JOINT DELIVERY VOUCHER PROGRAM FOR SENIOR HIGH SCHOOL TECHNICAL

VOCATIONAL LIVELIHOOD SPECIALIZATION (JDP-TVL) FOR SCHOOL YEAR 2017-2018

Region : XII
Division : General Santos City
School : New Society National High School
ID Code : 304647

I, KATHERINE VIVAS, qualified JDVP-TVL recipient with Voucher No 011-CVV-01570. for SY 2017 –

2018 per D.O. No. 68.s.2017, hereby authorize the following, subject to the provision of the said D.O.:

1) (JDVP-TVL Partner), (ID Code), to collect from the Department of Education the assessed
value/cost of my education and training provided by the cited instruction; and
2) For the Department of Education to pay the cited institution the value of my voucher,
representing the validated value/cost of my education and training provided by the cited
institution.

KATHERINE VIVAS
Signature over Printed Name
LRN:131313050327
Voucher No: 011-CVV-01570

Certified:

LEZLEE GALANG AGCAOILI

Signature over Printed Name

Class Adviser

Conforme: Approved:

EFREN B. LEMANA .
Signature over Printed Name Signature over Printed Name
Parent/Guardian School Head