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BE Form 04

Republic of the Philippines


Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
LUCIENTE I ELEMENTARY SCHOOL
Bolinao, Pangasinan
School Year _2019-2020_

BRIGADA ESKWELA
KICK-OFF CEREMONY
ATTENDANCE OF VOLUNTEERS AND STAKE HOLDERS

Date: ___MAY 17, 2019


Instruction: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee
members. “For the last column, indicate if masonry, carpentry, plumbing, painting, electrical, gardening/landscaping, ordinary labours or others.

TOTAL “NATURE
NAME POSITION/ ADDRESS/ CONTACT TIME SIGNATUR NUMBERS OF
DESIGNATION ORGANIZATION/ NUMBER E OF VOLUNTEER
AFFILIATION IN OU HOURS SERVICES
T SERVED RENDERED

Noted:
_________ MA. CECILIA T. BALGUA______ May 17, 2019
School Head Date

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