REPORT ON PENDING REQUEST OF TRANSFER

(IN COMPLIANCE WITH D.O. 54, S. 2016)

NAME OF SCHOOL MABUHAY NATIONAL HS SCHOOL ID 303852

DIVISION ZAMBOANGA SIBUGAY REGION IX

RECEIVING SCHOOL ORIGINATING SCHOOL

DATE ENROLLED IN LIS/
NO. OF
DATE OF 1ST DATE OF REQUEST SENT
LRN NAME OF LEARNER GRADE LEVEL FOLLOW SCHOOL ID SCHOOL NAME DIVISION REGION
ATTENDANCE TO ORIGINATING SCHOOLS
UP
WAITING FOR CONFIRMATION
125667090046 Pulalon, Ibnurrahim 8 6/6/2018 7/10/2018 25 314801 Talon-Talon NHS Z. City IX
Andres Bersales Sultan Naga
127028100075 Undag, Michael 7 6/4/2019 6/4/2018 4 304022 Sr.NHS(PandananNHS) Dimaporo

NAME OF SCHOOL REPRESENTATIVE/HEAD CHARIE S. BATO SIGNATURE CONTACT NUMBER 9978109314

Note: Properly accomplish this form and send to the Office of the Planning Service Director (ps.od@deped.gov.ph) Central Office through Division Office, SGOD Planning & Research