Parents Permit

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

OSAS-QF- 25

Republic of the Philippines


CAVITE STATE UNIVERSITY
Don Severino delas Alas Campus
Indang, Cavite

(off-campus activity)

STUDENT INFORMATION

_________________________ _________________________ _____ ____


Last Name First Name M.I Sex Date of Birth

_____________________________________________________________
Mailing Address Student Number

Contact Number: _______________________ Academic


Non-Academic
Name of Organization: NSTP 2-CWTS Performing Arts Group

Name of Adviser/s in charge: MANNY JULIUS G. YLARDE Signature: _________________________


-----------------------------------------------------------------------------------------------------------------------------
PARENT/GUARDIAN PERMIT/CONSENT

This is to certify that I have full knowledge of and permission for my son/daughter/foster
child to join and participate in:

Title of Activity: NSTP 2-CWTS Community Immersion

Date & Time of the Activity: April 26, 27, 28, May 3,4,5,10,11,12,17,18,19,24,25,26, June 1,2,7,8,9,14,
15,16,21,22,23, 2024

Place of Activity: Indang, Mendez, Trece

I concur and agree on the rules, policies & regulations being implemented by the concerned
organizers.

___________________________________ _____________________________
Name & Signature of Parent/Guardian Contact Number

Subscribed & sworn to me this _______day of _______________ 2024 at ________________

vxx-yyyy-mm-dd

You might also like