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Republic of the Philippines

Department of Education
Region VI- Western Visayas
Division of Negros Occidental
District of Cauayan II
TANABOG ELEMENTARY SCHOOL

LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX


Name: ______________________________________________________Gender: Male Female
Grade and Section: ___________________________________________ Birthday:___________________________
Address: ___________________________________________________ Adviser: ____________________________
Contact No: ___________________E- mail: ______________________ Quarter: ______________S.Y. ___________

Remarks of Action
Date Reported Report Intended for Details of Concern Action to be Taken
Taken
Need Dialogue Ongoing
Progress Consultation Accomplishment
Achievement Home Visitation Details:
Assembly/Forum

____________________
Need Dialogue Ongoing
Progress Consultation Accomplishment
Achievement Home Visitation Details:
Assembly/Forum

____________________
Need Dialogue Ongoing
Progress Consultation Accomplishment
Achievement Home Visitation Details:
Assembly/Forum

____________________
Need Dialogue Ongoing
Progress Consultation Accomplishment
Achievement Home Visitation Details:
Assembly/Forum

____________________

Remarks:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Republic of the Philippines
Department of Education
Region VI- Western Visayas
Division of Negros Occidental
District of Cauayan II
TANABOG ELEMENTARY SCHOOL

PARENTS/ GUARDIANS COMMUNICATION CARDEX

Name: ______________________________________________________ Parent Mother


Address: ____________________________________________________ Guardian Father
Relative
Contact No.: _________________________________________________ Other (Specify)

Name of Student: _____________________________________________ Gender: Male Female


st nd
Grade and Section: ____________________________________________ Quarter: 1 2 3rd 4th
Name of Adviser: ______________________________________________ School Year: ___________________

Date Reported Type of Encounter Details of Concern Agreed Resolution Signature

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum __________________

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum __________________

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum __________________

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum __________________

Remarks:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

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