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Ti-ad, Jocelyn E.

Zone 6, Santiago Young


Nabua, Camarines Sur, 4434

21st of August, 2023

To Whom It May Concern,

I, Jocelyn E. Ti-ad, the parent of Angelyn E. Ti-ad from BSN 1A with a student number
221000887, I am writing this letter to clarify that my daughter had chickenpox in
2008, and therefore, will decline the vaccination of varicella vaccine in accordance
with immunization guidelines for clinical exposure in the Bachelor of Science in
Nursing program offered at Camarines Sur Polytechnic Colleges.

Hoping for your kind consideration.

Sincerely,

___________Jocelyn E. Ti-ad________________
Signature over Printed Name of Parent/Guardian

__________Angelyn E. Ti-ad__________
Signature over Printed Name of Student

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