Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF TARLAC PROVINCE
Gerona South District
SAN JOSE ELEMENTARY SCHOOL
ID No. 106483

C E R T I F I C A T I O N

To Whom It May Concern:

This is to certify that NENITA SAPAD DELA CRUZ, is a bona fide graduate of this institution
during the school year 1983-1984.

This certifies further that our school unfortunately lost her form 137 due to a flashflood thus this
certifies that she was enrolled in this institution in the said school year.

This certification is issued this 9 th day of November, 2020 to the above- mentioned name for
whatever legal intent it may serve.

Noted:

CECILE B. AGPALASIN
Teacher-In-Charge

Address: San Jose, Gerona, Tarlac

Mobile No.: 0917- 307 - 2712
Email Address: sanjosees.106483@gmail.com
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF TARLAC PROVINCE
Gerona South District
SAN JOSE ELEMENTARY SCHOOL
ID No. 106483

C E R T I F I C A T I O N

To Whom It May Concern:

This is to certify that REYMART F. CRUZ, Grade 6- Mars is a bona fide pupil of this
institution during the school year 2016-2017.

This certifies further that he is currently enrolled in this institution.

This certification is issued this 2 nd day of September, 2016 to the above- mentioned name for
whatever legal intent it may serve.

MARIO D. NOOL JR.

Adviser

Noted:

CECILE B. AGPALASIN
T-III/Teacher-In-Charge

August

Address: San Jose, Gerona, Tarlac

Mobile No.: 0917- 307 - 2712
Email Address: sanjosees.106483@gmail.com
 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OF TARLAC PROVINCE
Gerona South District
SAN JOSE ELEMENTARY SCHOOL
ID No. 106483

THE PRINCIPAL/DIRECTOR
CRISTO REY WEST ELEMENTARY SCHOOL
CAPAS, TARLAC CITY

Sir/Madam:

Please furnish us with certified copy/copies of Form 137 Permanent Record of the following
pupil/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 and admission.

NAME OF PUPIL GRADE TEACHER/ SCHOOL REMARKS

ATTENDED IN ADVISER YEAR
YOUR SCHOOL
ALLANA, JHON Grade Five 2021-2022
CRIS J.

*The bearer is authorized to hand carry the said request

NOTE:
( ) 1st Request Very truly yours,
( ) 2nd Request
( ) 3rd Request MAY ANN M. GRANIL
( ) Urgent School Registrar

RECEIVED BY: ________________________

DATE OF RECEIVED: _____________________

Address: San Jose, Gerona, Tarlac

Mobile No.: 0917- 307 - 2712
Email Address: sanjosees.106483@gmail.com