Form 1 - Classroom Level

NATIONAL SCHOOL DEWORMING MONTH

Region : CARAGA ADMINISTRATIVE REGION Division : BISLIG CITY

District : BISLIG _VI___
School ID : __132833_________________
Name of School :
Enrolment : 21 Grade Level and Section: DAHLIA

Gender Enrolment Dewormed

Name of Child Address Remarks Actions Taken
M F 4P's Non 4P's Yes No
1. Castillo, Jic E. Mangagoy, Bislig City √ √
2. Collena, Gerrhone C. Mangagoy, Bislig City √ √
3.Macatanong, Jamil L. Mangagoy, Bislig City √ √
4.Potenciando, Seth Ezekiel Mangagoy, Bislig City √ √
5. Racasa, Ais Chrisam T. Mangagoy, Bislig City √ √
6.Romama, Abdul Wahab Q. Mangagoy, Bislig City √ √
7.Samontina, ZK Rachio A. Mangagoy, Bislig City √ √
8.Taliquig, Kent Daryl James P. Mangagoy, Bislig City √ √
9. Tan, Klyde Renzo M. Mangagoy, Bislig City √ √
10. Torrejos, Jhon Raisin A. Mangagoy, Bislig City √ √
11. Badil, Jiermae Xhayje A. Mangagoy, Bislig City √ √
12. Carnote, Den Faith Mangagoy, Bislig City √ √
13. Macatanong,Shahara L. Mangagoy, Bislig City √ √
14.Ngai, Ma. Cristina T. Mangagoy, Bislig City √ √
15. Ortiz, Shann lloyd B. Mangagoy, Bislig City √ √
16. Ranes, Chandria Faye L. Mangagoy, Bislig City √ √
17.Rangel, Andria Marie L. Mangagoy, Bislig City √ √
18. Roxas, Hannah May S. Mangagoy, Bislig City √ √
19. Sugay , Jareece Jewel M. Mangagoy, Bislig City √ √
20. Valencia, Zraldin C. Mangagoy, Bislig City √ √
21. Cabilos, Kaneesha L. √ √

Accomplished by: Noted by:

HAIDEE H. SALUBRE LOUELLA LUISA A. MILLAN
Date Accomplished: Nov. 08, 2021 Principal IV

Certified by:
CHRISTY LEAH O. MIRA
District Nurse
Form 1 - Classroom Level

NATIONAL SCHOOL DEWORMING MONTH

Region : CARAGA ADMINISTRATIVE REGION Division : BISLIG CITY

District : BISLIG _VI___
School ID : __132833_________________
Name of School :
Enrolment : 22 Grade Level and Section: DAISY

Gender Enrolment Dewormed

Name of Child Address Remarks Actions Taken
M F 4P's Non 4P's Yes No
1. Abubacar, Haaqeil S. Mangagoy, Bislig City √ √
2. Aquino, Zyle Mar J. Mangagoy, Bislig City √ √
3 Kyle Adrian D. Mangagoy, Bislig City √ √
4. Fabillar Mc Clean G. Mangagoy, Bislig City √ √
5. Flores, Alexander C. Mangagoy, Bislig City √ √
6. Pamat, Chris Nathan E. Mangagoy, Bislig City √ √
7. Reambonanza, Benchllyd M. Mangagoy, Bislig City √ √
8.Reconalla, John Osias C. Mangagoy, Bislig City √ √
9. Salubre, Brent Zachary C. Mangagoy, Bislig City √ √
10. Tesorio, Janrhey G. Mangagoy, Bislig City √ √
11. Aguilar, Princess Kiarrah E. Mangagoy, Bislig City √ √
12. Bongcayao, Chianee Rys B. Mangagoy, Bislig City √ √
13. Canania, Shania Briell O. Mangagoy, Bislig City √ √
14.Dela Cruz Aiden Zseniery A. Mangagoy, Bislig City √ √
15. Ebale, Mariel F. Mangagoy, Bislig City √ √
16. Fajardo, Alyssa Mae L. Mangagoy, Bislig City √ √
17.Gammad, Demie C Mangagoy, Bislig City √ √
18. Guangco, Cristina P. Mangagoy, Bislig City √ √
19. Intig,Maika Angela R. Mangagoy, Bislig City √ √
20. Lolo, Kristina M. Mangagoy, Bislig City √ √
21. Ojao, Zea Grace R Mangagoy, Bislig City √ √
22. Plaza, Julia A. Mangagoy, Bislig City √ √

Accomplished by: Noted by:

HAIDEEH. SALUBRE LOUELLA LUISA A. MILLAN
Date Accomplished: Nov. 08, 2021 Principal IV

Certified by:
CHRISTY LEAH O. MIRA
District Nurse