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Republic of the Philippines Republic of the Philippines

Department of Education
Region IV-A
Department of Education
Region IV-A

SCHOOLS DIVISION OF QUEZON PROVINCE SCHOOLS DIVISION OF QUEZON PROVINCE

RETURN TO DUTY RETURN TO DUTY

Name: _________________________________ Name: _________________________________


District/School____________________________ District/School____________________________

Special Order Form (2 original) Special Order Form (2 original)


Medical Certificate of Fit to Work with Documentary Medical Certificate of Fit to Work with Documentary
Stamp (1 original, 1 photocopy) Stamp (1 original, 1 photocopy)
Birth Certificate (for Maternity Leave) ( 1 Birth Certificate (for Maternity Leave) ( 1
photocopy) photocopy)

DEPEDQUEZON-SDO-PER-04-062-004 DEPEDQUEZON-SDO-PER-04-062-004
Email address: quezon@deped.gov.ph Email address: quezon@deped.gov.ph
Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM) Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM)
Cell No: 09175824629 Cell No: 09175824629
This document is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE and the contents are treated confidential. prohibited This document is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE and the contents are treated confidential. prohibited
unless otherwise permitted by the Schools Division Superintendent. unless otherwise permitted by the Schools Division Superintendent.

Republic of the Philippines Republic of the Philippines


Department of Education
Region IV-A
Department of Education
Region IV-A

SCHOOLS DIVISION OF QUEZON PROVINCE SCHOOLS DIVISION OF QUEZON PROVINCE

RETURN TO DUTY RETURN TO DUTY


Name: _________________________________ Name: _________________________________
District/School____________________________ District/School____________________________

Special Order Form (2 original) Special Order Form (2 original)


Medical Certificate of Fit to Work with Documentary Medical Certificate of Fit to Work with Documentary
Stamp (1 original, 1 photocopy) Stamp (1 original, 1 photocopy)
Birth Certificate (for Maternity Leave) ( 1 Birth Certificate (for Maternity Leave) ( 1
photocopy) photocopy)

DEPEDQUEZON-SDO-PER-04-062-004 DEPEDQUEZON-SDO-PER-04-062-004
Email address: quezon@deped.gov.ph Email address: quezon@deped.gov.ph
Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM) Comments: Txt HELEN – 09178902327 (Smart/Sun/TalknTxt) 2327 (Globe and TM)
Cell No: 09175824629 Cell No: 09175824629
This document is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE and the contents are treated confidential. prohibited This document is a property of SCHOOLS DIVISION OFFICE - QUEZON PROVINCE and the contents are treated confidential. prohibited
unless otherwise permitted by the Schools Division Superintendent. unless otherwise permitted by the Schools Division Superintendent.

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