Masterlist For Sbi Ihcp Wifa Sy 2021 2022

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Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF SAN JOSE CITY

No Name Ag Sex Address Dewormin Measles- Tetanus- Human WIFA


. e g Rubella Diphtheria Papillomav
(Grade 7-12,
(MR) (Td) irus ALS)
(All grade
levels, ALS, vaccine vaccine vaccine
SPED)
(Grade 1 and (Grade 1 and (Grade 4
1st dose 7) 7) female
(July) students for
9 years old
2nd dose and above
(January) only)

1st 2nd 1st 2nd 1st 2nd 1st 2nd 1st 2nd
dose dose dose dose dose dose dose dose dose dose

1 Dela Cruz, Juan I. 10 M Zone 6, Abar 1st, San Jose City


✔ ✔ ✔

2 Dela Cruz, Juana S. 9 F Zone 6, Abar 1st, San Jose City


✔ ✔ ✔ ✔

Address: San Jose-Lupao Road, Sto. Niño 1st, San Jose City, Nueva Ecija
Telephone No.: (044) 8940-9740 E-mail: [email protected]

Certificate No.: AJA18-0129


Republic of the Philippines
Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF SAN JOSE CITY

Enclosure 1: CHECKLIST for Oplan Kalusugan sa DepEd Accomplishment Report Form

CHECKLIST FOR DEWORMING, IMMUNIZATION, HPV vaccine and WIFA SY 2021-2022

SCHOOL NAME: ABAR 1st ES


GRADE LEVEL and SECTION: GRADE 4- Section A
NOTE: This shall be accomplished by the class adviser and to be consolidated by the Health and Nutrition Coordinator and
will be the basis for Oplan Kalusugan Sa DepEd Accomplishment Report Form.

Enclosure No. 2 MASTERLIST OF LEARNERS SY 2021-2022 to be submitted to City Health Office


MASTERLIST OF LEARNERS SY 2021-2022
SCHOOL NAME: ABAR 1st ES
GRADE LEVEL: GRADE 4

No Name Ag Se Permanent Address Contact Number


. e x
1 Dela Cruz, Juan I. 10 M Zone 6, Abar 1st, San Jose City

Address: San Jose-Lupao Road, Sto. Niño 1st, San Jose City, Nueva Ecija
Telephone No.: (044) 8940-9740 E-mail: [email protected]

Certificate No.: AJA18-0129


Republic of the Philippines
Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF SAN JOSE CITY

2 Dela Cruz, Juana S. 9 F Zone 6, Abar 1st, San Jose City

_________________________ ___________________________
CLASS ADVISER SCHOOL HEAD
Note: This shall be consolidated per grade level.

Address: San Jose-Lupao Road, Sto. Niño 1st, San Jose City, Nueva Ecija
Telephone No.: (044) 8940-9740 E-mail: [email protected]

Certificate No.: AJA18-0129

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