Intent To Retire

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Republic of the Philippines

Department of Education
Region XII
Division of Sarangani
Maasim 2 District
Isidro Hulom Elementary School

September 1, 2021

Thru Channel:

GILDO G. MOSQUEDA, CEO VI


Schools Division Superintendent
Division of Sarangani

Sir:

Greetings of love and prosperity!

I am LELITA V. PALMA 60 years old, widowed and a resident of Danggan, Kablacan,


Maasim, Sarangani Province and is assigned at Isidro Hulom Elementary School, Kabatiol,
Maasim, Sarangani Province.

In line with this, I hereby apply for retirement from the Department of Education, Division of
Sarangani, effective January 1, 2022 and declare to the of my knowledge the following:

Family Name First Name Middle Name Employee No.

PALMA LELITA VILLANEZA 5184026


Date of Birth: Age Upon Retirement:

July 27, 1961 60


Complete Mailing Address: Place of Birth:

Danggan, Kablacan, Maasim, Calinan, Davao City


Sarangani Province
Place of Assignment: Position Title:

Isidro Hulom Elementary School/Maasim Teacher II

I affirm that the information indicated above have been accomplished by me, and are true
and correct.

Truly yours,

LELITA V. PALMA
Teacher Applicant
Noted:

FERNANDO M. MOSO
School Head

Approved by:

GILDO G. MOSQUEDA, CEO VI


Schools Division Superintendent

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