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ANNEX A

CAV FORM 1 – REQUEST FORM – SCHOOL (RF)

Republic of the Philippines


Department of Education
Region VI – Western Visayas
Division of Aklan

Control No.: ____________


Date of Application: ______
Date of Release: _________

School Name: Loctuga National High School


School I.D.: _______________________________

REQUEST FORM FOR ACADEMIC SCHOOL RECORDS

NAME OF LEARNER: GERRY M. SAGUIBO

DATE & PLACE OF BIRTH: January 5, 1984

SCHOOL YEAR LAST ATTENDED / GRADUATED: 2005

PRESENT ADDRESS: Loctuga, Libacao, Aklan

_____________________

CONTACT NO.: 09270724582

PURPOSE: (Pls. check any of the following)

EMPLOYMENT ABROAD FIANCE VISA STUDENT VISA

SEAMAN’S BOOK/SRC TOURIST VISA DESCENDANT’S VISA

MIGRATION ABROAD REIMBURSEMENT OF EDUCATIONAL ALLOWANCE


TUITION FEES OF CHILDREN OF OFWs

SUCH OTHER PURPOSE AS MAYBE REQUIRED BY THE DFA

GERRY M. SAGUIBO
Applicant/Representative

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