DEPARTMENT OF EDUCATION | REGION IV – A CALABARZON | CITY SCHOOLS DIVISION OF DASMARIÑAS

DASMARIÑAS INTEGRATED HIGH SCHOOL

C o n g r e s s i o n a l S o u t h A v e n u e , B u ro l 1 , Ci t y o f Da s m a ri ñ a s , Ca v i t e

CONSENT FOR WORK IMMERSION

PERMIT BY PARENT OR GUARDIAN

NOMIE CABRITO GUARDIAN

I, __________________________________________ hereby state that I am the_________________________
(Name of Parents/ Guardian) (Parent/Guardian)
JOSHUA CABRITO HUMSS 12 C
of ___________________________________________ from Section _____________________who is
(Student’s Name)

18 OCTOBER 19, 2000

presently_________ years of age born on ________________.
(Age) (mm/day/year)

I hereby give my consent and permission for my child to undergo WORK IMMERSION for City

Government of Dasmariñas at _______________________________, Dasmariñas City for a period of 10 days

from _____________________________.
(Month/s, Dates, Year)

I hereby understand that my child may work as a TRAINEE/OBSERVER during the said Work Immersion
Program.

DATED this 20th day of November, 2018.

NOMIE CABRITO
__________________________________________________
(Signature Over Printed Name of Parent/ Guardian)

BLK L 0 LOT 6 BRGY SAN FRANCISCO II

__________________________________________________
(Address of Parent/Guardian)

09239913026
__________________________________________________
(Contact Number of Parent/Guardian)

“TAGA-DIHS AKO: Disiplina at Kalinisan nasa Puso Ko”

E-mail: dasmarinas.ihs@depeddasma.edu.ph | Phone: 506-1208/ 416-0498