Republic of the Philippines

Department of Education
DIVISION OF SIPALAY CITY
Nabulao National High School - Cayhagan Extension

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name: ___________________________________________ Parent Mother
Father
Address: ___________________________________________ Guardian v Relative
v Other (Specify)
Contact No.: ___________________________________________

Name of Student:________________________________________ Gender: v Male v Female

Grade and Section.:_______________________________________ Quarter: 1st 2nd 3rd 4th

v v v v
Name of Adviser._________________________________________ School Year:______________________

Date Reported Type of Encounter Details of Concern Agreed Resolution Signature

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum

Dialogue Parent/Guardian:
Consultation
Home Visitation Teacher:
Assembly/Forum

Remarks:
___________________________________________________________________________________________
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 Republic of the Philippines
Department of Education
DIVISION OF SIPALAY CITY
Nabulao National High School - Cayhagan Extension

LEARNERS’ NEEDS, PROGRESS AND ACHIEVEMENT CARDEX

Name: ___________________________________________ Gender: __________________________________

Grade and Section:__________________________________ Birthday:_________________________________
Address:__________________________________________ Adviser:__________________________________
Contact No.:___________________ Email:______________ Quarter:____________ S.Y.___________________

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

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