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Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF PAMPANGA
ARAYAT EAST DISTRICT
Arayat, Pampanga
SAN AGUSTIN ELEMENTARY SCHOOL
Principal/ Registrar
_____________________
_____________________
_____________________

Dear Sir/Madam,

Please furnish us with certified copy of FORM -137A (Student’s Permanent Record) of the student(s)
who are temporarily enrolled in our school.

NAME SCHOOL YEAR CLASSIFIED AS


__________________________ __________________ ___________________
__________________________ __________________ ___________________
__________________________ __________________ ___________________
__________________________ __________________ ___________________
__________________________ __________________ ___________________

Thank you for your kind and favorable action.

_____1st Request
_____2nd Request

Donabella M. Rivera Rosalyn S. Batac


Adviser/In – charge of Records Head Teacher I

Republic of the Philippines


Department of Education
Region III
SCHOOLS DIVISION OF PAMPANGA
ARAYAT EAST DISTRICT
Arayat, Pampanga
SAN AGUSTIN ELEMENTARY SCHOOL
Principal/ Registrar
_____________________
_____________________
_____________________

Dear Sir/Madam,

Please furnish us with certified copy of FORM -137A (Student’s Permanent Record) of the student(s)
who are temporarily enrolled in our school.

NAME SCHOOL YEAR CLASSIFIED AS


__________________________ __________________ ___________________
__________________________ __________________ ___________________
__________________________ __________________ ___________________
__________________________ __________________ ___________________
__________________________ __________________ ___________________

Thank you for your kind and favorable action.

_____1st Request
_____2nd Request

Donabella M. Rivera Rosalyn S. Batac


Adviser/In – charge of Records Head Teacher I

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