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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
REGION IX, ZAMBOANGA PENINSULA
DIVISION OF ZAMBOANGA DEL SUR
DISTRICT OF MIDSALIP
TEBED PRIMARY SCHOOL

The Principal/Head Teacher/ Registrar

_______________ Elem./Primary School Date: ___________________


__________________________________

Sir/ Madam:
Our record shows that the following pupil(s) listed herein is/are temporarily
enrolled in this school. Kindly furnish us a copy of the form 137/ SF10 with remarks “Copy for
Tebed Primary School”.

Name of Pupil/s Grade in your School Admitted to Grade/School


Year

Thank you for your kind attention on this request.

Very truly yours,

__JOCELYN J. BALIVES____
Teacher in Charge
By:

_ELMA O. PERESORES____
____: 1st request Class Adviser
____: 2nd request
____: Urgent

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