OUR LORD SAVIOUR ACADEMY INC.

#120 Muoz St., Talanay Area-B, Brgy. Batasan Hills, Quezon City

School Year 2017-2018

Name of Teacher Log Plan Eraser Ballpen Signature

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Note: Provide your own stapler, pencil, scissor and other office supplies.
Noted by:

Zita C . Logronio Approved by:

Michael G. Camata