J.H.

CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”

J.H. CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
 J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”

J.H. CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
 J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”

J.H. CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
 J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”

J.H. CERILLES STATE COLLEGE

Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________

LETTER OF CONSENT

I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.

I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.

Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”