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No.

: _______

Parental Consent Form

BulSU COE Local Student Council, in partnership with COE Nexus


Name of Student Organization: __________________________________________________________

2024 College of Engineering Celebration - Ruweda


Name of Activity: ______________________________________________________________________

Nature of Activity: Co-Curricular Extra-Curricular

Face to Face Activity: Online Activity:

BulSU Main Campus Grounds


Venue: __________________________________ Online Platform: ______________________________
February 20, 21, and 22, 2024
Inclusive Dates: ______________________________________________________________________

I allow my son/daughter to attend the face-to-face activity.


I trust that the organizers of this activity will take due diligence to ensure the safety of my son/daughter
as a participant.

I do not allow my son/daughter to attend the activity.

Name of Student: Garcia, Regina Alessandra S.

Name of Parent/Guardian: Garcia, Rodina S.

Phone/Cell phone number: 09326322651

Address: 475 Sto. Cristo Pulilan, Bulacan

Signature: ________________ ________________ ________________

*Please attached a scanned copy of Identification Card (ID) of the


parent/guardian.

BulSU-OP-OSO-02F5 Page 1 of 1
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