Republic of the Philippines

Department of Education
National Capital Region
Schools Division Office of Caloocan City
MAYPAJO HIGH SCHOOL
J. P. Rizal St., Maypajo, Caloocan City

__JUNE 13___, 2022

Dr. NERISSA L. LOSARIA, CESO V

Schools Division Superintendent
Schools Division Office
Caloocan City

MADAM:

I regret to inform your good office that I have incurred one ( 1 ) day/s of absence/s last
______June 10, 2022____ due to ____acid reflux_________________.

Attached herewith is my accomplished CS Form 6 relative to the above matter.

Hoping for your kind consideration.

Thank you very much.

Very truly yours,

ELMA C. SOLIBAGA
_______________________
Teacher
NOTED:

__MICHAEL A. LACIBAL______
Department Head

BENJAMIN M. MOLINA, II
Principal

Address: J.P. Rizal St., Maypajo, Caloocan City

Telephone No.: (02) 8285-0407
Email Address: maypajohighschool@yahoo.com
 Republic of the Philippines
Department of Education
National Capital Region
Schools Division Office of Caloocan City
MAYPAJO HIGH SCHOOL
J. P. Rizal St., Maypajo, Caloocan City

Address: J.P. Rizal St., Maypajo, Caloocan City

Telephone No.: (02) 8285-0407
Email Address: maypajohighschool@yahoo.com