Batac Junior College, Inc.

City of Batac, Ilocos Norte

Dear Subjects:

Warmest Greetings!

We, the Grade-12 Sampaguita students of Batac Junior College Inc. are currently conducting a
research titled, THE IMPACT OF ENERGY-COST INFLATION TO THE EXPENSES OF
SELECTED SMALL BUSINESS ESTABLISHMENTS IN THE CITY OF BATAC and we
are asking for your permission to be one of our subjects in our study. Your identity will remain
confidential. Even after the research will be completed. The results of the questionnaire will be
disposed 15 days after the submission of the final paper. This is to maintain your anonymity as
subject.

Affixing your signature below will mean that you agree to be our subject and agree that the
different information that you will be putting in the interview will be used for research paper
only.

Thank you and God bless!

Respectfully yours,

ALCANTARA, MA. KATHLEEN DIANE A. MAMUAD, SAMANTHA D.

PAGALING, JERICHO C. VALEROS, ZSARENE VRITNEE R.

____________________
Respondent