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Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON
SCHOOL DIVISION OF SAN JOSE DEL MONTE CITY
DULONG BAYAN ELEMENTARY SCHOOL
BRGY. DULONG BAYAN

LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX


(ANECDOTAL RECORD ASSESSMENT FORM)

Name: Gender: Male Female


Grade and Section: 5 - DIAMOND Birthday: _______________________
Address: Adviser: SHEENA MAE P. ALMOGUERA
Contact No.: _______________________________________ Quarter: 1 st SY: 2020-2021

Date Report Intended


Details of Concern Action to be Taken Remarks of Action Taken
Reported for
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:

Prepared: Noted: Approved:

SHEENA MAE P. ALMOGUERA CARMEN M. SALUDADEZ FRANCIS T. TABUZO


Adviser School Guidance Coordinator Principal I

Dulong Bayan Elementary School


School ID: 107153
Brgy. Dulong Bayan, San Jose del Monte City 3023
Official E-Mail: 107153.sjdmc@deped.gov.ph
Official Website: depeddulongbayanes.weebly.com
Telephone Number: 044-815-1831

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