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Department of Education

Region V
Division of Camarines Sur
CALABANGA EAST DISTRICT

The Schools Division Superintendent


Division of Camarines Sur
Freedom Sports Complex
San Jose, Pili, Camarines Sur

Madam:

I have the honor to apply for ( ) _____________ calendar/working days


sick/maternity/vacation leave of absence with/without pay effective _____________ to
_____________ inclusive, as per supporting documents.

Enclosed are my CS form 6, 41 and other pertinent papers duly accomplished.

Very truly yours,

SHEILA M. FRANCIA
Teacher I
13-043-4241370
CP# 09661521214
Recommending Approval:

IMELDA E. PANTE
School Head/Principal

Approved:

ERNESTO V. GARINGA JR.


Public Schools District Supervisor

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