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NLC-2024-ANNEXES Pnhs

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Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Iloilo
PARARA NATIONAL HIGH SCHOOL
Parara Sur, Tigbauan, Iloilo

PARENT/LEGAL GUARDIAN CONSENT FORM

Date : __________________

I/We hereby willingly and voluntarily give consent to the participation of my/ our
son/ daughter _____________________________________ in the National Learning Camp from
July 2 to 4, 9 to11, and 16 to 18, 2024.

I have considered the benefits that my son/daughter will from his/her participation
in this activity provided that due care and precaution will be observed to ensure the
comfort and safety or my son/daughter and that DepEd employees and personnel may not
be held responsible for any untoward incident that may happen beyond their control.

___________________________________________________________________
SIGNATURE OF FATHER/MOTHER/GUARDIAN OVER PRINTED NAME
_____________________________
DATE SIGNED
____________________________________________________
RELATIONSHIP WITH THE LEARNER

Verified by: ___________________________________ Date: __________


Teacher/ Adviser

NATIONAL LEARNING CAMP REGISTRATION FORM


Republic of the Philippines
Department of Education
Region VI-Western Visayas
Schools Division of Iloilo
PARARA NATIONAL HIGH SCHOOL
Parara Sur, Tigbauan, Iloilo

Name: ___________________________________________________

Grade Level: _______________ Age: _________________________

Section: _____________________________________________________

Residential Address: _________________________________________

Contact Number: ____________________________________________

**************************************************************************

To be filled out by the Adviser/ Learning Area Teacher:

If Grades 7,8,9, 10, academic performance and/or NLCA results:


ENGLISH- ___________
SCIENCE- ___________
MATH- ______________

Recommended Camp Placement:


ENGLISH- ______________________
SCIENCE- ______________________
MATH- _________________________

Teacher adviser in the currently enrolled year level: _____________________________

Contact Number of Teacher : ____________________________________________________


Republic of the Philippines
Department of Education
Region VI-Western Visayas
Schools Division of Iloilo
PARARA NATIONAL HIGH SCHOOL
Parara Sur, Tigbauan, Iloilo

EXPRESSION OF INTENT
TIGRES, VANESSA A.
I, _________________________________________________________ hereby express my
intent to be a National Learning Camp Volunteer in Botong Cabanbanan National High
School, Botong, Oton, Iloilo during the implementation of the National Learning Camp
2024, EOSY break, scheduled this July 1-19, 2024. I am willing to attend the orientation
activity on the program implementation.

Furthermore, I hereby grant the Department of Education the right to collect and
process my personal information and profile as provided below, for purposes relevant to the
hiring of the learning camp volunteers in the Department.

PERSONAL INFORMATION
AGE:
42
SEX:
FEMALE
COMPLETE RESIDENTIAL
ADDRESS: PARARA SUR, TIGBAUAN, ILOILO
MOBILE/TEL NO.:
09165750580

ACADEMIC AND EMPLOYMENT DETAILS:


BACHELOR’S DEGREE AND
BACHELOR OF SECONDARY EDUCATION
SPECIALIZATION: MAJOR IN ENGLISH
MASTERS DEGREE AND
SPEACIALIZATION ( IF ANY):
PRESENT EMPLOYMENT:
PARARA NATIONAL HIGH SCHOOL
PRESENT POSITION: TEACHER I
GRADE LEVEL ASSIGNMENT: GRADE 7 & 8
LENGTH OF SERVICE AS
TEACHER: 19 YRS

VANESSA A. TIGRES
____________________________________________________________________
SIGNATURE OVER PRINTED NAME
MAY 10, 2024
_______________________________________
DATE SIGNED

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