Republic of the Philippines Republic of the Philippines

Department of Education Department of Education

Division of Cebu Province Division of Cebu Province
CALERO INTEGRATED SCHOOL CALERO INTEGRATED SCHOOL
Calero, Liloan, Cebu Calero, Liloan, Cebu
_______________________________ _______________________________
The Principal The Principal
Sra. Ascion Elementary School Sra. Ascion Elementary School
Calo, San Jose, Negros Oriental Calo, San Jose, Negros Oriental

The undersigned respectfully request your good office to furnish our school The undersigned respectfully request your good office to furnish our school
a certified true copy of the Form 137 of the following student/s who is/are a certified true copy of the Form 137 of the following student/s who is/are
temporarily enrolled here in school, to wit: temporarily enrolled here in school, to wit:
Name of Student/s Last Year Level School Year of Name of Student/s Last Year Level School Year of
No. No.
First Name MI Surname Attended Last Enrolment First Name MI Surname Attended Last Enrolment
1 Crisfaith L. Jacosalem Kindergarten 2020-2021 1 Crisfaith L. Jacosalem Kindergarten 2020-2021
2 Chris L. Jacosalem Kindergarten 2020-2021 2 Chris L. Jacosalem Kindergarten 2020-2021
3 Ma. Criselda L. Jacosalem Grade 1 2020-2021 3 Ma. Criselda L. Jacosalem Grade 1 2020-2021
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Should there be some reasons why the records/F-137A cannot be released, Should there be some reasons why the records/F-137A cannot be released,
kindly notify us immediately. kindly notify us immediately.

Thank you for your immediate action on our request. Thank you. Thank you for your immediate action on our request. Thank you.

(___) First Request Very truly yours, (___) First Request Very truly yours,
(___) Second Request (___) Second Request
(___) Third Request (___) Third Request
(___) Fourth Request/URGENT NENETTE P. MIÑOZA (___) Fourth Request/URGENT NENETTE P. MIÑOZA
(___) Others Master Teacher (___) Others Master Teacher