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Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
Division of Rizal
District of San Mateo I
AMPID NATIONAL HIGH SCHOOL
June 27, 2018
I(Parent/ Guardian’s name)____________________ allow my son/daughter_____________________
of____________________ to participate in Clean Up Drive in celebration of National Dengue Awareness Month on
Saturday, June 28, 2018 at Ampid National High School. This activity will take place under the guidance and direction of
teacher-in-charge/school.
_______________________
Parent/ Guardian’s Signature
_____________________
Date
Noted by:
_________________
______ Adviser
MILA N. RAMIREZ
Principal I
__________________________________________________________________________________________________
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
Division of Rizal
District of San Mateo I
AMPID NATIONAL HIGH SCHOOL
June 27, 2018
I (Parent/ Guardian’s name)____________________ allow my son/daughter_____________________
of____________________ to participate in Clean-up Drive in celebration of National Dengue Awareness Month on
Saturday, June 30, 2018 at Ampid National High School . This activity will take place under the guidance and direction of
teacher-in-charge/school.
_______________________
Parent/ Guardian’s Signature
________________
______ Adviser
_____________________
Date
Noted by:
MILA N. RAMIREZ
Principal I
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