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Republic of the Philippines

Department of Education
REGION iii
SCHOOLS DIVISION OF PAMPANGA

Document Code: SDOPAMP-QF-


OSDS-AOV-AS-006
GENERAL QUALITY FORM Revision: 00
Effectivity date: 01-23-19
Name of Office:
APPLICATION FOR PERMIT TO TEACH

September 14, 2022

Name of Teacher: ALVIN R. LIM

Applicant’s Assignment:
School: STA. MARIA NATIONAL HIGH SCHOOL
District: MACABEBE WEST/CLUSTER 7

School where the applicant plans to teach:


School: PAMPANGA COLLEGES, INC.
Place: MACABEBE, PAMPANGA

Last Performance Rating: 4.900 (Outstanding)

LIST OF SUBJECTS TO TEACH


[  ] 1ST Semester [ ] 2ND Semester [ ] Trimester [ ] Summer SY 2022 - 2023
SUBJECT/S UNITS DAY TIME
Philippine Literature in English 3 M-W-F 5:00-6:00 PM
Purposive Communication 3 M-W-F 6:00-7:00 PM
Purposive Communication 3 M-W-F 7:00-8:00 PM
Purposive Communication 3 T-Th-S 6:00-7:00 PM
Philippine Literature in English 3 T-Th-S 7:00-8:00 PM

Certified Correct:

ALVIN R. LIM BASILIA G. SUNGA, EdD


Signature over Printed Name of Teacher Dean of Colleges

Recommending Approval:

RAUL G. DIMACULANGAN, PhD


Immediate Supervisor
Approved:

ENGR. EDGARD C. DOMINGO, Ph.D., CESO V


Schools Division Superintendent

Address: High School Blvd., Brgy. Lourdes, City of San Fernando (P)
Telephone No.: (045) 435-27-28; Email Address: pampanga@deped.gov.ph
Republic of the Philippines
Department of Education
REGION iii
SCHOOLS DIVISION OF PAMPANGA

Document Code: SDOPAMP-QF-


OSDS-AOV-AS-006
GENERAL QUALITY FORM Revision: 00
Effectivity date: 01-23-19
Name of Office:
APPLICATION FOR PERMIT TO TEACH

September 14, 2022

Name of Teacher: ALVIN R. LIM

Applicant’s Assignment:
School: STA. MARIA NATIONAL HIGH SCHOOL
District: MACABEBE WEST/CLUSTER 7

School where the applicant plans to teach:


School: PAMPANGA COLLEGES, INC.
Place: MACABEBE, PAMPANGA

Last Performance Rating: 4.900 (Outstanding)

LIST OF SUBJECTS TO TEACH


[  ] 1ST Semester [ ] 2ND Semester [ ] Trimester [ ] Summer SY 2022 - 2023
SUBJECT/S UNITS DAY TIME
Purposive Communication 3 M-W-F 6:00-7:00 PM
Purposive Communication 3 M-W-F 7:00-8:00 PM
Purposive Communication 3 T-Th-S 6:00-7:00 PM
Philippine Literature in English 3 T-Th-S 7:00-8:00 PM

Certified Correct:

ALVIN R. LIM BASILIA G. SUNGA, EdD


Signature over Printed Name of Teacher Dean of Colleges

Recommending Approval:

RAUL G. DIMACULANGAN, PhD


Immediate Supervisor
Approved:

ENGR. EDGARD C. DOMINGO, Ph.D., CESO V


Schools Division Superintendent

Address: High School Blvd., Brgy. Lourdes, City of San Fernando (P)
Telephone No.: (045) 435-27-28; Email Address: pampanga@deped.gov.ph

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