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DIPOLOG ROSE KINDER SCHOOL INC.                                294 Lapu-lapu Street, Estaka , Dipolog City
                294 Lapu-lapu Street, Estaka , Dipolog City                           Tel. No. (065) 212-3639
                        Tel. No. (065) 212-3639
                                                                                  EXAMINATION PERMIT
                    EXAMINATION PERMIT
                                                                                                     Date Registered :
                                      Date Registered :
                                                              Name:                                  Sex:_______Age:
Name:                                 Sex:_______Age:         Address:                               Grade Level:
Address:                              Grade Level:            Contact No.:
Contact No.:                                                            Teacher’s
                                                                                     Schedule
                                                                                                Amount     Receipt
                                                                                        of
                       Schedule                                         Signature                PAID       No.
          Teacher’s               Amount    Receipt                                  Payments
                          of
          Signature                PAID      No.                       1st
                       Payments
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th




                                                                             DIPOLOG ROSE KINDER SCHOOL INC.
               DIPOLOG ROSE KINDER SCHOOL INC.                                294 Lapu-lapu Street, Estaka , Dipolog City
                294 Lapu-lapu Street, Estaka , Dipolog City                           Tel. No. (065) 212-3639
                        Tel. No. (065) 212-3639
                                                                                  EXAMINATION PERMIT
                    EXAMINATION PERMIT
                                                                                                     Date Registered :
                                      Date Registered :
                                                              Name:                                  Sex:_______Age:
Name:                                 Sex:_______Age:         Address:                               Grade Level:
Address:                              Grade Level:            Contact No.:
Contact No.:                                                                         Schedule
                                                                        Teacher’s               Amount     Receipt
                       Schedule                                                         of
          Teacher’s               Amount    Receipt                     Signature
                                                                                     Payments
                                                                                                 PAID       No.
                          of
          Signature                PAID      No.
                       Payments                                        1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th                                                           1st
         1st                                                           2nd
         2nd                                                           3rd
         3rd                                                           4th
         4th

               DIPOLOG ROSE KINDER SCHOOL INC.

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Kinder examination permit

  • 1. DIPOLOG ROSE KINDER SCHOOL INC. 294 Lapu-lapu Street, Estaka , Dipolog City 294 Lapu-lapu Street, Estaka , Dipolog City Tel. No. (065) 212-3639 Tel. No. (065) 212-3639 EXAMINATION PERMIT EXAMINATION PERMIT Date Registered : Date Registered : Name: Sex:_______Age: Name: Sex:_______Age: Address: Grade Level: Address: Grade Level: Contact No.: Contact No.: Teacher’s Schedule Amount Receipt of Schedule Signature PAID No. Teacher’s Amount Receipt Payments of Signature PAID No. 1st Payments 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th DIPOLOG ROSE KINDER SCHOOL INC. DIPOLOG ROSE KINDER SCHOOL INC. 294 Lapu-lapu Street, Estaka , Dipolog City 294 Lapu-lapu Street, Estaka , Dipolog City Tel. No. (065) 212-3639 Tel. No. (065) 212-3639 EXAMINATION PERMIT EXAMINATION PERMIT Date Registered : Date Registered : Name: Sex:_______Age: Name: Sex:_______Age: Address: Grade Level: Address: Grade Level: Contact No.: Contact No.: Schedule Teacher’s Amount Receipt Schedule of Teacher’s Amount Receipt Signature Payments PAID No. of Signature PAID No. Payments 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th 1st 1st 2nd 2nd 3rd 3rd 4th 4th DIPOLOG ROSE KINDER SCHOOL INC.