The document contains a gate pass form from Sta. Ana National High School in Tagoloan District, Misamis Oriental, Philippines. The form includes fields for the student's name, the signature and name of the teacher Karen Kaye N. Tupaz, the reason for leaving the school, and the date and time. This gate pass form is repeated multiple times throughout the document.

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Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYE N.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region X, Northern Mindanao
DIVISION OF MISAMIS ORIENTAL
Tagoloan District
STA. ANA NATIONAL HIGH SCHOOL
Sta. Ana, Tagoloan, Misamis Oriental
GATE PASS
NameofStudent:
Name&SignatureofTeacher: KARENKAYEN.TUPAZ
Reason:
Date andTime: