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H.E.A.R.T.’s Gift
Please fill-up
this form if you
are willing to
donate blood.
Thank You!
Sta. Catalina Bata National High School
Gymnasium
Kayang-kaya,
March 26, 2024
8:30a.m.
Basta Sama-sama!
Republic of the Philippines
Department of Education
REGION III-Central Luzon
SCHOOLS DIVISION OF BULACAN
STA. CATALINA BATA NATIONAL HIGH SCHOOL
Sta. Catalina Bata, San Ildefonso
No. Full Name Age Sex Designation Barangay Contact Number Signature
(Male/Female) (School Personnel, Brgy. Official, 4Ps, etc.)