Republic of the Philippines

Department of Education
Region III – Central Luzon
Division of Pampanga
Lubao West District
SAN ROQUE ARBOL ELEMENTARY SCHOOL
Jose Abad Santos Avenue, San Roque Arbol, Lubao, Pampanga

May 17, 2021

ENGR. EDGARD C. DOMINGO, PHD, CESO V
Schools Division Superintendent
Schools Division Office of Pampanga
City of San Fernando

SIR:

I have the honor to inform your good office that I am applying for retirement from service
effective August 1, 2021. It is because I can no longer perform my duties and responsibilities as
classroom teacher due to poor health condition.

Praying and hoping that this request merits your most favourable consideration and approval.

Very truly yours,

PERLITA B. MANALANSAN
Teacher – III

Noted:

GRACE P. FEIR
School Head

Approved:

ENGR. EDGARD C. DOMINGO, PHD, CESO V

Schools Division Superintendent