ANNEX C

Form 1National School Deworming Day

Deworming Checklist
Province: South Cotabato School Address:Mabuhay,General Santos City
Division: General Santos City Total Enrolment:_______
District: Conel Grade Level and Section: ________________
Name of School: NEW MABUHAY ELELMENTARY SCHOOL
NO. Name of Child Enrolment Gender Handwashing Feeding Dewormed Toothbrushing Remarks Action
Done Done Done Taken
4 P’S Non 4 M F 4 P’S Non
P’S 4P’s

Accomplished by: Noted:

Class Adviser:________________________ ____________________________
Date Accomplished: January 25, 2019 Grade Level Chairman