SIMIMBAAN INTEGRATED SCHOOL

Simimbaan, Roxas, Isabela

CONFORMITY ON SCHOOL’S GENERAL RULES, STUDENTS’ BEHAVIOR AND

DISCIPLINE AND SPG/SSG POLICIES

Grade Level & Section:_____________________________

School Year: ______________________________________

No
Name of Learner Signature Name of Parent/Guardian Signature
.
MALE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
FEMALE
1
2
3
4
5
6
Address: Simimbaan, Roxas, Isabela 3320
Email Address: simimbaanintegratedschool02@gmail.com
 7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Prepared by: Noted:

KATHEREENE MAE G. YACAS ISIDILO A. BARUT JR.

Adviser School Head

Address: Simimbaan, Roxas, Isabela 3320

Email Address: simimbaanintegratedschool02@gmail.com