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Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

CERTIFICATE OF ACCEPTANCE

The DONEE, for and in behalf of the School, hereby accepts and acknowledges the donation from
the _____________________________________________________________.
For and in behalf of the school, the DONEE expresses his most sincere appreciation for the
benevolence shown by the DONOR.

Details of the Donation


________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________

In witness whereof, the DONEE has set his hands this _______________________ (date) in
____________________________ (place).

ALETH G. LUCERO, EdD


DONEE(PRINCIPAL)

CAMILING WEST CENTRAL ELEMENTARY SCHOOL


NAME OF SCHOOL/ ADDRESS

SIGNED IN THE PRESENCE OF:

_____________________________ _____________________________
(Signature over Printed Name)

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

DEED OF DONATION

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Donation made and executed by the ___________________________


(donating organization/ entity) herein represented by its _______________________ (title of the
representative) _____________________________________(name of the representative),with office address at
______________________________________, hereinafter called the DONOR
- in favor of -
The CAMILING WEST CENTRAL ELEMENTARY SCHOOL- 106360 herein represented by its School
Principal, ALETH G. LUCERO, EdD with office address at PALIMBO CAAROSIPAN, CAMILING, TARLAC
hereinafter called the DONEE.

WITNESSETH
That for and in consideration of a desire to contribute a share for the cause of the education of Filipino
learners through the Adopt-a-School Program of the Department of Education, the DONOR has freely and voluntarily
given, transferred, and conveyed by way of donation to the DONEE, its successors and assigns free and clear of any
and all liens and encumbrances whatsoever all its rights, interests and title on:
________________________________________________(description of donation or project title).

Details of the Donation Amount Schools & Addresses


____________________ _____________________
________________________________
____________________ _____________________
________________________________
____________________ _____________________ ________________________________
____________________ _____________________ ________________________________

with a total amount of Php ___________________________________________________.

IN WITNESS WHEREOF, the DONOR has hereto subscribed herself/himself this __ day of
________________, 2021
________________________________
DONOR

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
____________________________ ) ss.

BEFORE ME this ________________, personally appeared to me with


____________________________CTC# _______________ Issued on/at ________________________________
____________________________CTC# _______________ Issued on/at ________________________________

Known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledged to me that the same is
free and voluntary act and deed, including that of the entities that they represent.

This instrument refers to a Deed of Donation that consists of 1 page, including this whereon this acknowledgement is written, and which is
signed by the parties concerned on each and every page thereof.

WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.

NOTARY PUBLIC
Doc. No. ________

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

Page No.________
Book No.________
Series of ________
MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Memorandum of Agreement (MOA) executed by and between:

Camiling West Central Elementary School - 106360, a public elementary school under the
Division of Tarlac Province, with principal office at Romulo Highway, Brgy. Palimbo Caarosipan,
Camiling, Tarlac, represented herein by its SCHOOL PRINCIPAL, DR. ALETH G. LUCERO,
hereinafter referred to as “School.”

-and-

The Barangay Council of Barangay Palimbo Caarosipan, Camiling, Tarlac, represented by its
Barangay Captain, RENATO S. DE MAYO, hereinafter referred as the place where the school is
located, and in partnership with the following Barangay Captain: ARTEMIO V. NAVARRO –
Sinulatan 2nd, MARLO G. ESCARLOS – Poblacion “D”, SAMUEL B. AGUSTIN – Poblacion “E”,
MARK B. CASTILLO – Poblacion “F”, LIGAYA B. ALEGADO – Poblacion “I”, and NOMER E.
JULIAN – Poblacion “J”, hereinafter referred to as the “Barangay LGU Partner”.

WITNESSED, that:
WHEREAS, School has the responsibility of securing resources/ partners to make our
public school competitive and is now calling on the Barangay LGU to serve as a major partner in
the nation’s development and in the improvement of the public education system,

WHEREAS, School believes that one way of achieving an enhanced learning environment
and addressing the dire shortage of resources in public schools is through the provision of
Manpower and Materials Resources.

WHEREAS, the Barangay LGU Partner as the smallest level of local government unit
engaged in assisting the schools for the betterment of the school and its learners.

WHEREAS, the Barangay LGU Partner, has joined to School the “School-Barangay
Brigada Eskwela Partnership”.

WHEREAS, the School and the Barangay LGU Partner will work together for the
activities and campaign intended to School Brigada Eskwela 2021, month of August and
September.

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

WHEREAS, IATF protocols will be strictly followed upon conducting the activities, to
secure the safety of all participants.
EFFECTIVITY OF AGREEMENT
This Memorandum of Agreement shall take effect upon signing hereto by the parties this 3 rd day
of August, 2021 at Barangay Palimbo Caarosipan, Camiling, Tarlac.

CAMILING WEST CENTRAL ELEMENTARY SCHOOL - 106360


By: Endorsed by:
ALETH G. LUCERO, EdD CATALINA N. CASTAŇEDA,PhD
ESP-III PSDS
BARANGAY LGU PARTNERS:

RENATO S. DE MAYO
Barangay Captain- Palimbo Caarosipan

ARTEMIO V. NAVARRO MARLO G. ESCARLOS


Barangay Captain- Sinulatan 2nd Barangay Captain- Poblacion “D”

SAMUEL B. AGUSTIN MARK B. CASTILLO


Barangay Captain- Poblacion “E” Barangay Captain- Poblacion “F”

LIGAYA B. ALEGADO NOMER E. JULIAN


Barangay Captain- Poblacion “I” Barangay Captain- Poblacion “J”

Signed in the presence of:

MILAGROSA E. ANTONIO AIMEE I. PAGARIGAN


GPTA President School Brigada Eskwela Coordinator

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES
___________________________________________) ss.
BEFORE ME this ___________________________, personally appeared:
__________________________________, Issued on/at _______________________
__________________________________, Issued on/at _______________________

Known to me and to me known to be the same persons who executed the foregoing instrument, and they
acknowledged to me that the same is their free and voluntary act and deed and that of the corporations herein they
represented. This Memorandum of Agreement consists of _____ pages including this page in which this acknowledgement is
written, signed by the parties in their instrumental witnesses each and every page thereof.

WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.
NOTARY PUBLIC

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

Doc. No. ________


Page No. _______
Book No. _______
Series of ________

CERTIFICATE OF ACCEPTANCE

The DONEE, for and in behalf of the School, hereby accepts and acknowledges the donation from
the _____________________________________________________________.
For and in behalf of the school, the DONEE expresses his most sincere appreciation for the
benevolence shown by the DONOR.

Details of the Donation


________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________

In witness whereof, the DONEE has set his hands this _______________________ (date) in
____________________________ (place).

ALETH G. LUCERO, EdD


DONEE(PRINCIPAL)

CAMILING WEST CENTRAL ELEMENTARY SCHOOL


NAME OF SCHOOL/ ADDRESS

SIGNED IN THE PRESENCE OF:

_____________________________ _____________________________
(Signature over Printed Name)

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

DEED OF DONATION

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Donation made and executed by the ___________________________


(donating organization/ entity) herein represented by its _______________________ (title of the
representative) _____________________________________(name of the representative),with office address at
______________________________________, hereinafter called the DONOR
- in favor of -
The CAMILING WEST CENTRAL ELEMENTARY SCHOOL- 106360 herein represented by its School
Principal, ALETH G. LUCERO, EdD with office address at PALIMBO CAAROSIPAN, CAMILING, TARLAC
hereinafter called the DONEE.

WITNESSETH
That for and in consideration of a desire to contribute a share for the cause of the education of Filipino
learners through the Adopt-a-School Program of the Department of Education, the DONOR has freely and voluntarily
given, transferred, and conveyed by way of donation to the DONEE, its successors and assigns free and clear of any
and all liens and encumbrances whatsoever all its rights, interests and title on:
________________________________________________(description of donation or project title).

Details of the Donation Amount Schools & Addresses


____________________ _____________________
________________________________
____________________ _____________________
________________________________

with a total amount of Php ___________________________________________________.

IN WITNESS WHEREOF, the DONOR has hereto subscribed herself/himself this __ day of
________________, 2021
________________________________
DONOR

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
____________________________ ) ss.

BEFORE ME this ________________, personally appeared to me with


____________________________CTC# _______________ Issued on/at ________________________________
____________________________CTC# _______________ Issued on/at ________________________________

Known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledged to me that the same is
free and voluntary act and deed, including that of the entities that they represent.

This instrument refers to a Deed of Donation that consists of 1 page, including this whereon this acknowledgement is written, and which is
signed by the parties concerned on each and every page thereof.

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF TARLAC PROVINCE
CAMILING WEST DISTRICT
CAMILING WEST CENTRAL ELEMENTARY SCHOOL
Camiling, Tarlac

WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.

NOTARY PUBLIC
Doc. No. ________
Page No.________
Book No.________
Series of ________

Address: Romulo Highway, Palimbo Caarosipan, Camiling, Tarlac


School ID: 106360
Telephone No.: (045) 628-2762
Email Addresses: 106360.camilingwestces@deped.gov.ph 106360@deped.gov.ph
Facebook: Camiling West Central Elementary School 106360

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