Project DETECT
DepEd Epidemic Transmission Electronic Contact Tracer
First Name/Pangalan
Last Name/Apelyido
Address/Tirahan
City/Municipality
Province
Province
Abra
Agusan del Norte
Agusan del Sur
Aklan
Albay
Antique
Apayao
Aurora
Basilan
Bataan
Batanes
Batangas
Biliran
Benguet
Bohol
Bukidnon
Bulacan
Cagayan
Camarines Norte
Camarines Sur
Camiguin
Capiz
Catanduanes
Cavite
Cebu
Compostela
Davao del Norte
Davao del Sur
Davao Oriental
Eastern Samar
Guimaras
Ifugao
Ilocos Norte
Ilocos Sur
Iloilo
Isabela
Kalinga
Laguna
Lanao del Norte
Lanao del Sur
La Union
Leyte
Maguindanao
Marinduque
Masbate
Mindoro Occidental
Mindoro Oriental
Misamis Occidental
Misamis Oriental
Mountain Province
Negros Occidental
Negros Oriental
North Cotabato
Northern Samar
Nueva Ecija
Nueva Vizcaya
Palawan
Pampanga
Pangasinan
Quezon
Quirino
Rizal
Romblon
Samar
Sarangani
Siquijor
Sorsogon
South Cotabato
Southern Leyte
Sultan Kudarat
Sulu
Surigao del Norte
Surigao del Sur
Tarlac
Tawi-Tawi
Zambales
Zamboanga del Norte
Zamboanga del Sur
Zamboanga Sibugay
Phone/Telepono
I declare that I am not experiencing any COVID related symptoms (sore throat, body pains, headache, fever, loss of taste and lost of smell) currently.
II hereby authorize this School and its Division Office, to collect and process the data indicated herein for the purpose of contact tracing effecting control of the COVID-19 transmission. I understand that my personal information is protected by RA 10173 or the Data Privacy Act of 2012 and that this form will be destroyed after 30 days from the date of accomplishment, following the National Archives of the Philippines protocol.