Republic of the Philippines

Department of Education
REGION XII
DIVISION OF SULTAN KUDARAT

___________
Date

The Schools Division Superintendent

Division of Sultan Kudarat
Kenram, Isulan, Sultan Kudarat

Sir/Madam:

I have the honor to enroll in the following subjects included in the

_____________ _____________
(MA, MS, Ph.D., Ed.D., etc.) Curriculum at the ___________________________________
(Name and address of the Institution)

during the _____________________ of the present school year _______________________.

(1st, 2nd Semester or summer) (School Year)

Course Title and Number Description Period Instructor

____________________ _____________________ _____________ ________________
____________________ _____________________ _____________ ________________
____________________ _____________________ _____________ ________________
____________________ _____________________ _____________ ________________

1. Example “Education 2” 2. Example “Principles of Teaching”

I fully understand the provision of B.P.S.Circular No. 17, s. 1960 as amended by

DepEd Order No. 65, s. 1985.

Very truly yours,

_________________________
Employee
Recommending Approval:

_________________________
School Head/District Head
APPROVED:

________________________________
Schools Division Superintendent
DSK-OSDS-P-SP-v1r0.0e03.15.21
Serbisyong may Integridad, Kalidad, Angat, at Tapat

Address: Kenram, Isulan, Sultan Kudarat

Telephone No.: (064) 471 1007
Website:https://depedsultankudarat.orgEmail: depedsk.r12@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION XII
DIVISION OF SULTAN KUDARAT

REPORT OF TEACHER’S STUDY LOAD

(To be forwarded to the office concerned within one month after enrollment)

Teacher’s Name: ______________________________ Position: _________________________

Place of employment (Town or City) _______________________________________________
Province: _______________________ Institution where enrolled: ______________________
_______________________________ Town or City: ____________________________________
Province: _______________________ Academic Year: _________________________________
Semester or quarter: ______________.

Courses taken during the semester or quarter:

Title & Number Description Number of Semester

_________________
_________________
_________________
_________________
_________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
or Quarterly units
_______________________
_______________________
_______________________
_______________________
_______________________

_______________________
Registrar

Copy for:
Schools Division Superintendent
School Head
Teacher concerned
File

DSK-OSDS-P-SP-v1r0.0e03.15.21
Serbisyong may Integridad, Kalidad, Angat, at Tapat

Address: Kenram, Isulan, Sultan Kudarat

Telephone No.: (064) 471 1007
Website:https://depedsultankudarat.orgEmail: depedsk.r12@deped.gov.ph