Republic of the Philippines

Department Of Education
Region 02
Division of Quirino
Diffun District 01
BANNAWAG INTEGRATED SCHOOL

CERTIFICATE OF APPEARANCE
(Home Visitation)

This is to certify that _______________________________________, conducted a home visit

to________________________________________________ at _____________________________
On _______________________ to extend further the guidance to the pupils and students and to
address their problems which affects their studies.
This is to certify further that the following agreements were made during the visitation.

________________________________________________________________________________

Testified by:

________________________________________ ____________________________________
Name of Pupil/ Students Name of Parent/ Guardian

__________________________________________ ____________________________________
Signature of Parent/ Guardian Signature of Parent/ Guardian

Noted By:

ERLITO B. MADRIAGA, Ph.D.

PRINCIPAL I