Annex B.2
Form 2 – School Level
National School Deworming Day
Region:___________ Division:_______________________________ District:____________________
School ID:__________________________________________________________________________
Name of School:_____________________________________________________________________
Grade Level
Enrolment
No. of Children
Dewormed
Remarks
4 Ps Non-4 Ps 4Ps Non-4Ps
Kinder
Grade I
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
TOTAL
Accomplishedby:
_____________________________
School Principal
Date: ________________________ Notedby:
____________________________
DistrictSupervisor
Annex B.2
Form 2 – School Level
National School Deworming Day
Region:___________ Division:_______________________________ District:____________________
School ID:__________________________________________________________________________
Name of School:_____________________________________________________________________
Grade Level
Enrolment
No. of Children
Dewormed
Remarks
4 Ps Non-4 Ps 4Ps Non-4Ps
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Accomplishedby:
_____________________________
School Principal
Date: ________________________ Notedby:
____________________________
DistrictSupervisor

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Nsdm form 2 per school by guidelines

  • 1. Annex B.2 Form 2 – School Level National School Deworming Day Region:___________ Division:_______________________________ District:____________________ School ID:__________________________________________________________________________ Name of School:_____________________________________________________________________ Grade Level Enrolment No. of Children Dewormed Remarks 4 Ps Non-4 Ps 4Ps Non-4Ps Kinder Grade I Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 TOTAL Accomplishedby: _____________________________ School Principal Date: ________________________ Notedby: ____________________________ DistrictSupervisor
  • 2. Annex B.2 Form 2 – School Level National School Deworming Day Region:___________ Division:_______________________________ District:____________________ School ID:__________________________________________________________________________ Name of School:_____________________________________________________________________ Grade Level Enrolment No. of Children Dewormed Remarks 4 Ps Non-4 Ps 4Ps Non-4Ps Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 TOTAL Accomplishedby: _____________________________ School Principal Date: ________________________ Notedby: ____________________________ DistrictSupervisor