PHILIPPINE SCIENCE HIGH SCHOOL

CENTRAL MINDANAO CAMPUS

Nangka, Balo-i, Lanao del Norte

CONFIRMATION SLIP
___________________________
Date

THE CAMPUS DIRECTOR

PSHS-Central Mindanao Campus
Nangka, Balo-i, Lanao del Norte

THRU: LIZA S. ONDO - ANDOY

Registrar

Dear Madame:

This is to inform you that:

[ ] I am accepting the 2021 PSHS Scholarship Grant you are offering.

[ ] I am not accepting the 2021 PSHS Scholarship Grant you are offering because
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Respectfully yours,

_________________________________
Signature of Qualifier over Printed Name
Contact No. _______________________
Email Address: _____________________

Conforme:

_________________________________
Signature of Parent over Printed Name
Contact No. _______________________
Email Address: ____________________