Republic of the Philippines

DEPARTMENT OF EDUCATION
Division of Cagayan de Oro City
Fr. William F. Masterson Road, Upper Balulang,
Cagayan de Oro City
Gusa National High School – Cugman Annex
School

APPLICATION FOR PERMIT TO STUDY

June 26, 2018

The Schools Division Superintendent

Department of Education – Division of Cagayan de Oro
Fr. William SJ, Masterson Avenue,
Upper Balulang, Cagayan de Oro City

Thru Channels

Sir:
I have the honor to request to study under the graduate program. Information about are as
follows:

Place of Employment : Cugman, Cagayan de Oro City

Educational Qualification :
Number of Years in Service :
Institution to which to enroll :
Academic Year :

Subjects to be undertaken leading to the degree of Doctor of Philosophy in Educational

Administration and
Supervision
SUBJECTS Days Time Units Professor/Instructor

ATTESTED:

____________________________
School Registrar
Very truly yours,

_____________________

1ST Endorsement
June 26, 2018

Respectfully forwarded to the Schools Division Superintendent, Department of Education,

Division of Cagayan de Oro, recommending approval. Please be informed that the attendance
of ________________ at __________________________________does not interfere with her work
as a classroom teacher. Her performance as of S.Y. ___ - ____ was _____________________.

ELIZER O. TERUEL, MAED

School Head
Approved by:
JONATHAN S. DELA PEÑA, Ph.D., CESO V
Schools Division Superintendent