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Department of Education

Region X
Division of Bukidnon
Don Carlos 1 District
DON CARLOS CENTRAL ELEMENTARY SCHOOL
Don Carlos, Bukidnon

February 12, 2023

VICTORIA V. GAZO PH.D., CESO V


School Division Superintendent
Division of Bukidnon
Sumpong, Malaybalay City

Ma’am,

May I have the honor to claim and submit the documentary requirements for
summer vacation maternity leave benefit last July 29 until November 12, 2023.

Attached here with the following documents for my maternity summer vacation
leave benefit.

1. Letter of Request with contact number.


2. Special order for maternity leave of absence.
3. Special order for Reinstatement to Duty
4. Approved CSC Form No. 6- Leave application
5. Medical Certificate (CS Form 41)
6. Birth Certificate of New Born
7. Teacher’s Clearance

Hoping for your kind approval regarding my claim for my maternity summer vacation leave
benefit. Thank You and God Bless!

Very truly yours,

JEANALINE R. PARCON
Teacher-II
09559621938

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