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TEMPLATE NO 2

PARENTS/GUARDIAN COMMUNICATION INDEX


Name: _________________________________________________ Parent Mother
Father
Address: _______________________________________________ Guardian Relative
Others (Specify)
Contact No. _____________________________________________

Name of Student: ________________________________________ Gender: Male Female


st nd
Grade and Section: _______________________________________ Quarter: 1 2 3rd 4th
Name of Adviser: ________________________________________ School Year: ___________________

Date Reported Type of Encounter Details of Concern Agreed Solution Signature


Dialogue Parent/Guardian
______________
Consultation
Teacher
Home Visitation ______________

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

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

Assembly/Forum

Noted by:

MARICEL D. MERCADO
Principal I

Brgy. Tumalim, Nasugbu, Batangas * Email @ tumalim_nhs@yahoo.com * 09994568118


Brgy. Tumalim, Nasugbu, Batangas * Email @ tumalim_nhs@yahoo.com * 09994568118

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