SCHOOL-BASED WEEKLY IRON FOLIC ACID SUPPLEMENTATION

(FORM 1 – CLASSROOM LEVEL)

Region: III Division: ZAMBALES School Year: 2019-2020
School ID: 301017 Name of School: LA PAZ NATIONAL HIGH SCHOOL Address: LA PAZ SAN NARCISO, ZAMBALES
Grade Level: 10 No. of Students Enrolled: 34 No. of Female Learners: 18
Section: SAPPHIRE

PROVIDED WITH IRON FOLLIC ACID SUPPLEMENTATION

LRN CON 1ST ROUND 2ND ROUND R
NAME OF LEARNER SEN
E
T* JULY AUGUST SEPTEMBER JANUARY FEBRUARY MARCH M
(/) A
R
K
S
Y N W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4

106959090003 ACUARIO,JEAN MARICAR, TADENA

106972090005 AQUINO,MARY JOY ANN, CANINO
106964090012 ARCALA,GELLAN MAE, REYES
106964090021 ASENCIO,VICTORIA ELLAINE, JACOB
106970090005 ASUNCION,GLYDEL, FUERTE
106964090023 ATEJERA,AILEEN, SABANG
106971090001 CANONIZADO,MARIE JOY, SANCHEZ
106941090018 FRONDARINA,MARJORIE, LOPEZ
136868090153 GARCIANO,JOANA MAY, MATA
106964090049 MAGNO,RHEYNNA JHANE, ESPINO
106968090034 PALAGANAS,RACQUEL, DIAZ
132048090118 PATANAO,EZIEKYLE, -
106964090063 SANIEL,JULIE ANNE, JALLORINA
106959090015 TAAN,MARY DEL, CAYABAN
106964090066 TONGCUA,ELLA VIA TRECIA, -
106967090023 VIADO,RACHEL ANNE, GERONIMO
106970090064 ZABALA,KYLA, SILVERIO
MINOR, AILYN

*consent given Administered by: Noted by:

WARLINA CONCEPCION _____________________ _____________________________ ____________________

Class Adviser Date Grade Level Chairman Date

SCHOOL-BASED WEEKLY IRON FOLIC ACID SUPPLEMENTATION

(FORM 1 – CLASSROOM LEVEL)
 Region: III Division: ZAMBALES School Year: 2019-2020
School ID: 301017 Name of School: LA PAZ NATIONAL HIGH SCHOOL Address: LA PAZ SAN NARCISO, ZAMBALES
Grade Level: 10 No. of Students Enrolled: 23 No. of Female Learners: 12
Section: TOPAZ

PROVIDED WITH IRON FOLLIC ACID SUPPLEMENTATION

LRN CON 1ST ROUND 2ND ROUND R
NAME OF LEARNER SEN
E
T* JULY AUGUST SEPTEMBER JANUARY FEBRUARY MARCH M
(/) A
R
K
S
Y N W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4

106970090002 ACUARIO,JENNIFER, DIAZ

106972090003 ANDRADE,SANDARA MAE, LAXA
106964090016 ARINDAENG,MARY ROSE, CABRILLOS
106972090006 AZURIN,LARA JANE, RIMAN
106968080009 BATAS,MARY JOY, ACEDO
106964090037 de LEON,RIONALY, CAYANA
106963090012 ESOLANA,GEMMA, DILOBIO
106959140059 FADERA,DANIELLA, FALLORIN
FULGENCIO,MARIA FRANCHISCA
106972090018
KASSANDRA, FARALA
106970090034 FULGUERAS,MARY JASMINE, BABIANO
136759080574 LAGRIMAS,IRISH JOY, SALVADOR
106959090009 MADRIAGA,JENNILYN, REMORIN
106964090051 MORALES,JALEN ROSS, REMAN
106964090052 NAPOLITANO,ROCHELLE, LAYDA
106964090017 NEBRIL,JEANETTE FAYE, ARTAP
107011090045 PILAPIL,IVY JEAN, FONTILLAS
106964090064 SANTIAGO,ERNALYN, CALICDAN
TRAPSI,MAE ANTOINETTE, FALLORINA
106973090028

*consent given Administered by: Noted by:

WARLINA CONCEPCION _____________________ _____________________________ ____________________

Class Adviser Date Grade Level Chairman Date