Anecdotal Record 1

Department Of Education
Region I
Schools Division Office I Pangasinan
CATURAY ELEMENTARY SCHOOL
Bayambang II Cluster
Bayambang, Pangasinan
SOCIO/ ACADEMIC/ ANECDOTAL RECORD
Name: ___________________________________ Residence: _________________________________ Birthdate________________

Father: ________________________________________ Mother: ___________________________________________
No. of Children in the Family:________ Boy: __ Girl: ____ Living with Parents: Yes: ___No: ____
State if both parents are living:_______ Yes: ____ No: ____ If no, pls. specify: _______________
Parents Monthly Income: Php______________ Economic Status: Very Poor ____ Poor ___ Average ____ High ____
I. Pre-Elementary Education
Entrance Age: Nursery: ____ Kinder: _____
II. Elementary Education

Graduate with Honors? Yes ____ No ____(Please check) If yes, specify _____________________
(to be filled after graduation)
A. Academic Profile
1. Reading
GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Non-Reader
Frustration
Instructional
Independent
Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent
(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)
2. Mathematics

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Addition
Subtraction
Multiplication
Division
Problem Solving
Legend: W- level of mastery is very poor X- some degree of mastery but needs more practice
Y- just enough mastery Z- manifest excellence
(Above code shall be entered for each of the curriculum year)
B. Oral Participation/Recitation

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Passive
Poor
Active
C. Any Academic honor obtained in: D. Special Talents/Skills/Winnings
Grade I __________________ I II III IV V VI

Grade II __________________ 1. Singing
Grade III __________________ 2. Dancing
Grade IV __________________ 3. Music Reading
Grade V __________________ 4. Drawing/Painting
Grade VI __________________ 5. Dramatics
6. Speaking
(Please Specify) a. Declamation
b. Oratorical
7. Athletics
8. Leadership
9. Others (Pls. Specify)
E. Cases of Significant Misdemeanor/s
__________ _____________________ _____________________ _____________________

__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.
MYRNA F. ABALOS
Adviser __________________ _____________________ ____________ ____________ ____________ ____________
_ _ _ _
LAILA G. ALONZO
Principa ____________________ ______________________ ____________ ____________ ____________ ____________
_ _
l _ _ _ _
Region I
ANECDOTAL
RECORDS
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
TEST
RESULTS
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
HOME
VISITATION
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
COMPILATION
OF SONGS
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
COMPILATION
OF POEMS
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
COMPILATION
OF LOCAL
STORIES
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
NCBTS TSINA
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
TEST
QUESTIONS
DIAGNOSTIC TEST
SUMMATIVE TEST
PERIODICAL TEST
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
SF 2
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II
Region I
Table of
Specification
PREPARED BY:
MYRNA F. ABALOS
MT-II
NOTED BY:
LAILA G. ALONZO
PRINCIPAL II

Anecdotal Record 1

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Department Of Education

SOCIO/ ACADEMIC/ ANECDOTAL RECORD

Name: ___________________ Residence: _ Birthdate

II. Elementary Education

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

C. Any Academic honor obtained in: D. Special Talents/Skills/Winnings

Grade I __________________ I II III IV V VI

_ _ ___________

GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI

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