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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV - A CALABARZON
DIVISION OF LAGUNA
District of Victoria
DANIW ELEMENTARY SCHOOL
SY. 2020 – 2021

ACKNOWLEDGEMENT RECEIPT OF RECEIVING


A TABLET OF DANIW ELEMENTARY SCHOOL PUPILS TO THE
MUNICIPALITY OF VICTORIA

By signing below, I acknowledge that I have received the Tablet which our
Municipality has given to us through the supervision of Daniw Elementary
School and District Office staff.

___________________________
Pupil Name

______________________________ _______________________
Parent Name and Signature Date Received

______________________________ _______________________
Witness Name and Signature Date

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