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Republic of the Philippines

Department of Education
Region V (Bicol)
Schools Division of Catanduanes
Virac North District
CALATAGAN ELEMENTARY SCHOOL
Virac

LEARNER’S NEEDS, PROGRESS & ACHIEVEMENT CARDEX

Name: _____________________________________________ Gender: ___Male ___Female


Grade & Section: ____________________________________ Birthday: ________________
Address: ___________________________________________ Adviser: _________________
Contact No.: ________________ E-mail: ______________ Quarter: ______ S.Y. _____

Report Intended Details of Action to be Remarks of


Date Reported
for Concern Taken Action Taken
 Need  Dialogue  Ongoing
 Progress  Consultation  Accomplished
 Achievement  Home  Details
Visitation ___________
 Assembly/ ___________
Forum ___________
 Need  Dialogue  Ongoing
 Progress  Consultation  Accomplished
 Achievement  Home  Details
Visitation ___________
 Assembly/ ___________
Forum ___________
 Need  Dialogue  Ongoing
 Progress  Consultation  Accomplished
 Achievement  Home  Details
Visitation ___________
 Assembly/ ___________
Forum ___________
 Need  Dialogue  Ongoing
 Progress  Consultation  Accomplished
 Achievement  Home  Details
Visitation ___________
 Assembly/ ___________
Forum ___________

Remarks:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Republic of the Philippines
Department of Education
Region V (Bicol)
Schools Division of Catanduanes
Virac North District
CALATAGAN ELEMENTARY SCHOOL
Virac

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name: _________________________________________ Parent Mother


Address: _______________________________________ Father
Guardian Relative
Contact No.: ____________________________________ Other (Specify)
Name of Student: ________________________________ Gender: Male Female
Grade & Section: _________________________________ Quarter: 1st 2nd 3rd 4th
School Year: ____________________
Name of Adviser: _________________________________

Report Intended Details of Agreed


Date Reported Signature
for Concern Resolution
 Dialogue Parent/Guardian:
 Consultation ______________
 Home Teacher:
Visitation ______________
 Assembly/
Forum
 Dialogue Parent/Guardian:
 Consultation ______________
 Home Teacher:
Visitation ______________
 Assembly/
Forum
 Dialogue Parent/Guardian:
 Consultation ______________
 Home Teacher:
Visitation ______________
 Assembly/
Forum
 Dialogue Parent/Guardian:
 Consultation ______________
 Home Teacher:
Visitation ______________
 Assembly/
Forum

Remarks:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

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