Republic of the Philippines

Department of Education
Region X
Division of Misamis Oriental
ALUBIJID NATIONAL COMPREHENSIVE HIGH SCHOOL
Alubijid, Misamis Oriental

HOME VISITATION REPORT

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DATE

Name of Student:___________________________ Yr. and Section: _______________________

Purpose of Visit: ________________________________________________________________

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Remarks: _____________________________________________________________________
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Agreement/s: __________________________________________________________________
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Confirmed: ____________________
Name of Parent/ Guardian

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Class Adviser

NOTED:
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Head Teacher III

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Brgy. Captain/ Kagawad