Republic of the

CERTIFICATION

This is to certify that the ______________________________________________ is

eligible to conduct limited face-to-face classes upon assessment using the School Safety
Assessment Test (SSAT) effective __________________________.

This further certifies that the school, upon evaluation of required documents and physical
inspection by the Municipal IATF, has passed all the protocols and standards set in the DepEd-
DOH Joint Memorandum Circular 001, s. 2021.

This certification is issued for the conduct of Limited Face-to-Face classes by the above-
mentioned school.

_____________________________
Signature Over Printed Name

Municipal IATF Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN

CERTIFICATION

This is to certify that the ______________________________________________ is

eligible to conduct limited face-to-face classes upon assessment using the School Safety
Assessment Test (SSAT) effective __________________________.

This further certifies that the school, upon evaluation of required documents and
physical inspection by the Municipal IATF, has passed all the protocols and standards
set in the DepEd-DOH Joint Memorandum Circular 001, s. 2021.

This certification is issued for the conduct of Limited Face-to-Face classes by the above-
mentioned school.

_____________________________

Address: Alvear St., East Capitol Grounds Lingayen, Pangasinan

Telephone No.: (075)-522-2202
Email: pangasinan1@deped.gov.ph
 Republic of the
CERTIFICATION

This is to certify that the ______________________________________________ is

eligible to conduct limited face-to-face classes upon assessment using the School Safety
Assessment Test (SSAT) effective __________________________.

This further certifies that the school, upon evaluation of required documents and physical
inspection by the Municipal IATF, has passed all the protocols and standards set in the DepEd-
DOH Joint Memorandum Circular 001, s. 2021.

This certification is issued for the conduct of Limited Face-to-Face classes by the above-
mentioned school.

_____________________________
Signature Over Printed Name

Municipal IATF Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN

Signature Over Printed Name

Municipal IATF

Address: Alvear St., East Capitol Grounds Lingayen, Pangasinan

Telephone No.: (075)-522-2202
Email: pangasinan1@deped.gov.ph
 Republic of the
CERTIFICATION

This is to certify that the ______________________________________________ is

eligible to conduct limited face-to-face classes upon assessment using the School Safety
Assessment Test (SSAT) effective __________________________.

This further certifies that the school, upon evaluation of required documents and physical
inspection by the Municipal IATF, has passed all the protocols and standards set in the DepEd-
DOH Joint Memorandum Circular 001, s. 2021.

This certification is issued for the conduct of Limited Face-to-Face classes by the above-
mentioned school.

_____________________________
Signature Over Printed Name

Municipal IATF Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN

Address: Alvear St., East Capitol Grounds Lingayen, Pangasinan

Telephone No.: (075)-522-2202
Email: pangasinan1@deped.gov.ph