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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
WESTERN VISAYAS-REGION VI
DIVISION OF ANTIQUE
DISTRICT OF SIBALOM NORTH
BARI ELEMENTARY SCHOOL

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name:________________________________________________ Parent Mother

Address:______________________________________________ Father

Contact No.____________________________________________ Guardian Relative

Other (Specify)

Name of Student: _______________________________________ Gender: Male Female

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

Name of Adviser:_______________________________________ School Year:________________

Date Report Details of Concern Agreed Signature


Reported Intended for Resolution
Dialogue PARENT/ GUARDIAN

Consultation

Home Visitation TEACHER

Assembly/Forum

PARENT/ GUARDIAN
Dialogue

Consultation
TEACHER
Home Visitation

Assembly/Forum

PARENT/ GUARDIAN
Dialogue

Consultation
TEACHER
Home Visitation

Assembly/Forum

PARENT/ GUARDIAN
Dialogue

Consultation
TEACHER
Home Visitation

Assembly/Forum

Remarks:
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________________________________________________________________________________
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