Republic of the Philippines

Department of Education
Region X
Division of Lanao del Norte
DALAMA INTEGRATED SCHOOL
Dalama, Tubod, Lanao del Norte

Endorsement
September 3, 2021

Respectfully forwarded to the Schools Division Superintendent, DepEd,

Division of Lanao del Norte, Pigcarangan, Tubod Lanao del Norte the attached
pertinent documents of BASALO, MA ANN LIMBAGA on her application of 105
days’ maternity leave full pay effective OCTOBER 4, 2021 to JANUARY 16, 2022
and recommending approval if found in order.

ROSABELLA L. ARNADO
School Principal I

September 3, 2021
(Date)
 Republic of the Philippines
Department of Education
Region X
Division of Lanao del Norte
DALAMA INTEGRATED SCHOOL
Dalama, Tubod, Lanao del Norte

October 11, 2021

EDILBERTO L. OPLENARIA, CESO V

The Schools Division Superintendent
Division of Lanao del Norte
Pigcarangan, Tubod, Lanao del Norte

Thru: JONALYN J. YAP

School Principal I
Sucadan ElementarySchool
Taguranao, Tubod, LDN

Sir:

Good day!

May I have the honor to apply for a paternity leave of absence effective
October 11, 2021 to October 17, 2021.

May you warrant my request.

Thank you and more power.

Respectfully yours,

BRIAN REY D. BASALO

Teacher I
 Republic of the Philippines
Department of Education
Region X
Division of Lanao del Norte
DALAMA INTEGRATED SCHOOL
Dalama, Tubod Lanao del Norte

September 3, 2021

CLEARANCE

To Whom It May Concern:

This is to certify that MA ANN L. BASALO, Teacher I, with an assignment in

Dalama Integrated School, Tubod East District, has been cleared in any School
Monetary and property obligations.

This certification is being issued to the concern teacher relative to her

application for a 105-day Maternity Leave of Absence with full pay effective October
4, 2021 to January 16, 2022 inclusive.

Given this 3RD day of September 2021.

ROSABELLA L. ARNADO
School Principal I