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The Principal
______________________________________________
______________________________________________
______________________________________________

Sir/Madam:

Please furnish us with certified copy/copies of Form 137 Permanent Record of the
following student/s who have been temporarily enrolled in this school upon presentation of
his/her credentials which show that he/she was enrolled in your school and are/is eligible
for transfer and admission.

PREVIOUS
CURRENT SCHOOL
SCHOOL
NAME REMARKS
School School
Grade Grade
Year Year

The bearer is authorized to hand carry the said request.

Respectfully yours,

LOURDES E. DE JESUS
1st Request Principal III
2nd Request
3rd Request