Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF PAMPANGA
FLORIDABLANCA NATIONAL AGRICULTURAL SCHOOL
Floridablanca, Pampanga

30 May 2023

NAME OF REGIONAL DIRECTOR

Regional Director
Department of Education
Regional Office III, Maimpis, City of San Fernando, Pampanga

Attention: NAME OF SDS

Schools Division Superintendent
Division of Pampanga
City of San Fernando, Pampanga

Madam:

The undersigned has the honor to request permission for NAME OF PERSONNEL,
Position of Personnel, to go on a number of days travel abroad particularly in
Location on Date to Date. Attached herewith are the documents needed to support
her request.

1. School Endorsement Letter

2. Letter of intent to travel abroad of personnel indicating place, duration and
purpose of travel.
3. CSC Form 6 - Application for Leave of Absence
4. School Clearance
5. Certification that the services can be dispensed with
6. Special Order designating an Officer-In-Charge (for SCHOOL HEADS ONLY)
7. Certification of no existing Provident Loan
8. Medical Certificate (if sick leave of absence)

Very truly yours,

NAME OF SCHOOL HEAD

Position

Encl:
As stated,

Address: Floridablanca, Pampanga

Telephone No.: 0917-303-2630/ 0998-866-8661;
Email Address: 300890@deped.gov.ph