Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

October 19, 2022

REQUEST FOR MULTIPLE SERVICE RECORDS

ELIAS A. ALICAYA, JR.SO VI
Schools Division Superintendent
DepEd – Division of Quezon
Sitio Fori Brgy. Talipan, Pagbilao, Quezon

Madam:

The following teachers/personnel of EMILIANO GALA ELEMENTARY SCHOOL – SARIAYA

WEST would like to request a copy of their Service Record, as certified by their signature and purpose
as stated therein.

COMPLETE NAME SIGNATURE SPECIFIC PURPOSE

1. ERICKSON M. SUPILLO For reclass attachment
2. ROCHELLE S. ANGLO For loan purposes

Thank you very much.

MERAFE E. ALUAN
(Signature Over PSDS or School Head Name)
Approved:
________________________

Received By:

________________________

DEPEDQUEZON-SDO-PER-04-071-002

“Creating Possibilities, Inspiring Innovations”

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph