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Department of Education
National Capital Region
Division of Taguig City and Pateros
SIGNAL VILLAGE NATIONAL HIGH SCHOOL
PERSONAL INFORMATION
I hereby certify that the facts stated herein are true and correct to the best of my knowledge.
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Signature over printed name of Applicant
SUBSCRIBED AND SWORN to before me this _______ day of _____________ 2019, at __________________________,
affiant exhibiting his/her nomination kit, which contains his/her COC, photograph, academic records, and parental consent.
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Chair, SSG COMELEC
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I am allowing him/her to fulfill the duties and responsibilities of a Supreme Student Government Officer in all its
activities, programs, and projects.
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Signature over printed name of Parent/Guardian
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GOAL:
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