January 3, 2022

Hon. Luis Chavit Singson

Municipal Mayor
San Pedro, Narvacan, Ilocos Sur Philippines,
2704

Sir:

Warm greetings!

The undersigned is currently taking Bachelor of Science in Nursing at the University of

Northern Philippines- Main Campus and he will be supervised by Professor Lady Jane R.
Malagum, a faculty of the said university, throughout the community duty in accordance
with the college of nursing curriculum.

Regarding this matter, we would like to request authorization from your office to perform
a community survey and spot mapping among the residents of barangay San Pedro,
Narvacan, Ilocos Sur. Its goal in carrying out this activity is to detect community health
risks and concerns, as well as to enhance citizens' wellbeing and safety. Rest assured that
any information obtained will be treated with the highest care and secrecy.

Favorable response regarding this request is highly appreciated. Thank you and may God
bless you a thousand-fold.

Yours truly,

RAE DOMINICK A. SALVA

Student Nurse

Noted by:

LADY JANE R. MALAGUM

Clinical Instructor

Approved by:

LUIS CHAVIT SINGSON

Municipal Mayor of Narvacan
January 3, 2022

Ernie Molina
Barangay Captain
San Pedro, Narvacan, Ilocos Sur Philippines,
2704

Sir:

Dear Mr. Molina,

The undersigned is currently taking Bachelor of Science in Nursing at the University of

Northern Philippines- Main Campus and he will be supervised by P Lady Jane R.
Malagum, a faculty of the said university, throughout the community duty in accordance
with the college of nursing curriculum.

Regarding this matter, we would like to request authorization from your office to perform
a community survey and spot mapping among the residents of barangay San Pedro,
Narvacan, Ilocos Sur. Its goal in carrying out this activity is to detect community health
risks and concerns, as well as to enhance citizens' wellbeing and safety. Rest assured that
any information obtained will be treated with the highest care and secrecy.

Favorable response regarding this request is highly appreciated. Thank you and may God
bless you a thousand-fold.

Yours truly,

RAE DOMINICK A. SALVA

Student Nurse

Noted by:

LADY JANE R. MALAGUM

Clinical Instructor

Approved by:

ERNIE MOLINA
Barangay Captain of San Pedro