Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
BALIWASAN SENIOR HIGH SCHOOL – STAND ALONE
Atty. Baban Sr. Street, San Jose Road, Baliwasan, Zamboanga City
Tel. No.: (062) 9573739

AGREEMENT
A student who enrols at BALIWASAN SENIOR HIGH SCHOOL signifies his/her intention to obey all the school rules and
regulations. Furthermore, a student agrees to the prerogative of the school to impose the appropriate sanction/s that
commensurate to the degree of the offense/s violated, subject to the approval of the principal.
THEREFORE:
I, (Print Complete Name)__________________________________promise to abide by all rules and regulations stated in
the School’s Policies and Regulations and that I will do my best to uphold the good name of my school, the BALIWASAN SENIOR
HIGH SCHOOL.
___________________________________ __________________________ _______________________
Student’s Signature over Printed Name Grade/Track/Section Date Signed

PARENT’S/GUARDIAN’S DECLARATION

I share with the school the responsibility to see to it that my son/daughter/ward abides by all the rules and regulations
stipulated in the School’s Policies and Regulations. I believe that my full cooperation with the school authority is for the good and
best interest of my son/daughter/ward. I will not question the school’s authority to impose the necessary sanction/s that
commensurate to the degree of the offense/s violated, when proven.

________________________________________ Complete Address: ____________________________________

Signature of Parent/Guardian over Printed Name __________________________________________________

Date Signed: ______________________________ Telephone No. (Res.) / Mobile No. : _______________________

Sketch your home address at back portion of this agreement.

Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
BALIWASAN SENIOR HIGH SCHOOL – STAND ALONE
Atty. Baban Sr. Street, San Jose Road, Baliwasan, Zamboanga City
Tel. No.: (062) 9573739

AGREEMENT
A student who enrols at BALIWASAN SENIOR HIGH SCHOOL signifies his/her intention to obey all the school rules and
regulations. Furthermore, a student agrees to the prerogative of the school to impose the appropriate sanction/s that
commensurate to the degree of the offense/s violated, subject to the approval of the principal.
THEREFORE:
I, (Print Complete Name)__________________________________promise to abide by all rules and regulations stated in
the School’s Policies and Regulations and that I will do my best to uphold the good name of my school, the BALIWASAN SENIOR
HIGH SCHOOL.
___________________________________ __________________________ _______________________
Student’s Signature over Printed Name Grade/Track/Section Date Signed

PARENT’S/GUARDIAN’S DECLARATION

I share with the school the responsibility to see to it that my son/daughter/ward abides by all the rules and regulations
stipulated in the School’s Policies and Regulations. I believe that my full cooperation with the school authority is for the good and
best interest of my son/daughter/ward. I will not question the school’s authority to impose the necessary sanction/s that
commensurate to the degree of the offense/s violated, when proven.

________________________________________ Complete Address: ____________________________________

Signature of Parent/Guardian over Printed Name __________________________________________________

Date Signed: ______________________________ Telephone No. (Res.) / Mobile No. : _______________________

Sketch your home address at back portion of this agreement.