Republic of the Philippines

Department of Education
Region III
Division of Nueva Ecija
(District)

________________

_________________________
Schools Division Superintendent
Division of _____________
______________________

Sir:

This is to inform your good office that ____________________ of

__________ School, _____________, served as Substitute Teacher from
___________ to ________________; however, ____________ did not receive yet the
full payment of her salary from ____________ to ____________

This certifies further that __________ started her first day of Service on
___________________ up to ________________.

Very truly yours,

_____________________________
School Principal II