Department of Education

Region VII, Central Visayas

Division of Cebu Province
ROSALIA N. LUCERNAS ELEMENTARY SCHOOL
Southern Pob., San Francisco, Cebu

January 20, 2019

MRS. NELIA E. ARQUILLANO

PRINCIPAL
CAMOTES HILLSIDE ACADEMY INC.
WESTERN POBLACION, PORO, CEBU

Maam:

At your earliest convenience, please furnish us with certified copy/copies of Deped Form 137 – A
of the following student/s listed below who is/are temporarily enrolled in this school pending receipt of
said form.

In Your School In Our School

NAME OF STUDENT Remarks
Year Level S.Y. Adviser Admitted to

Please RETAIN this request for your file.

Urgent Request

Very truly yours,

SHEILA MAE M. WENCESLAO

Adviser

Noted by;

RAQUEL U. ACEBEDO
PRINCIPAL II