Gate Pass (Student)

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Gate Pass (Student)

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Romnick Portillano

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Date Date

Year & Section: Year & Section:

Name: ___________________________________ Name: ___________________________________
Parent/Guardian: __________________________ Parent/Guardian: __________________________

Comment & Reaction: Comment & Reaction:

_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
___________________________ ___________________________

Reason: Reason:

NILO F. TRIPOLI, MAED NILO F. TRIPOLI, MAED

Principal II Principal II

__________________ __________________
Date Date

Year & Section: Year & Section:

Name: ___________________________________ Name: ___________________________________
Parent/Guardian: __________________________ Parent/Guardian: __________________________

Comment & Reaction: Comment & Reaction:

Reason: Reason:

NILO F. TRIPOLI, MAED NILO F. TRIPOLI, MAED

Principal II Principal II

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