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Deworming Form

The document appears to be a form from a school in the Philippines documenting student participation in the National School Deworming Month. It includes fields to record the school information, total enrollment, grade/section, and gender of each student. Columns also track whether each student participated in feeding, hand-washing, tooth-brushing, and deworming activities. The form is signed by the class adviser and school head to verify the information.

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Myra Tabilin
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15 views

Deworming Form

The document appears to be a form from a school in the Philippines documenting student participation in the National School Deworming Month. It includes fields to record the school information, total enrollment, grade/section, and gender of each student. Columns also track whether each student participated in feeding, hand-washing, tooth-brushing, and deworming activities. The form is signed by the class adviser and school head to verify the information.

Uploaded by

Myra Tabilin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REGION IX, ZAMBOANGA PENINSULA
DIVISION OF ZAMBOANFA CITY
BALIWASAN CHICO, ZAMBOANGA CITY

NATIONAL SCHOOL DEWORMING MONTH

PROVINCE/CITY: _____________________________________ TOTAL ENROLLMENT: _____________________________


DIVISION: __________________________________________ GRADE AND SECTION: _____________________________
DISTRICT: __________________________________________
SCHOOL: ___________________________________________
SCHOOL ADDRESS: ___________________________________

GENDER HAND- TOOTH-


NO NAME OF PUPIL/STUDENT FEEDING DEWORMED
MALE FEMALE WASHING BRUSHING
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ACCOMPLISHED BY: NOTED BY:

__________________________________ IRENEO O. CAGUITLA


CLASS ADVISER SCHOOL HEAD
_____________
______________

REMARKS ACTIONS TAKEN


O O. CAGUITLA
OL HEAD

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