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School based Weekly Iron Folic Acid (WIFA) Supplementation

Region _____CENTRAL VISAYAS ___ Division ________CEBU PROVINCE_______ Date ____OCTOBER - DECEMBER 2019___ School Year ___
School ID ________303034______ Name of School __RONDA NATIONAL HIGH SCHOOL__ No. of Female Learners ___30__ Address ___PA
Grade Level/Section __8-BURGOS__ No. of Students Enrolled ______58______
Provided with Iron Folic Acid Supplements
October November D
LRN Name of Learner Consent W1 W2 W3 W4 W1 W2 W3 W4 W1
Y N Date: 3 Date: 10 Date: 17 Date: 24 Date: 7 Date: 14 Date: 22 Date: 28 Date: 5
119601100025 BUCOTOT, MAY ANN E. / / / / / / / / / /
119601090017 BUCOTOT, NIÑA FAITH A. / / / / / / / / / /
119601100028 CABARON, MAYE CLAIRE M. / / / / / / / / / /
119601100034 CANTILA, ROWENA B. / / / / / / / / / /
119597100025 MIJARES, AXZILLE MAY M. / / / / / / / / / /
119597100034 PETALCORIN, JEANCEL V. / / / / / / / / / /
119602100074 RAMAYLA, SOLEDAD C. / / / / / / / / / /
119597100035 REDOBLE, RICHE ANN P. / / / / / / / / / /
119602100079 RIO, JESSA U. / / / / / / / / / /
119601100117 SASIL, JENILYN N. / / / / / / / / / /
119094100104 SIBALA, MARIA ELENA / / / / / / / / / /
119602100090 UGBANIEL, MARIEL B. / / / / / / / / / /
119602100091 UGBANIEL, MARIEN B. / / / / / / / / / /

Administered by: Noted by:

__ALTHEA MAE B. GIMENA__ _________________ _____________________________ _________________


Class Adviser Date Grade Level Teacher Date
Year ___2018 - 2019__
s ___PALANAS, RONDA, CEBU___

December
W2 W3 W4
Date: 12 Date: Date: Remarks
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