Republic of the Philippines

Department of Education
REGION XII-SOCCSKSARGEN
DIVISION OF GENERAL SANTOS CITY
LAGAO NATIONAL HIGH SCHOOL EXTENSION
Purok Millennium, San Isidro, General Santos City

Date: June 18, 2021

The Registrar
Domolok Integrated School
Alabel, Sarangani Province

Sir/Madam:

Kindly furnish us the certified true copy of DepEd Form 137 (Student’s Permanent Record)
and other pertinent documents as stated in the D.O. 58 s. 2017 (Article IV.D.e.e3) of student/s
listed below who has/have been temporarily enrolled in this school upon the presentation of
his/her/their valid credentials.
PREVIOUS YEAR &
NAME OF LEARNER/S LRN SCHOOL YEAR REMARKS
SECTION
1. BASIAO, JASMINE D. 131316120065 7-DEL MUNDO 2019-2020
2. BASIAO, JAMAICA D. 131316110011 7-DEL MUNDO 2019-2020

If there is/are reason/s that his/her/their Form 137 could not be released, please let us know
the soonest possible time. Please attach this form when you send us back your response. Please also
indicate the LRN of the student in your response. Thank you.

1st Request _____ 2nd Request _____ Urgent Please /

_____ [Student is candidate for graduation] _____ [For evaluation purposes] _____ [For transfer]

_____ The bearer is authorized to carry the said form. _____ Please mail your response.

Very truly yours,

GIRLIE MAE D. PONDIAS ROSE ANN S. AGRAMON

Adviser Records-in-charge
Contact Number: ____________________ 09683023562 / 09639465014

Noted by:

IRIS R. VISAYA
Principal

Address: Purok Millennium, San Isidro, General Santos City

Telephone No: 09504348241
Email: iris.visaya101@deped.gov.ph