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Republic of the Philippines

Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
KAPATAGAN WEST DISTRICT
RAYMUNDO P. BARIÑAN ELEMENTARY SCHOOL
DURANO, Kapatagan, Lanao del Norte

RECORD OF HOME VISITATION


DATE:________________________________________
NAME OF PUPIL:_______________________________
ADDRESS:__________________________________________________________________
PURPOSE OF VISIT:________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

AGREED
SOLUTION:_______________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

PARENT’S SIGNATURE OVER PRINTED NAME

Preapared By: Noted By:

JHONA MARIE U. BORLING ZORAIDA D. QUIOYO


Teacher SIC/MT-1
Republic of the Philippines
Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
KAPATAGAN WEST DISTRICT
RAYMUNDO P. BARIÑAN ELEMENTARY SCHOOL
DURANO, Kapatagan, Lanao del Norte

_____________________________

Mr. & Mrs. ____________________

Tinahud kong mga ginikanan sa Raymundo P. Bariñan Elementary School, Durano, Kapatagan, Lanao
del Norte. Karung umaabot nga ________________ sa may ala/alas______________sa ___________
Ako mag pahigayon ug Home Visitation para sa inyong anak, aron akong ma monitor ang iyang
pagtubag sa mga buluhaton sa iyang module. Nanghinaot ko nga kamo bakante ug anaa sa inyong
panimaloay anang higayuna. Para atong maistoryahan ang inyong mga pangutana aron mahatagan
ug ma solusyunan ang problema sa inyong mga anak.

Daghang salamat sa inyong kooperasyon!

JHONA MARIE U. BORLING


Grade 5 Class Adviser

Tubag sa Ginikanan:

Ako si _____________________________________________, bakante ug mouyon ako sa


ipahigayon nga Home Visitation para sa akong anak, aron usab matabangan kami sa pagtubag sa
module sa akong anak.

__________________________________
Ginikanan
Republic of the Philippines
Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
KAPATAGAN WEST DISTRICT
RAYMUNDO P. BARIÑAN ELEMENTARY SCHOOL
DURANO, Kapatagan, Lanao del Norte

_______________________

LETTER OF INTENT

To: ZORAIDA D. QUIOYO


MT-1/SIC
Raymundo P. Barñan ES

Good day!!

With the new learning landscape, it is a must to monitor the academic


performances and implement intervention/s to address learner’s needs at their
home to ensure quality education.

In connection with this, I would like to signify my intenTion to ask for


permission from your good office to conduct reading remediation to our struggling
learners or in the frustration level.I hope that my intention be given an action.

Hoping for your kind approval.

Respectfully yours,

JHONA MARIE U. BORLING


Adviser
Approved by:

ZORAIDA D. QUIOYO
MT-1/SIC

Republic of the Philippines


Department of Education
REGION X
SCHOOLS DIVISION OF LANAO DEL NORTE
KAPATAGAN WEST DISTRICT
RAYMUNDO P. BARIÑAN ELEMENTARY SCHOOL
DURANO, Kapatagan, Lanao del Norte

HOME VISITATION LOG

Learning
Date Learner’s Name Quarter Week
Area

Preapared By: Noted By:

JHONA MARIE U. BORLING ZORAIDA D. QUIOYO


GRADE 5 ADVISER SIC/MT-1

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