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Republic of the Philippines

Department of Education
Region VIII
Division of Eastern Samar
GEN. MACARTHUR NATIONAL AGRICULTURAL SCHOOL
Gen. MacArthur District
S.Y. 2021 - 2022

PARENTS/ GUARDIAN COMMUNICATION CARDEX

Name: __________________________________________ Parent Mother Father


Address: ________________________________________ Guardian Relative Other: ________
Contact No: _____________________________________

Name of Student: _________________________________ Gender: Male Female


Grade & Section: _________________________________ Adviser: _____________________________

Date Report
Details of Concerns Agreed Resolution Signature
Reported Intended for
• Parent/
Dialogue Guardian:
Consultation ____________
Home
Visitation • Teacher:
Assembly/ ____________
Forum

Dialogue • Parent/
Consultation Guardian:
Home ____________
Visitation
Assembly/ • Teacher:
Forum ____________

Dialogue • Parent/
Consultation Guardian:
Home ____________
Visitation
Assembly/ • Teacher:
Forum ____________

• Parent/
Dialogue Guardian:
Consultation ____________
Home
Visitation • Teacher:
Assembly/ ____________
Forum

Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

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