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Request Form
Request Form
JULY 6, 2023 .
Date
The Principal
EDISON G. DELA PENA
LIPATA NHS .
Sir/Ma’am:
Please furnish us the Form 137 – A of the following students who are temporarily enrolled in the school on the basis of the
transfer credentials presented to us.
Should there be any reason to withhold his/her records kindly inform us accordingly.
1st request ________
2nd request ________ Very truly yours,
3rd request ________
AMOR G. BANARES
Note: the bearer is authorized to hand carry the said form. Secondary School Principal
By:
MARK JOHN P. PARAGOSO
Adviser