7/25/2019 2015-03-23 APSA Signature Specimen (Grade 9)

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SIGNATURE SPECIMEN FORM OF PARENTS:Below are the only valid signatures to be used for official school transactionsexcuse slips, report cards, etc

STUDENTS LAST NAME STUDENTS FIRST NAME M.I. YR/SEC STUDENT.

NO.

ADDRESS CONTACT NUMBER/S

SIGNATURE OF FATHER SIGNATURE OF MOTHER

IN CASE OF EMERGENCY, CONTACT:

PRINTED NAME OF FATHER PRINTED NAME OF MOTHER PRINT NAME

THE FOLLOWING MAY ALSO SIGN ON BEHALF OF THE PARENTS

RELATION TO STUDENT

SIGNATURE OF REPRESENTATIVE SIGNATURE OF REPRESENTATIVE

PRINTED NAME PRINTED NAME CONTACT NUMBERS

RELATION TO STUDENT RELATION TO STUDENT

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