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Jam Iyyatul Birri Wat-taqwa PHILIPPINES Inc.

ISLAMIC INSTITUTE OF THE


Campo Muslim, Rio Hondo Zamboanga City

SCHOOL YEAR 2022-2023


STUDENTS GATE PASS

DATE: _________________________
TIME OUT:
____________________

NAME: _______________________________________________________________________________

GRADE & SECTION: _____________________________________________________________________

GUARDIAN: ___________________________________________________________________________

ADDRESS: ____________________________________________________________________________

CONTACT NUMBER: ________________________

REASON:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

ADVISER SIGNATURE OVER PRINTED NAME

MS. ROSALYN T. ISMAEL


SCHOOL COORDINATOR
MS. FHARNA J. MALIK MR. AHIRIN A.
MABANSA PREFECT FOR WOMEN GUIDANCE
COUNSELOR

Jam Iyyatul Birri Wat-taqwa Inc.


ISLAMIC INSTITUTE OF THE PHILIPPINES
Campo Muslim, Rio Hondo Zamboanga
City

SCHOOL YEAR 2022-2023

STUDENTS ADMISSION SLIP

DATE: _________________________
TIME IN:
_________________________

NAME: _______________________________________________________________________________

GRADE & SECTION: _____________________________________________________________________

GUARDIAN: ___________________________________________________________________________

ADDRESS: ____________________________________________________________________________

CONTACT NUMBER: ________________________

REASON:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

ADVISER SIGNATURE OVER PRINTED NAME

MS. ROSALYN T. ISMAEL


SCHOOL COORDINATOR
MS. FHARNA J. MALIK MR. AHIRIN A.
MABANSA PREFECT FOR WOMEN
GUIDANCE COUNSELOR

Jam Iyyatul Birri Wat-taqwa Inc.


ISLAMIC INSTITUTE OF THE PHILIPPINES
Campo Muslim, Rio Hondo Zamboanga
City

SCHOOL YEAR 2022-2023

STAFF AND FACULTY GATE PASS

DATE: _________________________
TIME OUT:
_____________________

NAME: _______________________________________________________________________________

GRADE & SECTION: _____________________________________________________________________

ADDNRESS:
____________________________________________________________________________

CONTACT NUMBER: ________________________

REASON:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

DEPARTMENT COORDINATOR SIGNATURE OVER PRINTED NAME


MS. ROSALYN T. ISMAEL
SCHOOL COORDINATOR

PRINCIPAL SIGNATURE OVER PRINTED NAME

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