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Office of the School Registrar

Tel. No. 471-40-41 or 471-42-21


The Principal/ Registrar
BEBERON ELEMENTARY SCHOOL
Beberon, San Fernando, Camarines Sur

Sir/Madam:
I have the honor to request for the complete Student’s Permanent Record (Form 137-A/SF
10) of the following student/s who is/are temporarily enrolled in this school upon presentation of
his/her credentials. (In case records cannot be released for one reason or another, kindly inform or
advice this office).

Item LRN NAME SECTION SCHOOL YEAR


No. (Grade 6) ATTENDED
(Elem)
1 112995130056 Delos Santos, Abegail R. G6 - Jupiter 2019-2020
2 112995130025 Delos Santos, Valerie C. G6 - Mercury 2019-2020

___/___ 1st Request


______ 2nd Request
______ 3rd Request

Name of Adviser: DENNIS B. MAYORES

GEMMA A. REALO
School Principal II

ACKNOWLEDGEMENT SLIP
NAME OF STUDENT : ____________________________________
CURRENTLY ENROLLED AT : SAN FERNANDO NATIONAL HIGH SCHOOL
YEAR AND SECTION : GRADE 7 - DAFFODIL
SCHOOL YEAR : SY 2021-2022
STATUS OF REQUEST : _______________________________________
ON PROCESS : _____________________
PENDING : _____________________
MAILED : _____________________
ENTRUST TO THE BEARER : _____________________

Received by : _____________________
Date : _____________________

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