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Miftahus Salam Integrated Academy

Hadja Fatima St. Barangay Lomidong, MSU, Marawi City

January 24, 2023

STUDENT WAIVER

___________________________
Parent/Guardian

Dear Ma'am/Sir;

A pleasant day dear parent/guardian, please do allow Mr./Ms.


____________________________________ to have their practice and do their assigned task for
the upcoming "English, Science and Math Fun Fair 2023" Today (January 24, 2023) they will be
accompanied by thier respected adviser/teacher, rest assured that your child's safety is our atmost
concerned.
______________________________________ __________________
ADVISER CONTACT No.

SW2023grade._____SW2023no._____

----------------------------------------------CUT HERE----------------------------------------------

MSI ACADEMY : STUDENT gate pass

NAME: _________________________________ DATE: _________


GRADE: ___________________ SECTION: ___________________

______________________________________ _____________________
PARENT's SIGNATURE PARENT's CONTACT No.

SW2023grade._____SW2023no._____

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