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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

STUDY LEAVE STUDY LEAVE


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

Civil Service Form 6 Revised 2020 (2 original) Civil Service Form 6 Revised 2020 (2 original)
Letter request noted by the immediate supervisor Letter request noted by the immediate supervisor
Schedule of Study Leave Schedule of Study Leave
Memorandum of Agreement Memorandum of Agreement
District/School Clearance (3 original) District/School Clearance (3 original)
Division Clearance (3 original) Division Clearance (3 original)
Certification without substitution (for Teachers) Certification without substitution (for Teachers)
Certificate of bonafide employee Certificate of bonafide employee
Updated Service Record (1 original, 2 photocopy) Updated Service Record (1 original, 2 photocopy)
Permit to Study Permit to Study
Latest Performance Rating Latest Performance Rating
Medical Certificate (Physically Fit) Medical Certificate (Physically Fit)

DEPEDQUEZON-SDO-PER-04-077-000 DEPEDQUEZON-SDO-PER-04-077-000

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

STUDY LEAVE STUDY LEAVE


Name: _________________________________ Name: _________________________________
District/School____________________________ District/School____________________________
Civil Service Form 6 Revised 2020 (2 original) Civil Service Form 6 Revised 2020 (2 original)
Letter request noted by the immediate supervisor Letter request noted by the immediate supervisor
Schedule of Study Leave Schedule of Study Leave
Memorandum of Agreement Memorandum of Agreement
District/School Clearance (3 original) District/School Clearance (3 original)
Division Clearance (3 original) Division Clearance (3 original)
Certification without substitution (for Teachers) Certification without substitution (for Teachers)
Certificate of bonafide employee Certificate of bonafide employee
Updated Service Record (1 original, 2 photocopy) Updated Service Record (1 original, 2 photocopy)
Permit to Study Permit to Study
Latest Performance Rating Latest Performance Rating
Medical Certificate (Physically Fit) Medical Certificate (Physically Fit)

DEPEDQUEZON-SDO-PER-04-077-000 DEPEDQUEZON-SDO-PER-04-077-000

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