Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
Division of Surigao del Sur
Carmen District

April 15, 2019

MARILOU B. DEDUMO, Ph. D., CESO V

Schools Division Superintendent
Division of Surigao del Sur
Tandag City

THRU:
GEMMALYNDA P. MONTENEGRO, MAED
Principal III/District In Charge
Carmen District
Carmen, Surigao del Sur

Madam:

I have the honor to apply for 105 calendar days Maternity Leave of Absence with pay
from May 15, 2019 to September 1, 2019 inclusive.

Attached herewith are my supporting papers to wit:

1. C.S. Form 6 – (Application for Leave)
2. C.S. Form 7 – (Clearance Form)
3. C.S. Form 41 – (Medical Certificate)

Hoping for your kind favorable consideration and approval.

Very respectfully yours,

ANALIZA ACILO- CALAÑAS

Teacher I