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Republic of the Philippines

Department of Education
National Capital Region
Division of City Schools - Valenzuela
PASOLO ELEMENTARY SCHOOL
PASOLO ROAD, PASOLO, VALENZUELA CITY

October 7, 2022

MELITON P. ZURBANO
Schools Division Superintendent
Division of Valenzuela

Sir;

After complying with the rules and regulation regarding Special Leave Benefits for
Women, I have the honor to apply for reinstatement effective Oct.18,2022.

My leave took effect from August 19,2022 to Oct.17, 2022

Attached herewith are my supporting documents:

1. C.S.C Form 211 (Medical Certificate)


2. First Day of Service

Thank you for your kind consideration.

Very truly yours,

MERI GRACE P. SAN JUAN


Teacher III

(02) 891-4324
pasolo.es@deped.gov.ph
pasoloes.depedvalenzuela.ph

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