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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XI
Division of Davao City
F.BANGOY NATIONAL HIGH SCHOOL
Sasa, Davao City

ANECDOTAL RECORD
2022-2023

Name:___________________________________________________________ Grade & Section: _________________________

AGREEMENT WITH THE PARENT'S/


TEACHER'S AGREEMENT WITH STUDENT'S PARENT/GUARDIAN TEACHER'S
DATE & GUARDIAN'S
INCIDENT INTERVENTION THE STUDENT SIGNATURE REMARKS (when necessary) NAME &
TIME NAME &
SIGNATURE
SIGNATURE

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