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Department of Education: Republic of The Philippines

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Republic of the Philippines

Department of Education
REGION IV-A
DIVISION OF CAVITE PROVINCE
BULIHAN INTEGRATED NATIONAL HIGH SCHOOL

PARENT-TEACHER CONFERENCE FORM


SENIOR HIGH SCHOOL
S.Y. 2021-2022

Date (Petsa): ________________________________________ Time (Oras): __________________


Student’s Name: _____________________________________Grade & Section: ________________
Parent’s/Guardian’s Name: ____________________________________________
If guardian, please indicate the relationship (Kung tagapamatnubay, pakilagay ang relasyon): _______
Teacher’s Name: _______________________________ Subject Handled: ____________________
Concern: Please check  Academic  Behavior Extra-Curricular
Description:

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________

Action taken or to be taken:

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

___________________________ ____________________

Parent’s/Guardian’s Signature Student’s Signature

Prepared by:
Subject Teacher

Checked by: Noted:

_______________________________ _____________________________

MARIA JASMIN P. LAYUGAN JOHN PAUL T. SOLON


Guidance Counselor, SHS SHS Coordinator

Approved by: _____________________________________

CRISTINA M. AUSTRIA, Ed.D.


Principal IV

Barangay Bulihan, Silang, Cavite


(046) 890-0133

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