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Republic of the Philippines

Department of Education
REGION XII
SCHOOLS DIVISION OFFICE OF COTABATO

October 6, 2023
Date
School Division Superintendent
Division of Cotabato
Amas, Kidapawan City

Sir:

May I have the honor to seek your approval for my reinstatement to duty due to

Maternity Leave effective October 12, 2023.

I have been in absence from June 29, 2023 to October 11, 2023.

Enclosed are copies of the following documents:

1. Health Examination Record (Form 86)


2. Child’s Birth Certificate

Respectfully Yours,

EBARLEEN KEITH C. LARGO


Signature over Printed Name
Designation: Teacher I
Employee No. 5503629307
School/District: Anonang Elementary School/
North Midsayap
Station Code: 004 North Cotabato
Basic Salary: 27,000
Noted by:

EVA R. TUGAHAN
District Supervisor/Principal

Approved by:

ROMELITO G. FLORES, CESO V


Schools Division Superintendent
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Address:Capitol Compound Amas, Kidapawan City Tweeter: @deped_northcot Page 1 of 1
Telefax:(064) 577-7017 FB Group: DepEdCotabato Division (Official)
Email: northcotabato@deped.gov.ph FB Page: DepEdCotabato Division Page
Website:sdocotabato.com

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