DepEd – DIVISION OF QUEZON

Sitio Fori, Brgy. Talipan, Pagbilao, Quezon QUALITY

ASSURED

Trunkline # (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321

COMPANY
ISO 9001

www.depedquezon.com.ph Registration Number:

“Creating Possibilities, Inspiring Innovations” QAC/R63/0216

OATH OF CONFIDENTIALITY

I, ______________________________________ ,_____________________________
Name Position
as Chair/Member of the Technical Working Committee in the honest conduct of SDO-Quezon Informal
Reading Inventory in Grades I-III English and Grades I-II Filipino, hereby solemly swear that I will strictly
observe honesty,accountability and install security measures pertaining to my assignment. I swear to
keep the integrity of the assessment and its purpose; that I will not divulge to anyone the test items and
answers prior to the conduct of test.

Done in __________________________on this date _____________________.

_________________________________
Public Schools District Supervisor
( Signature Over Printed Name )

Witness:
___________________________________
(Signature Over Printed Name )

DEPEDQUEZON-TM-SDS-04-025-002
Email address: quezon@deped.gov.ph
Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM)

This form is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE. Therefore, unauthorized use is strictly prohibited unless otherwise
permitted by the Schools Division Superintendent.