Revised as of September 26, 2019

Republic of the Philippines

DEPARTMENT OF ` EDUCATION
REGION VII, CENTRAL VISAYAS
(Region)
NEGROS ORIENTAL
(Division)
SAN JOSE PROVINCIAL HIGH SCHOOL
(School)
POBLACION SAN JOSE, NEGROS ORIENTAL
(School Address)

CERTIFICATION

This is to certify that ____________________________________ is

a bonafide student of San Jose Provincial High School, school year 2022-
2023.
This is to CERTIFY further that the documents submitted such as
parent’s consent, Form 10, PSA , Medical certificate are true and correct.

This certification is issued this 16 th of February 2023 at San Jose

Provincial High School, Poblacion San Jose, Negros Oriental.

Prepared by:

_______________________
Class Adviser

Noted:
__________________
Curriculum Head

FOR PALARONG PAMBANSA ONLY