Republic of the Philippines

Department of Education
MIMAROPA REGION
ROXAS SOUTH DISTRICT

May 18, 2022

Sir:

I have the honor to apply for reinstatement as Secondary Classroom Teacher III effective May
25, 2022. I was on Maternity Leave of Absence with pay from February 9, 2022 to May 25, 2022.

Attached herewith are the following required documents for reinstatement:

____ 1. Endorsement from School/ District

____ 2. Birth Certificate of my child (from Maternity Leave)
____ 3. Medical certificate (form 211) signed by Government Physician

Hoping for your favorable consideration on this request.

Very truly yours,

1
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F. Lagan Sr. Memorial National High School/cad

Caramay, Roxas, Palawan

Cell No.: 09212545433
Email add: 301694flsmnhs@deped.gov.ph