https://services.anu.edu.

au/human-resources/respect-inclusion/different-types-of-disabilities
Legend:
VI vision Impairment
D/HH deaf or hard of hearing
MHC mental health conditions
ID intellectual disability
ABI acquired brain injury
ASD autism spectrum disorder
PD physical disability.
 Name of Activity: ________________________________
Date and Time: __________________________________ ATTENDANCE SHEET
Venue: _________________________________________

Dissability
Designation & Birthdate Sex
# First Name Middle Name Last Name Address (1,2,3,4, Signature
Contact # mm/dd/yyyy M/F
5,6,7, or 8)

10

11

12

13

14

15

Dissabilities/Impairments
1 - Difficulty in seeing 5 - Difficulty in washing all over or dressing
2 - Difficulty in hearing 6 - Difficulty in communicating, understanding or being understood
3 - Difficulty in walking 7 - Others: _______________________________________
4 - Difficulty in remembering or concentrating 8 - None
 Name of Activity: ________________________________
Date and Time: __________________________________ ATTENDANCE SHEET
Venue: _________________________________________

Dissability
Designation & Birthdate Sex
# First Name Middle Name Last Name Address (1,2,3,4, Signature
Contact # mm/dd/yyyy M/F
5,6,7, or 8)

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

IMEE GRACE M. CONGRESO

TPA - Welfare Services