Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV- A CALABARZON
Division of Laguna
District of Santa Cruz
SANTA CRUZ ELEMENTARY SCHOOL
Santa Cruz
CLASS ANECDOTAL RECORD FORM
Grade Two Molave
Name of Pupil: Ken Ryu Fuentes
Date Name of Incidental Remarks
Pupils Report
09-23-18 Ken Ryu Fuentes Ken Ryu bullied his Notified the parents of
James Carl Chan classmate James Carl the bully right after the
by calling him incident. Conducted a
“panget” and kicked close door conference
his classmate’s leg. with them together with
the school’s guidance
advocate. After the
conference, the bully and
the parents signed a
compromised agreement
in order to mitigate
bullying incidence.
09-24-18 Ken Ryu Fuentes Did not bully Resolved
anymore his
classmate. He
showed positive
behavior inside the
Prepared by:
class.
DORACEL M. BAUTISTA
Adviser
Noted by:
JULIETA E. MORALES
Grade II- Guidance Advocate
Teacher