J.H.
CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
J.H. CERILLES STATE COLLEGE
Dumingag Campus- Tambulig Extension Class
Tambulig, Zamboanga del Sur
Date:_
_______________
LETTER OF CONSENT
I,_______________________________________of__________________________________________________________
(Parent/Guardian) (Address)
do hereby give my full consent to my dependent to join the LEADERSHIP SEMINAR WORKSHOP OF JHCSC- LEADERS at
KCCP, PAGADIAN CITY, ZAMBOANGA DEL SUR on November 15, 2019.
I further declare that J. H. CERILLES STATE COLLEGE, administrators, faculty, and staff shall not be liable for any
consequences caused beyond human intervention.
____________________________________
Parent/Guardian Signature/Contact
No.
Date_____________
Concurred:
____________________________
Student’s Name and Signature
“Quality Education for Service”
