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Republic of the Philippines

Department of Education
REGION I
SAN EMILIO DISTRICT
KALUMSING INTEGRATED SCHOOL
SCHOOL I.D 500598
__________________________________________________________________

May 12,2023

Sir:

I have the honor to request for resumption in the service from a one hundred five (105) day
Maternity Leave of Absence with Pay effective February 13, 2023 to May 28, 2023.

Attached hereto are the following supporting documents:


1. Medical Certificate
2. Birth Certificate of my daughter (Xerox copy)
3. Approved form 6
Thank you very much for your kind consideration and favorable action.

Very truly yours,

LENI D. SANNAD
Teacher I
Employee No. 4221940
Station Code: 567

Recommending Approval:
MENCHIE M. PATI
Head Teacher III

APPROVED:

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