FORMAL CHARGE

Date:___________________
To: _____________________________________
Re:_________________________________________________________________________
After a cautious and comprehensive fact-finding investigation conducted by the discipline
coordinator and a thorough review by the discipline committee of the available evidence and
pertinent records, a prima facie case against you for
____________________________________ has been established.
You are hereby charged as follows:
That on _________________, you, being a Grade_______ student of _________________
committed the following act/s, In violation of the Code of Discipline of E Barretto Sr Elementary
School Student Handbook:
a. ____________________________________________________
b. ____________________________________________________
c. ____________________________________________________
d. ____________________________________________________
e. ____________________________________________________
The following pieces of evidence were considered in finding a Prima Facie case against you:
a. ____________________________________________________
b. ____________________________________________________
c. ____________________________________________________
d. ____________________________________________________
e. ____________________________________________________
In this regard, you are hereby instructed to submit a written explanation, answering the
accusations against you, complete with your own documentary, testimonial, and other evidence
to support your explanation.
This should be submitted on ___________________________. Failure on your part to submit
the written explanation shall be construed as a waiver of your right to be heard and defend
yourself, and the case shall be decided based on the available evidence.
A formal meeting will be conducted on _____________________, at ______a.m/p.m.., to give
you a chance to be heard and to meet your accuser face-to-face. You are likewise appraised of
your right to seek the support/ assistance of your parents/ legal guardian.
So Ordered.
Signed on this _____ day of ___________________at Calamba City .
Discipline Committee:
__________________________ _____________________________
Teacher Counselor/Member Class Adviser/ Member
_________________________ _____________________________
PTA President/Member SELG President/ Member
CARMINA S TAIP

Principal III/Chairperson

Address: Brgy. Pansol, Calamba City, Laguna

Telephone No: (049) 521-8972
Email: 109815@deped.gov.ph