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IPSF-Form I-B Republic of the Philippines SCIENCE EDUCATION INSTITUTE PTRI Bldg., Bicut n, T guig, !et"o !

nil APPLICATION FORM INDIVIDUAL PROJECT

INSTRUCTION#
Region# ((((((((( Ple se Chec)# *e+el#

This fo"$ $ust be cco$plished b% ll high school p"o&ect le de"s of te $ p"o&ects. Ple se T'PE o" PRINT cle "l%.
,- Di+ision ,- Region l , - N tion l

Cluste"# ,- . Science 0 i" Di+ision# ,- *ife Sciences

, - / , - Ph%sic l 1 Applied Sciences

0ield of Stud%2Discipline# ((((((((((((( 3Ple se "efe" to the identified disciplines in the IPS0 4uidelines5 .. N $e of P"oponent /. Pe"$ nent 6o$e Add"ess No. Dist"ict

Aill nue+ ,
Su"n $e

Angel *ee
0i"st N $e

Atos
!iddle N $e

St"eet Cit%2!unicip lit%

B.? Coods To@n, C gne" Ro d, !ilit "% Cut Off, B guio Cit%, Benguet
P"o+ince 9. Se8#0e$ le :. Bi"thd te# ! % /7, .>>=

7. Telephone20 8 No. 7?9D/<9/

;. School, Add"ess of School B guio Achie+e"sE Ac de$% Tel. No.20 8 No. of School =. Title of In+estig to"% P"o&ect

99/D/=:7

<. School 'e " *e+el

9th 'e " 6igh School

The Nut"iti+e A lue nd Accept bilit% of the R tt n 0"uit Nut"ib " f"o$ the Indigenous R tt n 0"uit

>. Att ch one cop% of cco$plished O00ICIA* ABSTRACT 0OR!# 3Not $o"e th n /:? @o"ds, one p ge onl%5
Angel *ee Atos Aill nue+

P"inted N $e 1 Sign tu"e of P"o&ect *e de" NOTED#

!". Aicto" A ldeF


P"inted N $e 1 Sign tu"e of P"o&ect Ad+ise"2Adult Sponso"

!S. *INDA C. ORDUGA


P"inted N $e 1 Sign tu"e of P"incip l o" 6e d of S1T Dep "t$ent D te Sub$itted

CERTIFICATION AS INDIVIDUAL PROJECT

Angel *ee Atos Aill nue+ T6IS IS TO CERTI0' th t the p"o&ect sub$itted b%((((((((((((((((((((((((((((((((((((((((((, 3P"o&ect P"oponent5 B guio Achie+e"sE Ac de$% of ((((((((((((((((((((((((((((((((((((((((((((((((((( s offici l ent"% to the /?./D/?.7 Intel 3School5
Philippine Science 0 i" (((((((((N tion l((((((((((((( @ s conducted2e8pe"i$ented b% the one 3.5 bo+e $entioned student. ((((((((((((((((((((((((((((((((((((((((( P"inted N $e 1 Sign tu"e of Ad+ise"2Adult Sponso" NOTED# (((((((((((((((((((((((((((((((( P"inted N $e 1 Sign tu"e of P"incip l o" 6e d of S1T Dep "t$ent

!". Aicto" A ldeF

!S. *INDA C. ORDUGA

D te Signed#

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