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    permit for dewormimg

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    12 views1 page

    Permit

    Uploaded by

    Maria Cristina Belen Reyes
    permit for dewormimg

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines Republic of the Philippines

    DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION


    Region IV-A CALABARZON Region IV-A CALABARZON
    DIVISION OF SAN PABLO CITY DIVISION OF SAN PABLO CITY
    San Pablo City San Pablo City

    Paaralan: Sta. Maria Magdalena Es Paaralan: Sta. Maria Magdalena Es


    Antas:_______________________ Antas:_______________________
    Guro:_______________________ Guro:_______________________
    Pinapayagan kop o ang aking anak na Pinapayagan kop o ang aking anak na
    si________________________na mabigyn ng purge si________________________na mabigyn ng purge
    sa buwan ng Hulyo(Ist round) at Enero (2nd round) sa buwan ng Hulyo(Ist round) at Enero (2nd round)

    May allergy: Oo ( ) Wala ( ) May allergy: Oo ( ) Wala ( )


    Petsa kung kalian huling nabigyan ng Petsa kung kalian huling nabigyan ng
    purge____________________ purge____________________

    _______________ _______________
    Lagda ng Magulang Lagda ng Magulang

    Republic of the Philippines Republic of the Philippines


    DEPARTMENT OF EDUCATION DEPARTMENT OF EDUCATION
    Region IV-A CALABARZON Region IV-A CALABARZON
    DIVISION OF SAN PABLO CITY DIVISION OF SAN PABLO CITY
    San Pablo City San Pablo City
    Paaralan: Sta. Maria Magdalena Es
    Paaralan: Sta. Maria Magdalena Es Antas:_______________________
    Antas:_______________________ Guro:_______________________
    Guro:_______________________ Pinapayagan kop o ang aking anak na
    Pinapayagan kop o ang aking anak na si________________________na mabigyn ng purge
    si________________________na mabigyn ng purge sa buwan ng Hulyo(Ist round) at Enero (2nd round)
    sa buwan ng Hulyo(Ist round) at Enero (2nd round)
    May allergy: Oo ( ) Wala ( )
    May allergy: Oo ( ) Wala ( ) Petsa kung kalian huling nabigyan ng
    Petsa kung kalian huling nabigyan ng purge____________________
    purge____________________ _______________
    _______________ Lagda ng Magulang
    Lagda ng Magulang

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