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JOJI ILAGAN INTERNATIONAL SCHOOLS

STUDENT DISCIPINARY REFERRAL FORM

Student Name: Khriztee Astillero Year: Fourth Year


Program: BS Tourism Adviser: Pacita Mae M. Pamplona
Date and time of Incident: September 25, 2021 Location: JIBIS-HTM

Type of Offense

□ Absenteeism □ Tardiness □ Creation of Class Disturbance


□ Dress Code Infraction □ Disrespect toward persons in □ Disrespect toward co-students
authority
□ Lying or Cheating □ Inappropriate Language □ Willful Disobedience
□ Rudeness □ Misuse of Facilities (elevator, □ Smoking / cigarette smoke
laboratory, etc.) smell
□ Intoxicated with alcohol □ Others:

Incident Report (Attach additional page if necessary)

September 25, 2021 – The Office of the Student Affairs received a report from an anonymous student
regarding alarming concerns on alleged posts of Ms. Astillero on Twitter. According to the reporting
person, he/she found the posts offensive and unfair to the office concerned.

The office was furnished of the screenshots of the alleged Twitter posts done by Ms. Astillero.

Also, it has been reported that there were incidents like this before that happened prior to this
significant concern at hand.

According to the reporting persons, they were anxious when Ms. Astillero created the said movement
without their consent.

Action(s) taken prior to referral:

October 1, 2021 – Ms. Astillero was called for a virtual conference to inform her of the Disciplinary
Report filed against her.

The parent was informed about the disciplinary referral for Ms. Astillero.

Referred by:

_PACITA MAE M. PAMPLONA__ September 25, 2021


OSA Coordinator, JIBIS-HTM Date

Received by:

CHERRIE ROSE J. SAGARIO ___________________


JOJI ILAGAN INTERNATIONAL SCHOOLS

OSA Director Date:

ANNEX

A. Evidences
JOJI ILAGAN INTERNATIONAL SCHOOLS
JOJI ILAGAN INTERNATIONAL SCHOOLS
JOJI ILAGAN INTERNATIONAL SCHOOLS

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