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Department of Education

National Capital Region


DIVISION OF CITY SCHOOLS
Valenzuela City

APPLICATION PERMISSION TO TEACH


OUTSIDE OFFICIAL TIME

ARON PAUL SAN MIGUEL


Name of Applicant: __________________________________ TEACHER II
Position: ________________________
Civil Service Eligibility: ______________________________
LICENSURE EXAMINATION FOR TEACHERS PERMANENT
Status: __________________________
Gen. Tiburcio De Leon National High School
Name of School Employed: ______________________________________________________________
Corner Mercado St. Gen. T. De Leon, Valenzuela City
Address: ______________________________________ Married
Civil Status: ___________________________
3.8 kms
Distance in kms. Between official station to College/University: _________________________________
PAMANTASAN NG LUNGSOD NG VALENZUELA
_____________________________________________________________________________________
( NAME AND LOCATION OF THE COLLEGE/UNIVERSITY WHERE THE APPLICANT WISHES TO TEACH )

Semester/Summer College/University PAMANTASABN NG LUNGSOD NG


Applied For: ____________________________
1ST SEMESTER Where to Teach: VALENZUELA
________________________
School Year: ______________________________
2022-2023 Regular/Saturday/Summer: ___________________
SATURDAY
Number of units Authorized to Teach: ______________________________________________________
9 units

SUBJECT/S BEING TAUGHT AT PUBLIC SCHOOL ( For Teacher )

SUBJECT TIME DAY


__________________________
ORGANIZATION AND MANAGEMENT ___________________________
7:30AM- 2:00PM ____________________________
MONDAY-FRIDAY
__________________________ ___________________________ ____________________________
__________________________ ___________________________ ____________________________
__________________________ ___________________________ ____________________________

SUBJECT/S TO BE TAUGHT AT COLLEGE/UNIVERSITY (Outside Teaching)

SUBJECT TIME DAY


__________________________
MATHEMATICS IN THE MODERN WORLD___________________________
8:00AM - 6:00 PM ___________________________
SATURDAY
__________________________ ___________________________ ___________________________
__________________________ ___________________________ ___________________________
__________________________ ___________________________ ___________________________
__________________________ ___________________________ ___________________________

I HEREBY CERTIFY that I have carefully read Division Memorandum No. 0163, s. 2004 and
all the provision which I am bound to observe strictly. I understand that if is the opinion of the Principal
that the permit to teach outside of official time adversely affects my efficiency as a teacher, this
permission shall be revoked.

Date Submitted: ___________________ Signature of Applicant: _________________________

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APPROVAL RECOMMENDED:

The undersigned shall require strict compliance with all existing rules and regulations regarding
permission to teach outside of official time by the applicant.

_______________________________
Principal/Head of School
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APPROVED:

MELITON P. ZURBANO
Assistant Schools Division Superintendent
Officer – In – Charge
Office of the Schools Division Superintendent

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