Republic of the Philippines

Department of Education
Region IV – A (CALABARZON)
Schools Division of Cavite Province
TRECE MARTIRES CITY SENIOR HIGH SCHOOL
Gregorio, Trece Martires City

PARENT/GUARDIAN CONSENT FORM

___________________
Date

I, ________________________________________________________________________, the parent/legal guardian of

________________________________________________________________, hereby expressly state that I agree to
the following:

1. Allow my son/daughter to take the Grade 11 STEM Qualifying Examinations at Trece

Martires City Senior High on July 11, 2022; and
2. Give my permission for my child’s test answers to be used for analysis and
interpretation.

Thank you in advance for your continuous support to the institution and its endeavors.
Stay safe and God bless!

________________________________________________________ _________________________
Signature over Printed Name of Parent/Guardian Date Signed

_______________________________________________________________________
TRECE MARTIRES CITY SENIOR HIGH SCHOOL
Address: Gregorio, Trece Martires City, Cavite
Email: depedcavite.tmcshs@gmail.com
Mobile Number: 09173163773
“Delivering Excellence, Relevance, and Service on One Path, One Direction”