Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VIII (Eastern Visayas)
Schools Division Office of Leyte
MINESITE ELEMENTARY SCHOOL

HOME VISIT RECORD

Date: __________________

Mr./Mrs./Ms. _____________________________
_____________________________
_____________________________

Dear Mr./Mrs./Ms. ______________________

Greetings!

With sincere concern over the welfare of your son/daughter _________________________,

we wish to inform you that he/she:
_____________, has not reported to class since _______________________________________
_____________, is irregular in attendance in _________________________________________
_____________, has failed in ___________________________________
_____________, quarreled or made trouble in school
_____________, is cutting classes frequently in __________________________________
_____________, has often come late disgraceful conduct
_____________, has shown disgraceful conduct
_____________, other reason/s (specify) ______________________________________

It is earnestly requested that you come for a conference on ___________________.

at _________________________________________________________________________________.

Your sincere and immediate attention on the matter is highly appreciated.

Very truly yours,

CHRISTINE C. BORJA
CP No.: 09656242920
Grade 1- Class Adviser