Anecdotal Template

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Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Iloilo
VALVERDE NATIONAL HIGH SCHOOL
Cata-An San Joaquin Iloilo

ANECDOTAL
Name of
RECORD
Teacher:______________________________________________

Grade Level: ________________________________

LEARNER’S PERSONAL INFORMATION


Name: Age: Birthday
Birth Place
Height Address
Weight Religion
Father: Occupation
Mother: Occupation

Hobby Subject/s Found Easy

Special Talent Subject/s Found Hard

Note: This anecdotal record is a file maintain and kept by the class adviser and is forwarded to the next adviser as the learner/s
moves forward to the next grade level. Please note the year level of the student upon the note is written, as well as the name
and signature of the teacher/adviser who writes the note. The teacher and adviser should maintain the confidentiality of this
record.
GRADE LEARNER’S STRENGTH LEARNER’S OBSERVATION/REMARKS
LEVEL WEAKNESS
Please provide extra sheet if needed.

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