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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.
Sincerely,
___________Jocelyn E. Ti-ad________________
Signature over Printed Name of Parent/Guardian
__________Angelyn E. Ti-ad__________
Signature over Printed Name of Student