Republic of the Philippines

Department of Education
Region VI – Western Visayas
Division of Iloilo
SANTIAGO NATIONAL HIGH SCHOOL
Santiago, Barotac Viejo, Iloilo

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Sir/Madam:

Please furnish us with the Form 137-A Official Transcript of Record of the following
student(s) who was/were temporarily enrolled in this school upon presentation of the Form 138-
A/Honorable Dismissal.

NAME Grade & Section/School Year

Please inform us of the reason in the event the credentials of the above students cannot be
released.
The bearer is authorized to hand carry the form.
Thank you.

__________ 1. Urgent
__________ 2. 1st request
__________ 3. 2nd request
__________ 4. 3rd request

Truly yours,

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Adviser