ANNEX C

FORM 1

NATIONAL SCHOOL DEWORMING DAY

Deworming Checklist
Region: REGION V
Division: CAMARINES SUR
District: DEL GALLEGO
Name of School: SABANG ELEMENTARY SCHOOL
School Address: SABANG, DEL GALLEGO, CAMARINES SUR
Total Enrolment: Male: 20 Female: 26
Grade Level & Section: 6-P2

Dewormed

Brushing
Washing
Feeding

Tooth
Done
Hand
Gender
Name of Child Address (M/F) Remarks Action Taken

1 ALBA, RONELD D. SABANEG, DEL GALLEGO, CAM. SUR M

2 ALVAREZ, RENIER I. SABANEG, DEL GALLEGO, CAM. SUR M
3 AYTONA, MARK JOSHUA A. SABANEG, DEL GALLEGO, CAM. SUR M
4 BALANLAYOS, EDUARDO C. SABANEG, DEL GALLEGO, CAM. SUR M
5 BALANLAYOS, EXEQUIL F. SABANEG, DEL GALLEGO, CAM. SUR M
6 BALANLAYOS, SANDY A. SABANEG, DEL GALLEGO, CAM. SUR M
7 BALBINO, RICHARD B. SABANEG, DEL GALLEGO, CAM. SUR M
8 BARJA, ARCHANGEL R. SABANEG, DEL GALLEGO, CAM. SUR M
9 BASCO, JOHN KENNETH C. SABANEG, DEL GALLEGO, CAM. SUR M
10 BASCO, MARK DENVER T. SABANEG, DEL GALLEGO, CAM. SUR M
11 BASCO, MARNIE C. SABANEG, DEL GALLEGO, CAM. SUR M
12 BELGA, ALDRIN B. SABANEG, DEL GALLEGO, CAM. SUR M
13 BERNAL, JOHN LLOYD C. SABANEG, DEL GALLEGO, CAM. SUR M
14 BORBE, CEDRICK B. SABANEG, DEL GALLEGO, CAM. SUR M
15 BORJA, RAFAEL B. SABANEG, DEL GALLEGO, CAM. SUR M
16 DELOS SANTOS, JUHN KENNETH SABANEG, DEL GALLEGO, CAM. SUR M
17 DOLLENTE, ENRICO S. SABANEG, DEL GALLEGO, CAM. SUR M
18 LUMANGAYA,GENESIS D. SABANEG, DEL GALLEGO, CAM. SUR M
19 PAGDANGANAN, GILBERT CYRIL A. SABANEG, DEL GALLEGO, CAM. SUR M
20 SAPINOSO, KENNETH SABANEG, DEL GALLEGO, CAM. SUR M
21 ALCARAZ, RIZZA MAE S. SABANEG, DEL GALLEGO, CAM. SUR F
22 AMARGA, SHANE A. SABANEG, DEL GALLEGO, CAM. SUR F
23 ANDRADE, ABEGAIL E. SABANEG, DEL GALLEGO, CAM. SUR F
24 BABASA, APRIL ANN C. SABANEG, DEL GALLEGO, CAM. SUR F
25 BALANLAYOS, MARIEL F. SABANEG, DEL GALLEGO, CAM. SUR F
26 BARBIN, ASHLEY R. SABANEG, DEL GALLEGO, CAM. SUR F
27 BARDE, MARTHA LYKA D. SABANEG, DEL GALLEGO, CAM. SUR F
28 BASCO, CONCEPCION B. SABANEG, DEL GALLEGO, CAM. SUR F
29 BESMANOS, RHEAN SYDNEY M. SABANEG, DEL GALLEGO, CAM. SUR F
30 CADIZ, MA. ANGELITA L. SABANEG, DEL GALLEGO, CAM. SUR F
31 CONSTANTE, CHRISTINA L. SABANEG, DEL GALLEGO, CAM. SUR F
32 DE MESA, CARLA JASLEEN N. SABANEG, DEL GALLEGO, CAM. SUR F
33 DELOS SANTOS, ROSE ANN B. SABANEG, DEL GALLEGO, CAM. SUR F
34 FERRANCULLO, APRIL E. SABANEG, DEL GALLEGO, CAM. SUR F
35 GESTA, ANGELO C. SABANEG, DEL GALLEGO, CAM. SUR F
36 ILAGAN, JELANE J. SABANEG, DEL GALLEGO, CAM. SUR F
37 LLANITA, CATHLENE ANN C. SABANEG, DEL GALLEGO, CAM. SUR F
38 LLANITA, RESSEL MARIE A. SABANEG, DEL GALLEGO, CAM. SUR F
39 LUMANGAYA, GIAN R. SABANEG, DEL GALLEGO, CAM. SUR F
40 LUMANGAYA, VIA G. SABANEG, DEL GALLEGO, CAM. SUR F
41 MARAVILLA,KRISTABEL B. SABANEG, DEL GALLEGO, CAM. SUR F
42 RAYLES, ABEGAIL N. SABANEG, DEL GALLEGO, CAM. SUR F
43 RUBIA, EMERALD JANE M. SABANEG, DEL GALLEGO, CAM. SUR F
44 SAPINOSO,ASHLEY C. SABANEG, DEL GALLEGO, CAM. SUR F
45 SAPINOSO, CELVIA L. SABANEG, DEL GALLEGO, CAM. SUR F
46 SILANG, MARIE FRANCE B. SABANEG, DEL GALLEGO, CAM. SUR F
Accomplished by:
MELANIE C. PEREZ
Class Adviser
ANNEX C
FORM 1

NATIONAL SC
Dew
Region: REGION V
Division: CAMARINES SUR
District: DEL GALLEGO
Name of School: SABANG ELEMENTARY SCHOOL
School Address: SABANG, DEL GALLEGO, CAMARINES SUR
Total Enrolment: Male: 13 Female: 13
Grade Level & Section: V-S

Name of Child

1BASCO, JEROME LEE T.

2BASCO, JOHN CHRISTIAN F.
3BELMES, JOHN CARLO B.
4CONSTANTE, GERALD GECOH B.
5DELOS SANTOS, DARRYL
6DELOS SANTOS, JERICHO
7ESTROPE, JAY R.
8GATCHO, JOHN RICK
9GUANZON, REY ALLEN R.
10ISIDORO, JOHN DAVE O.
11MANZANO, JULIUS V.
12SASAPINOSO, ELVIN
13TORRERO, MACKIE
14BALANLAYOS, ARABELLA
15BALANLAYOS, NICOLE
16BARBECHO, ANGELIQUE
17BARBIN, ZOEY M.
18BASCO, KHEA MAE C.
19BASCO, MARY JOY C.
20BOLO, CHRISTINE JOY B.
21DEQUILLA, AIRISH ANNE
22JAVIER, ANNA MHIRA
23LAURIO, JENILYN B.
24MANALO, DONNA MAE J.
25MARAVILLA, ANDREILYN B.
26PILAZARTA, DEBORAH P.

Accomplished by:
ISABELITA I. SUARILLA
Class Adviser
 NATIONAL SCHOOL DEWORMING DAY
Deworming Checklist

NTARY SCHOOL
ALLEGO, CAMARINES SUR
le: 13

Washing
Feeding
Done
Hand
Address Gender
(M/F)

SABANEG, DEL GALLEGO, CAM. SUR M

SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
 SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR M
SABANEG, DEL GALLEGO, CAM. SUR F
SABANEG, DEL GALLEGO, CAM. SUR F
SABANEG, DEL GALLEGO, CAM. SUR F
SABANEG, DEL GALLEGO, CAM. SUR F
SABANEG, DEL GALLEGO, CAM. SUR F
SABANEG, DEL GALLEGO, CAM. SUR F

ELITA I. SUARILLA
Class Adviser
NOTED BY:

FRANCIA
E
 DAY
Dewormed
Tooth
Brushing
4 P's

Remarks
Action Taken
FRANCIA C. OLIVEROS
ESP-I
ANNEX C
FORM 1

NATIONAL SCHOOL DEWORMING DAY

Deworming Checklist
Region: REGION V
Division: CAMARINES SUR
District: DEL GALLEGO
Name of School: SABANG ELEMENTARY SCHOOL
School Address: SABANG, DEL GALLEGO, CAMARINES SUR
Total Enrolment: Male: 20 Female: 26
Grade Level & Section: 6-P2

Dewormed

Brushing
Washing
Feeding

Tooth
Done
Hand
Gender

4 P's
Name of Child Address (M/F) Remarks Action Taken

1 ALBA, RONELD D. SABANEG, DEL GALLEGO, CAM. SUR M

2 ALVAREZ, RENIER I. SABANEG, DEL GALLEGO, CAM. SUR M
3 AYTONA, MARK JOSHUA A. SABANEG, DEL GALLEGO, CAM. SUR M
4 BALANLAYOS, EDUARDO C. SABANEG, DEL GALLEGO, CAM. SUR M
5 BALANLAYOS, EXEQUIL F. SABANEG, DEL GALLEGO, CAM. SUR M
6 BALANLAYOS, SANDY A. SABANEG, DEL GALLEGO, CAM. SUR M
7 BALBINO, RICHARD B. SABANEG, DEL GALLEGO, CAM. SUR M
8 BARJA, ARCHANGEL R. SABANEG, DEL GALLEGO, CAM. SUR M
9 BASCO, JOHN KENNETH C. SABANEG, DEL GALLEGO, CAM. SUR M
10 BASCO, MARK DENVER T. SABANEG, DEL GALLEGO, CAM. SUR M
11 BASCO, MARNIE C. SABANEG, DEL GALLEGO, CAM. SUR M
12 BELGA, ALDRIN B. SABANEG, DEL GALLEGO, CAM. SUR M
13 BERNAL, JOHN LLOYD C. SABANEG, DEL GALLEGO, CAM. SUR M
14 BORBE, CEDRICK B. SABANEG, DEL GALLEGO, CAM. SUR M
15 BORJA, RAFAEL B. SABANEG, DEL GALLEGO, CAM. SUR M
16 DELOS SANTOS, JUHN KENNETH SABANEG, DEL GALLEGO, CAM. SUR M
17 DOLLENTE, ENRICO S. SABANEG, DEL GALLEGO, CAM. SUR M
18 LUMANGAYA,GENESIS D. SABANEG, DEL GALLEGO, CAM. SUR M
19 PAGDANGANAN, GILBERT CYRIL A. SABANEG, DEL GALLEGO, CAM. SUR M
20 SAPINOSO, KENNETH SABANEG, DEL GALLEGO, CAM. SUR M
21 ALCARAZ, RIZZA MAE S. SABANEG, DEL GALLEGO, CAM. SUR F
22 AMARGA, SHANE A. SABANEG, DEL GALLEGO, CAM. SUR F
23 ANDRADE, ABEGAIL E. SABANEG, DEL GALLEGO, CAM. SUR F
24 BABASA, APRIL ANN C. SABANEG, DEL GALLEGO, CAM. SUR F
25 BALANLAYOS, MARIEL F. SABANEG, DEL GALLEGO, CAM. SUR F
26 BARBIN, ASHLEY R. SABANEG, DEL GALLEGO, CAM. SUR F
27 BARDE, MARTHA LYKA D. SABANEG, DEL GALLEGO, CAM. SUR F
28 BASCO, CONCEPCION B. SABANEG, DEL GALLEGO, CAM. SUR F
29 BESMANOS, RHEAN SYDNEY M. SABANEG, DEL GALLEGO, CAM. SUR F
30 CADIZ, MA. ANGELITA L. SABANEG, DEL GALLEGO, CAM. SUR F
31 CONSTANTE, CHRISTINA L. SABANEG, DEL GALLEGO, CAM. SUR F
32 DE MESA, CARLA JASLEEN N. SABANEG, DEL GALLEGO, CAM. SUR F
33 DELOS SANTOS, ROSE ANN B. SABANEG, DEL GALLEGO, CAM. SUR F
34 FERRANCULLO, APRIL E. SABANEG, DEL GALLEGO, CAM. SUR F
35 GESTA, ANGELO C. SABANEG, DEL GALLEGO, CAM. SUR F
36 ILAGAN, JELANE J. SABANEG, DEL GALLEGO, CAM. SUR F
37 LLANITA, CATHLENE ANN C. SABANEG, DEL GALLEGO, CAM. SUR F
38 LLANITA, RESSEL MARIE A. SABANEG, DEL GALLEGO, CAM. SUR F
39 LUMANGAYA, GIAN R. SABANEG, DEL GALLEGO, CAM. SUR F
40 LUMANGAYA, VIA G. SABANEG, DEL GALLEGO, CAM. SUR F
41 MARAVILLA,KRISTABEL B. SABANEG, DEL GALLEGO, CAM. SUR F
42 RAYLES, ABEGAIL N. SABANEG, DEL GALLEGO, CAM. SUR F
43 RUBIA, EMERALD JANE M. SABANEG, DEL GALLEGO, CAM. SUR F
44 SAPINOSO,ASHLEY C. SABANEG, DEL GALLEGO, CAM. SUR F
45 SAPINOSO, CELVIA L. SABANEG, DEL GALLEGO, CAM. SUR F
46 SILANG, MARIE FRANCE B. SABANEG, DEL GALLEGO, CAM. SUR F

Accomplished by:
MELANIE C. PEREZ
Class Adviser
FORM 2
NATIONAL SCHOOL DEWORMING DAY
School Level Reporting Form

Province: Camarines Sur

Division: Camarines Sur
District: Del Gallego
Name of School: Sabang Elementary School
School Address: Sabang, Del Gallego, Camarines Sur
No. of Children Enrolled in the School: 323

Grde Level No. of Enrooled No. of Children Remarks

Children Dewormed
KINDER
Male
Female
Total 0 0
GRADE I
Male
Female
Total 0 0
GRADE II
Male
Female
Total 0 0
GRADE III
Male
Female
Total 0 0
GRADE IV
Male
Female
Total 0 0
GRADE V
Male
Female
Total 0 0
GRADE VI
Male
Female
Total 0 0
MALE
FEMALE
TOTAL 0 0

Accomplished by:
MELANIE C. PEREZ
Clinic Teacher
Verified by:
FRANCIA C. OLIVEROS
Principal 1
Form Annex B5
Form 5 DepEd Form
National School Deworming Month in Public Schools:

TOTAL POP'N TOTAL POP'N OF

Total Pop. of Total No. of Total Pop. of Total No. of
Kinder to G4 Kinder to G4 %Acc G5 to G6 %Acc %Acc
Name of Division/School OF KINDER TO KINDER TO G6
G5 to G6
enrolled given ALB enrolled given ALB G6 GIVEN ALB
SABANG ELEMENTARY SCHOOL

### #DIV/0! 0 0 #DIV/0!

TOTAL
Prepared and Submitted by: Noted by:
MELANIE C. PEREZ FRANCIA C. OLIVEROS
Health and Nutrition Coordinator Principal 1

Date: January 22, 2020 Approved by:

MA. CRISELDA E. CASASOLA
PSDS