Republic of the Philippines

Department of Education
(Division)
(School)

C E R T I F I C A T I O N

This is to certify that the classes of ________________________________________

will be taken over by other teachers to maximize students learning in the absence of the said
teachers. To wit:

TEACHER’S SCHEDULE NAME OF ALTERNATE SIGNATURE OF

TEACHER/S ALTERNATE TEACHER/S

_______________________ ______________________________ __________________________

_______________________ ______________________________ __________________________

_______________________ ______________________________ __________________________

_______________________ ______________________________ __________________________

_______________________ ______________________________ __________________________

_______________________ ______________________________ __________________________

_______________________ ______________________________ __________________________

Issued this day of , 202__ at ______________________.

_______________________________
School Head