APPLICATIO

N
for
REINSTATEM
ENT
of
DHILIAN JOY L. DOLOR
T–I
 Sto. Niňo Elementary School

Republic of the Philippines

Department of Education
Caraga Administrative Region
Division of Siargao
San Isidro District
Sto. Niňo Elementary School
Sto. Niῆo, San Isidro, SDN

April 27, 2022

NELIA S. LOMOCSO, PhD., CESO V

Schools Division Superintendent
Siargao Division
Dapa, Surigao del Norte

Thru:

MATOSALEM L. POLVOROSA
Head Teacher- II
Sto. Niῆo Elementary School
Sto. Niῆo, San Isidro, Surigao del Norte

Madam:

May I have the honor to apply for reinstatement from one hundred five (105) days
maternity leave of absence effective May 9, 2022.

Here to attached are the following:

- Medical Certificate
- Birth Certificate

I anticipate very much for your favourable approval.

Respectfully yours,

DHILIAN JOY L. DOLOR

Teacher I
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

1st Endorsement
 Sto. Niῆo Elementary School

Respectfully forwarded to the Schools Division Superintendent, Siargao Division, Dapa,

Surigao del Norte, the herein application for reinstatement of Ms. Dhilian Joy L. Dolor Teacher I
of Sto. Niῆo Elementary School effective May 9, 2022. Recommending for favourable approval.

MATOSALEM L. POLVOROSA
Head Teacher II