Republic of the Philippines

PALOMPON INSTITUTE OF TECHNOLOGY

Palompon, Leyte

GUIDANCE OFFICE

JUNIOR HIGH SCHOOL

On-Site Test Permit

Application No: : 2397-2890-895

Name of Examinee : RELOSA, DAVE JEFFERSON LICARDO

Testing Venue : Proceed to Guidance Office

Date of Exam : May 25, 2023

Time of Exam : 09:30 - 12:00

Note:
1. Bring the following requirements to the Guidance Office at least 1 hour before the scheduled time of exam.
a. 2 copies of On-Site Test Permit (Examinees without exam permits are not allowed to take the test)
b. Valid ID or any proof of identification with picture (i.e. Police/Brgy Clearance, Passport, National ID, etc.)
c. Pencil (preferably # 2)
d. Eraser
Examinee's Signature
2. Late examinees are not allowed to take the test.
3. Please wear a face mask and bring hand sanitizer.

AGNES JULIE P. BELTRAN

Guidance Coordinator

Republic of the Philippines

PALOMPON INSTITUTE OF TECHNOLOGY
Palompon, Leyte

GUIDANCE OFFICE

JUNIOR HIGH SCHOOL

On-Site Test Permit

Application No: : 2397-2890-895

Name of Examinee : RELOSA, DAVE JEFFERSON LICARDO

Testing Venue : Proceed to Guidance Office

Date of Exam : May 25, 2023

Time of Exam : 09:30 - 12:00

Note:
1. Bring the following requirements to the Guidance Office at least 1 hour before the scheduled time of exam.
a. 2 copies of On-Site Test Permit (Examinees without exam permits are not allowed to take the test)
b. Valid ID or any proof of identification with picture (i.e. Police/Brgy Clearance, Passport, National ID, etc.)
c. Pencil (preferably # 2)
d. Eraser
Examinee's Signature
2. Late examinees are not allowed to take the test.
3. Please wear a face mask and bring hand sanitizer.

AGNES JULIE P. BELTRAN

Guidance Coordinator