Drop Out Form

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Department of Education

Region III – Central Luzon


Schools Division of Pampanga
STA. MARIA NATIONAL HIGH SCHOOL
Sta. Maria Macabebe, Pampanga
(045) 305-6040 / sta_maria_hs@yahoo.com

DROP- OUT FORM

NAME OF STUDENT: _____________________________________________________________________________


YEAR/SECTION: _________________________________________________________________________________
NAME OF PARENT/ GUARDIAN:____________________________________________________________________
COMPLETE ADDRESS:____________________________________________________________________________
DAYS OF ABSENT:_______________________________________________________________________________
REASON FOR DROPPING:_________________________________________________________________________
EFECTIVITY DATE:_______________________________________________________________________________
SIGNATURE OF PARENT/GUARDIAN:________________________________________________________________

NOTED BY: APPROVED BY:

_________________________ ________________________ RAUL G. DIMACULANGAN


ADVISER GUIDANCE COUNSELOR PRINCIPAL III

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