JHS Undertaking

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Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF CITY OF MEYCAUAYAN
MEYCAUAYAN WEST CENTRAL INTEGRATED SCHOOL
SAINT FRANCIS GASAK, CITY OF MEYCAUAYAN, BULACAN

AFFIDAVIT OF UNDERTAKING
I, _____________________________________________ of legal age, a resident of
_________________________________________________________________ and the parent/guardian of
________________________________________ hereby signs this document freely and with full
understanding of its contents.

The present circumstances are:

1. I choose to enroll my child at MEYCAUAYAN WEST CENTRAL INTEGRATED SCHOOL.


2. I certify that my child was previously enrolled at _____________________________________ and
passed the grade level of ________.
3. Due to ________________________________________________________________, I cannot submit the
transfer credentials of my child to this school.
4. I understand that my child shall be temporarily enrolled because I have not submitted the
required credentials.

With these circumstances, I undertake to:


Without the transfer credentials of my child I fully understand that:
1. My child is only temporarily enrolled.

2. My child cannot be officially promoted to a higher grade level.

3. My child cannot officially graduate from this school.

4. Should my child attain the qualifying average and other criteria for academic honors, he/she will
not be recognized.

With all the foregoing, I shall hold free any liability, whether civil, criminal or administrative, DepEd
Personnel who are involved in the acceptance and enrollment of my child, and the enforcement of
any law or rule and the obligations provided in this document.

Attested this _______ day of _____________________ at ____________________________.

_______________________________________________
Signature Over Printed Name of Parent/Guardian

Gov’t ID Presented: __________


ID Number: _________________
Date Issued: ________________

Address: St. Francis, Gasak City of Meycauayan, Bulacan


Contact no: (044) 913-1850
Email address: [email protected] [email protected]

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