Department of Education

Region I Department of Education

PANGASINAN DIVISION II Region I
DON BENITO AGRO-INDUSTRIAL HIGH SCHOOL PANGASINAN DIVISION II
Pozorrubio DON BENITO AGRO-INDUSTRIAL HIGH SCHOOL
Pozorrubio
RE-ADMISSION SLIP RE-ADMISSION SLIP

Name: ________________________ Date: ____________ Name: ________________________ Date: ____________

Grade: _____ Subject/s: ___________________________ Grade: _____ Subject/s: ___________________________

Subject Teacher: _________________________________ Subject Teacher: _________________________________

Date of Absences: ________________________________ Date of Absences: ________________________________

Date of Late: ____________________________________ Date of Late: ____________________________________

Reason/s: _______________________________________ Reason/s: _______________________________________

________________________________________________ ________________________________________________

Date Issued: ______________ Date Issued: ______________

Issued by: Issued by:

CAROLINE C. CABANILLA MA. LUISA P. ALEGADO CAROLINE C. CABANILLA MA. LUISA P. ALEGADO
Guidance Staff Principal III Guidance Staff Principal III

Department of Education Department of Education

Region I Region I
PANGASINAN DIVISION II PANGASINAN DIVISION II
DON BENITO AGRO-INDUSTRIAL HIGH SCHOOL DON BENITO AGRO-INDUSTRIAL HIGH SCHOOL
Pozorrubio Pozorrubio
RE-ADMISSION SLIP RE-ADMISSION SLIP

Name: ________________________ Date: ____________ Name: ________________________ Date: ____________

Grade: _____ Subject/s: ___________________________ Grade: _____ Subject/s: ___________________________

Subject teacher: _________________________________ Subject teacher: _________________________________

Date of Absences: ________________________________ Date of Absences: ________________________________

Date of Late: ____________________________________ Date of Late: ____________________________________

Reason/s: _______________________________________ Reason/s: _______________________________________

________________________________________________ ________________________________________________

Date Issued: ______________ Date Issued: ______________

Issued by: Issued by:

CAROLINE C. CABANILLA MA. LUISA P. ALEGADO CAROLINE C. CABANILLA MA. LUISA P. ALEGADO
Guidance Staff Principal III Guidance Staff Principal III