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Kagawaran ng Edukasyon

Rehiyon XII
Sangay ng South Cotabato
Distrito ng Sto. Nio
PANAY ELEMENTARY SCHOOL
FAMILY RECORD
Name:_______________________________Nickname:_______________Grade & Section:_______________
Age: ____________ Birth Place:_________________________________No. of child in the family_______
Parents

:Birth Place
: Educ. Att.
Father :
:
:
Mother:
:
:
Economic Status:____________________________________________
Language/Dialect at home:
Children in the Family:
Boys:
Girls:
Date

Place

ANECDOTAL RECORD SUMMARY


Observer
Anecdotal in Brief

: Rel. Sec.
:
:

: Occupation
:
:_ _ ________
_____________

Findings/Interpretation
Remedial Measures if any