Ccertification Release of Card

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Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF BATANGAS PROVINCE
SAMPIRO INTEGRATED SENIOR HIGH SCHOOL
SAMPIRO, SAN JUAN, BATANGAS

CERTIFICATION

This certification is a proof that I have received from Sampiro Integrated Senior High School my
pertinent papers checked below:

Original Birth Certificate PSA/NSO copy

Original Birth Certificate Live Birth

Card (SF9)

Good Moral

Transcript of records (SF10)

This _______ day of ____________, 2022 for whatever legal purpose this may serve.

_______________________________
Signature Over Printed Name
(Student/Parent/Guardian’s Name)

Address: Sampiro, San Juan, Batangas


Email Address: [email protected] / [email protected]
Contact Details: 09276806944/09686970937
Web Page: DepEd Tayo Sampiro Integrated SHS Batangas / FB Page Sampiro Integrated Senior High

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