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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XI
Division of Davao del Norte
Mankilam, Tagum City

LA PAZ NATIONAL HIGH SCHOOL


Purok San Antonio, La Paz, Carmen, Davao del Norte
SY 2020 - 2021

Date: ___________________

The Principal
_________________________
_________________________

Sir/Madam:

Requesting your good office to please furnish us the certified true copy of
FORM 137 – E / FORM 137 – A of the student(s) who is/are temporarily enrolled in
this institution.

Name/s School Year Curriculum


Last Attended Year

1st Request ___________


2nd Request ___________
3rd Request ___________

Note: The bearer is authorized to hand carry the said form.

____________________________
Adviser

Noted:

REYNALDO B. MALUBAY

Principal I

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