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PREFECT OF DISCIPLINE’S NOTE ON STUDENT’S INCIDENT REPORT

(To be attached on POD Forms 1 and 2)


Name Date
Grade and Class
Section Adviser

Student’s Offense

POD’s Note/s

Action  Verbal Warning (check if it is done on the first place)


to be  Written Reprimand (check after talking to the student/s)
Taken  Call Parent (attach Call Slip Form)

PREFECT OF DISCIPLINE’S NOTE ON STUDENT’S INCIDENT REPORT


(To be attached on POD Forms 1 and 2)
Name Date
Grade and Class
Section Adviser

Student’s Offense

POD’s Note/s

Action  Verbal Warning (check if it is done on the first place)


to be  Written Reprimand (check after talking to the student/s)
Taken  Call Parent (attach Call Slip Form)

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