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Republic of the Philippines

Cordillera Administrative Region


Province of Apayao
Flora District

BARANGAY ANNINPAN

PARENTAL CONSENT
I/We hereby willingly and voluntarily give consent of my/our son/daughter _____Kit Lara____ to
get LTO Student License.
I have considered the benefits that my son will derived from his/her ability in getting LTO
Student License that due to care and precaution will be observed to ensure the comfort and safety of
my son/daughter and that LTO employees may not held responsible for any untoward incident that may
happen beyond their control.

________________________ _______________________
Reynaldo C. Lara Edna B. Lara
Name of Father Name of Mother

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