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Republic of the Philippines

Department of Education
Region VI – Western Visayas
Division of Capiz
VICENTE ANDAYA SR. NATIONAL HIGH SCHOOL
JUNIOR HIGH SCHOOL
Sigma, Capiz
LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX
(ANECDOTAL RECORD ASSESSMENT FORM)
Name: Gender: Male Female
Grade and Section: Birthday:
Address: Adviser:
Contact No.: E-mail: Quarter: 1-4 SY: 2019-2020

Date Reported Report Intended for Details of Concern Action to be Taken Remarks of Action Taken

Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Need Dialogue Ongoing

Progress Consultation Accomplished

Achievement Home Visitation Details:

Assembly/Forum

Remarks:

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