JOYLAND SCHOOL, INC.

#94 Sison St., Poblacion, San Fabian, Pangasinan

Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Jeremiah R. Ferrer graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO WILLIE D. FERRER
School Guidance Facilitator/ Father
SHS Focal Person
SONIA R. FERRER
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Justin C. Ordiz graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO CELESTINO ORDIZ
School Guidance Facilitator/ Father
SHS Focal Person
FILIPINA ORDIZ
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Aaron F. Calalang graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO EDDIE F. CALALANG
School Guidance Facilitator/ Father
SHS Focal Person
VIRGINIA F. CALALANG
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Justin J. Guilledo graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO JUDY G. GUILLEDO
School Guidance Facilitator/ Father
SHS Focal Person
SALLY J. GUILLEDO
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Romualdo King G. Serrano graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO RODEL B. SERRANO
School Guidance Facilitator/ Father
SHS Focal Person
MARILOU G. SERRANO
Mother
Cellphone #: 09995767539
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Bernard Vincent S. Mejia graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO BERNARD B. MEJIA
School Guidance Facilitator/ Father
SHS Focal Person
EVELYN D. SPENCER
Mother
Cellphone #: 09984311556
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Christian King R. Criste graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO FRED CRISTE
School Guidance Facilitator/ Father
SHS Focal Person
EVANGELINE CRISTE
Mother
Cellphone #: 09055242536
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Shaq Kobe Q. Federizo graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO RUVILITO Q. FEDERIZO
School Guidance Facilitator/ Father
SHS Focal Person
GLECY Q. FEDERIZO
Mother
Cellphone #: 09274956365
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Justin Niko F. Umangay graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO ARIS UMANGAY
School Guidance Facilitator/ Father
SHS Focal Person
ERMA UMANGAY
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Justine Mark G. Garcia graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO NOEL P. GARCIA
School Guidance Facilitator/ Father
SHS Focal Person
MARITES G. GARCIA
Mother
Cellphone #: 09106230438
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Liniel C. Ymasa graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Daniel N. Ymasa
School Guidance Facilitator/ Father
SHS Focal Person
Lilia C. Ymasa
Mother
Cellphone #: 09060230646
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Lienne Louise A. Juguilon graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Micheal S. Juguilon
School Guidance Facilitator/ Father
SHS Focal Person
Evangeline A. Juguilon
Mother
Cellphone #: 09504090041
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Evangeline T. Lanute graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Ramilo Lanute
School Guidance Facilitator/ Father
SHS Focal Person
Gloria Lanute
Mother
Cellphone #: 09232336396
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Pia C. Garcia graduating Senior High Student will undergo Work
Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a requirement
for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Pacifico A. Garcia Jr.
School Guidance Facilitator/ Father
SHS Focal Person
Wilma C. Garcia
Mother
Cellphone #: 09466405972
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Kathleen Cheska S. Estonilo graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Claudio L. Estonilo Jr.
School Guidance Facilitator/ Father
SHS Focal Person
Catherine S. Estonilo
Mother
Cellphone #: 09108986991
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Lydan Holt A. Dulay Senior High Student will undergo Work
Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a requirement
for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Adolfo D. Dulay
School Guidance Facilitator/ Father
SHS Focal Person
Ana A. Dulay
Mother
Cellphone #: 09465023909
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Chiaki C. Hanashi graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO David Lane
School Guidance Facilitator/ Father
SHS Focal Person
Beatrice C. Lane
Mother
Cellphone #: 09284084216
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Ezel D. Marcial graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Bruce D. Marcial
School Guidance Facilitator/ Father
SHS Focal Person
Edelita D. Marcial
Mother
Cellphone #: 09568228366
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Hannika C. Sagun graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Jaime D. Sagun
School Guidance Facilitator/ Father
SHS Focal Person
Gemma C. Sagun
Mother
Cellphone #: 09203568881
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Ericka Vhi N. Ramos graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Roderick M. Ramos
School Guidance Facilitator/ Father
SHS Focal Person
Gloria N. Ramos
Mother
Cellphone #: 09294682201
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Sandeep Humpal graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Kulwider Kaur
School Guidance Facilitator/ Father
SHS Focal Person
Gain Chand Humpal
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Eluama Jane G. Catungal graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Ferdinand L. Catungal
School Guidance Facilitator/ Father
SHS Focal Person
Reycel G. Catungal
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Allyssa Mae L. Ducusin graduating Senior High Student will
undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Manuel S. Ducusin
School Guidance Facilitator/ Father
SHS Focal Person
Elsie L. Ducusin
Mother
Cellphone #: 09187778677
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Elisa N. Patnon graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Maldwin F. Patnon
School Guidance Facilitator/ Father
SHS Focal Person
Elvira N. Patnon
Mother
Cellphone #: 09389475738
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Jellor Christine B. Castronuevo graduating Senior High Student
will undergo Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum
and a requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Rodney Mendoza
School Guidance Facilitator/ Father
SHS Focal Person
Lorraine Castronuevo
Mother
Cellphone #:09055643495
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Jeremiah R. Ferrer graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Willie D. Ferrer
School Guidance Facilitator/ Father
SHS Focal Person
Sonia R. Ferrer
Mother
Cellphone #:
 JOYLAND SCHOOL, INC.
#94 Sison St., Poblacion, San Fabian, Pangasinan
Tel. # (075) 649 – 3137

WAIVER
November 4, 2019
Dear Parents,
Greetings of Peace!
Please be informed that your son/daughter Roselyn E. Marcial graduating Senior High Student will undergo
Work Immersion as stated under DepEd Order No. 30, s. 2017 as part of their Basic K-12 Curriculum and a
requirement for graduation.
In connection with this, they will be deployed to different agencies both government and non-government
offices for them to undergo said immersion for a total of 80 hours for the Second Semester.
Rest assured that the assigned SHS Focal Person should take all necessary precautions for our students’
safety while on their site at work immersion.

Very truly yours,

JOSEFINA S. BALTAZAR
TIC-High School Department
Noted by:
REBECCA KATHLEEN S. VIDAL, Ed.D.
School Director

PARENT’S PERMIT/CONSENT
Yes, I allow my son/daughter _______________ to undergo Work Immersion from
_________________ to _______________, at ____________________________________________________.

Received by: Signed:

SUNSHINE M. GUERRERO Roberto C. Marcial
School Guidance Facilitator/ Father
SHS Focal Person
Corazon E. Marcial
Mother
Cellphone #: 09338633471