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To whom it may concern:

I grant my consent for my child Elisha DC. Maloloy-on to provide the necessary
information and documents needed to complete the Senior High School Voucher
Program application process.

ANNALIZA DC. MALOLOY-ON


Signature over printed name of the parent/guardian

Date signed: October 15, 2020

Additional information on the student-applicant:

1. Full name: Elisha DC. Maloloy-on


2. Age: 16 years old 3. Birthdate (mm/dd/yyyy) November 25,2003
4. Address: Lot 7 Blk 16 Lily St. Midtown Village, San Andres, Cainta, Rizal
5. Junior High School: Holy Angels Of St. Ritas Academy Inc.
6. Contact number of the parent/guardian: 09392250397

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