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  • Consent Letter Deworming

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    Rosalia Remos
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    CONSENT-LETTER-DEWORMING

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    23 views1 page

    Consent Letter Deworming

    Uploaded by

    Rosalia Remos

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    DEPARTMENT OF EDUCATION

    REGION IV-A CALABARZON


    Division of Quezon
    Sariaya West District
    Sampaloc 1 Elementary School

    Sa Kinauukulan, Petsa______________________

    Pinahihintulutan ko ang aking anak na si ________________________________________________________, Grade/Seksyon


    _____________________________ na mapurga ng mga Brgy. Health Workers (BHW) ngayong buwan ng
    ______________________________.
    Gumagalang,
    ________________________________________________
    Pangalan at Lagda ng Magulang

    DEPARTMENT OF EDUCATION
    REGION IV-A CALABARZON
    Division of Quezon
    Sariaya West District
    Sampaloc 1 Elementary School

    Sa Kinauukulan, Petsa______________________

    Pinahihintulutan ko ang aking anak na si ________________________________________________________, Grade/Seksyon


    _____________________________ na mapurga ng mga Brgy. Health Workers (BHW) ngayong buwan ng
    ______________________________.
    Gumagalang,
    ________________________________________________
    Pangalan at Lagda ng Magulang

    DEPARTMENT OF EDUCATION
    REGION IV-A CALABARZON
    Division of Quezon
    Sariaya West District
    Sampaloc 1 Elementary School

    Sa Kinauukulan, Petsa______________________

    Pinahihintulutan ko ang aking anak na si ________________________________________________________, Grade/Seksyon


    _____________________________ na mapurga ng mga Brgy. Health Workers (BHW) ngayong buwan ng
    ______________________________.
    Gumagalang,
    ________________________________________________
    Pangalan at Lagda ng Magulang

    DEPARTMENT OF EDUCATION
    REGION IV-A CALABARZON
    Division of Quezon
    Sariaya West District
    Sampaloc 1 Elementary School

    Sa Kinauukulan, Petsa______________________

    Pinahihintulutan ko ang aking anak na si ________________________________________________________, Grade/Seksyon


    _____________________________ na mapurga ng mga Brgy. Health Workers (BHW) ngayong buwan ng
    ______________________________.
    Gumagalang,
    ________________________________________________
    Pangalan at Lagda ng Magulang

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