Page 50 - GSCS PUPIL HANDBOOK

ACKNOWLEDGEMENT AND UNDERTAKING

I, ____________________ (name of parent/guardian) of legal age, Filipino and a resi-
dent of ____________________, in my capacity as parent/guardian of ___________________

(name of student), do hereby freely and voluntarily execute this document acknowledging the following
stipulations/undertaking, to wit:

I am enrolling my child with ____________________ (name of school), a public school
within Municipality of Gonzaga;
That my child was previously enrolled in ___________________ (name of previous
private/public school) with the school address at
_______________________________________.
That due to unsettled obligations and/or certain valid causes/reasons, the said previous school
withholds the release/transmittal and retains custody of my child’s school creden-tials;
That due to the non-transmittal of credentials from the previous school to the current public school, I
understand that my child/ward will be enrolled/admitted but with the condition that I have to
comply with my undertaking to cause the transmittal of the credentials of my child from the
previous school to the current school.
That by reason thereof, I undertake to do what is legally permissible to cause immediate
release/transmittal of the credentials and submit the same to the current public school on or
before AUGUST _________________, pursuant to the period set forth in the De-
pEd Order.
That pending compliance thereto, I acknowledge the following consequences:
My child would be admitted/accepted for enrollment but with the condition that I have to
comply with my undertaking to cause the transmittal of the credentials of my child from the
previous school to the current school;
My child could not be promoted to a higher grade level if the undertaking is not complied with;
and or
My child not officially graduate from the current school pending submission of the required
credentials
That in view of the foregoing, I shall hold free from any liability, whether civil, criminal or
administrative, the pertinent school personnel involved in the enrollment procedure on account
of the enrollment of the stipulations/undertaking contained in this document.
This _____ day of __________ in Gonzaga, Cagayan.

SUBSCRIBED AND SWORN to before me this _____ day of __________ in the Gonzaga, Cagayan, affiant
having exhibited to me his government-issued ID or Community Tax Certificate with identification/serial
no. __________ issued on __________ in ____________________.

NOTARY PUBLIC

Doc. No. _______:
Page No. _______:

Book No. _______:

Series of 2017

50