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LALIG NATIONAL HIGH SCHOOL

Lalig, Tiaong, Quezon


PARENTS/ GUARDIANS COMMUNICATION CARDEX

Name:______________________________________________________ Parent Mother


Father
Address: ____________________________________________________ Guardian Relative
Other
(Specify)
Contact No.:_________________________________________________

Name of Student:_____________________________________________ Gender: Male Female

Grade and Section:____________________________________________ Quarter: 1st 2nd 3rd 4th

Name of Adviser:_____________________________________________ School Year:_________________________

Date Reported Type of Encounter Details of Concern Agreed Resolution Signature


Dialogue Parent/Guardian:

Consultation ___________________

Home Visitation Teacher:

Assembly/Forum ___________________

Dialogue Parent/Guardian:

Consultation ___________________

Home Visitation Teacher:

Assembly/Forum ___________________

Dialogue Parent/Guardian:

Consultation ___________________

Home Visitation Teacher:

Assembly/Forum ___________________

Dialogue Parent/Guardian:

Consultation ___________________

Home Visitation Teacher:

Assembly/Forum ___________________

Remarks:
__________________________________________________________________________________________________
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