Cordillera Administrative Region
Schools Division Office of Abra
= PILAR RURAL HIGH SCHOOL,
Poblacion, Pilar, Abra
on Republic of the Philippines
CaN Department of Education
Ig}
TO WHOM IT MAY CONCERN
Road i
- (Grade and Section) student do hereby admit that I
committed the following offense’s:
Now, I do hereby promise:
1. That I shall not commit the same offense again.
2. That I must refrain from doing any act contrary to the school rules and regulation,
and in violation to the student code of conduct and discipline.
3. That I shall abide all the rules and regulations of the school.
4. That if I violate again the rules and regulations of the school, I will submit myself
voluntarily to serve the penalty to be imposed by the school authorities.
5. That I now conduct myself as a worthy student of PILAR RURAL HIGH
SCHOOL and behave in accordance with the ideas it stands.
I sign this _ day of. 20
Conform:
Class Adviser Parent Guardian
Witness:
Guidance Designate
Approved:
MA. TERESA E. CABCABAN
Principal I
REMARKS: