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  • Nikki Ferreras Parent Consent Form

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    This document is a parental consent form for a student's senior high school work immersion. It provides information about the student, Nikki R. Ferreras, who is 17 years old and in Grade 12 at San Isidro Integrated National High School. It lists the student's parent, Analiza Ferreras, and their contact details. The parent consents to the student participating in the required work immersion, traveling for it, and understands the relevant DepEd guidelines, while confirming the student has no medical conditions that would prevent participation.

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    This document is a parental consent form for a student's senior high school work immersion. It provides information about the student, Nikki R. Ferreras, who is 17 years old and in Grade 12 at San Isidro Integrated National High School. It lists the student's parent, Analiza Ferreras, and their contact details. The parent consents to the student participating in the required work immersion, traveling for it, and understands the relevant DepEd guidelines, while confirming the student has no medical conditions that would prevent participation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    7 views1 page

    Nikki Ferreras Parent Consent Form

    Uploaded by

    nikkiferreras121
    This document is a parental consent form for a student's senior high school work immersion. It provides information about the student, Nikki R. Ferreras, who is 17 years old and in Grade 12 at San Isidro Integrated National High School. It lists the student's parent, Analiza Ferreras, and their contact details. The parent consents to the student participating in the required work immersion, traveling for it, and understands the relevant DepEd guidelines, while confirming the student has no medical conditions that would prevent participation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Republic of the Philippines

    Department of Education
    REGION IV-A CALABARZON
    SCHOOLS DIVISION OF LIPA CITY
    SAN ISIDRO INTEGRATED NATIONAL HIGH SCHOOL
    SAN ISIDRO, LIPA CITY

    SENIOR HIGH SCHOOL WORK IMMERSION PARENTAL CONSENT FORM

    Instruction: Please fill all the necessary information and return to the Work
    Immersion Teacher.

    Name of Student:Nikki R. Ferreras Age:17


    Grade 12 Strand HUMSS Section:Rizal
    Name of Parent/ Guardian: Analiza Ferreras
    Relationship to the Student: Mother Mobile No.: 09813256412
    Complete Address: Blk 3 Lot 18 Sikatuna Street San Isidro Lipa City,Batangas

    Does your child suffer from any medical conditions/ allergies that the teacher/
    school should be aware of (including current medication)?
    〔 / 〕No 〔 〕Yes 〔 Please indicate 〕

    Please provide details of medication that must be administered and attached a


    medical certificate.

    CONSENT (Please read carefully)


    1. I willingly and voluntarily give consent to my son/ daughter to be sent for
    work immersion as part of requirement set by the Department of Education
    in the Senior High School.
    2. I confirm to the best of my knowledge that my son/ daughter does not suffer
    from any medical condition other than those listed above.
    3. I am fully aware of the content of DepEd Order 30 s.2017 (Guidelines for
    Work Immersion) and DM -CI-2020-00085 (Guidelines for Work Immersion
    Implementation During Crisis Situation).
    4. I am fully supporting the Work Immersion of my son/daughter through
    minimal financial cost and through my attendance / presence if so desired.
    5. I consent my son/ daughter travelling by any form of public and private
    transport by land if needed if it is within the scope of its activities and
    training.
    6. I have considered the benefits that my son/daughter will derive from
    his/her Work Immersion provided that due care and precaution will be
    observed to ensure the comfort and safety.

    Signed:

    ANALIZA FERRERAS
    Name of Parent/Guardian over Printed Name

    Address: San Isidro, Lipa City


    Telephone No.: (043) 702-1574
    Email Address: 301500@deped.gov.ph

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