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Draft Only Draft Only: Department of Education Lananpin National High School

This document is a home visitation form from Lananpin National High School in the Philippines. It certifies that a teacher visited the home of a student to discuss their child's home reading as part of a reading initiative project. The form collects the student's name and address, the name of their parent or guardian, and any remarks or agreements from the visit. Both the parent and student must sign to confirm the home visit took place.

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Bayaca Debbie
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175 views3 pages

Draft Only Draft Only: Department of Education Lananpin National High School

This document is a home visitation form from Lananpin National High School in the Philippines. It certifies that a teacher visited the home of a student to discuss their child's home reading as part of a reading initiative project. The form collects the student's name and address, the name of their parent or guardian, and any remarks or agreements from the visit. Both the parent and student must sign to confirm the home visit took place.

Uploaded by

Bayaca Debbie
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

Republic of the Philippines

Department of Education
Region I
LANANPIN NATIONAL HIGH SCHOOL
Draft
Urdaneta City Division
Urdaneta City, Pangasinan only

Proof of Home Visitation


(Katibayan ng Pagbisita)

Date (Petsa):
_______________________

This is to certify that ________________________________ visited the home of


(Ito ay katibayan na ang guro ay bumisita at nakipag-usap sa mga magulang ni)

________________________________ Grade _________, Section ____________

for the home reading as one of the reading initiative of Project WARRIOR on
(patungkol sa pagbabasa ng kanilang anak sa kanilang tahanan bilang isa sa mga
aktibidadis ng Project WARRIOR sa oras na.)

_____________________ from _______ - _______.


(date) time (oras)

_________________________________
(Parent’s Signature/Guardian above printed name.)

_________________________________
(Student’s signature above printed name)

_____________________________________
(Signature of teacher above printed name)

Noted:

ALEXANDER A. PATACSIL, D.A.,Ph.D


Principal IV
Republic of the Philippines
Department of Education
Region I
LANANPIN NATIONAL HIGH SCHOOL
Draft
Urdaneta City Division
Urdaneta City, Pangasinan only

Home Reading Visitation Form

Name of Student: __________________________________ LRN: ____________________

Address: _________________________________________________

Name of Parent/Guardian: _______________________________________________

Remarks/Agreement :
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________.

_________________________________ ___________________________
(Parent’s Signature over printed name) (Students signature over printed name)

Prepared by:

______________________________________
(Reading Teacher)

Noted:

ALEXANDER A. PATACSIL, D.A.,Ph.D


Principal IV

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