Republic of the Philippines
Department of Education
CORDILLERA ADMINISTRATIVE REGION
SCHOOLS DIVISION OF APAYAO
PERMIT TO STUDY
Name of Applicant: PASCUA, ANNIE ROSE MACABUGAO Position: Teacher III Sex:
Female
(Family Name, Given Name, Middle Name)
Employee No.: 472930 Contact Number: 09193803232 E-mail: annierose.pascua001@deped.gov.ph
Station Code: 005 Name of School/ Office: San Isidro Elementary School
School/Office Address: San Isidro Sur, Luna, Apayao
Subject/s & Grade/s level presently handled: Grade 5
Name & Address of School where enrolled: Apayao State College – Luna Campus
_________________________________________________________________________________
School Year: 2024-2025 Semester (Pls. check): 1st ___ 2nd ___ 3rd ___ Summer __________
(Course to be taken and schedule of classes: (COMPLETE the needed information based on registration/enrollment form
given)
Subject Subject Description Day/s of Time No. of
Code the Units
week
Organizational Management and
ELM 304 Saturday 3:00 to 6:00 3
Institutional Development
Decision Making in Educational
ELM 305 Saturday 8:00 to 11:00 3
Leadership
Educational Leadership and
ELM 306 Saturday 11:00 to 2:30 3
Management in Educational Institutions
Note: Strict compliance of a maximum of nine (9) units to enroll every semester except for graduating
students (For Teachers).
Credit or Units Earned M.A. / Doctorat Others (Pls. specify):
M.S. e _________________________
Total number of units earned: 42
Number of units to be earned this
9
Semester / Term
I declare under oath that I have personally accomplished this form which is a true, correct
and complete. I shall submit to the Administrative Unit, through channels, certified true
copy of the report of rating I shall obtain in the course during the semester including the
number of units earned.
_________________________ ____________________
Address: Provincial Government Center, Capagaypayan, Luna, Apayao, 3813
Email Address: apayao@deped.gov.ph
Website: http://www.depedapayao.ph
(Signature of Applicant) Date
CERTIFICATION
I, the undersigned, certify that the applicant is doing satisfactory work with an efficiency
rating of “Very Satisfactory” (3.500 – 4.499) or higher, that I shall recommend the
revocation of this permission if the application violates any or all regulations given in
Circular No. 17, s. 1960.
LEAH A. MARQUEZ
Signature Over Printed Name of School Head/Division Chief/ASDS
APPROVED:
Subject Subject Description Day/s of Time No. of
Code the Units
week
Organizational Management and
ELM 304 Saturday 3:00 to 6:00 3
Institutional Development
Decision Making in Educational
ELM 305 Saturday 8:00 to 11:00 3
Leadership
Educational Leadership and
ELM 306 Saturday 11:00 to 2:30 3
Management in Educational Institutions
Recommending Approval: Approved:
JERRY B. SARIO, JR. IRENE S. ANGWAY PhD, CESO V
Officer In-Charge Schools Division Superintendent
Assistant Schools Division Superintendent
For Administrative Unit Staff Only
Permit No. Expiry on: 1st ___ 2nd ___ 3rd __ Recorded by: Date:
_______________ Summer _____________
School Year: ________________
Address: Provincial Government Center, Capagaypayan, Luna, Apayao, 3813
Email Address: apayao@deped.gov.ph
Website: http://www.depedapayao.ph
Address: Provincial Government Center, Capagaypayan, Luna, Apayao, 3813
Email Address: apayao@deped.gov.ph
Website: http://www.depedapayao.ph
