Republic of the Philippines
DEPARTMENT OF EDUCATION
Region-X Northern Mindanao
DIVISION OF OZAMIZ CITY
District – 10
School ID: 128178
MAXIMINO S. LAURETE SR. CENTRAL SCHOOL
Calabayan, Ozamiz City
REQUEST FORM
The Principal
_______________________
_______________________
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Sir/Madam,
Please furnish this office with the certified true copy of the Form 137-A of the following
pupil/s who is /are temporarily enrolled in this school pending receipt of the said form.
Name of Pupil Grade School Year Teacher In charge
Attended
Kindly return this request with the said form. Thank you.
1st request_____________ Very truly yours,
2nd request_____________
3rd request_____________ _________________________
Urgent _____________ Teacher-In Charge
P.S.
Please confirm also our request of transfer of this child in your LIS online.
Thank you so much.
Attested by:
GRACE ANN D. PANG-AN
School Principal