Sources:

http://chem.answers.com/
http://en.wikipedia.org/
http://www.chemspider.com/

Emely D. Paghunasan
IV- Einstein

Ramon Magsaysay High School

Espaa, Manila
Date Prepared:______________
SCIENCE DEPARTMENT
This is a request to allow the following students to go out of the campus during school hours to
work on their project. The subject teacher/s whose class/es may be affected may or may not

excuse these students. It is understood that if the students are allowed to miss their class, the
students are responsible for any lesson or activity missed during their absence.

Name/ s of Student/ s
_____________________________
_____________________________
_____________________________
_____________________________
Year and Section : ______________________________________
Title of Research Project : ______________________________________
Agency/ person to visit/ Address: ______________________________________
Date and Time of visit
: ______________________________________

Endorsed by: Mr. June Hayden R. Sinson

Research Teacher

Teacher/
Affected

Subject/ s

Signature

Excused

Division of City Schools

Ramon Magsaysay High School
Espaa, Manila
CERTICIFACTION OF WAIVER FOR
OFF-CAMPUS ACTIVITY

TO WHOM IT MAY CONCERN:

Not
Excused

Remarks

This is to certify that I am going to the following off-campus activity:

Date:
_______________________
Place:
_______________________
Purpose of the Activity:
_______________________
Time of Departure:
_______________________
Place of Departure:
_______________________
Place of Arrival from trip:
_______________________
Approximate Time of Arrival: _______________________
Subject
: _______________________

JUNE HAYDEN R. SINSON

Printed Name
Faculty Member in Charge
This is to certify that I will abide the rules and regulations that may be imposed by
the faculty member(s) in-charge for the welfare and safety of the group. I fully agree to waive
all the responsibility on the part of Ramon Magsaysay High School and the faculty member(s)
in-charge in case of any untoward incident that may happen to me.
Furthermore, this is to certify that I am physically/mentally fit to join the activity.
_____________________
[Print] Name of Student
_____________________
[Print] Name of Student
_____________________
[Print] Name of Student
Noted By:

______________________
Signature
______________________
Signature
______________________
Signature

_____________________
Date
_____________________
Date
_____________________
Date
To be accompanied by:

___________________________
____________________________
Nelia R. Lardizabal
Head, Science and Technology Dept.