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Republic of the Philippines

Department of Education
Region X
Division of Misamis Oriental
Balingasag South District
BLANCO ELEMENTARY SCHOOL
School ID: 127605

DATE: _______________
THE PRINCIPAL

__________________________
__________________________
__________________________

Sir/Madam:

Kindly furnish us with certified copy/copies of 137-A (Permanent Record) of the following
pupil/s who have been temporarily enrolled in this school upon presentation of credentials which show
that he/she studied in your school and is/are eligible and qualified for transfer and admission to our
school.

NAME OF PUPIL/S GRADE LEVEL GRADE LEVEL SCHOOL YEAR


ATTENDED TO ATTENDED IN
OUR SCHOOL YOU SCHOOL

In case the record/s requested cannot be release for some reason/s, please let us know. We
will give our full cooperation in compliance with your requirements.

NOTE:
( / ) 1ST Request
( ) 2nd Request
( ) 3rd Request
( ) 4th Request
Very truly yours,

SOL S. VALLEDOR
Head Teacher I

Blanco, Balingasag, Misamis Oriental


127605@deped.gov.ph
sol.valledor@deped.gov.ph
Republic of the Philippines
Department of Education
Region X
Division of Misamis Oriental
Balingasag South District
BLANCO ELEMENTARY SCHOOL
School ID: 127605

Blanco, Balingasag, Misamis Oriental


127605@deped.gov.ph
sol.valledor@deped.gov.ph

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