Republic of the Philippines

Department of Education
Region XI – DAVAO REGION
SCHOOLS DIVISION OF DAVAO ORIENTAL
CABANGCALAN ELEMENTARY SCHOOL
CABANGCALAN,BANAYBANAY,DAVAO ORIENTAL

LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX

Name: ___________________________________________________________ Gender: ___ Male ____ Female

Grade and Section: _________________________________________________ Birthday : ______________________
Address: __________________________________________________________ Adviser: ______________________________
Contact No.: ___________________________ FB/E-mail: ___________________________ Quarter: _________ S. Y. 2020-2021

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

Need Dialogue On-going

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Need Dialogue On-going

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Remarks:
 Republic of the Philippines
Department of Education
Region XI – DAVAO REGION
SCHOOLS DIVISION OF DAVAO ORIENTAL
CABANGCALAN ELEMENTARY SCHOOL
CABANGCALAN,BANAYBANAY, DAVAO ORIENTAL

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name: ___________________________________________________________ ___ Parent ___ Mother

Address: _________________________________________________________ ___ Guardian ___ Father
Contact Number: __________________________________________________ ___ Relative
___ Other (Specify)
Name of Student: __________________________________________________ Gender: ______
Grade and Section: ________________________________________________ Quarter: ______
Name of Adviser: __________________________________________________ S.Y. _________________________

Date Reported Type of Encounter Details of Concern Agreed Resolution Signature

Parent/Guardian:
Dialogue
_________________
Consultation

Home Visitation Teacher:

Assembly/Forum _________________

Parent/Guardian:
Dialogue
_________________
Consultation

Home Visitation Teacher:

 Assembly/Forum _________________

Remarks: