Department of Education

Region III
Schools Division of Zambales
Municipality of Candelaria
LAUIS NATIONAL HIGH SCHOOL
Candelaria, Zambales
School ID: 301019

ANECDOTAL RECORD
GRADE 9- URANUS
SY 2022-2023
Student’s Name:___________________________________________ Gender:_______________ Age:_______________
Address:__________________________________________________ Parent:_________________________________________________
Teacher Adviser: Alfe R. Mariano______________________________ Contact No.:_____________________________________________

Date/Time:
Subject/Subject INCIDENT ACTION TAKEN REMARKS
Teacher

Student’s
Signature:
_________
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Student’s
Signature:
_________
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 Student’s
Signature:
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