Republic of the Philippines

Department of Education
Region 1
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen
MINIEN NATIONAL HIGH SCHOOL

ANECDOTAL RECORD

Name: FELIPE, MARK JAMES DIONISIO LRN Number: 101649080052

(Family Name) (Given Name) (Middle Name)
Age: 17 Gender: Male Grade & Section: 11-GARDENIA
Address: TEBAG EAST, STA. BARBARA, PANGASINAN
Parents:
Father: MARVIN TOMANAN FELIPE Contact: _____________________
Mother: THIA GRACE FLORMATA DIONISIO_ Contact: _____________________
Guardian: ___________________________ Contact: _____________________

DATE & INCIDENT ACTION RECOMENDATION

TIME TAKEN
June 3, Punching a He was called If the student
2019 grade 8 in the office will repeat the
student. with the act, the adviser
designated will give a
guidance written reprimand
councilor, the already to the
principal and student.
the adviser.
We called the
attention of
his parent so
that we could
be able to
settle the
unwanted
incident.

July 23, He was caught The adviser If the student

2019 smoking near in talked to the will be involved
around the H.E. student. again to the said
7:45 am laboratory. The teacher incident, the
talked to the teacher will
guardian of introduce it to
the student the guidance
regarding the office with the
untoward persons and the
incident. necessary actions
to be taken.