Republic of the Philippines
Department of Education
Region VIII (Eastern Visayas Region)
Leyte Division
GACAO ELEMENTARY SCHOOL
CHILD MAPPING TOOL
S.Y. 2023-2024
DEMOGRAPHIC INFORMATION RESIDENCE DISABILITY EDUCATIONAL STATUS
Gende Age Date of w/ Address No. of years Has If yes, Educ’l Currently If yes, If no,
r Birth Certificat in the Disability specify Attainment studying Name of state the
NAME
e present (YES/NO) the type (YES/NO) School reason
(YES/NO) address of for not
disability studying
Interviewer Name and Signature ______________________________________________ Date of Interview _________________________