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Republic of the Philippines

Department of Education
CARAGA REGION
DIVISION OF BUTUAN CITY
East Butuan District III
BASAG NATIONAL HIGH SCHOOL
Basag, Butuan City
School ID No. 305839

_________________
(Date)

VALENTIN S. CATUBURAN
Assistant Principal II
Basag National High School

Sir:

I would like to ask your permission to be out in my class on _________________


(Date)
In connection to this, I would like to submit the substitution matrix on the said leave of
absence.

SUBSTITUTION MATRIX
Date Time Subject Grade & Teacher Substitute Signature
Section

_________________________________
Signature over Printed Name of Teacher
who applied for leave
Approved:
VALENTIN S. CATUBURAN
School Head

Purok Humay C Brgy. Basag, Butuan City 8600 (085)2254855 basagnhs500984@gmail.com

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