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Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu City, North District 6
BANILAD ELEMENTARY SCHOOL

REGISTRATION FORM

We, occupants of Room __________________ in Banilad Elementary School promise to


take care all the school and teacher's properties inside this room. We are liable to whatsoever
human damages and looses occurred during our stay. Therefore, we will be fixing/ replacing every
damage and lost item.

No. LAST NAME FIRST NAME MI ADDRESS CELL #

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School promise to
e to whatsoever
xing/ replacing every

SIGNATURE

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