Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. Lingayen, Pangasinan
Tel. No./Fax No. (075) 522-2202(OSDS);(075) 632-8385(ASDS)
E-mail : @pangasinan 1 deped.gov.ph : officeofthesdspangasinan1@gmail.com

DASOL INTEGRATED SCHOOL

December 2, 2019
Date

The School Head

Bobonot Elementary School
Bobonot, Dasol, Pangasinan

Sir/Madam:

Respectfully requesting your good office to furnish us a certified true copy of Form
137 with the Learner’s Reference Number of the student/s named herein below who
was temporarily enrolled in this School upon submission of his/her Report Card and other
credentials.

Name of Student Former Grade School Year Grade Level

in your School in this school
BAGONCIA,ENRICO, A. VI 2018-2019 VII
Buaga, Cris, B. VI 2018-2019 VII
Bate, Eloisa Gwen, B. VI 2018-2019 VII
Leandado, Starlyn, P. VI 2018-2019 VII
Romero, Erlyn, M. VI 2018-2019 VII

Very respectfully,

EUNICE N. BALAOING
Principal II

1st Request _________

2nd Request ___/_____
URGENT __/_________
Pls. hand-in to the bearer