Republic of the Philippines

Department of Education
Region III – Central Luzon
SCHOOLS DIVISION OF PAMPANGA
High School Blvd. Brgy. Lourdes, City of San Fernando

GUAGUA EAST DISTRICT

STA URSULA ELEMENTARY SCHOOL

ATTENDANCE

GENERAL PTA MEETING

Month of September

September 28, 2018

Name Arrival Departure Contact Number Signature

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 Republic of the Philippines
Department of Education
Region III – Central Luzon
SCHOOLS DIVISION OF PAMPANGA
High School Blvd. Brgy. Lourdes, City of San Fernando

GUAGUA EAST DISTRICT

STA URSULA ELEMENTARY SCHOOL

Date: _____________________

LEONARDO D. ZAPANTA. Ed.D., CESO VI

Schools Division Superintendent
Office of the Schools Division Superintendent

ATTENTION: Christopher D. Tengco

Senior Book Keeper

Sir;

This is to submit the List of Specimen and their corresponding Designations for calendar yea
r2018 – 2019.

Complete Name Designation Specimen Signatures

_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
BAC Chairman __________ __________ ____________
BAC Member __________ ___________ ___________
BAC Member __________ __________ ____________
BAC Member __________ ___________ ___________
BAC Member __________ __________ ____________
Prop. Custodian __________ ___________ ___________
PTA President __________ __________ ____________
Utility Worker __________ ___________ ___________
District Clerk __________ __________ ____________

Respectfully Yours,

MONICA M. DELOS REYES

Principal II

Noted by:

BERNABETH B. MANIO
Schools District Supervisor

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