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Learner's Anecdotal Record

The document is a Learner's Anecdotal Record form from the Department of Education in the Philippines, designed to collect personal and health information about a student. It includes sections for details of concerns, actions to be taken, and remarks regarding the student's progress. The form aims to facilitate communication and support for the student's educational needs.

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Claire Acbang
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75 views1 page

Learner's Anecdotal Record

The document is a Learner's Anecdotal Record form from the Department of Education in the Philippines, designed to collect personal and health information about a student. It includes sections for details of concerns, actions to be taken, and remarks regarding the student's progress. The form aims to facilitate communication and support for the student's educational needs.

Uploaded by

Claire Acbang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OFFICE OF QUEZON CITY

LEARNER’S ANECDOTAL RECORD

Name: ___________________________ Gender: ________________


Grade and Section: _________________ Birthday: _______________________
Address: ____________________________________________________________________________
Father: ________________________________ Occupation: ______________________
Mother: _______________________________ Occupation: ______________________
Religion: _____________________ Height : ________________ Weight: __________________
Early Disease/s: ___________________________ Serious Accidents: ________________________

Date Details of Concern Action to be Taken Remarks of Action


Observed to be Taken
/Reported
Dialogue Ongoing
Consultation Accomplished
Home Visitation Details:
Assembly/Forum

Dialogue Need
Consultation Progress
Home Visitation Details:
Assembly/Forum

Remarks:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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