Republic of the Philippines

Department of Education
Name of Pupil: _______________________________
Date of Identified Reading
Entry Difficulties/Problems
Region VIII
Division of Tacloban City
District Learning Center IV
SAGKAHAN ELEMENTARY SCHOOL
Tacloban City
ANECDOTAL RECORD FOR READING
Date of Birth: __________________ Age: ____ Grade & Section: I - Alpha
Possible Factors Planned Interventions Target Dates for Actual Dates of Remarks
(As Observed) Special Instruction Special Instruction

Prepared by: Conferred with: Noted by:

Teacher Parent Principal