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Birthday:

License No.:
SSS No.:
Philhealth No.:
Pag-ibig No.:
Tin:
Name of Contact Person
Address of Contact Person
Contact Number
Signature of Employee

In case of emergency, please notify

Name of Contact Person


Address of Contact Person
Contact Number

This is to certify that the person whose name,


2020-000 photo and signature appear hereon is an employee
of SAINT JOSEPH SCHOOL
Employee Number

School Director

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