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Anecdotal Record

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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Schools Division Of Quezon Province
KINATAKUTAN NATIONAL HIGH SCHOOL
Tagkawayan I

ANECDOTAL RECORD

KASUNDUAN
Guidance And Counseling Office
Petsa:_________________

Lagyan ng tsek para sa angkop na kasunduan


___Temporary Enrolment ____Academic Probation ___Disciplinary Probation ____Parent’s Agreement
ST
____ MINOR Offense ____ 1 Offense
____ MAJOR Offense ____ 2ND Offense
____ 3RD Offense

Sa Kinauukulan,

Ako po si_______________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________

Ipinangangako ko po na __________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________

Batid ko po na kapag inulit ko pa po ito o hindi ko tinupad ang aking pangako ay ____________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________

_____________________________ ____________________________
Pangalan at Lagda ng Mag-aaral Pangalan at Lagda ng Magulang

_____________________________ _____________________________
Pangalan at Lagda ng Gurong Tagapayo Pangalan at Lagda ng Guidance Counselor

“Your Learning, Our Priority”


Address: Sitio Coguin, Brgy. Kinatakutan, Tagkawayan,Quezon
Contact No: 09237421992
School ID: 301338
https://www.facebook.com/301338depedknnhs
[email protected]
Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division Of Quezon Province
KINATAKUTAN NATIONAL HIGH SCHOOL
Tagkawayan I

ANECDOTAL RECORD

KASUNDUAN
Guidance And Counseling Office
Petsa:_________________

Lagyan ng tsek para sa angkop na kasunduan


___Temporary Enrolment ____Academic Probation ___Disciplinary Probation ____Parent’s Agreement
ST
____ MINOR Offense ____ 1 Offense
____ MAJOR Offense ____ 2ND Offense
____ 3RD Offense

Dahilan: _______________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________

Intervention/Action taken:
__________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________

Kasunduan/Agreement : ____________________________
________________________________________________________________________________________________
______________________________________________________________________________________________
________________________________________________________________________________________________
______________________________________________________________________________________________

_____________________________ ____________________________
Pangalan at Lagda ng Mag-aaral Pangalan at Lagda ng Magulang

_____________________________ _____________________________
Pangalan at Lagda ng Gurong Tagapayo Pangalan at Lagda ng Guidance Counselor

“Your Learning, Our Priority”


Address: Sitio Coguin, Brgy. Kinatakutan, Tagkawayan,Quezon
Contact No: 09237421992
School ID: 301338
https://www.facebook.com/301338depedknnhs
[email protected]
Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division Of Quezon Province
KINATAKUTAN NATIONAL HIGH SCHOOL
Tagkawayan I

FOR ACADEMIC PROBATION


NAME: ______________________________ GRADE/SECTION: ________________

Dear teachers,

Ako po ay nagpapakumbabang humihiling na mabigyan ng pagkakataon upang makakuha ng grado sa inyong


asignatura. Anuman po ang inyong ipapagawa o ipapasa, buong puso ko pong tatanggapin at isasagawa nang may
dedikasyon. Handa po akong sumunod sa anumang kinakailangan upang maipakita ang aking pagsusumikap at
pagnanais na makapagpatuloy sa aking pag-aaral.

Maraming salmat po!

Quarter: ______

SIGNATURE OF
SUBJECT TASK DEADLINE REMARKS
SUBJECT TEACHER

FILIPINO

ENGLISH

MATH

SCIENCE

AP

ESP

TLE

MAPEH

_____________________________ ____________________________
Pangalan at Lagda ng Mag-aaral Pangalan at Lagda ng Magulang

_____________________________ _____________________________
Pangalan at Lagda ng Gurong Tagapayo Pangalan at Lagda ng Guidance Counselor

“Your Learning, Our Priority”


Address: Sitio Coguin, Brgy. Kinatakutan, Tagkawayan,Quezon
Contact No: 09237421992
School ID: 301338
https://www.facebook.com/301338depedknnhs
[email protected]

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