Republic of the Philippines

Department of Education
Region XII
Division of South Cotabato
COLONGULO NATIONAL HIGH SCHOOL
Colongulo, Surallah, South Cotabato

AGREEMENT
I __________________________, a Grade __________ student of Colongulo National High School for __________
with the following concerns:
1. _______________________ 3. _____________________
2. _______________________ 4. _____________________
That I would agree to the following conditions stated hereunder that starting ________________________________
That I have committed a major offense and this is my (1st, 2nd, final/last) warning.

Agreement:
1. ________________________________________________________________________________________
2. ________________________________________________________________________________________
3. ________________________________________________________________________________________

Conforme: ______________________________ _______________________________

Parent’s name and signature Student’s name and signature
Contact No. _________________________
Witness: ___________________ NESTOR B. JEREOS AURORA F. DERLA
Class Adviser Prefect of Discipline Guidance Counselor

SALLY L. ALCANTARA
Head Teacher I
-----------------------------------------------------------------------------------------------------------------------------------------------------------
Republic of the Philippines
Department of Education
Region XII
Division of South Cotabato
COLONGULO NATIONAL HIGH SCHOOL
Colongulo, Surallah, South Cotabato

AGREEMENT
I __________________________, a Grade __________ student of Colongulo National High School for __________
with the following concerns:
3. _______________________ 3. _____________________
4. _______________________ 4. _____________________
That I would agree to the following conditions stated hereunder that starting ________________________________
That I have committed a major offense and this is my (1 st, 2nd, final/last) warning.

Agreement:
4. ________________________________________________________________________________________
5. ________________________________________________________________________________________
6. ________________________________________________________________________________________

Conforme: ______________________________ _______________________________

Parent’s name and signature Student’s name and signature
Contact No. _________________________
Witness: ___________________ NESTOR B. JEREOS AURORA F. DERLA
Class Adviser Prefect of Discipline Guidance Counselor

SALLY L. ALCANTARA
Head Teacher I