Republic of the Philippines

Department of Education
National Capital Region
Schools Division Office of Quezon City
43 Nueva Ecija Street, Bago Bantay, Lungsod Quezon
02) 85386900
sdo.quezoncity.deped.gov.ph
LCSFORM

GUIDANCE & COUNSELING CENTER

LEARNER CALL SLIP FORM
Date : ____________________
Dear Mr./Ms. ______________________________________,

Please send to the Guidance and Counseling Center the student/s whose name/s appear below on ______________
(Date & Time)
Grade & Section: ________________________
1) ___________________________________________ 6) ________________________________________________
2) ___________________________________________ 7) ________________________________________________
3) ___________________________________________ 8) ________________________________________________
4) ___________________________________________ 9) ________________________________________________
5) ___________________________________________ 10) _______________________________________________

Purpose : [ ] Counseling [ ] Testing [ ] Interview

[ ] Follow-up [ ] Others, __________________________________________________________
Thank you.

Respectfully yours,
____________________________________________________
(Name and Signature of Guidance Counselor/Designate)

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Republic of the Philippines

Department of Education
National Capital Region
Schools Division Office of Quezon City
43 Nueva Ecija Street, Bago Bantay, Lungsod Quezon
02) 85386900
sdo.quezoncity.deped.gov.ph
LCSFORM

GUIDANCE & COUNSELING CENTER

LEARNER CALL SLIP FORM
Date : ____________________
Dear Mr./Ms. ______________________________________,

Please send to the Guidance and Counseling Center the student/s whose name/s appear below on ______________
(Date & Time)
Grade & Section: ________________________
1) ___________________________________________ 6) ________________________________________________
2) ___________________________________________ 7) ________________________________________________
3) ___________________________________________ 8) ________________________________________________
4) ___________________________________________ 9) ________________________________________________
5) ___________________________________________ 10) _______________________________________________

Purpose : [ ] Counseling [ ] Testing [ ] Interview

[ ] Follow-up [ ] Others, __________________________________________________________
Thank you.

Respectfully yours,

Address: Mabilis St. Cor. Masigasig St. Brgy. Pinyahan Quezon City
Tel. No.: (02) 86361779
Email:es.pinyahan@depedqc.ph pg. 1
 ____________________________________________________
(Name and Signature of Guidance Counselor/Designate)

Address: Mabilis St. Cor. Masigasig St. Brgy. Pinyahan Quezon City
Tel. No.: (02) 86361779
Email:es.pinyahan@depedqc.ph pg. 2