Republic of the Philippines

Department of Education
REGION XI
SCHOOLS DIVISION OF TAGUM CITY
PANDAPAN INTEGRATED SCHOOL
PANDAPAN, TAGUM CITY

The Schools Division Superintendent

Division of Tagum City
Tagum City

Sir/Madam:

I have the honor to apply for reinstatement to my former position as Teacher I of

Pandapan Integrated School effective on January 20,2022. I went on (MATERNITY LEAVE / SICK
LEAVE / VACATION LEAVE ) on January 20,2022 and delivered on January 22, 2022.

Attached herewith are the Birth Certificate of my Child and the form 211, Doctor’s
Certificate.

The following information regarding myself are:

1. Station No. : 001

2. Employee No. : 8801020
3. Monthly Salary : 26,450.00
4. C.S Status : ___________

_MARY CRIS J. TABALANZA

(Print Name Below Signature)

Noted:

EBUS JR. D SANDUKAN

Assistant Principal II/SIC

2nd Indorsement
May 5,2022
Respectfully forwarded to the Schools Division Superintendent, Tagum City, recommending
approval of the reinstatement of Mary Cris J. Tabalanza on May 5, 2022.

EBUS JR. D SANDUKAN

Assistant Principal II/SIC

Approved by:

DR. JOSEPHINE L. FADUL

Schools Division Superintendent

Name of School: Pandapan Integrated School

Address: Purok Durian, Pandapan, Tagum City
Contact No.: 091776225223
Email: pandapan.is2015@gmail.com