Republic of the Philippines

Department of Education
Region VI – Western Visayas
Schools Division of Iloilo City
RAMON AVANCENA NATIONAL HIGH SCHOOL

AGREEMENT FORM
Date:__________

Name of student: _________________________________________

Grade & Section: __________________________________________
Teacher Adviser: __________________________________________

I, ______________________________________________ promised to no longer incur

unnecessary absences. If I failed to do so, my teacher adviser has the right to decide whatever is
necessary for my enrollment status.
In addition to that, I _____________________________________ promised to comply all
the requirements that I have missed.

Student’s Printed Name & Signature Teacher’s Printed Name & Signature

Parent/Guardian’s Printed Name & Signature

Subject Teachers:
Name Signature Date
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