Parent-Consent-Form

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Republic of the Philippines

OFFICE OF THE OMBUDSMAN


Sen. Miriam P. Defensor-Santiago Avenue (formerly Agham Road)
Brgy. Bagong Pag-asa, Diliman, Quezon City 1105

Name of Student: __________________________________________


Name of organization: __________________________________________
Name of Adviser: __________________________________________
Name of University: __________________________________________

Parent Consent Form


Seminar Workshop on Integrity in Leadership
for SY 2024-2025
________________2024

As the parent/guardian of _______________________________ (name of student), I


am allowing my child to attend the One-day Seminar-Workshop on Integrity in Leadership on
December 5, 2024 at the Office of the Ombudsman, Senator Miriam Defensor Santiago Avenue,
Brgy. Bagong Pag-asa, Diliman, Quezon City.

Further, I am allowing the Office of the Ombudsman to use and post the photos and
videos taken during the said activity in all its websites, social media accounts and other venues
for the promotion of the CIC Program.

Respectfully yours,

___________________________________
(Signature over Printed Name of Parent/Guardian)

___________________________________
Contact Number/s

Kindly submit the accomplished form to the Community Coordination Bureau-Office of the Ombudsman through
Isabel M.dela Peña, CIC Focal Person - University of Caloocan City.

_____________________________________________________________________________
Website: www.ombudsman.gov.ph | Facebook and Twitter: OmbudsmanPH

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