Document Code: SDO-BUL-GQF-

HR-001
General Quality Form Revision: 00

Effectivity date: 4-3-2019

REQUEST FOR TRANSFER OF STATION Name of Office:
ASSIGNMENT Planning & Research

Name of Applicant : Position/Designation:

Galvan Martin Riggs Francisco Teacher I

Surname First Name Middle Name
Name of School : School ID : District/Municipality:

John J. Russell Memorial High School 300774 San Miguel North

Graduated Course/Specialization : Grade level handled : Subject Taught :

BSEd – Major in English Grade 8 MAPEH

Number of Years in Teaching in the present school: Contact No. : E-mail Address :
5
0932-247-7825 martinriggs.galvan@deped.gov.ph
Requested School for Transfer (Option 1) School ID : District/Municipality:

Lydia D. Villangca Trade School 306718 San Rafael

Requested School for Transfer (Option 2) School ID : District/Municipality:

Salapungan National High School 300749 San Rafael

Requested School for Transfer (Option 3) School ID : District/Municipality:

San Rafael National Trade School 300773 San Rafael

Reasons for transfer :

1. With the emergence of the worldwide pandemic known as COVID-19, I do believe that the closer you are at

your work station, the lesser your exposure to deadly viruses. If I may be so bold, I do want to be less exposed

to different sorts of viruses and being in a school near my residence is I think one of the keys to achieve that.

2. I would like to fulfill my responsibilities to my mother who is currently undergoing maintenance to prevent her

from suffering high blood pressure. She is considered a person with commorbidity. As much as possible, I do

not want her to be exposed to deadly viruses.

3. I am a bonafide resident of Ulingao, San Rafael, Bulacan. My current work station is 36 km away from my

residence. I would be able to save so much energy, time and money if I could be transferred.

I hereby certify that the above information are true and correct to the best of my knowledge.

______________________
Applicant

Documents attached to the letter to justify request for transfer: Please check.

_____ Personal request letter of the teacher

_____ Endorsement of the School Head
_____ Teacher’s Voter’s ID
_____ Birth certificate of child for nursing mothers
_____ Marriage certificate for those who will be joining their spouse in the school
_____ Medical Records for those who have poor medical condition
_____ Notarized self-certification that life is in danger in the present station
_____ Certification from the Planning Officer that the teacher is excess in the school
______Others - Please specify. ____________________________________