Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
REHIYON XI
Sangay ng Timog Dabaw
DAVAO DEL SUR SCHOOL OF FISHERIES
Bagumbayan, Malalag, Davao del Sur
AGREEMENT FORM
Name of Student: _________________________________ Grade & Section: ___________________
Address: ___________________________________________________
Concern Problem:
_______________________________________________________________
_______________________________________________________________
Agreement:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Agreed upon:
________________________________ ______________________________
Signature over Printed Name of Parent/Guardian Signature over Printed Name of
Class Adviser
Date Signed: __________________________ Date Signed: __________________________
Witness:
LLOYD ALLAN B. SASUMAN JR.
Prefect of Discipline
Date: ____________________________
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
REHIYON XI
Sangay ng Timog Dabaw
DAVAO DEL SUR SCHOOL OF FISHERIES
Bagumbayan, Malalag, Davao del Sur
Date: __________________________
Mr./Ms./Mrs. ______________________________
______________________________
Ma’am/Sir:
Greetings!
With sincere concern over the welfare of your son/daughter
______________________________, we wish to inform you that he/she:
_____ has not reported to class since __________________________
_____ is irregular in attendance in _____________________________
_____ has failed in _________________________________________
_____ quarreled or made trouble in school
_____ is cutting classes frequently in __________________________
_____ often arrives late
_____ has shown disgraceful conduct
_____ other reason/s (specify)
___________________________________________________________________________
___________________________________________________________________________
It is earnestly requested that you come for a conference on _________________________
at _________________________________________________.
Your immediate attention on the matter is highly appreciated.
Respectfully,
_______________________________
Class Adviser
Remarks: ____________________________________________