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Community Mapping Template for Schools

This document is a community mapping template from the Curvada Elementary School in the Kapatagan East District division of Lanao del Norte province in the Philippines. It collects information such as the parents' or guardians' names, birthdays, occupations, monthly incomes, religion, and whether they are indigenous peoples (IP). It also collects information on dependents such as their relationship to the head of family, gender, birthday, civil status, grade or reason for not studying, school, distance from home, and whether they have disabilities or are IP. The template is signed by the respondent and enumerator.

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Mary Grace Pongase Ramos
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199 views1 page

Community Mapping Template for Schools

This document is a community mapping template from the Curvada Elementary School in the Kapatagan East District division of Lanao del Norte province in the Philippines. It collects information such as the parents' or guardians' names, birthdays, occupations, monthly incomes, religion, and whether they are indigenous peoples (IP). It also collects information on dependents such as their relationship to the head of family, gender, birthday, civil status, grade or reason for not studying, school, distance from home, and whether they have disabilities or are IP. The template is signed by the respondent and enumerator.

Uploaded by

Mary Grace Pongase Ramos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

ENCLOSURE 1

Republic of the Philippines


Department of Education
Region X
Division of Lanao del Norte
KAPATAGAN EAST DISTRICT
CURVADA ELEMENTARY SCHOOL

DEPED REGION X COMMUNITY MAPPING TEMPLATE

Address:
Purok Sitio Street Barangay Municipality Province Survey Street No.

Occupation If IP
Parebt's Guardians Name (Last Name, First Name, Birthday Monthly Check if IP 4Ps (Check)
(Select Only)
(dd/mm/yyyy) Educational Attainment
Religion what
MI,Ext) Income
Government Private Self Employed Yes No tribe? Yes No

Studying? With
Name of Dependents Relationship to the Gender Birthday Civil Grade If Not Studying Kind of Check if
Head of the Family
(Last,Firsrt,Middle,Ex (son,daughter,niece, (Check) School and Distance Disability Religion Check if 4P's
t.) (dd/mm/yyyy) Status Level From Home Disability IP
nephew) M F Why?
Yes No Yes No

NIMFA B. DELA TORRE


Name and Signature of Respondents Name Of Enumerator Name Of Respondents

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