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Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OF CALOOCAN CITY
CALOOCAN NORTH ELEMENTARY SCHOOL
Camarin, Caloocan City

Home Visitation
ACTION PLAN
(DATE)

ACTION TAKEN TARGET DATE PERSON/S INVOLVED

FONT STYLE/SIZE: BOOKMAN OLD STYLE SIZE (12)

Prepared by: E-signature


NAME OF TEACHER
Position- Grade Level

Checked by:
E-signature E-signature
NAME OF COORDINATOR NAME OF MT IN-CHARGE
Position Position

Submitted to:
CECILIA B. BAL-UT
Head Teacher III/ SBM Coordinator
Noted by:
DR. CARMENIA C. ABEL
PRINCIPAL IV

Address: Phase 6, Package 1, Camarin Caloocan City


Telephone No.: (+63 2) 8-442- 84-25
Email Address: caloocannorthelementaryschool@gmail.com
FBPage/group: @caloocannorthelementaryschoolofficialfbgroup
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OF CALOOCAN CITY
CALOOCAN NORTH ELEMENTARY SCHOOL
Camarin, Caloocan City
Home Visitation
(DATE)
BOOKMAN OLD STYLE SIZE 12

PICTURE 1 PICTURE 2

Caption Caption

PICTURE 3 PICTURE 4

Caption Caption

Address: Phase 6, Package 1, Camarin Caloocan City


Telephone No.: (+63 2) 8-442- 84-25
Email Address: caloocannorthelementaryschool@gmail.com
FBPage/group: @caloocannorthelementaryschoolofficialfbgroup

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