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Republic of the Philippines Department of Education Region V Division of Camarines Norte Mercedes District Lalawigan Elementary School HOME VISITATION MARVIN DON P. ALOC Class Adviser Date:___________________ DOCUNENTATION AND REPORT REPORT AND TASK GIVEN TO PARENTS/GUARDIANS AND PUPIL DURING THE VISIT: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ________________________. REPORT OF FOLLOW – UP VISIT FOR THE TASK GIVEN TO PARENTS/GUARDIANS AND PUPIL: (Was it accomplished or not? How? and Why?) ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

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Republic of the PhilippinesDepartment of EducationRegion VDivision of Camarines NorteMercedes DistrictLalawigan Elementary SchoolHOME VISITATIONMARVIN DON P. ALOCClass AdviserDate:___________________DOCNEN!"!#ON "ND REPOR!REPOR! "ND !"$% VEN !O P"REN!$'&"RD#"N$ "ND PP#( DR#N& !)E V#$#!: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________*REPOR! O+ +O((O, - P V#$#! +OR !)E !"$% VEN !O P"REN!$'&"RD#"N$ "ND PP#(:.,as it accomplished or not/ )o0/ and ,h1/2_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________*$ignature of Parents'&uardians:___________________________________________________________________$#&N"!RE OVER PR#N!ED N"ME$#&N"!RE OVER PR#N!ED N"ME


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