OSAS-QF- 25
Republic of the Philippines
CAVITE STATE UNIVERSITY
Don Severino delas Alas Campus
Indang, Cavite
(Fridays, Saturdays and Sundays)
(6:00PM onwards)
STUDENT INFORMATION
CATHERINE ABENDAÑO F. F
_________________________ _________________________ _____ ____ 2000 0 9 / 1 2
Last Name First Name M.I Sex
Date of Birth
sBag
Bagtas Tanza, Cavite
2 0 2 0 1 1 5 5 1
_____________________________________________________________
Mailing Address Student Number
Contact Number: 09515958243 Academic
Non-Academic
Name of Organization: CAFENR Performing Arts
Group
Name of Adviser/s in charge: Ma. Lourdes P. Gonzales
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PARENT/GUARDIAN PERMIT/CONSENT
This is to certify that I have full knowledge of and permission for my son/daughter/foster
child to join and participate in:
Title of Activity: FROM SCRAPS TO RICHES: THE ART OF VERMICULTURE COMPOSTING IN
SUSTAINABLE ORGANIC AGRICULTURE
Date & Time of the Activity: December 15, 2023 7am to 1pm
Place of Activity: CVSU MAIN INDANG
I concur and agree on the rules, policies & regulations being implemented by the concerned
organizers.
___________________________________ 09707690121
Name & Signature of Parent/Guardian Contact Number
vxx-yyyy-mm-dd