Republic of the Philippines

Department of Education
Region VI – Western Visayas
Himamaylan City Division
Himamaylan National High School
Himamaylan City, Negros Occidental

July 29, 2021

THE PRINCIPAL
STELLA MARIS ACADEMY
Brgy. Aguisan, Himamaylan City
Negros Occidental, 6108

Sir/Madam:

Please furnish us with certified copy/copies of SF10 (Form 137) Permanent Record of
the following student/s who have been temporarily enrolled in this school upon presentation
of his/her credentials which show that he/she studies in your school and are/is eligible for
transfer or admission.

Grade attended Teacher

Name of Pupil School Year Remarks
in your School Adviser
SALAZAR, KATE S. Grade 10 2019 - 2020

The bearer is authorized to hand carry the said request.

NOTE:
( ) 1st Request
( ) 2nd Request
( ) 3rd Request
( ) Urgent

Very truly yours,

RODITO J. VILLANUEVA JR.

Adviser – Comprog11