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ST. JOSEPH SCHOOL OF BALIUAG INC. ST. JOSEPH SCHOOL OF BALIUAG INC.

SPECIAL EXAMINATIONS PERMIT SPECIAL EXAMINATIONS PERMIT

Name: _________________________________ Name: _________________________________


Grade & Section: Grade & Section:
_________________________ _________________________
Adviser: Adviser:
________________________________ ________________________________

This permit is only for special examinations of This permit is only for special examinations of
students who are absent during the scheduled students who are absent during the scheduled
examination days. examination days.

DATE OF ABSENCE: _____________________ DATE OF ABSENCE: _____________________

SUBJECTS TO BE TAKEN: SUBJECTS TO BE TAKEN:

1st Day 2nd Day 3rd Day 1st Day 2nd Day 3rd Day
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________

Signed: Signed:
____________ ____________ ____________ ____________ ____________ ____________
P.O.D. Principal Cashier P.O.D. Principal Cashier

ST. JOSEPH SCHOOL OF BALIUAG INC. ST. JOSEPH SCHOOL OF BALIUAG INC.

SPECIAL EXAMINATIONS PERMIT SPECIAL EXAMINATIONS PERMIT

Name: _________________________________ Name: _________________________________


Grade & Section: Grade & Section:
_________________________ _________________________
Adviser: Adviser:
________________________________ ________________________________

This permit is only for special examinations of This permit is only for special examinations of
students who are absent during the scheduled students who are absent during the scheduled
examination days. examination days.

DATE OF ABSENCE: _____________________ DATE OF ABSENCE: _____________________

SUBJECTS TO BE TAKEN: SUBJECTS TO BE TAKEN:

1st Day 2nd Day 3rd Day 1st Day 2nd Day 3rd Day
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________
____________ ____________ ____________ ____________ ____________ ____________

Signed: Signed:
____________ ____________ ____________ ____________ ____________ ____________
P.O.D. Principal Cashier P.O.D. Principal Cashier
ST. JOSEPH SCHOOL OF BALIUAG INC. ST. JOSEPH SCHOOL OF BALIUAG INC.

PERMIT TO LEAVE THE CLASSROOM PERMIT TO LEAVE THE CLASSROOM

Name: _________________________________ Name: _________________________________

Grade & Section: Grade & Section:


_________________________ _________________________

Adviser: Adviser:
________________________________ ________________________________

Time: _________________________________ Time: _________________________________

Reason: _______________________________ Reason: _______________________________


______________________________________ ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________

Adviser: _______________________________ Adviser: _______________________________

Approved by: ___________________________ Approved by: ___________________________

ST. JOSEPH SCHOOL OF BALIUAG INC. ST. JOSEPH SCHOOL OF BALIUAG INC.

PERMIT TO LEAVE THE CLASSROOM PERMIT TO LEAVE THE CLASSROOM

Name: _________________________________ Name: _________________________________

Grade & Section: Grade & Section:


_________________________ _________________________

Adviser: Adviser:
________________________________ ________________________________

Time: _________________________________ Time: _________________________________

Reason: _______________________________ Reason: _______________________________


______________________________________ ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________

Adviser: _______________________________ Adviser: _______________________________

Approved by: ___________________________ Approved by: ___________________________

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