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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our son RONNEL L. ONG, a bona fide Grade 7 student of
Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-2019.

_______________________
Signature over Printed Name
Parents/Guardian
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our son RAJA R. MANIPON, a bona fide Grade 7 student of
Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-2019.

_______________________
Signature over Printed Name
Parents/Guardian
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our son NICO M. SANTIAGO, a bona fide Grade 7 student of
Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-2019.

_______________________
Signature over Printed Name
Parents/Guardian
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our son ROGER JOHN SOLLANO, a bona fide Grade 7 student
of Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-2019.

_______________________
Signature over Printed Name
Parents/Guardian
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our son RON DAVE E. MORLA, a bona fide Grade 7 student of
Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-2019.

_______________________
Signature over Printed Name
Parents/Guardian
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our daughter STEPHANIE C. OMOLIDA, a bona fide Grade 7
student of Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-
2019.

_______________________
Signature over Printed Name
Parents/Guardian
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CABARUAN NATIONAL HIGH SCHOOL
Urdaneta City Pangasinan

AUTHORIZATION

Authorization is hereby granted to GLENN SALVADOR B. LIM IV, Teacher I,


Permanent, of Cabaruan National High School, to secure in our behalf the PSA Birth
Certificate, original copy, of our daughter CHRISTINE B. DACILLO, a bona fide Grade 7
student of Cabaruan National High School, Urdaneta City, Pangasinan, School Year 2018-
2019.

_______________________
Signature over Printed Name
Parents/Guardian

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