J.H.

CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur

Date: ________________

LETTER OF CONSENT

I,_______________________________________of____________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the INTRAMURALS 2019 at JHCSC-Dumingag Campus, Dumingag,
Zamboanga del Sur, on October 27- 30, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact No.

Date: _____________
Concurred:
____________________________
Student’s Name and Signature

“Quality Education for Service”

J.H. CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date: _____________

LETTER OF CONSENT

I,_______________________________________of____________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the INTRAMURALS 2019 at JHCSC-Dumingag Campus, Dumingag,
Zamboanga del Sur, on October 27- 30, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact No.

Date :_____________
Concurred:
____________________________
Student’s Name and Signature

“Quality Education for Service”

J.H. CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur

Date:________________

LETTER OF CONSENT

I,_______________________________________of____________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the INTRAMURALS 2019 at JHCSC-Dumingag Campus, Dumingag,
Zamboanga del Sur, on October 27- 30, 2019
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”