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Republic of the Philippines

Department of Education
Region 1
Division of Ilocos Sur

MAGSINGAL NATIONAL HIGH SCHOOL


San Clemente, Magsingal, Ilocos Sur
Senior High School

ANECDOTAL REPORT

Observer:___________________ Observation Date:____________


Observation Time:__________

Student Name:_______ __________________________


Year and Section:____________

Description of the Incident:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________.

Description of the Location/Setting:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________.

Notes/Recommendations/Actions:

_____________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________.

_________________________________
Observer’s Signature

________________________________
Student’s Signature

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