO
Attested by:
GISELA I. PINGAD
OPPED OUT, state

r to legend number
D IN/OUT, write the
School.)
Summary
TOTAL
44
44
0
0
School ID
108304
School Year
Name of School
(Last Name, First Name,

Middle 1Name)
ABARQUEZ, MARK ANTH
BAYOG
2 ADOLFO, JHON CYRILL

BANASIHAN, JOHN
3 P.
A. PAULO M.
CACHOLA,
4 HOMER
5 CENAJO, MICO PRINCE
FABIAN,JOHN PAUL C.
6 V.
7 GARDOCE, JOHN
P. CYRELL
GANZALAO,
8 EZEKIEL
ILAGAN,L.JHAREL M.
9 ALLEN
10 LANTE, ENZO C.
11 LAPIE, ALEXIS DERICK
12 J.
LAPITAN, WARREN I.
13 LAYNO, JURRY R.
14 MONILLA, MARK JAYDEN
15 PEREJA MHART JHAY A.
16 REPLAN, JOHN ALLEN D
17 REYES, DAVE CONNON
18 RODICO, MARK JHON C.
19 TANDANG, JAZZ C.
20 TANDANG ZYRUS E.
21 TERROBIAS, RALPH JUSTNIE D.
22 VASQUEZ, JHONZEL
23 VICTORIA, JAMES CARLO
24
25
MALE | TOTAL Per Day

1 ALVAREZ, RACHEL C.
2 ARMECIN, LEA MAY M.
TH
BANASIHAN,
3 CHASELYN
A.
4 BANASIHAN, JENICA T.
BARCALA, DARLENE
5
JOY
A.
BARAYANG,
6
CHRISTNEIL S.
7 BAYANI, HAYLEY C.
8 BERDIN, IRISH JANE A.
CAPITAN,
9 GLYDALLE
M.
CORTEZ, KYLE
10
NATHALIE A.
DELA
11 CRUZ,
RAIZA JOI C.
DELOS
12 REYES,
SOPIA E.
DE LUNA, JHOSA MAE

13
I.EVANGELISTA, MA.
14
CAMILLE
Q.
FABIAN, CHAMIQUE
15
JHADE Q.
GONZALES,,
MA.
16 STEPHANIE
D.
17 JUEGO, JOANA MAY R.

18 LAYNO, KRISTNE CASSANDRA
MOLDEZ, YSSHA FAE
19
M.
SILO,
20
JHENIAH V.
VASARINO,
21 VANESSA
M.
VASQUEZ,
22 FERSYBEL
A.
23
VASQUES,
JEANZEL L.
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY

GUIDELINES:
a. Percentage
Average
Daily
b.
Attendance
=
c. Percentage of Attendanc
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary table in
principal, this form should be returned to the adviser.
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent fo
out.
* Beginning of School Year cut-off report is every 1st Friday of the School Year
School Form 2 : Page ___ of ________
School Form 2 (SF2) Daily Attendance
(This replaces Form 1, Form 2 & STS Form 4 - Absenteeis
2016-2017
(1st row for date)

T
TH
TH
nce.
as of end of the month

day of the school year
Attendance
ys in reporting month
y attendance
as of end of the month
(blank) - Present; (x)- Absent; T
x 100
x 100
recording of summary table into School Form 4. Once signed by the
o learner/s who were absent for 5 consecutive days and/or those at risk of dropping
2. REASONS/CAUSES FOR DROPPING OU

a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c.1. Teacher Factor
c.3. Peer influence

d.2. Armed conflict (incl. Tribal wars & clanfeu
f. Others (Specify)
aily Attendance Report of Learners

2 & STS Form 4 - Absenteeism and Dropout Profile)

Grade Level
TH
TWO
Section
TH
OR CHECKING ATTENDANCE
S/CAUSES FOR DROPPING OUT

-Related Factors
ake care of siblings
arriage/pregnancy
attitude toward schooling
-Related Factors
ademic performance
nterest/Distractions
elated Factors
condition of classroom
hic/Environmental
between home and school

onflict (incl. Tribal wars & clanfeuds)
Section
MABINI
Total for the Month
ABSENT
TARDY

number 2.
If TRANSFERRED IN/OUT, write the name of School.)
Month:
Summary

(beyond cut-off)
Percentage of Enrolment as of end of the month
Number of students absent for 5 consecutive days:
Drop out
Transferred out
Transferred in

ALMA B. MACASADIA
(Signature of Teacher over Printed Name)
Attested by:
GISELA I. PINGAD
TOTAL
108304
School ID
Name of School
No.
NAME
M
AGRISOLA, KIAN LEI B.
ALVAREZ, CHESTER LUIS A.
BAUTISTA, BJ M.
CIRIACO, JHON MHYCO L.
CRUZ, JERWIN A.
DALGUNTAS,KING C.
IMPERIAL, PRINCE C.
IPOSADA, ACE R.
LAPITAN, JHON ANDREI B.
MALIHAN, CARL LUIS M.
10
MANUEL, PRINCE ARLO F.
11
MENIA, ADRIAN V.
12
MONTANO, JADE M.
13
OGALIN, JHON PRANCIS,V.
14
PALCONIT, JERICO P.
15
RIVERA, ARMAN P.
16
SUENO, BEJAY D.
17
SULTAN, AEDRIAN P.
18
TANDANG, JOHN PAOLO J.
19
TANDANG, KENT BRYAN P.
20
VIBAL, AARON C.
20
ALDAVE, CHANTELLE JANE T.
BARRAMEDA, ATHENA RAINE V.
CASTILLO DOROTHY KEI T.
ESCOBIN, CRISTEL T.
FERNANDEZ, KATE HAIDEE Y.
LLOSIS, RINA JANE D.
LONTOC, PRINCESS S.
LUBATON, RHIAN NICOLE L.
10
MACAPUA, ZIDJANE B.
11
MARTINEZ, PRINCESS VIONALYN A.
12
MONTANO, JISSEL C.
13
MUDLONG, JAZMINE L.
14
NIVAL, ALYZZA L.
15
PUPA, LYRA MAE L.
16
RIVERA, AYA FRANCHESKA B.
17
SANTONIA, CHE CHE M.
18
TANDANG, GENCEL L.
19
TOBIAS, CEANA B.
VASQUEZ,
MA. AGNES R.
20
20
40
GUIDELINES:
Sch
2016 - 2017
School Year
Bayog ES
13
TH
TH

/
/
/
/


Grade Level
(1st row for date)
13
14
M
15
T
16
W
17
TH
20
F
x 100
a.1.
a.2.
a.3.
a.4.

Family problems
x 100
b.1.
b.2.
b.3.
b.4.
b.5.
b.6.
b.7.
Illness
Overage
Death
Drug Abuse
Hunger/Malnutrition
c.1. Teacher Factor

c.3. Peer influence
f. Others (Specify)
earners
JULY
Grade Two
21
22
T
23
W
24
TH
27
F
28
M
29
T
30
W
TH
CKING ATTENDANCE
ES FOR DROPPING OUT
ed Factors
of siblings
pregnancy
toward schooling
ed Factors
erformance
Distractions
tion
Factors
n of classroom
ironmental
en home and school

sters
BONIFACIO
Section
Total for the Month

F
ABSENT
TARDY

JULY
Summary
M
20
20
(beyond cut-off)
end of month
end of month

Dropped out
Transferred out
Transferred in
ALONA L. LONTOK
Attested by:
GISELA ILAGAN PINGAD
e reason, please refer to legend

OUT, write the name of School.)
Summary
TOTAL
40
School Form 2 (SF2) Da
(This replaced Form 1, Form 2
School ID
108304
Name of School
School Year
2016 - 2017
BAYOG ELEMENTARY
LEARNER'S NAME
(1st row for date,
(Last Name,
First Name, Middle Name)
TH
1 ALANO, RENZ MICHAEL B.

2 BARNIDO, KIAN CLEIN L.
3 BUNDALIAN, CARL JAVIN S.

4 BUNDALIAN, JEAN CLAUDE S.
5 CABRAL, JOHN LERICK A.

6 CHUA, JUSTINE
7 DE DIOS, JOHN LENARD T.

8 FLORES, TROY ANDREI C.
9 GIBAS, JOHN TEDDY P.

10 GUILING, AR-JAY J.
11 LIWANAGAN, MIGZ ANTON L.
12 MENIA, JAMES R.
13 NATIVIDAD, JR. LOUIE M.

14 NAVASERO, ARON H.
15 PASCUAL, JOHN LAWRENCE B.

16 ROBRIGADO, OWEN A.
17 TENORIO, JOHN LAWRENCE B.

18 TOLENTINO, GERWIN P.
19 VILLAREZ, WINTER PAUL A.

20 VILLORIA, JAMES ROBERT B.
MALE | TOTAL Per Day
1 ACOSTA, TRIXIA L.
2 ANDES, SHERAIN A.
3 ALVAREZ, KEYSHIA N.
4 CARILLAGA, FATIMA M.
5 CARIO, ROXANNE V.
6 CASILAO, AYCEL A.
7 CILLS, CHRISTAL C.
8 DIZON, SHUNELA THERESE T.
9 GALIMBA, JOANA JOYCE
10 GARCIA, JACKIE RICE O.
11 MANARIN, LOUGIE M.
12 MARCELO, AIRA MAY
13 MORRON, APRIL JOYCE P.

14 PAMULAKLAKIN, RHIAN D.
15 PATOTOY, CZHARLENE ANNE M.
16 RIMAS, MARY JANE RAFAEL
17 SURETA, ANGEL CEREI A.
18 SY, KRISHIA P.
19 VALENCIA, SHEILA MAE C.
20 VILLA, CHRISTINA R.
F
I
T
R
FEMALE | TOTAL Per Day
Combined TOTAL PER DAY

GUIDELINES:
2. Dates shall be written in the preceding columns beside Learner's Name.
Registered Learner as of End of the Month
a.
Percentage of Enrolment =
Enrolment as of 1st Friday of June
b.
Average Daily Attendance =
Registered Learner as of End of the month
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5
consecutive days of absences or those with potentials of dropping out
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period
* Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
School Form 2: Page 2 of ________
rm 2 (SF2) Daily Attendance Report of Learners

replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
2016 - 2017
JULY
Grade Level
II
Section
(1st row for date, 2nd row for Day: M,T,W,TH,F)

8
11
12
13
14
15
18
19
20
21
22
25
TH
TH
26
T
27
W
28
TH
29
F
MALVAR
Total for the
Month
ABSENT TARDY
the Month
f June
ting month
ce
the month
x 100
x 100
Month:
JULY
blank- Present; (x)- Absent; Tardy (half shaded=

Upper for Late Commer, Lower for Cutting Classes)
2. REASONS/CAUSES OF DROP-OUTS

(beyond cut-off)
a.1. Had to take care of siblings

a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
Registered Learner as of end of the

Percentage of Enrolment as of end of
a.4. Family problems

ording of
d to the adviser.
ner/s that committed 5
b.1. Illness
b.2. Overage
b.3. Death
b.4. Drug Abuse
b.5. Poor academic performance
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c.1. Teacher Factor
c.3. Peer influence
Percentage of Attendance for the m
Number of students with 5 consecutiv

absences:
Drop out
Transferred out
Transferred in
IMELDA QUIL
(Signature of Teache

f. Others
Attested by:
GISELA ILA
(Signature of School H
MALVAR
REMARK/S (If DROPPED OUT, state reason,
please refer to legend number 2.
If TRANSFERRED IN/OUT, write the name of
School.)
No. of Days of
Classes:
as of (1st Friday of June)
ent during the month

(beyond cut-off)
ed Learner as of end of the month

of Enrolment as of end of the month
Summary for the

Month
M
TOTAL
20
20
40
tage of Attendance for the month

students with 5 consecutive days of
absences:
Drop out
Transferred out
Transferred in
is is a true and correct report.

IMELDA QUILLOY SALAZAR
(Signature of Teacher over Printed Name)

School ID
108304
School Name
NAME
Sex (M/F)
LRN
Bayog ES
BIRTH DATE
(mm/dd/yyyy)
108304120327
ABALOS, AHYRON JAY B.
09-23-2007
108304120303
BAUTISTA, ALEXIS B.
06-04-2007
108304130009
ELAYBA, CHRISTIAN DOMINIC M.
09-16-2006
108304130002
EVANGELISTA, JAMES BENEDICT Q.
09-20-2007
108304130003
GUZMAN, RALPH AARON C.
08-31-2006
108304120308
JABOL, KENNETH V.
11-22-2006
108304130004
LARESMA, HARLEY B.
08-02-2007
108304130005
LITARGO, ANDREI DOMINIC L.
12-27-2006
108304120338
MANAGAT, MARK JUSTIN C.
02-19-2007
108304120312
MANGAOANG, EZZRIELLE JHAZZ B.
12-15-2006
108311130074
MURING, KARL VINCENT L.
05-12-2007
108304120317
QUILLOY, GEM RUSSELL T.
03-13-2007
108304130007
REGALADO, JUREL S.
02-22-2007
108244120068
RELOS, JURO MATEO B.
07-09-2007
108304120320
REYES, TRISTAN CEDRIC B.
11-06-2007
108304110031
SAN PEDRO, JOHN RUSSEL G.
108304120323
TANDANG, GIDEON L.
07-14-2007
108304120324
TANDANG, JAZPER C.
08-14-2007
108304130006
TANDANG, JOHN MATEO A.
12-18-2006
108304130010
TIMOSAN, STEEVEN JOSH S.
11-02-2007
108304120348
ADOLFO, GEODEE STEVENS
12-02-2006
108304120279
BAUTISTA, IRISH GLEN M.
10-17-2007
108311120436
BERDIN, AIRA JANE A.
02-25-2007
108304130012
BORJA, GUEN ANGELINE O.
11-06-2006
108304130013
CABRAL, RUI ANN R.
06-04-2007
108304120283
DE LUNA, MA. MINERVA LEA O.
05-22-2007
108304120363
ERASGA, LIRA T.
04-30-2007
164502130015
FERNANDEZ, GEANN NICOLE J.
07-28-2007
107605120129
LAPITAN, CHESKA LYKA F.
09-05-2006
108304120366
LAPITAN, MARIA PRINCESS JOY T.
08-26-2007
108304120285
MANARPAAC, CHARMELA A.
02-11-2007
108304120287
MERCADO, HONEY LEE E.
06-12-2007
108304130125
MIEL, IRENE M.
04-11-2006
108311120457
PADUA, IRISH S.
12-23-2006
108304130017
PANER, NINYA FLOR F.
05-26-2007
108304130035
PATOTOY, CZHARZETTE ANNE M.
03-29-2007
108304120290
RAMOS, MARSHA ANDREA D.
06-05-2007
108304120291
RECTO, REINELYNN G.
11-16-2006
108480120266
SAGPAO, NATALIE SAJIE R.
02-26-2007
108304130018
SUPLE, STEPHANIE D.
10-21-2004
108304120295
TERROBIAS, REEZE JEAN D.
04-13-2007
108304120294
TOLENTINO, VENIZE ANNE Q.
02-14-2007
108304120297
ZAMUDIO, RAIZA B.
01-05-2007
23 <=== TOTAL FEMALE

43 <=== COMBINED
List and Code of Indicators under REM

Indicator
Transfered
Out
Code
T/O
Required Information
Indicator
Name of Public (P) Private (PR) School & Effectivity Date
CCT Receipient
Balik Aral
Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of
Learner With Disability

Accelerated
T/I
Transfered In
Dropped
DRP
LE
School Form 1
(This replaces Form 1, M
Region IV-A
Division
Bayog ES
AGE as of 1st Friday June
School Year
MOTHER TONGUE (Grade 1 to
IP
3 Only)
(Ethnic Group)
RELIGION
House #/
Street/ Sitio/
Purok
Barangay
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BATONG MALAKE
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAGONG BAYAN II-A (POB.)
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
MAMATID
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
SAN SALVADOR
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
11
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Code of Indicators under REMARKS column
Indicator
CCT Receipient
Code
CCT
CCT Control/reference number & Effectivity Date
Balik Aral
B/A
Name of school last attended & Year

Accelerated
LWD
Specify
ACL
Specify Level & Effectivity Data
hool Form 1 (SF 1) School Register

(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Laguna
2016 - 2017
ADDRESS
Barangay
KE
N II-A (POB.)
Grade
Municipality/ City
Province
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
SAN PABLO CITY
LAGUNA
LOS BAOS
LAGUNA
BAY
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
CABUYAO
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LIPA CITY
BATANGAS
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
REGISTERED
BoSY
MALE
20
FEMALE
23
TOTAL
43
EoSY
District
Grade 4
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last

Name, First Name, Middle
ABALOS, JULIUS MUNOZ
BANASIHAN, MARILYN
GAERLAN
BAUTISTA, ALEX ARTONI
BILBAO, CATHERINE PASIGAY
ELAYBA, CHRISTIAN MANERIN
MOLDEZ, AILEEN HERNADEZ
EVANGELISTA, BENITO CASTILLO
QUIMING, MYLENE DUMALE
JABOL, FLORANTE ROMAWAK
CUPON, ANNMELODY
PATINIO
VALENZUELA, NELLY
NASARINO
LARESMA, ROLLY VILLEGAS
BAUTISTA, HAZEL VIVERO
LITARGO, NONILON CASTILLO
LANSIN, LERMA GIBE
MANAGAT, JEFF TANDANG
CARILLAGA, MARIE ANN

NOTARTE
MANGAONG, SANDE PASCUAL
BAUTISTA, EVELYN PASCUAL
MURING, JULIUS JADE DULTES
LARA, KATCHELA GARGAR
QUILLOY, GEMILIANO PLAZA
TROCIO, ROSPER AJERO
REGALADO, JUN MERCADO
SAWALI, BERNADETTE
HATULAN
RELOS, JOSE JOEL CARREON
BANASIHAN, GRACE PONCE
REYES, ALEZ MAMALAYAN
BANASIHAN, ESMERALDA
ANGELES
TANDANG, JEFFREY CUSI
LANTE, JESUSA ALVAREZ
TANDANG, ELMER SUYOT
CANTANO, MARILY ADORCO
TANDANG, GREGORIO EMPLEYO
ACIAS, ARLENE JURADO
TIMOSAN, EMMANUEL PAMULAKLAKIN
SALAS, HAYDEE CECILIANO
ADOLFO, CELESTINO PAMULAKLAKIN
STSEVEN, MARILEN DELOS

REYES
BAUTISTA, MICHAEL PASCUAL
MASACAYAN, LILIBETH ONA
BERDIN, JAYSON BORBE
ABANES, MESEIL SANTONIA
BORJA, GREGORIO CAPREA

CABRAL, BONIFACIO TANGCA
DE LUNA, GERARDO LUNA
ERASGA, ROMEL DUMALAON
FERNANDEZ, GALAHAD VILLAR
LAPITAN, LEONARDO LAPIE
ORDONA, LORENA
DEANGKINAY
ROBRIGADO, ANALYN
ORDANZA
OLIQUIANO, IMELDA JACOBE
TANDANG, MA. LEONORA
SARMIENTO
JACER, ANACA ROLINA
DUHAY LUNGSOD
FLORIDA, SNOOKY
PANGILINAN
MANARPAAC, LINO PAMULAKLAKIN
AREVALO, BIVERLY TRILLADO
MERCADO, CARLOS MANALO
ECLARINAL, SUSAN
CRUCILLO
MIEL, RODOLFO
MORENO, CRISTINA
PADUA, ALVIN FERDINAND HINTURAL
SATOS, JOSEPHINE NERI
PANER, AARON ANTIPORDA
FRIAS, ANNIE ADOLFO
PATOTOY, EDMON URIAN

RAMOS, MARCELINO MENGUITO
RIZAL
GUARDIAN
(if Not Parent)
PARENTS
GUZMAN, RAMER BELDIA
Los Baos
Section
MONEDO, CONNIE
CONSERVADO
DELA TORRE, LILIBETH
BLASTIQUE
RECTO, REENE SOMBRERO
GARCIA, JOANALYN SABAS
SALCEDO, JERIS ANTHONY
REJALDE, MYLA SEGOMA
SUPLE, LINDON BUGOY
DANION, JOCELYN GUINANG
Name
EoSY
TERROBIAS, RENATO VILLANUEVA
DUMALAON, REINITZ
MAGSINO
TOLENTINO, JOEL QUIATZON
QUINTANA, JEAN CANICOSA
ZAMUDIO, RAUL BARACENO
BEREDIANA, ALONA BOMBAY
Prepared by;
Certified Correct:
CECILIA QUIATZON SAUL
GIS
BoSY Date:
EoSY Date:
(Signature of S
BoSY Date:
Los Baos
RIZAL
DIAN
Parent)
Relationship
REMARKS
Contact Number of Parent or
Guardian
(Please refer to the legend on
last page)
Certified Correct:
BoSY Date:

EoSY Date:
School ID
108304
School Name
NAME
Sex (M/F)
LRN
Bayog ES
BIRTH DATE
(mm/dd/yyyy)
108304110040
AGRISOLA, JHONCEL M.
04-17-2006
108304120101
AMPARO, REDEN MARK V.
11-04-2005
108304120104
BIENES, RAVEN J.
12-05-2005
108304110052
CIDELLO, JOHN MELWIN P.
07-13-2006
108304120106
DELMINGUEZ, ARTHUR D.
05-05-2002
108304120107
DUMAGCO, ANTONIO JOAQUIN S.
12-08-2005
108304120108
ENOKIZONO, RYOJI Q.
11-06-2005
108304120109
ESCOBIN, JOHN MHEDRICK C.
03-11-2005
108304110033
ESPLANA, MARK PHILIP L.
12-29-2005
164502110016
EVANGELISTA, SAM D.
02-19-2006
108304110043
GABALES, CHOLO JUSTINE M.
06-05-2005
108304110023
HORIGUE, JUSTINE IVAN E.
10-18-2005
108304120111
LAPITAN, KYLE STEPHEN M.
08-07-2006
108304110028
MAKILING, MARK G.
12-11-2005
108304110048
PELOBELLO, JOHN PRECIOUS P.
08-02-2006
108304110007
REYES, JOHN KYLE B.
08-20-2006
108304130076
SUMBINGCO, MARK SAMUEL C.
08-07-2005
108304130081
TIMOSAN, SZHAN WAYNE S.
12-11-2005
108304110006
VENTURA, UNO ZANDER A.
01-14-2006
108304120175
VILLANUEVA, WENCY VICTOR M.
06-27-2006
108304110049
ALVAREZ, JASSEN NICOLE P.
01-13-2006
108304120113
BACOD, YHANCEE L.
11-04-2005
108312110005
BAGSIC, MIKAELLA B.
10-18-2005
108304110045
BALGUER, JAMELLA DIANNE M.
09-26-2006
108304110061
BARAYANG, CRISLIEN ARIANE S.
09-20-2005
108304110062
BLANCO, IRAH JHANE T.
12-10-2005
108304120117
CALPO, MEIRENNE C.
05-19-2006
108304120118
CECILIANO, CRISTINE JOY C.
11-21-2005
108304120119
DE LUNA, JHECILEE I.
11-21-2005
108304120120
GUZMAN, RIOME ANN C.
08-05-2005
108304140002
HINTURAL, STEPHANIE FRANCINE F.
09-29-2005
108304110065
HINTURAL, XYRILLE V.
11-02-2005
108304110057
HORIGUE, TRIXIE MAY R.
06-22-2006
108304120122
LEONIDAS, ALLYSA M.
02-22-2006
MADAYAG, CHRISTINE JHAYE C.
01-02-2006
108304120125
MAGBOO, KEREN Q.
03-17-2005
108304110010
MANIBOG, JANELLE
05-19-2006
108304120126
MANUEL, KRIZELA F.
01-22-2006
108304120127
MELANIO, JAZMEEN JULIENNE D.
11-30-2005
108304110014
MILAGROSA, RICA B.
06-21-2006
109814120017
MOJICA, ANGELENE B.
12-01-2005
108304110034
MOLDEZ, MIJA L.
11-03-2005
MULLER, JODIMIN G.
11-12-2005
108304110054
RIOLA, FRANCHESCA P.
09-01-2006
108304120129
SAPAIH, KEISMIR C.
09-23-2005
108304120132
TAMAYO, KATELYN C.
03-23-2006
26 <=== TOTAL FEMALE

46 <=== COMBINED
List and Code of Indicators under REM

Indicator
Transfered
Out
Code
T/O
Indicator
CCT Receipient
Balik Aral
Reason and Effectivity Date

Reason (Enrollment beyond 1st Friday of

Accelerated
T/I
Transfered In
Dropped
DRP
LE
Generated on: Saturday, February 6, 2016
School Form 1
(This replaces Form 1, M
Region IV-A
Division
Bayog ES
AGE as of 1st Friday June
School Year
MOTHER TONGUE (Grade 1 to
IP
3 Only)
(Ethnic Group)
RELIGION
House #/
Street/ Sitio/
Purok
Barangay
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
14
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
11
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Others
SANTO DOMINGO
11
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
SAN ANTONIO
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
PUTHO TUNTUNGIN
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BATONG MALAKE
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
11
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
10
Tagalog
Christianity
BAYOG
Tagalog
Christianity
BAYOG
Code of Indicators under REMARKS column
Indicator
CCT Receipient
Code
CCT
CCT Control/reference number & Effectivity Date
Balik Aral
B/A
Name of school last attended & Year

Accelerated
LWD
Specify
ACL
Specify Level & Effectivity Data
hool Form 1 (SF 1) School Register
GO
NGIN
KE
(This replaces Form 1, Master List & STS Form 2-Family Background and Profile)
Laguna
2016 - 2017
Grade
ADDRESS
Barangay
Municipality/ City
Province
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
BAY
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
LOS BAOS
LAGUNA
REGISTERED
BoSY
MALE
20
FEMALE
26
TOTAL
46
EoSY
District
Grade 5
Father's Name (Last Name, First Name, Middle Name)
Mother's Maiden Name (Last

Name, First Name, Middle
AGRISOLA, EDCELL MALIHAN
MATUNDAN, GINALYN
DIMATIRA
AMPARO, DINDO RAMIREZ
VALLEJOS, CONNIE SANTOS
BIENES, RONALDO BAYLON
BIENES, SALLY MEJIA
CIDELLO, NORWIN CASTILLO
PERALTA, MELINDA QUILALA
DELMINGUEZ, SALVADOR ANGELES
DELOS REYES, JOSEFA

GUEVARRA
DUMAGCO, KENNETH FLORES
SUIZA, JERALYN GO
ENOKIZONO, RYOCHI TONEMOTO
QUILLOY, EVA GRACE LABIOS
ESCOBIN, NICOMEDES HINTURAL
CENTENO, MARJORIE
JORDAN
ESPLANA, ABSALON BARRAMEDA
LABAJO, JOSEPHINE JORDAN
GABALES, RICHARD MAAT

HORIGUE, HERVEY BARCALA
TANDANG, CRYSLER SUAREZ
DEANGKINAY, MAILYN
CARILLAGA
GABALES, PERALTA
VALENZUELA
ESCOBIN, MA CRISTINA
PASUQUIN
MANAGAT, JEMERLYN
LAPITAN
MAKILING, LADISLAO TANDANG
GALVEZ, EDNA NICHOLAS
PELOBELLO, PRECIOUS CHRISTIANO
PALOMINO, MAYRA BADILLA
REYES, ALLAN FERMANES
BAQUILAR, GRACE VALDEZ
SUMBINGCO, ARVIN TANDANG
CONARCO, CRISTINE JOY

PINEDA
TIMOSAN, EMMANUEL PAMULAKLAKIN
SALAS, HAYDEE CECILIANO
VENTURA, ROMER BASILIO
AZURES, SANDRA MARCOS
VILLANUEVA, BELLO COLONA

ALVARO, ROMAN PASCUAL
BACOD, RUEL CAPONPON
BAGSIC, WILLIAM BAUTISTA
DIFUNTORUM, ADRIAN TANDANG
MENGURIA, ROWENA
QUILLOY
PAMULAKLAKIN, CECILIA
DEANGKINAY
LAPITAN, RINA ELINDO
BALAWED, MA CHRISTINA
CASACLANG
MARQUEZ, JACKIELOU
BALAGUER
BARAYANG, NEIL AGUILA
SARASAP, CRISTINA TUBOG
BLANCO, JOSELITO TANDANG
TANDANG, IRENEE MANAGAT
CALPO, ROMEL CAPUNITAN
CASTILLO, EDUARDA
ARELLANO
CECILIANO, GILMAR BENALLA
CAHUCOM, MERALYN JANET
DE LUNA, FELIZARDO LUNA
ILAGAN, MARLYN LEONA
GUZMAN, RAMER BELDIA
CUPON, ANNMELODY
PATINIO
HINTURAL, DANTE MENDOZA
FABOR, SALVE CALISO
HINTURAL, RODEL CARPIO
VELASCO, AMELIA GALLARTE
HORIGUE, JOHN MARTIN BARCALA
RENALES, MARY ANN

BRIONES
LEONIDAS, EDMUNDO ANTONES
MENGURIA, WILMA QUILLOY
MADAYAG, JAYSON DE VERA
CUNANAN, MA. CRISTINA

CAS
MAGBOO, REYNALDO MANAGAT
QUILLOY, MARITES TANDANG
MANUEL, FLORANTE YUTOC
RIZAL
GUARDIAN
(if Not Parent)
PARENTS
EVANGELISTA, NORMAN PERALTA
Los Baos
Section
MANIBOG, MAUREEN
BANASIHAN
FELIX, JOSEPHINE DE LA
CRUZ
MELANIO, LUIS ORTIZ
DE ADA, DOMINGA PANER
MILAGROSA, RICKY BERNABE
BEJONA, NARCISA
DIANGKINAY
Name
MOJICA, RONALD VINADAS
BANASIHAN, JOCELYN PONCE
MOLDEZ, MICHAEL SOLINAP
LANUANG, MELINDA
LANTICAN
MULLER, JO HANSRUEDI WEBER
GARCIA, JASMIN BANASIHAN

PEREZ, MAXIMA DELOS
REYES
CARILLAGA, CONSORCIA
SAPIN
RIOLA, ROBERTO ALCAYAGA

SAPAIH, SAMIR TAWANEE
TAMAYO, SHERWIN EROLES
EoSY
CABANILLA, LORNA BRINGAS
Prepared by;
Certified Correct:
LERMA LANSIN LITARGO
GIS
BoSY Date:
EoSY Date:
(Signature of S
BoSY Date:
Los Baos
RIZAL
DIAN
Parent)
Relationship
REMARKS
Contact Number of Parent or
Guardian
(Please refer to the legend on
last page)
Certified Correct:
BoSY Date:

EoSY Date:
School ID
108304
Name of School
No.
NAME
T
ALVAREZ, ANGELITO O.
AMPARO, BRENDERICK I. JR
ANASTACIO, VINCENT I.
BELLO, JEFF CHENT
BINAMIRA, JOHN LESTER E.
CEDILLO, NORWIN JOHN P.
DELA CRUZ, JEROLL C.
ESPADILLA, ADRIAN S.
GUZMAN, RALPH ALLEN C.
10
LAPIE, RUSSEL E.
11
LITARGO, ADRIAN JAMES L.
12
MARASIGAN, TIMOTHY JAMES R.
13
MELODILLAR, JOHN ZORDIC C.
14
MULLER, JO HANSRUEDI G. II
15
REYES, JOHN HARRY L.
16
REYES, VON FRANCIS D.
17
RIOLA, ISAAC KIER P.

1
ACEBEDO, CRYSTAGENE G.
ALTICHE, ANDREA O.
BORJA, ARIANNE GRACE O.
BUAG, NIKKIE DANIELLE O.
CALUGAY, TRISHA T.
CASIO, KATE IRISH E.
CLAVE, KYLA Q.
CURA, CASSANDRA SHANE A.
DE BORJA, KATRINA GLEZY I.
10
DIZON, ALTHEA JODI C.
11
EMOLAGA, SAMANTHA ISABEL M.
12
GATCHALIAN, RAIZA E.
13
HERVACIO, MARJORIE O.
14
JIMENEZ, URIKO MEI B.
15
MANGERON, HANAHMAE B.
16
MILAGROSA, KIMBERLY CARMEN S.
17
MOLDEZ, ALTHEA JOY C.
18
PAMULAKLAKIN, NICOLE L.
19
PAR, BEATRICE ANNE P.
20
PRESA, RICAZEL ANNE S.
21
REYES, ELAINE FRANCESCA D.
22
TANDANG, JODIE ANNE L.
23
TERROBIAS, REICHELLE JOI D.
23
40
GUIDELINES:
Sch
2016 - 2017
School Year
BAYOG ELEMENTARY SCHOOL
TH
TH



Grade Level
TH
x 100
a.1.
a.2.
a.3.
a.4.

Family problems
x 100
b.1.
b.2.
b.3.
b.4.
b.5.
b.6.
b.7.
Illness
Overage
Death
Drug Abuse
Hunger/Malnutrition
c.1. Teacher Factor

c.3. Peer influence
f. Others (Specify)
earners
Grade 6
TH
TH
CKING ATTENDANCE
ES FOR DROPPING OUT
ed Factors
of siblings
pregnancy
toward schooling
ed Factors
erformance
Distractions
tion
Factors
n of classroom
ironmental
en home and school

sters
RIZAL
Section
Total for the Month

F
ABSENT
TARDY

Month:
Summary
M
17
23
17
23
Dropped out
Transferred out
Transferred in
(beyond cut-off)
end of month
end of month

CRISTINE C. AGUINALDO
Attested by:
GISELA I. PINGAD
e reason, please refer to legend

OUT, write the name of School.)
Summary
TOTAL
40
40
0
0
ABELLA, MARLON
AGUILAR, ANDREI MAURICE C.
BANASIHAN, JOHN CHRISTIAN B.
CACHOLA, PJ M.
CEREZA, JASTHEN O.
CEREZO, JESSIE JR B.
DELOS REYES, ANTHONY J.
DIAZ, JOSHUA L.
ERASGA, DANREV L.
ESCOBIN, JAYVIE T.
GABRIEL, JOHN CHRISTIAN M.
GRICALDA, JERWELL B.
MARANAN, JOHN REYMART B.
MOLDEZ, REAVER SOLOMONE A.
MONTAO, JOSHUA C.
OLIVA, JEROME C.
PAMULAKLAKIN, CHRISTIAN M.
QUILLOY, JOHN KOBE C.
RANCES, JOHN C.
SANGALANG, ALEJANDRO C.
VALEZA, EURIE V.
BALAHADIA, ASHLLEY C.
CARPIO, ASHLEY MAE A.
DALIVA, GIORIS AZEL C.
EBEC, CLARENCE B.
ESCOBIN, RUFFA MAE T.
HINTURAL, GERALDINE C.
LUMAYBAY, ALTHEA AIRA S.
MONTAO, GESAIRAH JANE M.
MORRON, JOANA MAY P.
ONOYA, DIANA MAE S.
PAJARIT, JOEYLYN S.
PAMULAKLAKIN, JOAN B.
PAMULAKLAKIN, LEAN L.
QUIMBA, CHRISTINE ANN T.
VALENTINO, DESIREE JHOY M.
VALENZUELA, JADE A.
VIRAY, SAMANTHA MJ C.

BAYOG ES Deworming 2016 2017

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BAYOG ES Deworming 2016 2017

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National School Deworming Day July 29, 2016

ANNEX C: Form 1 MODIFIED deworming checklist

ACABADO, JOAQUIN INIGO Q.

DE SILVA, SETH ANDREW M.

DEANGKINAY, MARK STEVEN C.

SALIVIA, JOHN VINCE S.

VILLAREZ, STORM PAUL A.

BUTED, PRECIOUS HANNA M.

ESPINOSA, LAIZA CHRISTINE B.

FRIANEZA, SHEYLA YLLIZ M.

ILAGAN, KATE DIANNE L.

LAYNO, QUENNILYN FRITZ S.

LOPEZ, ABEGAIL NICOLE A.

MIRABITE, PRINCESS JANE P.

SORIA, FRYSTELL FIONA O.

TANDANG, CHLOE DENISE L.

Remarks for not being dewormed

National School Deworming Day July 29, 2016

LAWOG-LAWOG, ACE JEXEL B.

MOLDEZ, PAUL JOHN

MULIMBAYAN, CHRIS ANDREI T.

OBIN, JOHN RONIO D.

YANEZA, BRIAN JAMES Y.

ADA, JASMIN NICOLE N.

ALVARES, ANNE LORAINE T.

BELANO, JHAERA MAE

BUNYI, ANN ROSE M.

GONZALES, ROANN MAE F.

MANAMBIT, JEE ANN EUNICE L.

PAMULAKLAKIN, VHEA MAE E.

Remarks for not being dewormed

National School Deworming Day July 29, 2016

DE VILLA, ALDRIC MARCIN V.

DECENA, JON ECHO C.

LAPITAN, MATT ABRAHAM F.

LUBATON, NIO RAILEY L.

PASCUAL, JUSTINE LOUIE B.

RAMOS, MARK ALEXANDER G.

VILLAVER, GHION ARKIE A.

ALDAVE, CRISTA ANN MAE T.

ELAYBA, RHEIN HEART

Remarks for not being dewormed

National School Deworming Day July 29, 2016

ADO-AN, JOHNZEL MARK

BALAHADIA, DUAN ZUES

DEANGKINAY, JOHN ERIC S.

GIBAS, NHIEL ALLEN A.

LAPITAN, NEHJ NIGEL G.

MANCERAS, JOHN HENRIX B.

TABACO, LANCE LAWRENCE

VALERIO, REYNOLD JR. N.

BARCALA, RHIANA MIEL B.

BERDINE, JANE ANGELINE A.

CHAVEZ, FRANCINE MAE

GALERO, SYLEIDY ZHUBEL T.

LEONES, XYRA MAE P.

REBOLTAN, RHAYN ANNE D.

SIGUE, RICA MAE

VALLERIO, SHIELA MAE N.