Republic of the Philippines

Department of Education
Region VI—Western Visayas
School Division of Himamaylan City
RAYMUNDO T. TONGSON NATIONAL HIGH SCHOOL SU-AY EXTENSION

FEEDBACK FORM
Name of Learner :________________________________ Grade & Section :_______________
Subject Area :______________ Date :_______________

Area of feed backing:

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Parent’s Name & Signature Section Adviser Name & Signature