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    Telet Tolentino
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    56 views1 page

    Kapahintulutan Deworming

    Uploaded by

    Telet Tolentino
    letter format

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines

    Department of Education Republic of the Philippines


    Division of QUEZON Department of Education
    East-District Division of QUEZON
    Candelaria, Quezon East-District
    Candelaria, Quezon
    KAPAHINTULUTAN PARA SA PAGPUPURGA
    KAPAHINTULUTAN PARA SA PAGPUPURGA
    Pangalan: _________________________________
    Baitang - Pangkat:___________________________ Pangalan: _________________________________
    Guro:_____________________________________ Baitang - Pangkat:___________________________
    Paaralan:__________________________________ Guro:_____________________________________
    4Ps Recipient: Oo _____ Hindi _____________ Paaralan:__________________________________
    ____________ 4Ps Recipient: Oo _____ Hindi _____________
    Petsa ____________
    Petsa
    Pinahihintulutan ko ang aking _____________
    na painumin ng pampurga sa bulate. Pinahihintulutan ko ang aking _____________
    na painumin ng pampurga sa bulate.
    ________________
    Lagda ng magulang ________________
    Lagda ng magulang
    Petsa ng huling pagpurga:_____________________
    Sino ang nagpurga? _________________________ Petsa ng huling pagpurga:_____________________
    (school nurse, RHU staff, private doctor, others) Sino ang nagpurga? _________________________
    -------------------------------------------------------------------- (school nurse, RHU staff, private doctor, others)
    ----------------------------------------------------------------------
    Republic of the Philippines
    Department of Education Republic of the Philippines
    Division of QUEZON Department of Education
    East-District Division of QUEZON
    Candelaria, Quezon East-District
    KAPAHINTULUTAN PARA SA PAGPUPURGA Candelaria, Quezon
    KAPAHINTULUTAN PARA SA PAGPUPURGA
    Pangalan: _________________________________
    Baitang - Pangkat:___________________________ Pangalan: _________________________________
    Guro:_____________________________________ Baitang - Pangkat:___________________________
    Paaralan:__________________________________ Guro:_____________________________________
    4Ps Recipient: Oo _____ Hindi _____________ Paaralan:__________________________________
    ____________ 4Ps Recipient: Oo _____ Hindi _____________
    Petsa ____________
    Pinahihintulutan ko ang aking _____________ Petsa
    na painumin ng pampurga sa bulate. Pinahihintulutan ko ang aking _____________
    na painumin ng pampurga sa bulate.
    ________________
    Lagda ng magulang ________________
    Lagda ng magulang
    Petsa ng huling pagpurga:_____________________
    Sino ang nagpurga? _________________________ Petsa ng huling pagpurga:_____________________
    (school nurse, RHU staff, private doctor, others) Sino ang nagpurga? _________________________
    ----------------------------------------------------------------- (school nurse, RHU staff, private doctor, others
    ----------------------------------------------------------------
    Republic of the Philippines
    Department of Education Republic of the Philippines
    Division of QUEZON Department of Education
    East-District Division of QUEZON
    Candelaria, Quezon East-District
    KAPAHINTULUTAN PARA SA PAGPUPURGA Candelaria, Quezon

    Pangalan: _________________________________ KAPAHINTULUTAN PARA SA PAGPUPURGA


    Baitang - Pangkat:___________________________
    Guro:_____________________________________ Pangalan: _________________________________
    Paaralan:__________________________________ Baitang - Pangkat:___________________________
    4Ps Recipient: Oo _____ Hindi _____________ Guro:_____________________________________
    ____________ Paaralan:__________________________________
    Petsa 4Ps Recipient: Oo _____ Hindi _____________
    ____________
    Pinahihintulutan ko ang aking _____________ Petsa
    na painumin ng pampurga sa bulate.
    Pinahihintulutan ko ang aking _____________
    ________________ na painumin ng pampurga sa bulate.
    Lagda ng magulang
    ________________
    Petsa ng huling pagpurga:_____________________ Lagda ng magulang
    Sino ang nagpurga? _________________________
    (school nurse, RHU staff, private doctor, others) Petsa ng huling pagpurga:_____________________
    Sino ang nagpurga? _________________________
    (school nurse, RHU staff, private doctor, others)

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