Distribution and Retrieval Form
Distribution and Retrieval Form
Distribution and Retrieval Form
Department of Education
Region IV-A CALABARZON
Schools Division of Batangas
TALIBA ELEMENTARY SCHOOL
Taliba, San Luis
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Parent/Guardian/ Authorize Person’s Name and Signature
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GRADE VI
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
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Parent/Guardian/ Authorize Person’s Name and Signature
Date:__________________________________