OUR LADY OF FATIMA UNIVERSITY

120 MacArthur Highway, Marulas, Valenzuela City

291-65-38 loc 881
www.fatima.edu.ph

Date: ____________________

THE PRINCIPAL/REGISTRAR

_________________________________________________

_________________________________________________
(Name of School)

Sir/Madam:

Kindly furnish our office with the sealed certified copy of the FORM 137 –COPY FOR OUR LADY OF
FATIMA UNIVERSITY of the ff. student/s who is/are temporarily enrolled in this school upon
presentation of their credentials (FORM 138/HONORABLE DISMISSAL) which show he/she studied in
your school and is/are eligible for transfer and admission.

Name of Student Granted Year or Grade Level Admitted

(Last Name, First Name, M.I.) Date Granted Honorable Dismissal to OLFU

Grade 11

xxxx xxxx xxxx

First Request (X)

Second Request ( )
Third Request ( )
Urgent (X)
Pls. Entrust to Bearer (X)

VERY TRULY YOURS,

ERNESTO R. LEUTERIO, JR.

SHS Administrator
(erleuterio@fatima.edu.ph)