Drop Out Form
Drop Out Form
Drop Out Form
Department of Education
REGION III
SCHOOLS DIVISION OF PAMPANGA
LANANG HIGH SCHOOL
Lanang, Candaba, Pampanga
This is to certify that the name mentioned above has dropped out his/her enrollment in
the school year _______________, due to ________________________________________.
The last class attended was on __________________.
Thus, the parents/guardians have been notified by the class adviser through the means
of follow-up letter or home visitation.
Parents’/Guardians’ Feedback:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
________________________ _____________________________
Adviser Parent/Guardians’ Name and Signature
MELINDA S. DAYAO
HTIII-OIC