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Anecdotal Template

This document is an anecdotal record from Labogon National High School in Mandaue City, Philippines. It contains fields to record information about a specific incident involving a student, including the date and time of observation, a description of the incident and location, witness signatures, notes and recommendations, and signatures from the student and parent to note their agreement. The record is intended to document incidents for advisers or teachers at the school.

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Christine Dumilig
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© © All Rights Reserved
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2K views1 page

Anecdotal Template

This document is an anecdotal record from Labogon National High School in Mandaue City, Philippines. It contains fields to record information about a specific incident involving a student, including the date and time of observation, a description of the incident and location, witness signatures, notes and recommendations, and signatures from the student and parent to note their agreement. The record is intended to document incidents for advisers or teachers at the school.

Uploaded by

Christine Dumilig
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
SCHOOLS DIVISION OF MANDAUE CITY
LABOGON NATIONAL HIGH SCHOOL
Labogon, Mandaue City

ANECDOTAL RECORD
Observer: Observation Date:
Student’s Name: Signature: Observation Time:

Year & Section:

Description of the Incident:


Qa

Description of the
Location/Setting:

Notes/Recommendations/Action

Witnesses:
____________________________ _________________________
Name & Signature Name & Signature
Noted by:
__________________________
Adviser/ Teacher
Agreement:
Student__________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

___________________________
Name of Student over Signature
Parent:__________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
___________________________
Name of Parent/Guardian over Signature

Address: Labogon, Mandaue City


Email Address.: 303200@deped.gov.ph
https://www.facebook.com/LabogonNHS| Website: http://labogonnhs.depedmandaue.net

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