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BATITANG NATIONAL HIGH SCHOOL

BATITANG, ZARAGOZA, NUEVA ECIJA

PARENTAL CONCENT

I/We hereby willingly and voluntarily give the consent the participation of my/our
son/daughter in the Senior High School Immersion
Program of GRADE 12 TVL learners for the Second Semester S.Y. 2022-2023.

I have considered the benefits that my son/daughter will develop from his/her
participation in this activity provided that due care and precaution will be observed to ensure the
comfort and safety of my son/daughter and that school personnel and the industry partner may
not be held responsible for any untoward accident that may happen beyond their control.

Guardian Relationship with the student


(Signature over printed name)

Conform to:

BEVERLYN P. BENDIOLA NATIVIDAD B. AGATON


Work Immersion Teacher SHS Focal Person
(Signature over printed name) (Signature over printed name)

EDGARDO G. RAMISCAL JR.


School Principal II

Address: Purok 3, Batitang, Zaragoza, Nueva Ecija


Tel. No.: (044) 803-7472 – JHS /(044) 803-7476 – SHS
Email Address: batitangnhs.zaragoza@gmail.com

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