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Republic of the Philippines

Department of Education
SCHOOLS DIVISION OF PANGASINAN II
CAPULAAN NATIONAL HIGH SCHOOL
Villasis, Pangasinan

EVENT: FOLKDANCE

NAME OF STUDENT SIGNATURE NAME OF COACH/ES SIGNATURE

PARTICIPANTS

CERTIFICATION

I hereby certify that the listed name of student participants to said event in the DAFOT Camp 2024 are
officially enrolled in this school, CAPULAAN NATIONAL HIGH SCHOOL School Year 2023-2024.

Listed participants had submitted the complete required documents to their coaches such as:

1. Parents permit
2. Medical Certificate
Coach/es or accompanying teacher secured Vehicle transport safety certificate (if vehicle is rented).

DELIA ANALYN M. AQUINO


SCHOOL HEAD

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