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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
Schools Division of Ilocos Sur
________________________ SCHOOL
School ID: _____________

Parent’s/Guardian’s Feedbacks on
Teacher’s Lesson Delivery, Passion, and Commitment

Name of Child : _____________________________________________________________________

Grade Level & Section of Child: _______________________________________________________

Name of Parent/Guardian: ___________________________________________________________

Teacher’s Name: ___________________________________________________________________

Date: ____________________________________________________________________________

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Signature over Printed Name of Parent/Guardian

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