REPUBLIC OF THE PHILIPPINES

Department of Education
REGION IV A – CALABARZON
DIVISION OF CITY SCHOOLS
Santa Rosa City
CAINGIN ELEMENTARY SCHOOL

PARENTS’/GUARDIAN’S PASS

Name of Pupil:________________________________________ LRN: ________________________

Level and Section:_____________________________________ Adviser: ______________________
Address: ____________________________________________ Contact No. ___________________

Possible Fetcher

Name: __________________ __________________ __________________

Relationship: __________________ __________________ __________________
Signature: __________________ __________________ __________________

Mercedita C. Laserna
Principal