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CONTROL NO.: ______ CONTROL NO.

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ERLIVIC Z. BAJADE SEGUNDINA C. RAMOS ERLIVIC Z. BAJADE SEGUNDINA C. RAMOS


LAP Coordinator PRINCIPAL IV LAP Coordinator PRINCIPAL IV

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CONTROL NO.: ______ CONTROL NO.: ______

NAME OF NAME OF PARENT/GUARDIAN:


PARENT/GUARDIAN: NAME OF STUDENT:
NAME OF STUDENT: GRADE & SECTION:
PASTE PAST E
GRADE & SECTION: ID ID
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ADVISER: CONTACT NO. OF ADVISER:
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ERLIVIC Z. BAJADE SEGUNDINA C. RAMOS ERLIVIC Z. BAJADE SEGUNDINA C. RAMOS
LAP Coordinator PRINCIPAL IV LAP Coordinator PRINCIPAL IV

PRESENT THIS TO THE PREFECTS OF DISCIPLINE AT THE GATE TOGETHER WITH YOUR QR PRESENT THIS TO THE PREFECTS OF DISCIPLINE AT THE GATE TOGETHER WITH YOUR QR
CODE WHEN CLAIMING YOUR STUDENT'S MODULES. CODE WHEN CLAIMING YOUR STUDENT'S MODULES.

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