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Department of Education: Republic of The Philippines

This document is a contact tracing form from Magalalag National High School in the Philippines. It collects information such as name, address, contact number, temperature, and recent places visited from students and visitors for COVID-19 contact tracing purposes. The form was prepared by a class adviser and noted by the school principal on June 13, 2022 to help track potential exposures at the school.

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ANABELLE C. DALIN-MENDOZA
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34 views2 pages

Department of Education: Republic of The Philippines

This document is a contact tracing form from Magalalag National High School in the Philippines. It collects information such as name, address, contact number, temperature, and recent places visited from students and visitors for COVID-19 contact tracing purposes. The form was prepared by a class adviser and noted by the school principal on June 13, 2022 to help track potential exposures at the school.

Uploaded by

ANABELLE C. DALIN-MENDOZA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Cagayan
Enrile East District
MAGALALAG NATIONAL HIGH SCHOOL

CONTACT TRACING FORM


(ICT 12 FAITH)
June 13, 2022
No NAME PARENT/GUARDIAN CONTACT TEMPERA PLACE LAST PLACE TO PURPOSE OF
ADDRESS SIGNATURE
(Last Name, First Name, Middle Name) NUMBER TURE VISITED VISIT VISIT
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Address: Magalalag West, Enrile, Cagayan


Telephone Nos.: 09267588781
Email Address: [email protected]
Website:
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Prepared by: Noted by:

ANABELLE C. DALIN-MENDOZA DIEGO A. QUINTO


Class Adviser Secondary School Principal I

Address: Magalalag West, Enrile, Cagayan


Telephone Nos.: 09267588781
Email Address: [email protected]
Website:

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