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    DEWORMING FORMS 1 and 2

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    MARICSON TEOPE
    Form 2 is a school-level summary form that compiles the classroom-level data. It summarizes the number of enrolled and dewormed students by grade level, and whether they participated in the 4P's programs or not. School principal and district supervisor signatures are required at the bottom.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    DEWORMING FORMS 1 and 2

    Uploaded by

    MARICSON TEOPE
    173 views3 pages
    Form 2 is a school-level summary form that compiles the classroom-level data. It summarizes the number of enrolled and dewormed students by grade level, and whether they participated in the 4P's programs or not. School principal and district supervisor signatures are required at the bottom.

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    DEWORMING FORMS 1 and 2.docx

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    Form 2 is a school-level summary form that compiles the classroom-level data. It summarizes the number of enrolled and dewormed students by grade level, and whether they participated in the 4P's programs or not. School principal and district supervisor signatures are required at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    173 views3 pages

    DEWORMING FORMS 1 and 2

    Uploaded by

    MARICSON TEOPE
    Form 2 is a school-level summary form that compiles the classroom-level data. It summarizes the number of enrolled and dewormed students by grade level, and whether they participated in the 4P's programs or not. School principal and district supervisor signatures are required at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Annex B.

    Form 1 Classroom Level


    NATIONAL SCHOOL DEWORMING DAY

    Region: ______________ Division: ________________________ District: ________________________________


    School ID: ______________________ Name of School: ___________________________________________________
    Enrolment: _____________________ Grade level & Section: _______________________________________________

    Enrolment Dewormed Remarks


    NAME OF CHILD Actions Taken
    Hand- Feeding Tooth-
    Non- Non- washing brushing
    4Ps 4Ps 4Ps 4Ps
    1.
    2.
    3.
    4.
    5.
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    40.

    Accomplished by: Noted by:

    _____________________________________ _______________________________________
    Class Adviser Clinic Teacher
    Date Accomplished: ____________________
    Form 2 School Level Annex B.2

    NATIONAL SCHOOL DEWORMING DAY

    Region: ______________ Division: ________________________ District: ______________________________


    School ID: ________________________________________________________
    Name of School: ___________________________________________________

    NO. OF CHILDREN
    ENROLMENT DEWORMED
    GRADE LEVEL Non- REMARKS
    4Ps Non- 4Ps 4Ps
    4Ps
    KINDER
    GRADE I
    GRADE II
    GRADE III
    GRADE IV
    GRADE V
    GRADE VI
    TOTAL

    Accomplished by: Noted by:

    _________________________________ ___________________________________
    School Principal District Supervisor

    Date Accomplished: ____________________________

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