Parental Consent Immersion

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Republic of the Philippines

Department of Education
Region V
Division of Masbate
MASBATE POLYTECHNIC AND DEVELOPMENT COLLEGE, INC.
Senior High School Department
Baleno, Masbate

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to my/our son/daughter


__________________________________ to undergo work immersion as a partial requirement for
graduation in Senior High School – Academic/Accountancy, Business and Management which will be
held every Monday from ________ to ________ at ___________________________.

I/We have considered the benefits that my son/daughter will derive from this activity
provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter.

________________________________ _________________________________
Signature over Printed Name of Father Signature over Printed Name of Mother

____________________________________
Signature over Printed Name of Guardian
Republic of the Philippines
Department of Education
Region V
Division of Masbate
MASBATE POLYTECHNIC AND DEVELOPMENT COLLEGE, INC.
Senior High School Department
Baleno, Masbate

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to my/our son/daughter


__________________________________ to undergo work immersion as a partial requirement for
graduation in Senior High School – Academic/Humanities and Social Sciences which will be held
every Monday from ________ to ________ at ___________________________.

I/We have considered the benefits that my son/daughter will derive from this activity
provided that due care and precaution will be observed to ensure the comfort and safety of my
son/daughter.

________________________________ _________________________________
Signature over Printed Name of Father Signature over Printed Name of Mother

____________________________________
Signature over Printed Name of Guardian

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