Republic of the Philippines

Department of Education
Schools Division of Tarlac Province
Paniqui South District
MABILANG ELEMENTARY SCHOOL
SY: 2020-2021

The Principal/Registrar:
______________________
______________________
______________________

Sir/Madam
Please send us a certified copy of the (Form 137-A/ Permanent Record of the student/s listed below who
is/are temporarily enrolled in the school upon presentation of his/her credentials.
Attended
School
Name of Students Your Temporarily Enrolled in
Year
School
1.

___________________ Urgent
Very truly yours,
√ 1 Request
st

___________________ 2nd Request MAYUMI D. GLORIA, PhD.

ESHT - III

Entrust to the Bearer

Received by:

_______________________________ ________________
(SIGNATURE OVER PRINTED NAME) (DATE)

Mabilang Elementary School

Mabilang, Paniqui, Tarlac
106582.mabilanges@deped.gov.ph