0 0 0 0 0 0 0 0 0 0 0 0 N/A N/A N/A: Christopher B. Albino

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School-Based Report on Incidents of Bullying

School Year: 2018-2019

School: Ricafort Elementary School Classification: Public


Address: Purok 8-B Sitio Ricafort, Tungkong Mangga, CSJDM Level: Kindergarten/Elementary

Nature of Bullying Victims Perpetrator Status


Date/Place Action Recommendation (Resolved/Pending/
of Incident Taken Referred to other
agency)

Physical Social Gender- Cyber Retaliation NAME Age Sex NAME Age Sex
Based Bullying (M/F) (M/F)
0 0 0 0 0 0 0 0 0 0 0 0 N/A N/A N/A

Reviewed and Conformed: CHRISTOPHER B. ALBINO Prepared: CHRISTINE R. VERGAS


Head Teacher V Guidance Coordinator

School-Based Reports on Incident of Child Abuse


School Year 2018-2019

School: Ricafort Elementary School Classification: Public


Address: Purok 8-B Sitio Ricafort, Tungkong Mangga, CSJDM, Bulacan Level: Kindergarten/Elementary

Status
Nature of Abuse Victims Perpetrators Relationship to the Action (Resolved/Pending/
Victim Taken Referred to other
Date of Incident agency
Physical Sexual Verbal/ NAME Age Sex NAME Age Sex
Psychological (Last Name, First (M/F) (Last Name, (M/F)
Name, M.I) First Name, M.I)

0 0 0 0 0 0 0 0 0 0 0 N/A N/A N/A

Reviewed and Coformed: CHRISTOPHER B. ALBINO Prepared: CHRISTINE R. VERGAS


Head Teacher V Guidance Coordinator
School/Division/Region: Ricafort Elementary School, CSJDM, III
Period Covered:

A. Consolidated Report on Incidents of Children in Conflict with the Law (CICL)

Learner’s Reference Age Sex Case/ Action Intervention/Diversion Remarks


Number (LRN) (M/F) Violation Taken Program

0 0 0 0 N/A N/A N/A


B. Description of any intervention program or diversion program that the school or division initiated or adopted which facilitated the reintegration of the CICL in the
school and the community.

_________________________________________________________________________________________________________________________________________________

Prepared: Noted:

CHRISTINE R. VERGAS CHRISTOPHER B. ALBINO


Guidance Coordinator Head Teacher V

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