Professional Documents
Culture Documents
Department of Education
Region IVA- CALABARZON
SCHOOLS DIVISION OFFICE OF LAGUNA
SCHOOL NAME
DISTRICT OFFICE NAME
Office of the School Principal
SPECIAL ORDER
No. ______ s. 2020
1. Name : XXXXXXX
2. Employee Number : XXXXXXX
3. Station before going on leave : XXXXXXX
4. Monthly Salary : XXXXXXX
5. Date leave was made effective : XXXXXXX
6. Date of Birth of Child : XXXXXXX
7. Date of Return to Duty : XXXXXXX
8. Substitute Teacher Relieved : XXXXXXX
9. Period of leave of absence : XXXXXXX
XXXXXXX
School Head (For Secondary)
PSDS (For Elementary)
Approved: