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Republic of the Philippines

Department of Education
REGION I
PANGASINAN SCHOOLS DIVISION OFFICE II
ALCALA, DISTRICT
BERSAMIN ELEMENTARY SCHOOL
ALCALA, PANGASINAN

PARENT’S CONSENT

I am allowing my son/daughter ________________________________, a bona fide


pupil of BERSAMIN ELEMENTARY SCHOOL to participate/view in the PASINE on JUNE 2, 2023
at SM CITY ROSALES @ 10 a.m.
We expect that his/her participation to this activity will benefit his/her well-being.
The participation of my son/daughter to this activity is VOLUNTARY.

_____________________________________
Parent’s Signature

Republic of the Philippines


Department of Education
REGION I
PANGASINAN SCHOOLS DIVISION OFFICE II
ALCALA, DISTRICT
BERSAMIN ELEMENTARY SCHOOL
ALCALA, PANGASINAN

PARENT’S CONSENT

I am allowing my son/daughter ________________________________, a bona fide


pupil of BERSAMIN ELEMENTARY SCHOOL to participate/view in the PASINE on JUNE 2, 2023
at SM CITY ROSALES @ 10 a.m.
We expect that his/her participation to this activity will benefit his/her well-being.
The participation of my son/daughter to this activity is VOLUNTARY.

_____________________________________
Parent’s Signature

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