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    Affidavit of Loss For Books

    Uploaded by

    JonaldSamueldaJose
    This document is an affidavit of loss form from Pampanga High School. It requires a student to provide their name, grade/section, advisor's name, and details of lost textbooks including title, quantity and grade level. The student and advisor must sign, and a written explanation of the loss signed by a parent or guardian is also required per DepEd Order No. 25, s 2003.

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    © All Rights Reserved
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    Affidavit of Loss For Books

    Uploaded by

    JonaldSamueldaJose
    4K views1 page
    This document is an affidavit of loss form from Pampanga High School. It requires a student to provide their name, grade/section, advisor's name, and details of lost textbooks including title, quantity and grade level. The student and advisor must sign, and a written explanation of the loss signed by a parent or guardian is also required per DepEd Order No. 25, s 2003.

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    Affidavit of Loss for Books

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    This document is an affidavit of loss form from Pampanga High School. It requires a student to provide their name, grade/section, advisor's name, and details of lost textbooks including title, quantity and grade level. The student and advisor must sign, and a written explanation of the loss signed by a parent or guardian is also required per DepEd Order No. 25, s 2003.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    4K views1 page

    Affidavit of Loss For Books

    Uploaded by

    JonaldSamueldaJose
    This document is an affidavit of loss form from Pampanga High School. It requires a student to provide their name, grade/section, advisor's name, and details of lost textbooks including title, quantity and grade level. The student and advisor must sign, and a written explanation of the loss signed by a parent or guardian is also required per DepEd Order No. 25, s 2003.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Republic of the Philippines

    Department of Education
    Region III
    Division of City of San Fernando
    PAMPANGA HIGH SCHOOL
    High School Blvd., Lourdes, City of San Fernando, (P)

    Affidavit of Loss
    SY 2016 - 2017

    I, ___________________________________________, of _____________________________________
    (Name) (Grade & Section)

    under the advisorship of _________________________________________ has lost the following textbooks/modules

    because of

    QUANTITY UNIT TITLE OF TEXTBOOKS & GRADE LEVEL

    ________________________________________________________________

    ________________________________________________________________

    ________________________________________________________________

    ________________________________________________________________

    ________________________________________________________________

    ________________________________________________
    Signature of Student over Printed Name

    ________________________________________________
    Date

    Noted:

    ________________________________________________
    Signature of Adviser over Printed Name

    Attached written notice by the students explaining the circumstances regarding the loss and it must be duly
    signed by the students parent of guardian as per DepEd Order No. 25, s 2003.

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