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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02 (Cagayan Valley)
Schools Division of Isabela
500088 – CUMABAO INTEGRATED SCHOOL
Cumabao, Tumauini, Isabela 3325

WORK IMMERSION PARENTAL CONSENT

This is to certify that I am allowing my son/S/daughter


____________________________________to undergo a Work Immersion for a minimum of
80 hours or 10 days starting March 25 to 27, 2024 and April 1 to 11, 2024 as one of the
subjects/requirements in Senior High School program of the K to 12 curriculum.
It is understood that he/she abides the Occupational Health and Safety procedure and
regulations that may be imposed by the Industry Partners and the School for his/her welfare
and safety.
I fully agree to waive any responsibility on the part of the School in case of any
untoward incident that may happen to my son/daughter during the duration of the immersion.

_____________________________
Parent’s Name and Signature

Noted:

NEWTON PATRICIO I. TACCAD


Principal I

https://www.facebook.com/cumabao.is
0965-159-3688

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