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Waiver

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Republic of the Philippines

Department of Education
Division of CEBU PROVINCE
DISTRICT 1 of CONSOLACION
TUGBONGAN ELEMENTARY SCHOOL
Tugbongan, Consolacion, Cebu

WAIVER

I Mr./Ms. ___________________________________________ Father /Mother /Legal

guardian of ________________________________________, Grade_____________

Section _________________, do hereby undertake:

1. That I did not submit the NSO/PSA Birth certificate of my child, which is one of
the requirements of the school during enrolment;

2. That the teacher reminded me to submit the said document but due to some
reason, I have not complied;

3. That I/we hereby undertake that I will not hold the school liable to any
discrepancy on the data entry of my child’s documents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this day of


, 20 , in the City/Municipality of ,
Province of .

Signature of Parents/Guardian

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