Department of Education

Region IV – MIMAROPA
DIVISION OF PALAWAN
BATARAZA DISTRICT I
Bataraza, Palawan

_________________________
Date

The Schools Division Superintendent

Division of Palawan
Puerto Princesa City

Sir:

I have the honor to apply for Reinstatement as classroom teacher effective

___________June 01, 2021____. I was on ___Maternity____ Leave of Absence from
____February 15, 2021_____ to ___May 31, 2021_______.

Attached herewith is/are the following required documents below this Reinstatement.
(Check)

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

_______ 2. A true/certified Xerox copy of the Birth Certificate of my child

_______ 3. A true/certified Xerox copy of the approved appointment

_______ 4. Others

Hoping for your favorable consideration on this request.

Very truly yours,

_________________________
Classroom Teacher
Employee No. ___________
Station Code _______

1st Endorsement
BATARAZA DISTRICT I
____________________________

Respectfully forwarded to the Schools Division Superintendent, Division of Palawan,

recommending approval of the Reinstatement of ____________________________________
effective ____________________________ due to the return to duty of this incumbent, his, her
substitute ______________________________, who served from _______________________
to _____________________________ is hereby dropped from the rolls effective
_______________________________.

EDNA V. CABUHAT, Ph.D.

Public Schools District Supervisor