Anecdotal Record Form

Republic of the Philippines
Department of Education
CARAGA REGION
SCHOOLS DIVISION OF SURIGAO DEL SUR
CAGWAIT 1 DISTRICT
Anecdotal Record Form

Observer/Teacher’s Name: Ellen B. Sinahon Observer Date June 17,2019
Year/Grade Level Assignment: Grade 7-De Ocampo Observation Time: 7:30- 8:30
Student’s Name: Julibert Escuadra Aberio Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Albert Bayogbog Aberio Occupation: Farmer
Mother’s Name: Julieta Anura Escuadra Occupation: Housekeeper
Guardian’s Name ( if not living with parents ):________________ Occupation: ______________
Address: Poblacion Cagwait,Surigao Del Sur
Description of the incident ( What happened )
He is always late in the class, Uncooperative student during my class discussion and group activity.
Description of the location/setting: ( Where & How did it happened? )
____________________________________________________________________________
Notes/Recommendations/Actions: Home Visitation, I will always encouraged him to participate in my class
discussion and also in the group activity.
__________________________ Date Referred to the Guidance Counselor:_______________

Observer/Teacher’s Signature

JOSE SANVICTORES SR. NATIONAL SCHOOL
La Purisima, Cagwait, Surigao del Sur
CARAGA REGION
CAGWAIT 1 DISTRICT
Observer/Teacher’s Name: Ellen B. Sinahon Observer Date:_______________

Student’s Name: Clark Alex,III Lozada Ambray Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Alex A.Ambray Occupation: Security Guard
Mother’s Name: Mary Jane L.Lozada Occupation: Housekeeper
Address: Bacolod Cagwait,Surigao Del Sur
He is always absent, He is always creating unnecessary noise during my class discussion.
____________________________________________________________________________
Notes/Recommendations/Actions: Home Visitation, I will called his name during my class discussion so that he
will pay attention.


CARAGA REGION
CAGWAIT 1 DISTRICT

Student’s Name: Joyrin Perolino Bongabong Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Joselito Marangan Bongabong Occupation: Laborer
Mother’s Name: Lilian Cadelena Perolino Occupation: Housekeeper
He will not pay attention during my class discussion, He has his own world, He has a threatening behavior
towards his classmates.
Description of the location/setting: ( Where & How did it happened? )______________________
____________________________________________________________________________
Notes/Recommendations/Actions: I will encourage him always to participate my class discussion.


CARAGA REGION
CAGWAIT 1 DISTRICT

Student’s Name: Jomarie Elpanag Bosque Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Elmer Logronio Bosque Occupation: Fisherman
Mother’s Name: Abegail Murillo Elpanag Occupation: Housekeeper
Address: Lactudan Cagwait,Surigao Del Sur
Sometimes he will cutting classes during last period in the morning, He will always play at the backyard of the
classroom during classes period.
____________________________________________________________________________
Notes/Recommendations/Actions: I will always advise him to stop cutting classes during classes hour.


CARAGA REGION
CAGWAIT 1 DISTRICT
Student’s Name: Ivan Lozada Climaco Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Allan Salvame Climaco Occupation: Farmer
Mother’s Name: Emelyn Silvoza Lozada Occupation: Housekeeper
He will always pay attention during my class discussion, Very cooperative and always raising question during my
discussion.
____________________________________________________________________________
Notes/Recommendations/Actions:__________________________________________________



CARAGA REGION
CAGWAIT 1 DISTRICT
Student’s Name: Jacinto,Jr Laraga Climaco. Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Jacinto Morales Climaco Sr. Occupation: Fisherman
Mother’s Name: Edilyn Suazo Laraga Occupation: Housekeeper
Sometimes he is absent, Sometimes his not doing his activity especially in my subject.
____________________________________________________________________________
Notes/Recommendations/Actions: Home Visitation: I will always encourage him to do his activity.


Student’s Name: Christian Boy Engrova Year/Grade Level and Section: Grade 7-De Ocampo

CARAGA REGION
CAGWAIT 1 DISTRICT
Father’s Name: Jessel Ronquillo Derecho Occupation:Farmer

Mother’s Name: Ronelyn Cabadonga Engrova Occupation: Self- Employed
Description of the incident ( What happened )_______________________________________
He is always cleaning in the canteen area and classroom without my command, He is always pay attention
during my class discussion.
____________________________________________________________________________



CARAGA REGION
CAGWAIT 1 DISTRICT
Student’s Name: Harve Nazareth Estopido Engrova Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Hajie Lozada Engrova Occupation: Farmer
Mother’s Name: Merilyn Escobanez Estopido Occupation: Housekeeper
He is not listening to my class discussion, He is always talking with his seatmate.
____________________________________________________________________________
Notes/Recommendations/Actions: I will always involve him in my discussion so that he will pay attention while my
class is in session.


Student’s Name: Ralph Lozada Espinoza Year/Grade Level and Section: Grade 7-De Ocampo

CARAGA REGION
CAGWAIT 1 DISTRICT
Father’s Name: Rundel Rubenial Espinoza Occupation: Farmer

Mother’s Name: Anabel Dagsa Lozada Occupation: Housekeeper
Sometimes he is rummaging through a desk while classes is in session.
____________________________________________________________________________
Notes/Recommendations/Actions: I will advise him to stop that kind of behavior.


Student’s Name: John Rosit Sarona Gascon Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Rosito Coyno Gascon Occupation: Farmer
Mother’s Name: Narcisa Sarona Occupation: Housekeeper

CARAGA REGION
CAGWAIT 1 DISTRICT

Address: La Purisima Cagwait,Surigao Del Sur
He is always cooperate during class discussion and activity, He is a responsible student.
_____________________________________________________________________________


Student’s Name: Kent Bryle Edio Labrador Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Polimar Jualo Labrador Occupation: Farmer
Mother’s Name: Rose Ann Plaza Edio Occupation: Housekeeper
Address: Tawagan Cagwait,Surigao Del Sur

CARAGA REGION
CAGWAIT 1 DISTRICT
He is always cutting classes during classes hour, He is not listening in my discussion.
____________________________________________________________________________
Notes/Recommendations/Actions: Home Visitation


Student’s Name: Marjune Moreno Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: N/A Occupation: N/A
Mother’s Name: Marjorie Tac-an Moreno Occupation: Housekeeper
Address: Tagmalinao Cagwait,Surigao Del Sur

CARAGA REGION
CAGWAIT 1 DISTRICT
He is getting trouble with his classmate whose named Robert Sampayan Jr.
____________________________________________________________________________
Notes/Recommendations/Actions: Call their parents.


Student’s Name: Jessie,Jr.Laurente Nebres Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Jessie Siasat Nebres Occupation: Fish Vendor
Mother’s Name: Rosemarie Limbaga Laurente Occupation: Housekeeper

CARAGA REGION
CAGWAIT 1 DISTRICT
Always talking to his classmate while the class is in session, He did not listened to my discussion.
____________________________________________________________________________
Notes/Recommendations/Actions: Call his attention.


Student’s Name: Dariel Quimpan Panto Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Edwin Cabadonga Panto ( Deceased )
Mother’s Name: Catalina Ramirez Quimpan Occupation: Housekeeper

CARAGA REGION
CAGWAIT 1 DISTRICT
He is always absent, Cutting classes during classes hour.
____________________________________________________________________________
Notes/Recommendations/Actions: Home Visitation.


Student’s Name: Jhon Carlo Custodio Pelaez Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Rene Quico Pelaez Occupation: Tricycle Driver
Mother’s Name: Florivic Suazo Occupation: Housekeeper

CARAGA REGION
CAGWAIT 1 DISTRICT
Asking irrelevant question regularly during my class discussion.
____________________________________________________________________________
Notes/Recommendations/Actions: Call his attention.


Student’s Name: Benjie Boy Roluna Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: B.Cuartero Occupation: Farmer
Mother’s Name: Emma R. Roluna Occupation: Housekeeper
Address:La Purisima Cagwait,Surigao Del Sur

CARAGA REGION
CAGWAIT 1 DISTRICT
Description of the incident ( What happened )____________________________________
He is responsible student even though he is always late in my class, He is doing his activity always.
____________________________________________________________________________


Student’s Name: Robert,Jr.Banguis Sampayan Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Robert Plaza Sampayan Sr. Occupation: Farmer
Mother’s Name: Elma Quico Banguis Occupation: Housekeeper
Address: Tawagan Cagwait,Surigao Del Sur

CARAGA REGION
CAGWAIT 1 DISTRICT
Cutting classes during classes hour especially last period in the morning and afternoon session.
____________________________________________________________________________


Student’s Name: Dyniel Jarenz Cap-atan Singcol Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Zaldy Rubenial Singcol Occupation: Farmer
Mother’s Name: Nelita Tabugoc Cap-atan Occupation: Housekeeper

CARAGA REGION
CAGWAIT 1 DISTRICT
Always dominating classroom discussion
____________________________________________________________________________
Notes/Recommendations/Actions: I will always involve him in my class discussion and also in group activity.


Student’s Name: Brielle John Lauta Zabala Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Gabriel Deguito Zabala Occupation: Businessman
Mother’s Name: Jennifer Rice Lauta Occupation: Day Care Teacher

CARAGA REGION
CAGWAIT 1 DISTRICT
He has a potential as a honor student, He is always late and absent.
____________________________________________________________________________


Student’s Name: Aslie Maratas Aberio Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Anthony Cabilin Aberio Occupation: Laborer
Mother’s Name: Julie Silvoza Maratas Occupation: Overseas Filipino Worker
She is always listening in my discussion.

CARAGA REGION
CAGWAIT 1 DISTRICT
____________________________________________________________________________


Student’s Name: Nice Elcamel Balase Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Elmer Acal Balase Occupation: Truck Driver
Mother’s Name: Nora Nire Elcamel Occupation: Housekeeper
She is always present, always raising her question during my discussion.

CARAGA REGION
CAGWAIT 1 DISTRICT
____________________________________________________________________________


Student’s Name: Cherry Lyn Pasaylo Dagaang Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Edgar A.Dagaang Occupation: Carpenter
Mother’s Name: Elizabeth Quirante Pasaylo Occupation: Overseas Filipino Worker
Address: Unidad Cagwait,Surigao Del Sur
Always present, Sometimes she is late, Very participative in my class discussion.

CARAGA REGION
CAGWAIT 1 DISTRICT
____________________________________________________________________________
Notes/Recommendations/Actions: I will encourage her to wake up early so that she can avoid late.


Student’s Name: Christal Ann Vallenas Dumanhog Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Inocencio Cabarubias Dumanhog Occupation: Carpenter
Mother’s Name: Cerelina Talikig Vallenas Occupation: Housekeeper
Very noisy during my class discussion, She did not cooperate in any class activity.

CARAGA REGION
CAGWAIT 1 DISTRICT
____________________________________________________________________________
Notes/Recommendations/Actions:


Student’s Name: Jeriel Mae Colasisang Empas Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Remen Amamio Empas Occupation: Construction Worker
Mother’s Name: Josephine Portillo Colasisang Occupation: Housekeeper
Always late in the morning session.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT
Notes/Recommendations/Actions: I will always encourage her to wake up early in the morning to avoid late.


Student’s Name: Junnalyn Masong Fallorin Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Dionesio,Jr.Morales Fallorin Occupation: Self-Employed
Mother’s Name: Robilyn Malinao Masong Occupation: Overseas Filipino Worker
Sometimes she is using her cellphone during classes hour.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT
Notes/Recommendations/Actions: I will advise her to turn off all inappropriate electronic devices while class
is in session.


Student’s Name: Casey Marie Morales Lambino Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Carlos Lambino Occupation: Businessman
Mother’s Name: Rosalie Sinday Morales Occupation: Housekeeper
She is always interest in my topic everyday.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Enie Lee Lamigo Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Ely Villarmia Alpeche Occupation: Farmer
Mother’s Name: Elydia Bagabaldo Lamigo Occupation: Housekeeper
Early arrival in School.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Princess Leanne Rose Lamigo Year/Grade Level and Section: Grade 7-De Ocampo
Mother’s Name: Madelaine Lamigo Occupation: Housekeeper
Very Participative in my class discussion.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Mary Jane Morales Ligan Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Jonas Martos Ligan Occupation: Fisherman
Mother’s Name: Iren Lauron Ligan Occupation: Housekeeper
Sometimes she did not cope up my discussion.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Jenelyn Lozada Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Saison Engrova Lamila Occupation: Laborer
Mother’s Name: Gina Singcol Lozada Occupation: Housekeeper
She can’t read well.
____________________________________________________________________________
Notes/Recommendations/Actions: I teach her on how to read well.

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Khrisha Kristienz Montenegro Year/Grade Level and Section: Grade 7-De Ocampo
Mother’s Name: Analiza Deguito Montenegro Occupation: SalesLady
Intelligent child, She participate in any group activity especially in my subject.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: LJ Absalon Morales Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Antonio Morales Occupation: Farmer
Mother’s Name: Leonarda Absalon Occupation: Housekeeper
She can’t read.and write well.
____________________________________________________________________________
Notes/Recommendations/Actions: I advise her to practice always on how to read and write.

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Joana Marie Inguito Ondona Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Renato Deguito Ondona Occupation: Construction Worker
Mother’s Name: Cherry Pague Inguito Occupation: Housekeeper
She arrives late in the morning.
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Meralyn Engrova Palma Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Ramil Dagno Palma Occupation: Farmer
Mother’s Name: Emalyn Malviso Engrova Occupation: Housekeeper
Address: Tagmalinao Cagwait,Surigao Del Sur
She is always absent..
____________________________________________________________________________
Notes/Recommendations/Actions: Home Visitation.

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Rhia Jean Custodio Panoso Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Roy C.Panoso Occupation: Construction Worker
Mother’s Name: Judith S.Custodio Occupation: Housekeeper
Always present everyday, Responsible student
____________________________________________________________________________

CARAGA REGION
CAGWAIT 1 DISTRICT


Student’s Name: Aira Jane Valles Salvame Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Angelito Tantuan Salvame Occupation: Farmer
Mother’s Name: Julibeth Lozada Valles Occupation: Self-Employed
Always participate in my class discussion.
____________________________________________________________________________


CARAGA REGION
CAGWAIT 1 DISTRICT

Student’s Name: Cycie Moreno Vasquez Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Raul Cap-atan Vasquez ( Deceased )
Mother’s Name: JuWendelina Lamigo Moreno Occupation: Housekeeper
Always present everyday, Neat and clean, She has always an idea in every activity..
____________________________________________________________________________


CARAGA REGION
CAGWAIT 1 DISTRICT

Student’s Name: Genalyn Baguhi Vasquez Year/Grade Level and Section: Grade 7-De Ocampo
Father’s Name: Efren Suso Vasquez Occupation: Farmer
Mother’s Name: Letecia Atuel Baguhin Occupation: Housekeeper
Always talking her seatmate during my class discussion.
____________________________________________________________________________
Notes/Recommendations/Actions: I will advise her to pay attention.


CARAGA REGION
CAGWAIT 1 DISTRICT

CARAGA REGION
CAGWAIT 1 DISTRICT


Anecdotal Record Form

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Republic of the Philippines