Republic of the Philippines

Cordillera administrative Region

Division of Apayao
Calansan District
PEDRO BUNOT CENTRAL SCHOOL

UNDESIRABLE TRAITS OF PUPILS

This serves as an anecdotal Record of every Pupil who commits undesirable behavior

Name of the Pupil__________________________________

Grade and Section__________________________
Date and Time that the case happened____________________________________

Direction: Check (/) from the box where a pupil commit or show unwanted behavior

Cheating Playing at 7:00-7:20 A.M and 1:00-1:30 P.M

Loitering/tresspassing Speaking bad words

Littering Not Attending flag ceremony

Stealing Absenteeism, cutting classes and tardiness valid

without valid reason
Asulting a teacher or any other Authorities or his Agents

Smoking inside the school premises Absenteeism, cutting classes and tardiness without valid reason

Vandalism, writing on or destroying school properties

(Please specify the things brought:________________________
Carriying and concealing deadly weapons, toys, cellphones
(Please specify the things brought:________________________
Gambling or any sort

Extorting or asking money and baon to others (for Baon not voluntary given)

Fighting causing injury to others

Hazing in any form or manner inside the school premises

Immorality or sexual sexual harassment

Instigating, leading or participating in concerted activities leading to stoppage of classes

Preventing pupils or teachers to discharge their function

Forging or tampering school records

Bullying (in connection to gender sensitivity , personal background, or any degrading act
on the part of the victim or respondent)
Others: Please specify______________________________________

PANATA NG PAGBABAGO
(This form shall be accomplished after a pupil after a pupil undergo guidance counseling)

Ako si______________________________________________________ nangangakong magbabago na sa

kasalanang aking nagawa. Sisikapin ko pong magpapakabait at magpapakabuti para sa abot ng aking
makakaya. Magiging uliran sa paggawa ng kabutihan at karangalan para sa aking sarili, pamilya,
kapwa magaaral at sa buong paaralan.

_________________________________ ____________________________________
Lagda Lagda ng Ama o Ina

_________________________________ ____________________________________
Lagda ng CPP Lagda ng Guidance Teacher

_________________________________ ____________________________________
Class Adviser School Head

Note: Accomplished forms shall be Xerox into three ( for SPG adviser, Guidance Teacher and Class Adviser file)