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Republic of the Philippines

Department of Education
Region 02
Schools Division of Cagayan
GAMMAD NATIONAL HIGH SCHOOL
Gammad, Iguig, Cagayan
Email Adress: gammadnhs306001@yahoo.com

PARENTAL CONSENT

This is to signify our willingness to allow our son/daughter _________________________, Senior High
School Grade 12- student of Gammad National High School to undergo Work Immersion At JUA
Electrical Services and Supplies in Pallua Sur, Tuguegarao City, Cagayan on __________2023.

We also understand that this immersion will give my son/daughter the chance and opportunity to gain more
knowledge in the field of his/her chosen track as part of his/her educational growth.

Considered with the understanding that due care and precautions will be observed to ensure the comfort and
safety of the Immersion Student and that the school and DepEd will not be held responsible for any
untoward incident that may occur/happen beyond their control.

___________________________ _____________________________
Student’s Signature Over Printed Name Parent/Guardian’s Signature over Printed NaMe

JOHN FRANCIS T. APATTAD ELMARIE T. MABANSAY


Immersion Teacher SHS Coordinator

ABELARDO M. VERZON JR.


Secondary School Principal I

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