Republic of the Philippines

Department of Education
Region IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS CITY

MEDICAL CERTIFICATE

This is to certify that ____________________________________, a student journalist

of _________________________________________________, ___________, Batangas City

(School) (District)
is physically fit to join the 2022 Division Schools Press Conference (SY 2021-2022) to be
held

on February 16-18, 2022.

This certification was issued for any legal purpose it may serve him/her best.

__________________________

Medical Officer/Barangay Nurse

Physical Examination
Date Examined: ________________

Height: ______________ Weight: ______________

Blood Pressure: ______mmHg Pulse Rate: ___ bpm Respiratory Rate: bpm

Other Remarks

___________________________________________________________________________
___________________________________________________________________________

Accelerate Learners Achievement with Excellence and Humility

Address: P. Herrera St., Batangas City

Telephone No. (043) 702-2094
Email: division.batangascity@deped.gov.ph
DEPEDBATC-SDO-F-002/R3/02-20-2020
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS CITY

PARENT’S CONSENT

February , 2022

Sir/Madam,

I am allowing my daughter/son ___________________________________, a student

journalist of ________________________________________, ____________, Batangas City

(School) (District)
to join the 2022 Division Schools Press Conference (SY 2021-2022) to be held online on

February 16-18, 2022.

_______________________________
Parent’s Signature over Printed Name

Accelerate Learners Achievement with Excellence and Humility

Address: P. Herrera St., Batangas City

Telephone No. (043) 702-2094
Email: division.batangascity@deped.gov.ph
DEPEDBATC-SDO-F-002/R3/02-20-2020