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coft
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ippi
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Depa
rtmentofEduc
ati
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NATI
ONALCAPITALREGI
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SCHOOL SDI
VISI
ONOFMAKATI
PEMBOELEMENTARYSCHOOL
Es
car
lat
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gy.Pembo,Mak
ati
Cit
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“
AnnexA”
CONSENTF
ORM

NameofPupi
l
/St
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: L
iahAr
yenV.Es
travi
l
la

Gr
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: Gr
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NameofPar
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/Guar
dian: AnnaMar
ieV.Es
travi
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la

Ih
erebygivemyc onsentt oPemboEl ement arySc hool andt h
edes ignat edt eachersof
mychi
ld/war dt o:
1.Conduc tonl i
neConduc tonli
nei nteractionthroughwh atevers oc ialmedia
plat
for mswi thmyc hil
d/wa rdf ora nydistancel earni
nga cti
vities .
2.Tok eepar ecor dofonl i
neinter a
c ti
onwi thmyc hil
d/wa rd,wh eneverr ecordi
ng
isma de.
3.Tot akes napsh ot s
/ima ges/videoswh ic
hma yinc l
udemyc hi
ld’s/ ward’simage
fordoc ument at iona ndot h
erl awf ulpurposes.
4.Topos tintheof fi
cialschools oci
a lmediapa ge/ webpa ge/pr i
va tesoc i
a l
media
group;t heima ge, name, ands ec t
ionofmyc hi
ld/ ward,aswel la sany
acknowl edgement /awa rdsth athe/ sheisent i
tled.
5.Ot hers imil
a rpr ocess i
ngofi nforma t
ionofmyc hil
d/wa r
df ora nya cti
viti
es
sanctionedbyDepED.

09/14/2021. ANNAMARI EV.ESTRAVI LL

A
_________________ _______________________
DateSigned Si
gnatur
eoverPr i
ntedName

PEMBOEL
EMENTARYSCHOOL
 (02)88821129 Excel
l
enc
eisourCul
tur
eandCommi
tmenti
s
1
36695@deped.
gov.
ph ourwayofl
if
e.
 Republ
i
coft
hePh
il
ippi
nes
Depa
rtmentofEduc
ati
on
NATI
ONALCAPITALREGI
ON
SCHOOL SDI
VISI
ONOFMAKATI
PEMBOELEMENTARYSCHOOL
Es
car
lat
aSt
.,Br
gy.Pembo,Mak
ati
Cit
y
“
AnnexB”
CONF
IDENTI
ALI
TYAGREEMENT

I
,ANNAMARI
EV.ESTRAVI
LLAi
sth
edul
yaut
hor
izedr
epr
esent
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veoft
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ofGRADE2(Sec
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eHRPTAObs
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soc
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Asobs
erver
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set
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debyt
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owi
ng:

1
.Is h a
llkeepa l
linformati
ondiscus
s edint h
es oci
almediagroupwi t
hut mos t
confi
dentia
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tya nds ha
llnotdivulgea nyinformati
ont oanyot herper son,
excepta nyperc ei
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tionPoli
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lytot h
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y.

2.Ishal
lnotta
kea nyi
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sofanyconvers
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whatevermateri
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3.Isha
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4.Tha
tIunder s
tandt
hatIc
anf
acec
ivi
lorc
rimi
nalc
har
gesi
fIvi
ol
atet
his
Agreement
.

Donet
hisSEPTEMBER1
4,2021(
dat
e)a
tPemboEl
ement
arySc
hool
,Ma
kat
iCi
ty.

ANNAMARI
EV.ESTRAVI
LLA
___________________________________
Signa
tureOverPri
ntedName

PEMBOEL
EMENTARYSCHOOL
 (02)88821129 Excel
l
enc
eisourCul
tur
eandCommi
tmenti
s
1
36695@deped.
gov.
ph ourwayofl
if
e.