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The Principal
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______________________________________________
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Sir/Madam:

Please furnish us with certified copy/copies of Form 137 Permanent Record of the
following student/s who have been temporarily enrolled in this school upon presentation of
his/her credentials which show that he/she was enrolled in your school and are/is eligible for
transfer and admission.

PREVIOUS SCHOOL CURRENT SCHOOL

NAME School School REMARKS
Grade Grade
Year Year

The bearer is authorized to hand carry the said request.

Respectfully yours,

LOURDES E. DE JESUS
1st Request Principal III
2nd Request
3rd Request