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    OCLD TEMPLATE

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    8BitBird

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    © All Rights Reserved
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    OCLD TEMPLATE

    Uploaded by

    8BitBird
    14 views1 page

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    Copy of ___OCLD TEMPLATE

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    14 views1 page

    OCLD TEMPLATE

    Uploaded by

    8BitBird

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SENIOR HIGH SCHOOL

    OFF-CAMPUS LEARNING DAY SCHOOL ACCESS


    PLEASE PRINT

    PERSONAL INFORMATION ACADEMIC INFORMATION


    LAST NAME ID NUMBER
    FIRST NAME STRAND
    MIDDLE NAME SECTION
    REQUEST
    DATE FILED
    NUMBER OF REQUESTED DAY/S
    DATE/S OF ENTRY (limited only to 1 week)

    TIME OF ENTRY
    DATE/S OF EXIT (must coincide with the date of entry)

    TIME OF EXIT
    VENUE/S OF ACTIVITY

    REASON/S

    TERMS AND CONDITIONS


    1. This form must be accomplished in duplicate (2 copies) and must be submitted at least three (3) days
    before the start date to the designated department/s for approval and signature:
    a. This form must be endorsed by your Class Adviser, Strand Coordinator or OSAS representative
    b. All academic and co-curricular activities must be approved by the SHS Academics Department.
    c. All non-academic and extra-curricular activities (e.g., school org events) must be approved by the
    Office of Student Affairs and Services (OSAS) Department.
    2. This form must be presented to the security personnel on the date/s of entry
    3. The student is not allowed to go out of iACADEMY Nexus campus before the time of exit.
    a. In case the student needs to go out before the time of exit. The student’s parents/ guardian must
    send a letter of permission via email to the SHS Principal, Mr. Paolo Noceda at
    [email protected]
    4. By signing this form, the parents are allowing their child to go to school to attend the school-related activity.

    Student’s Signature Over Printed Name Parent/ Guardian’s Signature Over Printed Name
    APPROVAL
    Endorsed by: Approved by: SHS ACADEMICS

    Name & Designation / Signature Name & Designation / Signature


    Approved by: OSAS

    Name & Designation / Signature

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