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ANNEX B: MANIFEST

All participants shall fill out this form completely before leaving the school premises and upon
return.

As necessary, this shall be completed in triplicate for School Administration, Faculty Member, and

Vehicle Driver’s copy.

Name of School: MONCADA SOUTH CENTRAL ELEMENTARY SCHOOL

Title of Activity: EDUCATIONAL FIELD TRIP

Destination/ Venue: ( indicate all ) FORT SANTIAGO, RIZAL EXECUTION GROUND, MANILA ZOO
SM MALL OF ASIA, STAR CITY
Vehicle Number: ______________________________________ No. of Learners:________________

Departure Date: MARCH 2, 2024 Return Date: MARCH 2, 2024

Departure Time: _________________ Return Time: _____________

Passenger’s Learner/Parent/ Contact Departure Return


Name Guardian/ Teacher/ Number/s ( sign ) ( sign )
Others
1. Althea Louise Ortega Marly Macalino 09159056555
2. Marly Macalino Parent 09159056555
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