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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:

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