Parents Consent

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QUIRINO STATE UNIVERSITY

OFFICE OF THE STUDENT GOVERNMENT


Old Student Center Bldg., QSU, Diffun, Quirino

Engage…Transform… E-mail: [email protected]

Empower

PARENT’S/GUARDIAN’S CONSENT

I hereby allow my son/daughter/spouse


______________________________________________ to join the 2024 Science
and Technology Youth Leadership Encampment (STYLE) of the
Philippine Consortium for Science, Mathematics and Technology
(PCSMT) to be held on April 16-20 at Cavite State University, Indang
Cavite.

Realizing the educational benefits of this activity for which my


son/daughter/spouse shall acquire and expecting that the faculty in-
charge shall observe utmost care and precautionary measures, I shall
not blame the Personnel-in-Charge and the university for any untoward
incident which occur beyond their control.

_____________________________________
Parent’s/Guardian’s Signature
Date: ________________________________

SUBSCRIBED AND SWORN to before me, this


_______________________________, by ______________________________________
who exhibited to me his/her competent proof of identification issued at
____________________________________, Philippines on
__________________________.

Notary Public
Doc. No. : ____________
Page No. : ____________
Book No. : ____________
Series of : ____________

VISION MISSION
The leading center for academic and technological excellence Develop competent and morally upright professionals and generate
and prime catalyst for a progressive and sustainable Quirino appropriate knowledge and technologies to meet the needs of Quirino
Province and Southern Cagayan Valley. Province and Southern Cagayan Valley.

“Molding Minds, Shaping Future”

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