NATIONAL SCHOOL DEWORMING DAY

AUGUST 2017

Prepared by:

AMELITA F. AGUIMATANG
Teacher I
School Health Coordinator

Submitted by:

ISAGANI C. CANONIZADO
School Principal III

Noted:

SAMSON G. CAVA, Ed. D.

Public Schools District Supervisor
 Annex B.2

Form 2 School Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL

NO. OF CHILDREN
ENROLMENT
DEWORMED
GRADE LEVEL REMARKS
4Ps Non-4Ps 4Ps Non-4Ps
KINDER 0 22 0 22
GRADE I 0 16 0 16
GRADE II 8 23 7 23
GRADE III 6 14 6 14
GRADE IV 8 20 8 20
GRADE V 6 19 6 17
GRADE VI 5 19 5 18
TOTAL 33 133 32 130

Accomplished by: Noted by:

ISAGANI C. CANONIZADO SAMSON G. CAVA, Ed. D.

School Principal District Supervisor
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 22 Grade Level and Section: KINDERGARTEN-MICHAEL

4Ps Beneficiaries Dewormed

Name of Child Remarks Action Taken
4Ps Non-4Ps 4Ps Non-4Ps
MALE:
1. Acopiado, Raiven James O. Dewormed
2. Asuncion, Primo Jr. R. Dewormed
3. Bongon, Rae Francis R. Dewormed
4. Canonizado, Jayron F. Dewormed
5. Evangelista, Jhay-ar F. Dewormed
6. Fontelera, Jan Andrew M. Dewormed
7. Funiestas, Sean Frederick B. Dewormed
8. Grafil, Romark A. Dewormed
9. Onabia, Jim Devico Dewormed
10. Raya, Richard R. Dewormed
FEMALE:
11. Abreda, Queeneryn R. Dewormed
12. Aguilo, Marly Ann R. Dewormed at home August 2017
13. Betio, Richelle Mae Dewormed
14. Corpuz, Jerose A. Dewormed
15. De Jesus, Michelle A. Dewormed
16. Guira, Juliana Nicole R. Dewormed
17. Marzan, Kate M. Dewormed
18. Mata, Mar Angel Dewormed
19. Rayray, Jamaica L. Dewormed
20. Rellamas, Roxanne A. Dewormed
21. Romero, Princess Lie T. Dewormed
22. Sarmiento, Princess Jerian Dewormed

Accomplished by: Noted by:

AMELITA F. AGUIMATANG AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 16 Grade Level and Section: GRADE ONE-GABRIEL

4Ps Beneficiaries Dewormed Action

Name of Child Remarks
4Ps Non-4Ps 4Ps Non-4Ps Taken
MALE:
1. Antes, Jan Athinral M. Dewormed
2. Castaeda, Jhon Carlo F. Dewormed
3. Correa, Nathaniel V. Dewormed
4. Grafil, Rodel A. Dewormed
5. Nabong, Jhon Rienzel E. Dewormed
6. Rosete, John Acer Lee Dewormed at home June 2017
7. Tabon, Paul Lawrence R. Dewormed
FEMALE:
8. Allejos, Kricel Jane R. Dewormed
9. Barreto, Jewel Kyle F. Dewormed
10. Bungay, Mary Jhane L. Dewormed
11. Burlas, Remichelle C. Dewormed
12. Dela Pea, Divine DC. Dewormed
13. Delos Reyes, Camille Dewormed
14. Funiestas, Janiella B. Dewormed
15. Guira, Pauline R. Dewormed
16. Sayasaya, Shane C. Dewormed at home July 2017

Accomplished by: Noted by:

JUVY R. SANCHEZ AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 31 Grade Level and Section: GRADE TWO-RAPHAEL

4Ps Beneficiaries Dewormed

Name of Child Remarks Action Taken
4Ps Non-4Ps 4Ps Non-4Ps
MALE:
1. Adriano, Aaron John Dewormed
2. Adriano, Christopher Dewormed
3. Aguimatang, Marc Reindhart F. Dewormed
4. Alcantara, Xedric Rionard R. Dewormed
5. Castaeda, Christian Dewormed
6. Fontecha, E-Jay Dewormed
7. Mata, Dale Tristan Dewormed
8. Montemor, John Joseph A. Dewormed at home July 2017
9. Obniala, Joshua M. Dewormed at home July 2017
10. Paradeza, Lyk-Erence Dewormed
11. Paradeza, Owenlee Dewormed
12. Rayray, John Louwell L. Dewormed at home July 2017
13. Rillon, Jake L. Dewormed at home July 2017
14. Romero, Justin T. Dewormed
15. Rondero, Andrei Alexon R. Dewormed
16. Rosal, Junnel A. Dewormed
17. Santos, Prince Seatiel B. Dewormed at home August 2017
FEMALE:
18. Abenoja, Abegail G. Dewormed
19. Abenoja, Andrea G. Dewormed
20. Abreda, Efrelyn R. Dewormed
21. Acopiado, Nhecole R. Refused Talked to the parents
22. Barlaan, Rochell B. Dewormed
23. Corpuz, Eumie M. Dewormed
24. Espinas, Ivy M. Dewormed
25. Mora, Roxanne Alexandrea R. Dewormed
26. Novecio, Althea-Claire B. Dewormed
27. Rebultan, Airich B. Dewormed
28. Reguindin, Patricia Lyn R. Dewormed at home July 2017
29. Rodin, Anne Jamaica R. Dewormed
30. Rondero, Glevy B. Dewormed at home August 2017
31. Rosario, Jonalee F. Dewormed

Accomplished by: Noted by:

DAISY E. FALSARIO AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 20 Grade Level and Section: GRADE THREE-URIEL

4Ps Beneficiaries Dewormed

Name of Child Remarks Action Taken
4Ps Non-4Ps 4Ps Non-4Ps
MALE:
1. Aguilo, Marc Royce R. Dewormed
2. Aragon, John Patrick M. Dewormed
3. Aspiras, Marc Nel Dewormed
4. Canonizado, Jefferson F. Dewormed
5. Escoses, Francis Cedrick D. Dewormed
6. Frondarina, Dayne Ashley P. Dewormed
7. Gabaldon, Lhester John Dewormed
8. Montemor, Francis Ian A. Dewormed
9. Rellamas, Rosevill Jr. A. Dewormed
10. Rodin, Geoff Ivan R. Dewormed
11. Sevilla, Sandy A. Dewormed
FEMALE:
12. Abenoja, Alexandra G. Dewormed
13. Cario, Natasja R. Dewormed
14. Grafil, Rodelyn A. Dewormed
15. Marzan, Kim Ashley M. Dewormed at home August 2017
16. Mora, Roanne Alexyz R. Dewormed
17. Novecio, Creasha-Niel B. Dewormed
18. Rico, Dannyca B. Dewormed
19. Rodin, Adelyn Iam Naomi A. Dewormed
20. Tapec, Jocelyn R. Dewormed

Accomplished by: Noted by:

EDEN T. SAPUNGAN AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 28 Grade Level and Section: GRADE FOUR-SELAPHIEL

4Ps Beneficiaries Dewormed Action

Name of Child Remarks
4Ps Non-4Ps 4Ps Non-4Ps Taken
MALE:
1. Fabelia, Mhaclin D. Dewormed
2. Fernando, Anthony Wilhelm E. Dewormed
3. Francia, Paul Andrei A. Dewormed
4. Gabaldon, Rogelio III G. Dewormed at home June 2017
5. Olviga, Russell Rhyne A. Dewormed
6. Regunay, Raymart Jhon P. Dewormed
7. Rodin, Jermaine Deron A. Dewormed
8. Roseles, Gabriel Luiz Dewormed at home June 2017
9. Rubianes, Ralph Nesty O. Dewormed
FEMALE:
10. Abenoja, Alexia G. Dewormed
11. Burlas, Richelle C. Dewormed at home June 2017
12. Danganon, Ma. Fe L. Dewormed
13. De Jesus, Micaela R. Dewormed
14. Dela Cruz, Kiana Joy C. Dewormed
15. Espinas, Quennie M. Dewormed
16. Esquibel, Princess Dhanjien N. Dewormed
17. Estacio, Vhenice D. Dewormed
18. Flauta, Agatha R. Dewormed
19. Fontecha, Alaiza Jhane A. Dewormed
20. Luzano, Rochelle Anne C. Dewormed
21. Onabia, Apple S. Dewormed
22. Pastor, Micaela Rose T. Dewormed at home June 2017
23. Rellamas, Vanessa A. Dewormed
24. Rosal, Marienel A. Dewormed
25. Sabio, Paula Jane Dewormed
26. Salceda, Mary Ann M. Dewormed
27. Saliva, Charmelle A. Dewormed
28. Sarmiento, Angel Lhexane M. Dewormed

Accomplished by: Noted by:

SHEILA M. ESPOSO AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 25 Grade Level and Section: GRADE FIVE-JEGUDIEL

4Ps Beneficiaries Dewormed

Name of Child Remarks Action Taken
4Ps Non-4Ps 4Ps Non-4Ps
MALE:
1. Alahan, Arvile John E. Dewormed
2. Burlas, Saveno C. Dewormed
3. Canonizado, Jonel F. Dewormed
4. Corpuz, Eunizer M. Dewormed
5. Esposo, Shan Amaru S. Dewormed
6. Labsan, Kenneth F. Dewormed
7. Labsan, Kervin F. Dewormed
8. Lim, RB Dewormed
9. Remorin, Bradley Dewormed
10. Rillamas, Stephen Angelo P. Dewormed
11. Rillon, Lance Jay A. Dewormed
12. Romanban, Sean Elly R. Dewormed
FEMALE:
13. Aguilar, Jenny C. Dewormed
14. Ancheta, Sherheyn Britch E. Dewormed
15. Asuncion, Amanda Mae R. Dewormed
16. Barretto, Ira Beatriz F. Dewormed at RHU March 2017
17. Bongon, Raen Denise Jane R. Dewormed
18. Flauta, Venice Iya R. Dewormed
19. Gabaldon, Rogelie Ann G. Dewormed
20. Palomo, Lyra A. Refused Talked to the parents
21. Piocos, Michelle P. Dewormed
22. Romualdo, Ehra Crisell E. Dewormed
23. Ruales, Antonneth Yvonne M. Refused Talked to the parents
24. Serrano, Rexielynne Grace A. Dewormed at home May 2017
25. Ugalde, Liezl Marian V. Dewormed

Accomplished by: Noted by:

RONALEE R. AUSTRIA AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017
 Annex B.1

Form 1 Classroom Level

NATIONAL SCHOOL DEWORMING DAY

Region: III Division: ZAMBALES District: SAN FELIPE
School ID: 106938
Name of School: SAN RAFAEL ELEMENTARY SCHOOL
Enrolment: 24 Grade Level and Section: GRADE SIX-BARACHIEL

4Ps Beneficiaries Dewormed

Name of Child Remarks Action Taken
4Ps Non-4Ps 4Ps Non-4Ps
MALE:
1. Acopiado, Kirk-Rey R. Dewormed
2. Aguimatang, Adam Renzs Dewormed
3. Arbizo, Jhun Lheo E. Dewormed
4. Castaeda, Adriane F. Dewormed
5. Danaytan, Daryl R. Dewormed
6. Danganon, Froilan Dave L. Dewormed
7. Diez, Jamel M. Dewormed
8. Esposo, Shawn P. Dewormed
9. Evangelista, Julius D. Dewormed
10. Nalicat, Reynald G. Dewormed
11. Pastor, Melanio Jr. T. Dewormed
12. Romanban, Christian James Dewormed
13. Tropil, Lolito T. Dewormed
FEMALE:
14. Acierto, Jessa Mae V. Refused Talked to the parents
15. Asuncion, Angelica R. Dewormed
16. Barreyro, Carina-Niel Dewormed
17. Caragdag, April Joy E. Dewormed
18. Frondarina, Daphney A. Dewormed
19. Luzano, Angelica C. Dewormed
20. Narabal, Bea N. Dewormed
21. Rillon, Maricris R. Dewormed
22. Sevilla, Cielo Myca A. Dewormed
23. Tabunan, Ryza Jhen M. Dewormed
24. Ygusguiza, Rhona Layne M. Dewormed

Accomplished by: Noted by:

ANTHONY O. ROGAYAN AMELITA F. AGUIMATANG

Class Adviser Clinic Teacher
Date Accomplished: August 22, 2017