Republic ofthe Philippines
Department of Education
REGION X — NORTHERN MINDANAO
DIVISION OF MISAMIS ORIENTAL
lez-Del Par Sts, Cagayan de Oro City 9000 fs}(098)3564524 €}09178992245 (C}misamisorental@deped.gor-ph EP wuwwsdepedmisornet
Date
REQUEST PERMIT TO STUDY
Name of Teacher: Schoo!
Position:
College/University to Enroll
School Year: Semester:
MAJPh.D. Program:
SUBJECTS Units No. of Hours Time Day
| hereby certify that my graduate studies cannot interfere with my official
duties, and that | can still work for eight (8) hours per day as required by Civil Service
Law.
Name and Signature of Teacher
Recommending Approval:
Name & Signature of the Head of School
APPROVED: for the Superintendent
ROWENA H. PARA-ON
Assistant Schools Division Superintendent
Or0Pi
Uplifting People Through K to 12 Education