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Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
Division of Leyte
Palo III District
GUINDAPUNAN ELEMENTARY SCHOOL

LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX


(ANECDOTAL RECORD ASSESSMENT FORM)

Name: Gender: Male Female


Grade and Section: Birthday:
Address: Adviser:
Contact No.: E-mail: Quarter: 1-4 SY: 2018-2019

Date Reported Report Intended for Details of Concern Action to be Taken Remarks of Action
Taken
Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum
Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum
Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum
Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Remarks:

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