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Republic of the Philippines

Department of Education
Region VII (Central Visayas )
Division of Bais City
Bais City North District
Cansanag Elementary School
Cansanag, Panalaan, Bais City

Anecdotal Record
Form No. 1

Name of Pupil: GARSO,RACHEL PALAGTIW LRN: 120075130034

DATE PLACE OBSERVER REPORT


NAME & SIGNATURE

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