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  • DYDRNHS Learners Vax. Status Template

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    Cristina
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    This document contains a vaccination status report for Grade 10 students at the Don Ynocencio A. Del Rosario National High School. It lists the names, ages, and addresses of students, as well as the dates of their first and second vaccine doses and booster shots. For unvaccinated students, it indicates whether they are willing to be vaccinated or not. The report was prepared by Quennie A. Bienes and contains contact information for the school at the bottom.

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    This document contains a vaccination status report for Grade 10 students at the Don Ynocencio A. Del Rosario National High School. It lists the names, ages, and addresses of students, as well as the dates of their first and second vaccine doses and booster shots. For unvaccinated students, it indicates whether they are willing to be vaccinated or not. The report was prepared by Quennie A. Bienes and contains contact information for the school at the bottom.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    19 views3 pages

    DYDRNHS Learners Vax. Status Template

    Uploaded by

    Cristina
    This document contains a vaccination status report for Grade 10 students at the Don Ynocencio A. Del Rosario National High School. It lists the names, ages, and addresses of students, as well as the dates of their first and second vaccine doses and booster shots. For unvaccinated students, it indicates whether they are willing to be vaccinated or not. The report was prepared by Quennie A. Bienes and contains contact information for the school at the bottom.

    Copyright:

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

    Republic of the Philippines

    Department of Education
    Region VI-WESTERN VISAYAS
    ROXAS CITY DIVISION
    Don Ynocencio A. Del Rosario National High School
    Dayao, Roxas City

    DYDRNHS LEARNERS VACCINATION STATUS

    GRADE LEVEL & SECTION: Grade 10- Jupiter (sample only)


    Date Date of IF UNVACCINATED (PLS CHECK)
    Date of
    NO Name Age Address of First Second Willing to be Not Willing to
    Booster Undecided
    Dose Dose Vaccinated be Vaccinated
    1 Quennie A. Bienes Capitalized Each Word
    2
    3
    4 FONT STYLE: ARIAL
    5 SIZE: 10.5
    6 THANK YOU PO 
    7
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    DON YNOCENCIO A. DEL ROSARIO NATIONAL HIGH SCHOOL


    DAYAO, ROXAS CITY
    036 -6202620/ 09087390730/093884577
    Facebook: @DepEdTayo Don Ynocencio A. Del Rosario NHS
    Date Date of IF UNVACCINATED (PLS CHECK)
    Date of
    Name Age Address of First Second Willing to be Not Willing to
    Booster Undecided
    Dose Dose Vaccinated be Vaccinated
    21
    22
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    TOTAL 14 15 16 17 18 19

    Prepared by: Checked by: NOTED:

    QUENNIE A. BIENES QUENNIE A. BIENES MARY ANN G. PINUELA


    DON YNOCENCIO A. DEL ROSARIO NATIONAL HIGH SCHOOL
    DAYAO, ROXAS CITY
    036 -6202620/ 09087390730/093884577
    Facebook: @DepEdTayo Don Ynocencio A. Del Rosario NHS
    Adviser Clinic Coordinator School Principal I

    DON YNOCENCIO A. DEL ROSARIO NATIONAL HIGH SCHOOL


    DAYAO, ROXAS CITY
    036 -6202620/ 09087390730/093884577
    Facebook: @DepEdTayo Don Ynocencio A. Del Rosario NHS

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