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  • Change of StatusNEW FORM - 1

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    Venus Velonza
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    The document is a request from a teacher to the Schools Division Superintendent asking to change her name and status from Miss to Mrs on official records after getting married. It includes her marriage contract and thanks the Superintendent for their attention to the matter. A Special Order is then issued approving the name change on the roll of teachers based on her marriage.

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    Change of Status New Form

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    Change-of-StatusNEW-FORM_1

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    The document is a request from a teacher to the Schools Division Superintendent asking to change her name and status from Miss to Mrs on official records after getting married. It includes her marriage contract and thanks the Superintendent for their attention to the matter. A Special Order is then issued approving the name change on the roll of teachers based on her marriage.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18 views2 pages

    Change of StatusNEW FORM - 1

    Uploaded by

    Venus Velonza
    The document is a request from a teacher to the Schools Division Superintendent asking to change her name and status from Miss to Mrs on official records after getting married. It includes her marriage contract and thanks the Superintendent for their attention to the matter. A Special Order is then issued approving the name change on the roll of teachers based on her marriage.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Republic of the Philippines

    Department of Education
    Region I
    SCHOOLS DIVISION OFFICE I PANGASINAN
    District of ____________

    FEBRUARY 7, 2022

    ____________________________
    Schools Division Superintendent
    Officer-in- Charge
    Lingayen, Pangasinan

    Madam:

    May I have the honor to apply for a change of name/status from Miss
    ______________________ to Mrs. _________________.

    The copy of our marriage contract is hereby attached.

    Your attention and consideration to this matter will be highly appreciated.

    Thank you.

    Very truly yours,

    _____________________
    Emp. No. ________________
    Div. 041 Station 021
    Republic of the Philippines
    Department of Education
    Region I
    SCHOOLS DIVISION OFFICE I PANGASINAN
    _________________

    February 7, 2022

    SPECIAL ORDER
    No. ________s. 2018

    In view of her request for change of Status/Change of Surname and by virtue of


    her marriage to Mr. ______________________ on _______________ at Municipal Hall,
    _______________, Pangasinan, the name appearing in this roll of National/Municipal
    Elementary Grades Teachers in ______________ SCHOOL, ___________DISTRICT,
    Schools Division of Pangasinan I as ___________________ is hereby changed to read as
    ________________.

    By Authority of the Regional Director/Schools Division Superintendent:

    ________________________________
    Administrative Officer V

    Copy Furnished:
    The Provincial I Director, CSC, Lingayen
    The Regional Director, DepEd San Fernando, La Union
    The Regional Manager, GSIS, Dagupan City
    The Chief Accounting Machine Division, DepEd, San Fernando City
    The Teacher Concerned
    The Division Office File

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