Republic of the Philippines

Department of Education
Region IV – A CALABARZON
City Schools Division of Bacoor
BACOOR NATIONAL HIGH SCHOOL – TABING DAGAT

Narrative Report for NLPA (Dropped-out)

Name: ____________________________________ Year & Section: ___________________________

Gender: ___________________________________ Modality: ________________________________
Name of Guardian: __________________________ Contact Number: __________________________

I. Problem:

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II. Action Taken

a. Intervention/ Remediation (if applicable)

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Documentation:

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EDIT PICTURE HERE EDIT PICTURE HERE

b. Home Visitation Forms (attached the photocopied forms) & Screenshots from social media
(e.g., Messenger)

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Documentation:

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III. Agreement (scanned or photocopy)
Note:
1. If it’s from social media, a picture of the signed agreement letter must be provided.
2. If it’s done via face to face, a photocopy of the signed agreement letter must be provided.

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Documentation:

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Submitted by:

NAME OF THE ADVISER

Grade & Section Handled

Submitted to:

NAME OF THE GUIDANCE TEACHER

Grade Handled

Noted by:

DOMINGO P. EROLES
HT VI, OIC BNHS-TD