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    NSDM Form 1 2

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    Gerlyn Mejares Noyna
    The document is a form from the Republic of the Philippines Department of Education summarizing the results of the first round of the National School Deworming Month program in July 2019 at CBNHS school. It lists 41 students in grade 8 - Waling-Waling who were dewormed and notes that no adverse events occurred. The form was completed by the class adviser and noted by the school deworming coordinator on July 15, 2019.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    NSDM Form 1 2

    Uploaded by

    Gerlyn Mejares Noyna
    74 views10 pages
    The document is a form from the Republic of the Philippines Department of Education summarizing the results of the first round of the National School Deworming Month program in July 2019 at CBNHS school. It lists 41 students in grade 8 - Waling-Waling who were dewormed and notes that no adverse events occurred. The form was completed by the class adviser and noted by the school deworming coordinator on July 15, 2019.

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    dworming

    Original Title

    NSDM-Form-1-2

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    The document is a form from the Republic of the Philippines Department of Education summarizing the results of the first round of the National School Deworming Month program in July 2019 at CBNHS school. It lists 41 students in grade 8 - Waling-Waling who were dewormed and notes that no adverse events occurred. The form was completed by the class adviser and noted by the school deworming coordinator on July 15, 2019.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    74 views10 pages

    NSDM Form 1 2

    Uploaded by

    Gerlyn Mejares Noyna
    The document is a form from the Republic of the Philippines Department of Education summarizing the results of the first round of the National School Deworming Month program in July 2019 at CBNHS school. It lists 41 students in grade 8 - Waling-Waling who were dewormed and notes that no adverse events occurred. The form was completed by the class adviser and noted by the school deworming coordinator on July 15, 2019.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
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    Republic of the Philippines

    Department of Education
    Region IV - A CALABARZON

    Form 1 - Classroom Level

    National School Deworming Month (NSDM) Round 1


    July __ , 2019

    District: _____CAVITE________________________
    Name of School:___CBNHS__________ School ID: 305688
    Enrolment: _______________________________ Grade /Section: _G8- WALING-W

    Dewormed Not Dewormed


    No. Name of Child Y N Refused No consent Precautionary
    4Ps Non - 4Ps
    deworming form returned Measure
    1 Aranzamendez, Tayshaun Villarete / /
    2 Arape, Jhumar M / /
    3 Arcibal, John Mike Opon / /
    4 Azuero, Jorel / /
    5 Barquilla, God James Celadez / /
    6 Barroga, John Christopher Lozada / /
    7 Belason, Angelo Galon / /
    8 Bueno, Cayl Jhon Salido / /
    9 Cabalan, Mark Luke Dequina / /
    10 Cambang, Carl Jay Duque / /
    11 Cena, Sebastian Ensalada / /
    12 Daposala, Lorence Villanueva / /
    13 De Vera, Lara Claire Gumapos / /
    14 Dela Cruz, John Charlemagne Henson /
    15 Duenas, Christian Kyle M / /
    16 Eronico, Marvin Paano / /
    17 Gadia, Dymar G / /
    18 Gerellana, Mark Noel Echegorin / /
    19 Gragg, Aaron Medrano /
    20 Gueriba, Andrie James Berato / /
    21 Hebulan, Ken Jeremy Caramoan / /
    22 Huertas, Aaron Jacob Garcia / /
    23 Javinez, Mark Joseph Quinsinada / /
    24 Lee, Dreed Sabile / /
    25 Luna, kenmark Reyes / /
    26 Montesa, Edward / /
    27 Monteza, Edward / /
    28 Naces, Nathaniel Apatino / /
    29 Navales, John Isaac A /
    30 Navarro, Dave Roel / /
    31 Oliva, David Anthony Toledo / /
    32 Paras, James Cuesta / /
    33 Peralta, Miguel / /
    34 Sabio, John Paul C / /
    35 Sadagnot, Jericho L / /
    36 Silot, Dave C / /
    37 Tatoy, Narven B / /
    38 Trono, Ezekiel Clarenz Royo / /
    39 Yasis, Junel Gonzales / /
    40 Ytang, Ryan John Angcahan / /
    41 Zara, Dwyane Apalit / /

    Accomplished by: N O T E D:
    MARY AILYN B. BELLO __________ LIEZYL D. VALIAO
    Class Adviser School Deworming Coordin
    Date Accomplished: ___JULY 15, 2019________
    hilippines
    ducation
    ABARZON

    Month (NSDM) Round 1


    019

    Grade /Section: _G8- WALING-WALING_________________

    Adverse Event
    LIEZYL D. VALIAO
    School Deworming Coordinator
    Republic of the Philippines
    Department of Education
    Region IV - A CALABARZON

    Form 1 - Classroom Level

    National School Deworming Month (NSDM) Round 1


    July __ , 2019

    District: _____CAVITE________________________
    Name of School:___CBNHS__________ School ID: 305688
    Enrolment: _______________________________ Grade /Section: _G8- WALING-W

    Dewormed Not Dewormed


    No. Name of Child Y N Refused No consent Precautionary
    4Ps Non - 4Ps
    deworming form returned Measure
    1 Antipado, Angelene Simson / /
    2 Ampidan, Lyka S /
    3 Ayo, Zaina Mae Bajar / /
    4 Baita, Miel Grace Metran /
    5 Bautista, Sky Keen / /
    6 Bejer, Mary Joy / /
    7 Bernal, Mariko Custodio / /
    8 Bitara, Justine Joy Lopez / /
    9 Boringot, Edilyn / /
    10 Cantarona, Charmaine Monilar / /
    11 Cascante, Monique Pasahol / /
    12 Castor, Ithelyn Messy Romano / /
    13 Catapang, Ericka Joy Firme / /
    14 Custudio, Cielo O / /
    15 Dela Cruz, Venuz Gravillo / /
    16 Dumaguete, Michelle E / /
    17 Ferrer, Beverly G / /
    18 Gardose, Justine Detera / /
    19 Gayondato, Jocelyn Elago / /
    20 Guillen, Andreana Grace / /
    21 Huyo-A, Kassandra Aladad / /
    22 Legaspi, Irish Navarro / /
    23 Mercado, Jarelle Mikyla Salas / /
    24 Monding, Kyla Saur / /
    25 Muyco, marian Leonis /
    26 Ortiz, Dezaira Rualo / /
    27 Page, Ashly Dawang /
    28 Pangan, kaycee Mae Otero / /
    29 Premia, Pauline Aishley L / /
    30 Revillosa, Louise Nhicole / /
    31 Rin, Rhea Claros / /
    32 Rivera, Ma. Aika Rabulan / /
    33 Sohayon, Grace Canete /
    34 Suarez, Veveine Grace L / /
    35 Sumido, Aiza O /

    Accomplished by: N O T E D:
    MARY AILYN B. BELLO __________ LIEZYL D. VALIAO
    Class Adviser School Deworming Coordin
    Date Accomplished: ___JULY 15, 2019________
    hilippines
    ducation
    ABARZON

    Month (NSDM) Round 1


    019

    Grade /Section: _G8- WALING-WALING_________________

    Adverse Event
    LIEZYL D. VALIAO
    School Deworming Coordinator

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