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Tarlac State University

COLLEGE OF TEACHER EDUCATION


CENTER OF DEVELOPMENT
Lucinda Extension Campus, Tarlac City

Date:

PARENTAL CONSENT

This is to certify that the undersigned, guardian of Mr. Albert T. Borcenio, a student enrolled in the
Bachelor of Physical Education, Program of the College of Teacher Education, Tarlac State
University, Lucinda Campus, Tarlac City, hereby permit him to undergo Teaching Internship in Sto.
Cristo Integrated School, from February 22,2023 to May 12,2023 this 2nd semester of the academic
year 2022-2023

We shall not hold you and the cooperating school authorities liable for whatever accidents or
responsible for any untoward incident that may befall on him/her in the course of his/her field study
observation/ teaching internship activities.

Very Truly Yours,

Signature over printed Name of Guardian


Contact No.

Signature over printed Name of Guardian


Contact No.

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