The DepEd Tambayan document is a home visit form used by teachers and guidance counselors. It collects a student's personal information like name, address, birthday, parents' names and contact numbers. The form is used to note the reason for a home visit, any remarks or agreements from the visit, and requires signatures from the student's parent and the student. It is approved by the school principal.

1. DEPED TAMBAYAN DOCUMENT
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office of _____________
DEPED TAMBAYAN NATIONAL HIGH SCHOOL
https://www.depedtambayanph.net
HOME VISIT FORM
Name of Student___________________________ LRN __________________ Grade/Section __________________
Address ____________________________________Birthday________________Gender___________ Age _______
Name of Father________________________________ Contact Number ___________________________________
Name of Mother ______________________________ Contact Number ___________________________________
REASON FOR HOME VISITATION:
___________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________.
REMARKS/AGREEMENT:
__________________________________________________________________________________________________
_________________________.
_________________________________ ________________________________
PARENT’S SIGNATURE OVER PRINTED NAME STUDENT’S SIGNATURE OVER PRINTED NAME
Noted by:
_________________________
Guidance Counselor
Prepared by:
_____________________
Adviser
APPROVED:
_______________________
School Principal